Hard Lumps Near the Buttocks: When to Seek Medical Advice

There is a hard lump next to the buttocks?

I noticed something after the New Year, but I was hesitant to tell my family, so I’ve waited until now.
Recently, I feel like I should take care of it, so I’m asking about it.
It’s located on the side of my buttocks where there is the most flesh (not near the anus), and it’s about the size of a 5 to 10 NT dollar coin.
There is no pain or itching, unless I accidentally press on it; otherwise, everything seems normal! I haven’t tried to squeeze it, so despite reading many articles about cysts, I still can’t determine what it is.
Should I see a dermatologist immediately, or can I wait and observe it for a while? My daily life is normal; I just feel like there’s this strange lump.

Mr. Li, 10~19 year old female. Ask Date: 2017/05/11

Dr. Li Zhonghuai reply Surgery

Hello! It is recommended to see a general surgeon, as a physical examination on-site is more accurate.
Take care! Changhua Hospital cares about you.

Reply Date: 2017/05/11

More Info

When it comes to hard lumps near the buttocks, particularly those that are painless and not causing any significant discomfort, it’s understandable to feel uncertain about whether to seek medical advice. Based on your description, it sounds like you have a lump that is approximately the size of a 5 to 10 cent coin, located on the fleshy part of your buttock, and it does not itch or hurt unless pressed.
In general, there are several types of lumps that can form in this area, including lipomas (benign fatty tumors), sebaceous cysts, or even fibromas. Lipomas are soft, movable lumps that are usually painless and can vary in size. Sebaceous cysts, on the other hand, can feel firmer and may have a small opening on the skin surface. They are typically filled with a substance called sebum and can become inflamed or infected, leading to discomfort. Fibromas are benign tumors made up of fibrous or connective tissue and can also be painless.

Given that your lump is not causing pain or other symptoms, it may not be an immediate cause for concern. However, there are a few factors to consider that could help you decide whether to seek medical attention:
1. Duration: If the lump has been present for a significant amount of time (several weeks to months) without change, it may be less concerning. However, if it suddenly appears or grows rapidly, it warrants further evaluation.

2. Change in Characteristics: Monitor the lump for any changes in size, shape, or texture. If it becomes painful, red, or starts to drain, these could be signs of infection or other issues that require medical attention.

3. Associated Symptoms: If you start experiencing other symptoms such as fever, chills, or systemic symptoms (like fatigue or weight loss), it is advisable to consult a healthcare provider.

4. Personal Medical History: If you have a history of skin conditions, previous lumps, or any other relevant medical history, it may be beneficial to discuss this with a healthcare professional.

5. Peace of Mind: If you are feeling anxious or concerned about the lump, it is always better to err on the side of caution. A visit to a dermatologist or primary care physician can provide reassurance and help determine the nature of the lump.

In conclusion, while it may not be necessary to seek immediate medical advice if the lump is stable and asymptomatic, it is wise to keep an eye on it. If you notice any changes or if it begins to cause discomfort, do not hesitate to consult a healthcare professional. They can perform a physical examination and, if necessary, order imaging studies or a biopsy to determine the nature of the lump. Remember, your health and peace of mind are paramount, and it’s always better to be proactive when it comes to any changes in your body.

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