Unexplained Lump in Groin: What Could It Be?

Unidentified protruding lesion, not resembling folliculitis?

There is a red, swollen mass about 2-3 centimeters in size located in the pubic hair area between the right groin and lower abdomen.
It feels hard when pressed, and there is no visible abscess.
It is painful even without pressure.
What could this be?

Hen danxin de nanren, 30~39 year old female. Ask Date: 2020/01/16

Dr. Xu Wencang reply Urology

You can go for an outpatient examination.

Reply Date: 2020/01/16

More Info

An unexplained lump in the groin area can be concerning, and it's important to consider various possibilities. The description of a 2-3 cm red, swollen lump that feels hard and is painful to the touch suggests several potential conditions. Here are some common causes:
1. Lymphadenopathy: The groin area contains lymph nodes, which can become swollen due to infections, inflammation, or malignancies. If the lump is a swollen lymph node, it may be responding to an infection in the body, such as a sexually transmitted infection (STI), a skin infection, or even a systemic infection.

2. Abscess: An abscess is a collection of pus that can form due to infection. While you mentioned that you do not see a pus-filled bump, it is still possible for an abscess to be present beneath the skin, causing pain and swelling.

3. Hernia: A groin hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can create a lump that may be painful, especially when pressure is applied.

4. Sebaceous Cyst: These are non-cancerous lumps that can form under the skin. They are usually painless unless they become inflamed or infected.

5. Inguinal Hernia: This type of hernia occurs in the groin area and can present as a lump that may be painful, especially when straining or lifting.

6. Testicular Issues: In males, conditions affecting the testicles, such as epididymitis or testicular torsion, can sometimes present as pain or swelling in the groin area.

7. Tumors: While less common, both benign and malignant tumors can present as lumps in the groin area.
Given the symptoms you described, it is crucial to seek medical attention for a proper evaluation. A healthcare provider will likely perform a physical examination and may order imaging studies, such as an ultrasound, to better understand the nature of the lump. They may also consider your medical history, any associated symptoms (like fever or changes in urination), and any recent infections or injuries.

In the meantime, avoid manipulating the lump, as this could exacerbate any underlying condition. If you experience worsening pain, fever, or other concerning symptoms, seek immediate medical care.

In summary, while there are several potential causes for a lump in the groin, the best course of action is to consult a healthcare professional who can provide a thorough assessment and appropriate management based on the specific diagnosis. Early intervention can lead to better outcomes, especially if the lump is related to an infection or other treatable condition.

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