Enlarging Groin Lump: When to Seek Medical Attention?

Inguinal mass enlargement!!

I have had a hard lump on the left side of my groin for the past few months.
It was originally about 1 cm in size and not painful, but it often changes in size, sometimes getting larger and then smaller again.
Recently, the lump has grown larger (about 2 cm and somewhat elongated).
My menstrual period just ended, and I'm wondering if that has any relation.
Should I see a general surgeon or a gynecologist? Thank you, doctor.

Ying, 10~19 year old female. Ask Date: 2017/03/23

Dr. Chen Yunfang reply Oncology

Hello, I apologize for the late response to this question.
The menstrual cycle does not affect the lymphatic system.
However, it is uncertain whether what you are referring to is indeed a lymph node.
Please consult a gynecologist for a physical examination.
Thank you.

Reply Date: 2017/03/23

More Info

When it comes to an enlarging groin lump, it is essential to approach the situation with caution and awareness of potential underlying issues. The groin area, or inguinal region, can be home to various structures, including lymph nodes, blood vessels, and soft tissue. A lump in this area can arise from a variety of causes, including infections, lymphadenopathy (swollen lymph nodes), hernias, or even tumors.
Given that you have noticed a change in the size and shape of the lump, it is advisable to seek medical attention. Here are some key points to consider regarding when to seek medical attention for a groin lump:
1. Size and Change: You mentioned that the lump has increased in size from about 1 cm to approximately 2 cm and has changed shape. Any noticeable change in size, especially if it continues to grow, warrants a medical evaluation.
2. Duration: If the lump has been present for several months and is now changing, it is important to have it assessed. Lumps that persist for more than a few weeks should be evaluated by a healthcare professional.

3. Associated Symptoms: While you noted that the lump is not painful, it is crucial to consider other symptoms that may accompany it. These can include fever, night sweats, unexplained weight loss, or changes in bowel or urinary habits. If any of these symptoms are present, it increases the urgency to seek medical care.

4. Menstrual Cycle Considerations: You mentioned that the lump's enlargement coincided with the end of your menstrual cycle. While hormonal changes can sometimes affect lymph nodes, it is still essential to have any new or changing lumps evaluated, especially if they persist beyond your menstrual cycle.

5. Type of Specialist: In terms of which specialist to see, both general surgeons and gynecologists can evaluate groin lumps. A general surgeon may be more focused on the surgical aspects and potential need for biopsy or removal, while a gynecologist may consider any reproductive system-related issues. If you are unsure, starting with your primary care physician can help guide you to the appropriate specialist.

6. Potential Causes: The lump could be a swollen lymph node due to an infection, a cyst, or even a hernia. In some cases, it could be a sign of a more serious condition, such as a tumor. Therefore, it is crucial to have a thorough examination, which may include imaging studies like an ultrasound or CT scan, and possibly a biopsy if indicated.

In conclusion, given the changes you have observed in the groin lump, it is advisable to seek medical attention promptly. A healthcare professional will be able to perform a physical examination, take a detailed history, and determine if further diagnostic testing is necessary. Early evaluation can lead to timely diagnosis and treatment, ensuring that any potential issues are addressed before they become more serious. Don't hesitate to reach out to a healthcare provider to discuss your concerns and get the appropriate care.

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