Lumps and Skin Lesions: When to Seek Medical Advice

There is a small hard lump in the groin area?

Hello Doctor, I have a small hard lump in my groin area that feels elongated, approximately three centimeters in size.
I remember noticing it before, but it didn't seem this large (my memory is a bit vague).
It is movable when I touch it, and pressing it firmly causes slight pain.
Is this normal? Could it be a benign tumor? I have neurofibromas and initially thought this might be one, but the doctor said it is not, which makes me a bit worried.

Additionally, I have a question similar to #154925.
I have a mole on my body with irregular edges and uneven color.
I wondered if it could be a mole on a café-au-lait spot, which is why it looks like this.
I'm concerned if it could be something serious, as this mole has been with me for a long time, but I only recently noticed the uneven color and irregular edges.
Can I consult a plastic surgeon to have it removed for peace of mind?
Also, I would like to ask if removing a neurofibroma could trigger the growth of more.
I'm worried about this aspect as well.
Lastly, if there is something concerning on my body, will taking a biopsy cause it to become more severe? Thank you for your response, Doctor.

Xingzhu, 30~39 year old female. Ask Date: 2020/05/27

Dr. Chen Sirong reply Oncology

Hello, I am 35 years old male.

1.
I have a small hard lump in my groin area that feels elongated, approximately three centimeters in size.
Is this normal? Could it be a benign tumor?
A: It is advisable to consult a physician for evaluation.
Generally, the options are observation or surgical excision in an outpatient setting.
I have a neurofibroma and initially thought this might be one as well, but the doctor said it is not, which makes me a bit worried.
2.
I also have a mole on my body; can I have it removed by a plastic surgeon?
A: Yes, a plastic surgeon can remove it, including the one in your groin area.
3.
If I have a neurofibroma removed, will it cause more to develop?
A: It should not.
4.
I would like to ask, if there is something concerning on my body, will taking a biopsy cause it to become more severe?
A: It should not.
In fact, you might consider complete excision instead of a biopsy.

Wishing you well,
Taoyuan Hospital, Dr.
Chen Sih-Rong

Reply Date: 2020/05/27

More Info

When it comes to lumps and skin lesions, it is crucial to understand when to seek medical advice. Based on your description of a small hard lump in your groin area, measuring about three centimeters and being movable with slight pain upon pressure, it is understandable to feel concerned. While it is possible that this lump could be a benign tumor, such as a lipoma or a cyst, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions.

Given your history of neurofibromatosis, it is wise to be vigilant about any new growths or changes in existing lesions. Neurofibromas, which are benign tumors associated with this condition, can vary in size and may appear in various locations on the body. However, if a healthcare provider has already assessed this lump and determined it is not a neurofibroma, it may be a different type of benign growth. Nonetheless, if you notice any changes in size, shape, or symptoms associated with the lump, you should seek further evaluation.

Regarding your concerns about a mole with irregular borders and uneven color, it is essential to be cautious. Moles that change in appearance can sometimes indicate potential issues, including melanoma, a serious form of skin cancer. The "ABCDE" rule is a helpful guideline for assessing moles: Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving (changing) characteristics. If your mole exhibits any of these features, it is advisable to consult a dermatologist for a thorough examination and possible biopsy.

You mentioned the possibility of having the mole removed by a plastic surgeon. This is a reasonable option, especially if it provides peace of mind. A dermatologist or plastic surgeon can evaluate the mole and discuss the best course of action, whether that involves monitoring it or excising it for further analysis.

As for your concern about removing neurofibromas and whether it could lead to more growths, it is important to note that surgical removal of neurofibromas does not typically cause new tumors to develop. However, neurofibromatosis is a genetic condition, and individuals with this condition may continue to develop new neurofibromas over time, regardless of surgical intervention.
Regarding the concern about biopsy procedures potentially causing the spread of malignancies, it is generally safe to perform a biopsy on suspicious lesions. A biopsy is a critical diagnostic tool that allows for the examination of tissue under a microscope to determine the nature of the lesion. While there is a theoretical risk of seeding cancer cells during a biopsy, this is exceedingly rare and is outweighed by the benefits of obtaining a definitive diagnosis.

In summary, it is essential to monitor any changes in your skin lesions and lumps closely. If you have any concerns, especially with your medical history, do not hesitate to seek medical advice. Regular check-ups with a dermatologist can help ensure that any potential issues are addressed promptly, providing you with peace of mind and appropriate care.

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