Hard lump on the inner thigh?
Hello Doctor,
In March of this year, I discovered a lump about 1 cm in size located 2 cm below the groin area on the inner side of my left thigh, next to the femoral artery.
I have noticed it for 3 months, but the exact duration is unclear.
The lump is immobile, has a texture that is somewhat hard but slightly soft, and there has been no significant growth since I first noticed it.
I have no other symptoms such as pain, inflammation, or night sweats.
Could you please advise what this might be? It doesn't feel like a lymph node, and a lipoma feels softer.
Does it appear to be malignant or benign? I plan to see an ENT specialist in July and would like to consult with an oncology specialist at the same time, but I am worried that if it is malignant, waiting until July might delay treatment.
Should I seek an appointment immediately?
Thank you for your guidance.
🙏
Bo Shi Xiao Nan Hai, 10~19 year old female. Ask Date: 2018/06/04
Dr. Chen Sirong reply Oncology
Doctor Little Boy / 18 years old / Male
Hello:
1.
What could this be, doctor?
A: It may not be possible to diagnose online.
2.
Does it appear to be malignant or benign?
A:
2.1 It is immovable.
2.2 It is hard.
These two points still suggest a possibility of malignancy.
3.
I plan to wait until July for a follow-up at Chang Gung Memorial Hospital's ENT department and then also see the oncology department.
A: If there are any changes such as increased size, increased hardness, or color changes, you should seek medical attention immediately.
4.
However, I am very afraid that if it is malignant, delaying until July will postpone treatment.
Should I seek an appointment immediately?
A: No physician can diagnose online to determine if it is benign and suggest waiting until July, or if it is malignant, advise immediate medical attention.
If you are concerned, I recommend seeking medical attention immediately.
If it is confirmed, you can only proceed with treatment.
Thank you, Doctor Little Boy, for your message.
Taoyuan Hospital
Dr.
Chen Sih-Rong
Reply Date: 2018/06/04
More Info
When it comes to hard lumps on the inner thigh, especially in the groin area, it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, you have identified a lump approximately 1 cm in size, located near the femoral artery, which has been present for three months without significant changes in size or associated symptoms such as pain, inflammation, or systemic signs like night sweats.
Possible Causes of the Lump
1. Lymphadenopathy: While you mentioned that it doesn't feel like a lymph node, it's worth noting that lymph nodes can sometimes feel firm and may not always be tender or swollen in a way that is easily recognizable. They can become reactive due to infections or other stimuli.
2. Lipoma: A lipoma is a benign tumor made of fat tissue. Typically, lipomas are soft and movable, but they can sometimes present as firmer lumps, especially if they are deeper or if the surrounding tissue is fibrous.
3. Sebaceous Cyst: These are benign cysts that can occur in various parts of the body, including the thigh. They may feel firm and can sometimes become inflamed.
4. Fibroma or Other Benign Tumors: These are non-cancerous growths that can develop in soft tissue and may feel hard.
5. Malignant Tumors: While the likelihood of a malignant tumor (such as a sarcoma) is lower given the lack of associated symptoms, it is still a possibility that cannot be dismissed without further evaluation.
When to Seek Medical Attention
Given that the lump has been present for three months without significant change, it is advisable to seek medical attention sooner rather than later. Here are some guidelines on when to consult a healthcare provider:
- Persistent or Growing Lump: If the lump continues to persist or grows in size, it warrants further investigation.
- Change in Characteristics: If the lump changes in texture, becomes painful, or shows signs of inflammation (redness, warmth, swelling), you should seek medical advice.
- Associated Symptoms: If you develop systemic symptoms such as fever, night sweats, unexplained weight loss, or fatigue, these could indicate a more serious condition that requires immediate attention.
Recommended Actions
1. Schedule an Appointment: While you mentioned waiting until July for your ENT appointment, it would be prudent to schedule an earlier visit with a healthcare provider, preferably a general practitioner or a specialist in oncology or surgery. They can perform a physical examination and may recommend imaging studies (such as an ultrasound) or a biopsy if necessary.
2. Document Changes: Keep a record of any changes in the lump's size, texture, or associated symptoms. This information will be valuable for your healthcare provider.
3. Avoid Delays: While it is understandable to want to wait for your scheduled appointment, if you have any concerns about the nature of the lump, it is better to err on the side of caution and seek medical advice sooner.
Conclusion
In summary, while the lump you described may not exhibit immediate alarming characteristics, it is essential to have it evaluated by a healthcare professional. Early assessment can help rule out serious conditions and provide peace of mind. Remember, your health is paramount, and timely medical attention is crucial in addressing any concerns regarding unusual lumps or growths.
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