From the Research
A fungating mass is a type of cancerous growth that extends beyond the skin surface, forming an ulcerating, cauliflower-like lesion, and its management should prioritize symptom control and quality of life, as indicated by the most recent study 1.
Definition and Characteristics
A fungating mass occurs when cancer cells invade the skin and surrounding blood vessels and lymph vessels, causing the tissue to die and creating an open wound. These masses are most commonly associated with advanced breast cancer but can also develop from other types of cancer including head and neck, colorectal, and skin cancers.
Clinical Presentation
Fungating masses often produce a foul odor due to bacterial infection of the dead tissue, and they may bleed easily or leak fluid. They can be painful and distressing for patients, causing physical discomfort and psychological distress due to their appearance and smell.
Management
Treatment typically focuses on managing symptoms through wound care, odor control with metronidazole gel or other antimicrobials, pain management, and addressing the underlying cancer with appropriate oncological treatments such as chemotherapy, radiation, or surgery when possible, as suggested by 2 and 3. Some key points to consider in management include:
- Wound care and dressing to manage exudate and odor
- Use of topical agents such as metronidazole to control odor and infection
- Pain management using opioids or other analgesics
- Addressing the underlying cancer with appropriate oncological treatments
- Consideration of novel therapeutic approaches, such as those involving nanotechnology or natural products, as discussed in 1.
Importance of Prompt Medical Attention
The development of a fungating mass generally indicates advanced disease and requires prompt medical attention from healthcare providers experienced in managing complex cancer wounds, as emphasized by 4 and 3.