Inner thigh lump issue?
Hello Dr.
Lee, a few days ago I noticed a sudden protrusion about two centimeters in size located above the right thigh bone, connecting to the groin area.
After researching, I suspected it might be a lipoma, but after observing it for several days, I found that touching it or friction while walking causes increasingly intense sharp pain.
Additionally, the tendon above the lump is slightly swollen and feels tender when pressed.
However, I feel no discomfort when sitting or lying down.
Given this situation, could it still be a lipoma? Should I see a general surgeon or another specialist? Thank you, doctor!
Niming, 20~29 year old female. Ask Date: 2016/09/10
Dr. Li Zhonghuai reply Surgery
Hello! Lipomas do not appear suddenly; sebaceous cysts are more likely.
Please visit a general surgery department for evaluation.
Changhua Hospital cares about you!
Reply Date: 2016/09/10
More Info
Hello! Thank you for your question regarding the lump you’ve discovered in your inner thigh area. Based on your description, it sounds like you are experiencing a concerning symptom that warrants further evaluation.
Lumps in the thigh region can arise from various causes, and while a lipoma (a benign fatty tumor) is one possibility, the characteristics you describe—such as the pain upon pressure and the swelling of the surrounding tissue—suggest that it could be something else. Here are some potential causes for the lump you are experiencing:
1. Lipoma: As you mentioned, lipomas are soft, fatty lumps that are generally painless. They can sometimes become tender if they press against nerves or other structures.
2. Cysts: Sebaceous cysts or other types of cysts can develop in the skin or deeper tissues. These can become inflamed or infected, leading to pain and swelling.
3. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can create a lump in the groin area and may cause discomfort, especially when standing or moving.
4. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammation, or other medical conditions. If the lump is near the groin, it could be a swollen lymph node reacting to an infection or other issue.
5. Muscle Strain or Injury: Sometimes, a lump can be a result of a muscle strain or hematoma (a localized collection of blood outside of blood vessels), which can occur after trauma or overuse.
Given that the lump has become painful and is associated with swelling, it is advisable to seek medical attention. You should consider visiting a general surgeon or an orthopedic specialist, as they can evaluate soft tissue masses and determine the appropriate course of action. If there are signs of infection (such as redness, warmth, or fever), you should seek care sooner rather than later.
During your visit, the doctor will likely perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump. Depending on the findings, they may suggest a biopsy or other interventions if necessary.
In summary, while a lipoma is a possibility, the symptoms you describe suggest that further evaluation is warranted to rule out other conditions. It’s important to address any new or changing lumps, especially when accompanied by pain or other symptoms. Please make an appointment with a healthcare provider to discuss your concerns and receive appropriate care. Take care!
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