the Risks of a Growing Tumor on the Back - Oncology

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My mother has a tumor on her back?


Dear Dr.
Chen,
I apologize for bothering you, and I appreciate all your hard work! About seven or eight years ago, my mother discovered a lump on her back and was seen by an oncologist at Ho Shin Hospital.
The doctor informed her that surgery was not advisable for this location and advised her to monitor it herself.
Recently, my mother recalled this issue and noticed that the lump has increased in size (though not significantly, it does seem to be growing), and it is now approximately 1 cm in diameter.
Upon examination, it feels smooth to the touch, without any sensation of tissue adhesion, and it protrudes like a round ball, but it is located deeper and feels mobile.
It is neither painful nor itchy.

I would like to inquire about the likelihood of malignancy for this type of lump.
I am somewhat concerned and hope that Dr.
Chen can provide valuable advice.
My mother plans to seek medical attention soon.
Thank you for your response.

Best regards.

Mike, 20~29 year old female. Ask Date: 2010/09/03

Dr. Chen Junyi reply Oncology


A biopsy can be performed first for analysis before proceeding further.

Reply Date: 2010/09/03

More Info


When it comes to assessing the risks associated with a growing tumor, particularly one located on the back, there are several factors to consider. Based on the information provided, your mother has had a tumor for several years that has recently shown signs of growth. The characteristics of the tumor, such as its size, texture, and mobility, are important in evaluating its potential malignancy.

Firstly, the fact that the tumor has been present for several years without significant change is a positive sign. Tumors that are benign often remain stable over time. However, the recent increase in size, even if it is gradual, warrants further investigation. Tumors that are smooth, mobile, and not fixed to surrounding tissues are generally less likely to be malignant. The absence of pain or discomfort is also a reassuring factor, as malignant tumors often present with associated symptoms.

In terms of malignancy risk, it is essential to consider the type of tumor. There are various types of tumors, including benign tumors like lipomas, which are fatty tumors that are typically harmless, and malignant tumors, which can be cancerous. The characteristics you described—smooth, round, and mobile—are more indicative of a benign tumor, but this is not definitive. The only way to accurately determine the nature of the tumor is through medical evaluation, which may include imaging studies and possibly a biopsy.

Given that your mother has already planned to seek medical attention, this is a prudent step. A healthcare professional will likely perform a physical examination and may recommend imaging studies such as an ultrasound or MRI to assess the tumor's characteristics further. If there is any suspicion of malignancy based on these evaluations, a biopsy may be performed to obtain a tissue sample for pathological examination.

It is also important to consider the growth rate of the tumor. A slow-growing tumor over several years is generally less concerning than one that grows rapidly over a short period. However, any change in size or characteristics should be taken seriously, and ongoing monitoring is essential.

In summary, while the characteristics of the tumor you described suggest a lower likelihood of malignancy, the recent growth and the fact that it has been present for several years necessitate further evaluation. Your mother's decision to seek medical advice is the best course of action. The healthcare provider will be able to provide a more accurate assessment based on a thorough examination and appropriate diagnostic tests. Regular monitoring and follow-up are crucial, especially if there are any changes in the tumor's characteristics or if new symptoms arise.
In conclusion, while the initial signs may be reassuring, it is essential to remain vigilant and proactive in seeking medical advice to ensure that any potential risks are adequately addressed.

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