Not all masses in the body need to be treated or removed

DO ALL MASSES IN THE BODY NEED TO BE TREATED OR REMOVED?

“Not all benign tumors need treatment. If your tumor is small and isn’t causing any symptoms, your doctor may recommend taking a watch-and-wait approach. In these cases, treatment could be riskier than letting the tumor be. Some tumors will never need treatment.” http://www.healthline.com/health/benign#Diagnosis5

“In many cases, benign tumors need no treatment. Doctors may simply use “watchful waiting” to make sure they cause no problems.” http://www.webmd.com/a-to-z-guides/benign-tumors-causes-treatments#1

DO ALL MASSES IN THE BODY NEED TO BE TREATED OR REMOVED?  

The answer is NO.

Patient CL has a 2-mm subcutanous nodule on the neck.  My diagnosis is nodular fibrosis, a non-cancerous condition, probably brought about by degenerative changes of aging in skin.  Watchful waiting was done. Ten years after, the 2-mm nodule is still there, no change, and not causing any symptoms.

Patient RJ has a 1-cm neck node near the ear.  My diagnosis is a non-specific lymphadenopathy.  Watchful waiting was done.  Twenty years after, the 1-cm neck node is still there, no change, and not causing any symptoms.

Patient MC has a recurrent macrocyst of the breast.  Watchful waiting was done.  No operation.  No needle aspiration. The mass completely disappeared after 4 months.

Patient JD has a small ganglion cyst on the wrist.  After needle aspiration, mass disappeared but recurred.  After a few months of watchful waiting, the recurrent ganglion cyst disappeared.

ROJ-TPOR:

NOT ALL MASSES NEED TO BE TREATED OR REMOVED.

The mass should be seen by a physician first.  If the probability that the mass is benign (not cancerous – which could also be due to hormonal changes, inflammation, or degenerative changes of aging), if the mass is not causing any symptoms, then watchful waiting can be done, but under the supervision of a physician.

ROJ-TPOR@16dec13

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