Biopsy: Most of cancers tend to grow overtime, but sometimes this enlargement can be small enough to be unnoticeable by the patient, but danger enough to spread to other sites of the body (metastasis) or grow to inside. That's why a full clinical exam should be performed to discard a possible malignancy, if it is suspected. Don't hesitate in ask to your doctor ASAP if you suspect something is wrong.
Answered 5/22/2020
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