IME; most fish with this sort of thing usually die. But on at least a few occasions, I've also seen fish "recover" from it (whatever "it" is). By recover, I mean the lump either goes away entirely, or it stops growing and the fish just lives with it. I had an Emperor Angel that had a small lump for 4-5 years before dying due to Hurricane Katrina. So, who knows how long he may have lived...