Recurrence After Neck Surgery: What You Need to Know - Oncology

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Recurrence after neck surgery?


I had surgery for what seemed to be a hemangioma when I was in the third grade.
After the surgery, it reappeared about a year later, but it was smaller than before.
However, a dark spot appeared next to it that initially caused pain, but later it stopped hurting, so I didn't think much of it and didn't see a doctor.
Recently, as I am about to enter the second year of junior high, that dark spot has grown larger and is now more painful.
Doctor, what could that be? What should I pay attention to? Should I go back to the hospital for an examination?

Xiao Ning, 10~19 year old female. Ask Date: 2015/08/26

Dr. Chen Yunfang reply Oncology


Hello: Regarding the issue on your neck, it is best to see it in person to make a decision.
I recommend that you consult a surgeon or a dermatologist to determine if further excision is necessary.
Thank you!

Reply Date: 2015/08/26

More Info


Understanding recurrence after neck surgery, especially in the context of previous surgeries for conditions like vascular tumors, is crucial for managing your health effectively. Recurrence can occur for various reasons, and it’s essential to be aware of the signs and symptoms that may indicate a problem.

Firstly, it’s important to understand what might be happening with the "black" growth you mentioned. Given your history of surgery for a vascular tumor, this new growth could potentially be a recurrence of the original condition or a new issue altogether. Vascular tumors, such as hemangiomas, can sometimes recur or lead to the development of new lesions. The fact that you are experiencing pain, especially if it has increased, is a significant symptom that should not be ignored.

Here are some key points to consider regarding your situation:
1. Nature of the Growth: The "black" growth you described could be a variety of things, including a recurrence of the vascular tumor, a new benign growth, or even a malignant condition. The color change and pain are concerning and warrant further investigation.

2. Symptoms to Monitor: Besides pain, you should also be aware of other symptoms such as changes in size, shape, or color of the growth, any discharge, or changes in sensation in the surrounding area. These could provide important clues to your healthcare provider.

3. Importance of Medical Evaluation: Given your history and the recent changes in the growth, it is crucial to return to your healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or MRI, to assess the growth's characteristics and determine the best course of action.

4. Potential Treatments: If the growth is confirmed to be a recurrence or a new issue, treatment options may vary. They could include observation, surgical removal, or other interventions depending on the nature of the growth and its impact on your health.

5. Follow-Up Care: After any surgery, regular follow-up appointments are essential to monitor for recurrence. Your healthcare provider will guide you on how often you should be seen based on your specific situation.

6. Psychological Impact: Dealing with the possibility of recurrence can be stressful. It’s important to communicate your concerns with your healthcare provider and seek support from family or mental health professionals if needed.

In conclusion, it is highly advisable to schedule an appointment with your healthcare provider as soon as possible to discuss the changes you’ve noticed. Early intervention can be key in managing any potential recurrence or new growth effectively. Remember, your health is paramount, and being proactive about changes in your body is the best approach.

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