Groin Lumps: Causes and When to See a Doctor - Oncology

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Hard lump in the groin area?


Previously, there was a small lump on the left thigh near the scrotum.
Since it was located on the pubic hair, I didn't pay much attention to it at first.
However, it has suddenly turned into a small mass, and it hurts a bit when walking and sitting.
What could this be? I searched online but couldn't find anything similar.
I have an upcoming exam, so can I wait to see a doctor until after the exam?

Yue Didi, 10~19 year old female. Ask Date: 2020/04/20

Dr. Chen Sirong reply Oncology


Patient: 17-year-old male
1.
There is a small lump near the left thigh close to the scrotum.
Initially, it was not a concern since it was located on the pubic hair, but it has suddenly developed into a small mass, causing some pain while walking and sitting.
What could this be?
A: Without an in-person examination, it is difficult to provide an answer.

2.
Is it okay to see a doctor after the standardized test is over?
A: Yes, that is fine.
Wishing you good health and happiness.

Taoyuan Hospital, Dr.
Chen Sih-Rong

Reply Date: 2020/04/20

More Info


When it comes to groin lumps, especially those located near sensitive areas like the scrotum, it's essential to approach the situation with caution and awareness. The symptoms you describe—a small lump that has grown and is causing pain while walking or sitting—could be indicative of several conditions, some of which may require medical attention.


Possible Causes of Groin Lumps
1. Lymphadenopathy: Swollen lymph nodes in the groin can occur due to infections, inflammation, or malignancies. If the lump feels firm and is accompanied by other symptoms like fever or night sweats, it could be a sign of an underlying infection or other systemic issues.

2. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can present as a lump in the groin area and may cause discomfort, especially when standing or exerting pressure.

3. Sebaceous Cyst: These are non-cancerous lumps that can form under the skin when sebaceous glands become blocked. They are usually painless but can become inflamed or infected, leading to discomfort.

4. Folliculitis or Ingrown Hair: If the lump is near hair follicles, it could be an inflamed hair follicle or an ingrown hair, which can cause localized pain and discomfort.

5. Varicocele: This is an enlargement of the veins within the scrotum and can sometimes be felt as a lump. It may cause discomfort and is more common in younger males.

6. Testicular Issues: Conditions such as epididymitis (inflammation of the epididymis) or testicular torsion can cause swelling and pain in the groin area. These conditions often require immediate medical evaluation.


When to See a Doctor
Given that the lump has changed in size and is causing pain, it is advisable to see a healthcare provider sooner rather than later. While it may be tempting to wait until after your exams, the potential for worsening symptoms or complications warrants prompt evaluation. Here are some signs that indicate you should seek medical attention immediately:
- The lump continues to grow or changes in appearance.

- You experience severe pain or discomfort.

- There are accompanying symptoms such as fever, chills, or unexplained weight loss.

- You notice any changes in urination or bowel habits.


Conclusion
In summary, while some groin lumps may be benign, the combination of growth and pain suggests that it would be prudent to consult a healthcare professional. They can perform a physical examination and may recommend imaging studies or laboratory tests to determine the cause of the lump. Early diagnosis and treatment can prevent potential complications and provide peace of mind. It’s always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.

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