a Small Hard Lump Near the Pubic Area: When to Seek Help - Dermatology

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Pubic bone nodule


In the past few days, I have noticed a hard lump near the pubic bone close to the groin area, about the size of a red bean.
It resembles a raised bump like a mosquito bite, but it is not red; rather, the color of that area is deeper than the surrounding skin.
Pressing on it does not cause pain or discomfort.
Could this be folliculitis or something else? If medical attention is needed, should I see a dermatologist or a gynecologist?

Tracy, 10~19 year old female. Ask Date: 2016/04/09

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it cannot be confirmed.
If it is causing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/04/09

More Info


When it comes to discovering a small hard lump near the pubic area, it's essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, the lump is approximately the size of a red bean, slightly raised, and does not cause pain or discomfort upon pressure. The fact that it is not red and has a deeper color than the surrounding skin suggests that it may not be an acute inflammatory process, such as an insect bite or infection.

There are several possibilities for what this lump could be. One common cause could be a sebaceous cyst, which is a benign growth that can occur when a hair follicle becomes blocked. These cysts are usually painless and can vary in size. Another possibility is a lipoma, which is a benign tumor made up of fat tissue. Lipomas are typically soft to the touch and can be moved slightly under the skin. Additionally, it could be a lymph node that has become slightly enlarged, although this is less common in the pubic area unless there is an infection or other underlying issue.

Given that the lump is not causing pain and appears to be stable, it may not require immediate medical attention. However, it is always wise to monitor any changes in size, shape, or symptoms associated with the lump. If it begins to grow, becomes painful, or if you notice any other concerning symptoms such as fever, night sweats, or unexplained weight loss, you should seek medical evaluation promptly.

In terms of which specialist to consult, it would be appropriate to start with a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination of the lump. They can determine whether it is a benign condition like a cyst or lipoma or if it requires further investigation. If the dermatologist suspects that the lump is related to gynecological issues, they may refer you to a gynecologist for further evaluation.

In summary, while the lump you described may not be a cause for immediate concern, it is essential to keep an eye on it and consult a dermatologist for a professional evaluation. They can provide you with a definitive diagnosis and recommend any necessary treatment options. Remember, early detection and intervention are crucial for any health-related issues, so don't hesitate to seek help if you have any doubts or concerns.

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