Groin Lumps: Causes, Symptoms, and When to Seek Help - Oncology

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Inguinal mass or lump?


Hello Doctor, thank you for taking the time to respond to my question despite your busy schedule.
Last night, while preparing to take a shower, I suddenly felt a sharp pain in the groin area.
During the shower, I noticed that pressing on the area was painful, and it feels like there is a hard lump inside (the lump feels relatively large, but it is not visible externally).
It is not a pimple.
The next day, the pain became more pronounced, and I occasionally experience sharp pains.
The location is right at the edge of where my thigh meets my underwear, so it is easy to press on it.
Walking has started to cause some discomfort, and crossing my legs directly puts pressure on it.
I would like to ask what this condition might be.

Liao Xiaojie, 30~39 year old female. Ask Date: 2018/10/19

Dr. Hu Ziren reply Oncology


It may just be localized lymphadenopathy.
If you're concerned about the possibility of other issues (such as a local infection), you can consult an obstetrician-gynecologist or an infectious disease specialist.

Reply Date: 2018/10/19

More Info


Understanding groin lumps can be crucial for identifying potential health issues. Groin lumps can arise from various causes, and understanding the symptoms and when to seek medical help is essential for proper diagnosis and treatment.


Causes of Groin Lumps
1. Lymphadenopathy: One of the most common causes of lumps in the groin area is swollen lymph nodes. This can occur due to infections, such as sexually transmitted infections (STIs), or systemic infections like mononucleosis or even certain cancers. The lymph nodes can become tender and swollen, leading to discomfort.

2. Hernias: 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 noticeable lump in the groin area, often accompanied by pain or discomfort, especially when bending over or lifting.

3. Cysts: Sebaceous cysts or epidermoid cysts can develop in the groin area. These are usually benign and may feel like small lumps under the skin. They can become inflamed or infected, leading to pain and discomfort.

4. Abscesses: An abscess is a collection of pus that can form in response to infection. If you have a painful lump that feels warm to the touch, it may be an abscess that requires drainage and antibiotic treatment.

5. Lipomas: These are benign tumors made of fat tissue. They are usually soft, movable, and painless, but can sometimes cause discomfort if they press on nearby structures.

6. Testicular Issues: In males, conditions affecting the testicles, such as epididymitis or testicular torsion, can cause referred pain to the groin area and may present with lumps.


Symptoms to Watch For
- Pain: As you described, the pain can be sharp or throbbing and may worsen with movement or pressure.

- Swelling: The presence of a lump that feels firm or hard when palpated.

- Redness or Warmth: If the area around the lump appears red or feels warm, it may indicate inflammation or infection.

- Changes in Urination: If you experience changes in urination, such as increased frequency or pain, it could suggest a urinary tract infection or other issues.

- Fever: A fever accompanying the lump may indicate an infection that requires prompt medical attention.


When to Seek Help
You should seek medical attention if:
- The lump persists for more than a few days or worsens.

- You experience significant pain that interferes with daily activities.

- There are signs of infection, such as fever, redness, or warmth around the lump.

- You notice changes in bowel or urinary habits.

- You have any concerns about the nature of the lump, especially if it changes in size or characteristics.


Conclusion
Given your symptoms of sudden pain, the presence of a hard lump, and discomfort while walking or sitting, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination, and possibly imaging studies, to determine the exact cause of your symptoms. Early diagnosis and treatment are key to managing any underlying conditions effectively. Remember, while some causes of groin lumps are benign, others may require prompt medical intervention.

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