Tumors: When to Worry About New Growths on the Body - Oncology

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A tumor has developed on the back?


Hello Doctor: My boyfriend has had a tumor on his thigh (near the hip) since childhood.
It hasn't caused any pain, so he hasn't paid much attention to it.
However, recently he developed another lump on his back, which is painful when pressed.
He keeps saying it might be cancer! So I would like to ask the doctor: Is it possible that the lump on his back could be cancer, or could it be a lipoma? If he needs to make an appointment, which specialty should he see?

You Mei, 30~39 year old female. Ask Date: 2009/12/23

Dr. Chen Sirong reply Oncology


1.
A man keeps telling you that it might be cancer but doesn't go see a doctor himself; it's clear he's seeking sympathy from you.
Please consider what he really wants.

2.
The chances of cancer are very low.

3.
Please consult a general surgeon.
Wishing you all the best.
Dr.
Chen Sih-Jung, Department of Health, Taoyuan.

Reply Date: 2009/12/23

More Info


When it comes to understanding tumors and new growths on the body, it is essential to approach the situation with a combination of awareness, knowledge, and appropriate medical guidance. Your boyfriend's situation, where he has had a long-standing tumor on his thigh and a new painful growth on his back, raises valid concerns that warrant further investigation.

Firstly, it is crucial to differentiate between benign and malignant tumors. Benign tumors, such as lipomas (fatty tumors), are generally non-cancerous and do not spread to other parts of the body. They can occur in various locations, including the thigh and back, and are often painless. However, if a tumor becomes painful, as your boyfriend's back tumor has, it may indicate a change in the tumor's nature or the development of a different condition altogether.

Malignant tumors, or cancers, can present with various symptoms, including pain, changes in size, or alterations in appearance. While the presence of pain in a tumor can be concerning, it is not definitive proof that the tumor is cancerous. Other factors, such as the tumor's growth rate, consistency, and associated symptoms (like weight loss or fatigue), also play a significant role in determining the nature of the tumor.

Given your boyfriend's history of a long-standing, painless tumor and the recent development of a painful growth, it is advisable to seek medical evaluation. The appropriate specialist to consult would be a dermatologist or a general surgeon. Dermatologists are experts in skin-related conditions and can evaluate skin tumors, while general surgeons can assess deeper tissue masses and perform necessary biopsies if needed.

During the consultation, the doctor will likely perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to better understand the characteristics of the new growth. A biopsy may also be necessary to determine whether the tumor is benign or malignant. This procedure involves taking a small sample of the tumor tissue for laboratory analysis.

It is important to note that not all tumors that cause pain are cancerous, and many benign tumors can become symptomatic due to factors like inflammation or pressure on surrounding tissues. However, any new growth, especially one that changes in character or becomes painful, should be evaluated promptly to rule out any serious conditions.

In summary, while the presence of a new, painful tumor on your boyfriend's back is understandably concerning, it is essential to approach the situation with a clear plan. Consulting with a dermatologist or general surgeon will provide the necessary expertise to evaluate the tumor accurately. Early diagnosis and intervention are key to managing any potential issues effectively. Encourage your boyfriend to seek medical attention soon, as this will help alleviate anxiety and ensure that any necessary treatment is initiated promptly.

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