Painful Lumps: Lymphoma or Acne? - Oncology

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Hello, doctor: Recently, I noticed a bump the size of a one-dollar coin that suddenly appeared in the lower abdomen.
It is painful to touch, and when pressed, it bleeds and releases yellow fluid with a foul odor.
Even when not pressed, there is discharge coming out.
Could this be lymphoma or acne?

Mr. Zeng, 20~29 year old female. Ask Date: 2020/10/15

Dr. Hu Ziren reply Oncology


It is likely just folliculitis; it is recommended to maintain hygiene and monitor the condition.

Reply Date: 2020/10/15

More Info


When it comes to understanding painful lumps, particularly in the context of your symptoms, it is essential to differentiate between various potential causes, including lymphoma and acne. Based on your description, the lump you are experiencing is approximately the size of a coin, painful to touch, and produces a yellowish discharge with an unpleasant odor. These characteristics suggest that it is more likely to be an infected cyst or an abscess rather than lymphoma.

Lymphoma, a type of cancer that originates in the lymphatic system, typically presents with painless swollen lymph nodes, often in the neck, armpits, or groin. These lymph nodes do not usually produce discharge or have a foul smell. In contrast, acne, particularly severe forms such as cystic acne, can lead to painful lumps that may become inflamed and infected, resulting in pus formation and discharge. However, the presence of a foul odor and the nature of the discharge you described are more indicative of an abscess, which is a localized collection of pus caused by infection.

The fact that the lump is painful and produces a discharge suggests that there may be an underlying infection. This could be due to bacteria entering the skin through a hair follicle or a break in the skin, leading to the formation of a painful cyst or abscess. The yellowish liquid you mentioned is likely pus, which is a common sign of infection. The odor associated with the discharge can also indicate the presence of bacteria, which may require medical attention.

Given these symptoms, it is advisable to seek medical evaluation. A healthcare professional can perform a physical examination and may recommend further diagnostic tests, such as imaging or a culture of the discharge, to determine the exact nature of the lump. If it is indeed an abscess, treatment may involve drainage of the pus and possibly a course of antibiotics to address the infection.

In summary, while lymphoma is a serious condition that should not be overlooked, the symptoms you describe are more consistent with an infected cyst or abscess. Prompt medical evaluation is crucial to receive appropriate treatment and prevent complications. If you notice any additional symptoms, such as fever, increased redness, or swelling around the lump, or if the lump continues to grow or worsen, seek medical attention as soon as possible.

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