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Is the mass in my lower abdominal wall cancerous and what are the findings from the ultrasound?

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Oncologist, Surgical
Practicing since : 2008
Answered : 576 Questions
I have a mass in the lower abdominal wall. It is about 1.5 inches below my belly button and about 1 inches to the left of the belly button. I had a c section about 9 months ago and thought maybe it could be a hernia but that was ruled out. Its is not located near my incision so any relation to the c section was ruled out also. I went to my OBGYN about 5 months ago to check for pelvic prolapse and she pressed on my lower abdomen and never mentioned a mass so i am assuming it wasnt there 5 months ago. when i use my abdominal muscles it feels like i have a pulled muscle in the spot where the mass is located but other than that there is no pain and i have no other symptoms. A ct scan and ultrasound have shown that it is a solid mass within the abdominal sheath and I am being sent to a sergeon for biopsy. the ct also noted that the bladder, uterus, ovaries and intestines where all uneffected and that the spleen was not visible. I have yet to talk to my doctor about what the possibilities may be. I just had the lady that called me to let me know she was sending a referral to a sergion read me the ultrasound report. I am waiting on my doctor to call me back now and i was wondering if there are any specifics that i should ask him that might shed light on what the mass could be. I am 31 years old and have 3 yound children. I am terrified that it might be cancer. Are there any cancers that would be found in the lower abdominal sheath and what other symptoms would be present? also during the ultrasound when they did the color flow ther where a few small spots of color around the mass but not in it. Out of the three spots of color that i saw only one was close to the mass but it still didnt even touch the outer edge of it. does that mean anything. I still havnt heard back from my doctor regarding the ultrasound so I havnt been able to verify the color flow results with him. Im just basing this off of what i recall seeing.
Posted Mon, 20 Jan 2014 in Cancer
Answered by Dr. Rohan Khandelwal 7 hours later
Brief Answer: could be a hematoma; biopsy can rule out cancer Detailed Answer: Dear Ma'am, Sorry to hear about your problem but i am glad that you are seeking medical advise for the same. The lump which you have described could either be a rectus sheath hematoma, which is common in young patients and during pregnancy or a small tumor, the nature of which can only be determined by a biopsy or needle test. Hernia is also a strong possibility but it has been ruled out by other tests. I would advise you to visit an oncologist and have them schedule a biopsy of the lesion as it would give a clear picture about the nature of the lump. Hoping for the best. Please feel free to clarify any other query. Rohan Khandelwal Surgical Oncologist
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