Forehead Tumors During Pregnancy: When to Seek Treatment - Oncology

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A small tumor on the forehead?


I am over four months pregnant and discovered a small tumor on my forehead during the Spring Festival this year.
It is round, approximately 0.4 cm in diameter and about 0.2 cm in height.
It feels hard to the touch and is close to skin color.
Before my pregnancy, the small tumor on my forehead was just a small dot, but it has since grown larger.
I have two questions:
1.
If the small tumor continues to grow, should I undergo surgery during my pregnancy? If I do have surgery, will it affect the fetus?
2.
If the small tumor continues to grow, can I wait until after delivery to have surgery, and will I be able to breastfeed?

Guozi, 30~39 year old female. Ask Date: 2016/02/13

Dr. Lai Yicheng reply Oncology


Dear Ms.
Juice,
Regarding your inquiry about the small tumor on your forehead, I would like to provide the following recommendations:
1.
No, local anesthesia will not affect the fetus.

2.
Based on your description, it seems more likely to be benign.
If you are concerned, you may consider having it excised before delivery for pathological examination.
If it is benign, it will provide you with more peace of mind.
Sincerely,
Director Lai
Department of Radiation Oncology
Changhua Hospital

Reply Date: 2016/02/13

More Info


When it comes to the appearance of a forehead tumor during pregnancy, it is understandable to have concerns, especially as this is a significant time for both the mother and the developing fetus. Based on the information provided, it seems that you have a small, round tumor on your forehead that has grown since your pregnancy began. Here’s a comprehensive response to your questions regarding treatment options and considerations during pregnancy.


1. Should I have surgery during pregnancy if the tumor continues to grow? Will it affect the fetus?
If the tumor continues to grow, it is essential to consult with a healthcare professional, preferably a dermatologist or a surgeon who specializes in skin lesions. Generally, many benign tumors, such as seborrheic keratosis or dermatofibromas, can be monitored without immediate intervention. However, if there is a concern that the tumor may be malignant or if it causes discomfort or cosmetic issues, surgical removal may be considered.

Regarding the timing of surgery, many healthcare providers recommend waiting until after the first trimester, as this is when the fetus is most vulnerable to potential risks associated with anesthesia and surgical procedures. Local anesthesia is typically considered safe during pregnancy, and it is less likely to affect the fetus compared to general anesthesia. However, every case is unique, and the decision should be made in consultation with your healthcare provider, who can assess the specific characteristics of the tumor and your overall health.


2. If the tumor continues to grow and I wait until after delivery for surgery, can I breastfeed?
If you choose to wait until after delivery for surgery, you should generally be able to breastfeed, provided that the surgery is performed under local anesthesia and does not involve any medications that could be contraindicated during breastfeeding. Most minor skin surgeries do not interfere with breastfeeding, and the local anesthetics used are typically safe for nursing mothers. However, if you require any medications post-surgery, it is crucial to discuss these with your healthcare provider to ensure they are safe for breastfeeding.


Additional Considerations
- Monitoring: Keep a close eye on the tumor's size, shape, and any changes in color or texture. Documenting these changes can be helpful for your healthcare provider in determining the best course of action.


- Consultation: Regular check-ups with your obstetrician or a dermatologist can provide peace of mind. They can help monitor the tumor and advise you on the best timing for any necessary interventions.

- Emotional Well-being: Pregnancy can be a time of heightened anxiety, especially with health concerns. It may be beneficial to discuss your worries with a healthcare professional or a counselor who can provide support.

- Postpartum Care: After delivery, you can discuss the surgical options with your healthcare provider, including the timing and type of procedure that would be most appropriate for your situation.

In conclusion, while it is essential to monitor the tumor during your pregnancy, many benign tumors can be safely observed without immediate intervention. If surgery becomes necessary, local anesthesia is typically safe, and breastfeeding can usually continue post-surgery. Always consult with your healthcare provider to make informed decisions tailored to your specific circumstances.

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