Groin Swelling: Insights on Tumor Concerns and Diagnosis - Oncology

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Inguinal swelling


Hello! I have been experiencing pain in my left groin and underwent an abdominal CT scan, which did not reveal any tumors.
However, it showed a 1.3 cm protrusion on the left side that is not painful when pressed, can be moved, and feels somewhat firm.
The right groin does not appear swollen to the naked eye.
The pain has been present for three weeks, and I had a biopsy of the left groin.
When I returned for a follow-up appointment a week later, I found out that the report was not yet available.
It was sent to Chang Gung Memorial Hospital for analysis, and the doctor informed me that it is not lymphoma and that the likelihood of cancer is very low.
Does this mean that the doctor believes that metastatic cancer would also be detectable at this hospital? Typically, would samples be sent to other counties for specialized testing? What specific conditions would warrant such a referral? If the results are benign, would they also need to be sent to another county?

Eve, 30~39 year old female. Ask Date: 2020/06/20

Dr. Chen Sirong reply Oncology


Eve / 33 years old / Female
Hello! May I ask if the doctor means that cancer metastasis can also be detected by this hospital?
A: I cannot guess what your physician meant, but you can wait for the report from Chang Gung Memorial Hospital.
Usually, it will be sent to another city for testing.
What specific condition is being assessed?
A: For difficult cases, does it also need to be sent to another city if it is benign?
A: Difficult cases are not necessarily benign or malignant.
Wishing you health and happiness,
Taoyuan Hospital
Chen Si-Rong

Reply Date: 2020/06/20

More Info


Understanding groin swelling can be a complex issue, especially when it comes to differentiating between benign and malignant conditions. Based on your description, it seems you have a palpable mass in the left groin area that is firm, movable, and non-tender, which is a crucial detail in evaluating the nature of the swelling.

First, let’s address the findings from your abdominal CT scan. The absence of a tumor on the scan is a positive sign, as it suggests that there are no significant masses or lesions in the abdominal cavity that could be causing your symptoms. The 1.3 cm swelling you mentioned could be a lymph node, a lipoma (a benign fatty tumor), or another type of benign soft tissue mass. The fact that it is movable and not painful upon palpation is generally reassuring, as malignant tumors tend to be fixed to underlying structures and often cause discomfort.

Your doctor’s statement that the biopsy results indicate it is not lymphoma (lymphatic cancer) is also encouraging. Typically, when a biopsy is performed, especially in the context of a suspected malignancy, pathologists look for specific cellular characteristics that would indicate cancer. If the report states that cancer is unlikely, it suggests that the cellular architecture and morphology do not exhibit the hallmarks of malignancy.

Regarding your question about whether cancer can be detected through the biopsy, it is important to note that most biopsy techniques, including fine needle aspiration (FNA) or excisional biopsy, are designed to provide a definitive diagnosis. If the biopsy was sent to a specialized laboratory, they would have conducted a thorough examination, including immunohistochemical staining, to rule out malignancy. In cases of suspected cancer, pathologists may also perform additional tests, such as molecular profiling, to provide further insights into the nature of the cells.

As for the need to send samples to a different facility, this often depends on the complexity of the case and the resources available at the local hospital. Some hospitals may not have the necessary expertise or technology to perform certain specialized tests, which is why samples might be sent to a larger, specialized center. This is common practice for both benign and malignant conditions when a more detailed analysis is required.

In terms of your symptoms, the pain in the left groin area could be due to a variety of reasons, including muscle strain, hernia, or even referred pain from another area. If the swelling persists or if you develop new symptoms, such as fever, increased pain, or changes in bowel habits, it would be prudent to follow up with your healthcare provider.

In conclusion, while the initial findings and biopsy results are reassuring, it is essential to continue monitoring the situation. If you have concerns or if the swelling changes in size or characteristics, do not hesitate to seek further medical advice. Regular follow-ups and communication with your healthcare provider will be key in managing your health and addressing any potential issues that may arise.

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