What are the differences between benign and malignant tumors?

Nov 05, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, the main differences between benign and malignant tumors are reflected in aspects such as growth rate, boundary shape, potential for metastasis, impact on surrounding tissues, and recurrence after treatment. These differences directly affect the severity of the disease and the choice of treatment. Once a tumor is detected, prompt pathological examination is required to determine its nature, followed by developing a targeted treatment plan based on the tumor's characteristics.

In general, the distinction between benign and malignant tumors is mainly reflected in aspects such as growth rate, boundary characteristics, potential for metastasis, impact on surrounding tissues, and recurrence after treatment. These differences directly affect disease severity and treatment approaches. The specific analysis is as follows:

1. Growth rate: Benign tumors grow slowly, often taking months or even years to show noticeable changes. Some benign tumors may stop growing once they reach a certain size. In contrast, malignant tumors grow rapidly, with visible enlargement occurring in a short period, and they do not stop growing spontaneously.

2. Boundary characteristics: Benign tumors have well-defined borders, clearly demarcated from surrounding normal tissues. They usually have a uniform texture and appear round or oval, and can often be moved when touched. Malignant tumors, however, have unclear or irregular boundaries, tend to adhere to surrounding tissues, exhibit heterogeneous texture, and are difficult to move upon palpation.

3. Metastasis: Benign tumors do not metastasize; they remain localized at their original site and do not invade other organs or tissues. Malignant tumors, on the other hand, have the ability to metastasize, spreading through blood, lymph, or other pathways to form new tumor lesions in distant parts of the body, thereby worsening the condition.

4. Impact on surrounding tissues: Benign tumors have minimal effects on surrounding tissues. Any symptoms are typically due to compression caused by increasing tumor size, resulting in mild discomfort without destruction of normal tissue. Malignant tumors actively invade and destroy surrounding normal tissues, impairing tissue function and causing symptoms such as pain and bleeding.

5. Recurrence after treatment: After complete surgical removal, benign tumors generally do not recur, and the prognosis is favorable. Malignant tumors, however, carry a high risk of recurrence even after treatments such as surgery, chemotherapy, or radiotherapy. Long-term follow-up is required to detect and manage any possible recurrence promptly.

Upon tumor detection, a pathological examination should be conducted promptly to determine the nature of the tumor, based on which a targeted treatment plan can be developed. After treatment, regular follow-up examinations should be performed according to medical advice, along with maintaining healthy lifestyle habits—such as regular作息 (daily routines) and a balanced diet—to support recovery and effective disease management.