Small Growths Near the Anus: When to Seek Treatment

A small flesh-colored bump has developed on the outer side of the anal fold?

Hello Doctor, as per the subject, I have noticed this lump (circled in the attached photo) for about two months.
It has not been painful and does not have much presence; it feels like a small bump that is attached to the skin at the base and can be slightly moved.
I would like to know if there is a necessity to have it removed or if I can just observe it.
Since it's summer vacation, it would be easier to manage if removal is needed, as it would have less impact on my studies.
If treatment is necessary, should I consult a colorectal surgeon or would a dermatology clinic be sufficient? Thank you for taking the time to respond.

Ting, 20~29 year old female. Ask Date: 2022/01/16

Dr. Zhang Shuhao reply Surgery

The protrusion in the image appears to be small and could possibly be a skin tag or a remnant from an inflamed sebaceous gland, with a very low likelihood of being a malignant lesion.
If it is not painful and shows no changes, it can be left alone.
If you are concerned, you may seek a medical evaluation; such small lesions typically do not require surgical intervention and can often be treated with silver nitrate or cryotherapy.
If it were an abscess or external hemorrhoid, different management would be necessary (though the photo does not appear to suggest that).
Wishing you a speedy recovery.

Reply Date: 2022/01/16

More Info

When it comes to small growths near the anus, such as the one you described, it's important to approach the situation with caution and awareness. While the growth you mentioned has been present for two months without pain or significant discomfort, there are several factors to consider before deciding on a course of action.

Firstly, the characteristics of the growth are crucial in determining whether treatment is necessary. If the growth is soft, movable, and not causing any symptoms, it may be a benign condition such as a skin tag, a small cyst, or a hemorrhoid. These types of growths are often harmless and do not require immediate treatment. However, if the growth changes in size, color, or becomes painful, it would be prudent to seek medical evaluation.

In terms of management, observation is a reasonable approach if the growth is asymptomatic and stable. However, if you are concerned about its appearance or if it causes any discomfort in the future, consulting a healthcare professional is advisable.
Regarding the choice of specialist, both a colorectal surgeon and a dermatologist could potentially address the issue. A colorectal surgeon specializes in conditions related to the rectum and anus, and they would be well-equipped to evaluate and treat any growths in that area. On the other hand, a dermatologist specializes in skin conditions and may also be able to provide treatment for superficial skin growths. If you are unsure, starting with a general practitioner or a family doctor can help guide you to the appropriate specialist based on their assessment.

If you decide to proceed with treatment, options may include excision of the growth, especially if it is bothersome or if there is any uncertainty regarding its nature. Surgical removal is typically a straightforward procedure, often performed under local anesthesia, and can be done in an outpatient setting. Recovery is usually quick, and it is generally safe, with minimal impact on daily activities, including school.

In summary, while the growth you described may not require immediate action, it is essential to monitor it for any changes. If you have any concerns or if it becomes symptomatic, seeking medical advice is the best course of action. Whether you choose to see a colorectal surgeon or a dermatologist will depend on your comfort level and the specific characteristics of the growth. Remember, it is always better to err on the side of caution when it comes to health-related issues.

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