Should I Remove a Growing Lipoma on My Scrotum?

A lipoma has developed on the scrotum?

Since high school, I have noticed a lump on my scrotum that is painless and not itchy.
It started off small but has gradually increased in size.
I eventually used a needle to puncture it and found that the substance that came out resembled that of a pimple, although it had an unpleasant odor.
After draining it, the lump shrinks, but it soon enlarges again.
Would it be better to have it surgically removed? The appearance is quite concerning.

You Can Talk It Out, 30~39 year old female. Ask Date: 2020/01/29

Dr. Xu Kaixi reply Surgery

Based on your description, this small tumor resembles a sebaceous cyst.
If it continues to recur without improvement, surgical excision is recommended.

Reply Date: 2020/01/29

More Info

When it comes to the management of a growing lipoma, especially in sensitive areas like the scrotum, there are several factors to consider. A lipoma is a benign tumor made up of fat tissue, and they are generally harmless. However, the fact that yours has been growing and has caused you concern regarding its appearance and potential discomfort warrants a closer look.

Firstly, it’s important to understand that lipomas are typically soft, movable, and painless. They can vary in size and may grow slowly over time. In your case, it seems that the lipoma has been present since high school and has gradually increased in size. The fact that you attempted to puncture it and noticed a discharge that resembled pus is concerning. This could indicate that the lipoma may have become inflamed or infected, which can happen if there is trauma to the area, such as from your attempt to drain it.

Given that you mentioned the lipoma is not painful or itchy, it may not pose an immediate health risk. However, the cosmetic concern you have is valid. Many individuals choose to have lipomas removed for aesthetic reasons, especially if they are located in visible areas or cause self-consciousness. The removal of a lipoma is typically a straightforward outpatient procedure. A healthcare provider would usually perform this under local anesthesia, making it a relatively painless experience.

In addition to cosmetic reasons, there are other considerations for removal. If the lipoma is growing rapidly, changing in appearance, or if you experience any pain or discomfort, it is advisable to seek medical evaluation. While most lipomas are benign, any changes in size or symptoms could warrant further investigation to rule out other conditions, such as a sebaceous cyst or, in rare cases, a malignant tumor.

It’s also worth noting that if the lipoma is causing discomfort due to its location, especially in the scrotal area, surgical removal may be the best option. The procedure would not only alleviate any potential discomfort but also address your concerns about its appearance.

In conclusion, while lipomas are generally benign and may not require immediate intervention, your situation suggests that a consultation with a healthcare provider is warranted. They can assess the lipoma, discuss your symptoms, and help you weigh the pros and cons of surgical removal. If you decide to proceed with surgery, it can provide both relief from any discomfort and improve the cosmetic appearance of the area. Always prioritize your health and well-being, and don’t hesitate to seek professional advice for any concerns you may have.

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