Inguinal mass
Hello, I previously had a subcutaneous cyst in my groin area, which was surgically removed.
After three to four months, a new one has developed in the same location (about one centimeter, painful when pressed, slightly painful when walking, somewhat firm, and not movable).
There are no black spots or openings on the surface, and I have also been experiencing a sore throat that has lasted for two days.
I would like to inquire about what symptoms this may indicate and which specialty I should consult.
Thank you.
Jing, 20~29 year old female. Ask Date: 2021/03/11
Dr. Chen Jiaming reply Surgery
A new lesion is developing in the same groin area; you can go to the original surgical hospital or clinic for an examination.
As for the sore throat lasting two days, it should not be related to the subcutaneous cyst.
Reply Date: 2021/03/11
More Info
Understanding groin lumps can be a complex issue, as they can arise from various causes and may present with different symptoms. Based on your description, it sounds like you are experiencing a new lump in the groin area, which is painful upon pressure and slightly hard, along with a sore throat. Here’s a comprehensive overview of potential causes, symptoms, and when to seek medical help.
Symptoms of Groin Lumps
Groin lumps can manifest in various ways, including:
1. Pain or tenderness: As you mentioned, the lump is painful when pressed, which can indicate inflammation or irritation.
2. Size and consistency: The lump being about one centimeter and slightly hard may suggest it is a cyst, lymph node, or possibly a hernia.
3. Mobility: A lump that is fixed in place (not movable) can be concerning, as it may indicate a more serious underlying condition.
4. Associated symptoms: The presence of a sore throat could suggest a systemic infection, which might be related to the lump or a separate issue.
Possible Causes
1. Lymphadenopathy: Enlarged lymph nodes can occur due to infections (viral or bacterial) or other conditions. Given your sore throat, this could be a response to an infection.
2. Sebaceous Cyst: These are common and can recur after removal. They are usually benign but can become inflamed or infected.
3. Hernia: A groin hernia can present as a lump and may cause pain, especially with movement or pressure.
4. Abscess: An accumulation of pus due to infection can form a painful lump.
5. Tumors: Although less common, both benign and malignant tumors can present as lumps in the groin area.
When to Seek Help
Given your symptoms, it is advisable to seek medical attention, especially since the lump is painful and you have accompanying symptoms like a sore throat. Here are some guidelines on when to see a doctor:
- Persistent Symptoms: If the lump does not resolve within a few days or continues to grow.
- Increasing Pain: If the pain worsens or becomes unbearable.
- Fever or Systemic Symptoms: If you develop a fever, chills, or other systemic symptoms, this could indicate a more serious infection.
- Changes in Appearance: If the lump changes in color, becomes red, or shows signs of infection (such as warmth or discharge).
Which Specialist to Consult
For evaluation of a groin lump, you would typically start with a visit to a primary care physician or a family doctor. They can perform an initial assessment and may refer you to a specialist, such as:
- General Surgeon: If the lump is suspected to be a hernia or requires surgical evaluation.
- Dermatologist: If the lump is thought to be a skin-related issue, such as a cyst.
- Infectious Disease Specialist: If there is a concern about an infection that is systemic or complicated.
Conclusion
In summary, while groin lumps can arise from various benign conditions, the presence of pain and associated symptoms like a sore throat warrants further evaluation. It is essential to consult a healthcare provider who can perform a thorough examination, possibly order imaging studies, and determine the appropriate course of action. Early intervention can help address any underlying issues and provide peace of mind.
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