Groin Masses: Causes, Symptoms, and When to Seek Help

Inguinal mass

About three months ago, I discovered a lump in my groin area that is dark in color, approximately one centimeter in size.
It is somewhat painful when pressed.
The doctor suggested it might be folliculitis and prescribed a topical medication, which helped reduce the size, but the lump remains and occasionally swells up again before subsiding.
Today, I suddenly noticed that it had ruptured and was bleeding, but it does not resemble a typical wound.
Instead, a soft, jelly-like substance (about 0.5 centimeters) has emerged.
I initially thought it was serous fluid, but it cannot be expressed.
I am wondering if the tissue that was originally inside has been pushed out.
There is no pain, but it continues to bleed.
I would like to know what this could be and whether I should see a dermatologist, an oncologist, or a surgeon.
Thank you.

Niming, 20~29 year old female. Ask Date: 2021/10/02

Dr. Hu Ziren reply Oncology

It may just be an abscess or inflammation of other subcutaneous tissues.
It is recommended to see a dermatologist.

Reply Date: 2021/10/02

More Info

When it comes to groin masses, it is essential to understand the potential causes, symptoms, and when to seek medical help. Based on your description, it seems you have been experiencing a persistent mass in your groin area for about three months, which has undergone changes, including pain, swelling, and now a rupture with bleeding.

Possible Causes of Groin Masses
1. Folliculitis: As your doctor suggested, folliculitis is an inflammation of the hair follicles, often caused by bacterial infection. It can lead to painful, swollen bumps that may rupture and drain pus or blood.

2. Abscess: An abscess is a collection of pus that can form in response to infection. It can be painful and may require drainage by a healthcare professional.

3. Lymphadenopathy: Swollen lymph nodes in the groin can occur due to infections, inflammatory conditions, or malignancies. They may feel firm and can be tender.

4. Hernia: A groin hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. It may present as a lump that can be pushed back in but can become painful if incarcerated or strangulated.

5. Sebaceous Cyst: These are non-cancerous lumps beneath the skin, often filled with a thick, oily substance. They can become inflamed or infected.

6. Tumors: Both benign and malignant tumors can present as masses in the groin area. It is crucial to evaluate any new or changing mass for potential malignancy.

Symptoms to Monitor
- Size and Shape: Changes in size or shape of the mass.

- Pain: Increased pain or tenderness.

- Color Changes: Changes in color, especially if it becomes red or dark.

- Discharge: Any fluid or pus coming from the mass.

- Systemic Symptoms: Fever, weight loss, or night sweats may indicate a more serious condition.

When to Seek Help
Given that your mass has ruptured and is now bleeding, it is advisable to seek medical attention promptly. The presence of a soft, jelly-like substance could indicate necrotic tissue or a ruptured cyst, which may require medical evaluation and possibly drainage or surgical intervention.

Which Specialist to See
1. Dermatologist: If the mass is suspected to be a skin-related issue, such as folliculitis or a cyst, a dermatologist would be appropriate.

2. General Surgeon: If there is a concern for a hernia or if the mass requires surgical intervention, a general surgeon would be the right choice.

3. Oncologist: If there is a suspicion of malignancy, an oncologist may be involved in further evaluation and treatment.

Conclusion
In summary, the changes you are experiencing with your groin mass warrant a thorough evaluation. It is essential to consult a healthcare professional who can perform a physical examination, possibly order imaging studies, and determine the best course of action based on the findings. Do not delay in seeking care, especially since the mass has ruptured and is bleeding. Early intervention can lead to better outcomes and prevent potential complications.

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