Painful Bumps Above the Pubic Bone: When to Seek Help - Oncology

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Suprapubic mass


Hello, I have seen similar situations in the frequently asked questions.
There is a hard lump above the pubic bone that appears sometimes and sometimes not, approximately over two centimeters in size.
It is painful when pressed, and the sensation when pressing the lump feels similar to pressing the tip of the nose.
Should I go to the hospital for a consultation? Which department should I visit?

Ai Ai, 20~29 year old female. Ask Date: 2023/06/19

Dr. Hu Ziren reply Oncology


It may just be normal soft tissue above the pubis (pubic symphysis), and observation is recommended.

Reply Date: 2023/06/19

More Info


When experiencing painful bumps above the pubic bone, it is essential to understand the potential causes and when to seek medical attention. The presence of a hard lump in this area, especially if it is painful upon pressure, can be indicative of several conditions, ranging from benign to more serious issues.

Firstly, the bump could be a result of a variety of factors, including but not limited to:
1. Lymphadenopathy: Swollen lymph nodes can occur due to infections or other inflammatory processes. The lymph nodes in the groin area can become enlarged and tender, which may present as a painful lump.

2. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can create a noticeable lump that may be painful, especially when straining or lifting.

3. Cysts or Abscesses: Sebaceous cysts or abscesses can form in the skin or deeper tissues, leading to localized swelling and tenderness. These may require drainage if they become infected.

4. Muscle Strain or Injury: Sometimes, a muscle strain or injury in the pelvic region can lead to localized swelling and pain, which may feel like a lump.

5. Tumors: While less common, both benign and malignant tumors can present as lumps in this area. Any new or unusual growth should be evaluated by a healthcare professional.

Given that the lump is painful and has been persistent, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in conditions related to the pelvic area. This could be a primary care physician, a urologist, or a general surgeon, depending on the specific characteristics of the lump and any accompanying symptoms.

When you visit the doctor, be prepared to provide detailed information about your symptoms, including:
- The duration of the lump's presence.

- Any changes in size or characteristics.

- Associated symptoms such as fever, weight loss, or changes in urination.

- Any history of trauma or injury to the area.

The doctor may perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to further evaluate the lump. Blood tests may also be conducted to check for signs of infection or other underlying conditions.

In summary, while not all lumps are serious, the combination of pain and the presence of a hard mass warrants a medical evaluation. Early diagnosis and treatment can help address any underlying issues effectively and prevent potential complications. If you are unsure about which specialist to see, starting with your primary care physician is a good approach, as they can provide guidance and referrals as necessary.

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