Groin Lumps: Possible Causes and When to Seek Help - Oncology

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A hard lump developed in the groin area a few days ago?


Hello doctor, three days ago I discovered a hard lump in my groin, measuring about two centimeters.
The day before yesterday, it seemed to shrink a bit, and I thought it was getting better, but then it grew back the next day.
It hurts when I press on it, but it doesn't hurt when I'm not pressing on it.
When I press, I can feel something moving that feels like small lumps.
I would like to ask if it could possibly be a tumor.
Currently, the only symptom is pain when pressed; there are no other symptoms.
I looked up similar symptoms, and it resembles an epidermoid cyst.
I would also like to ask which specialty I should consult.
Thank you, doctor, for taking the time to reply.

Zǎo ān, 10~19 year old female. Ask Date: 2023/10/12

Dr. Chen Sirong reply Oncology


Good morning / 17 years old / Female.
Hello, 1.
I would like to ask the doctor if it is possible that it is a tumor.
A: Broadly speaking, it resembles a benign tumor, such as a sebaceous cyst that you are aware of.
In general, malignant tumors tend to be hard, do not change in size, and are less mobile as they adhere to surrounding tissues.
2.
I would also like to ask which department I should visit.
A: Dermatology or General Surgery.
Wishing you good health and happiness.
Taoyuan Hospital, Chen Si-Rong.

Reply Date: 2023/10/12

More Info


When it comes to groin lumps, there are several potential causes, and understanding these can help determine when to seek medical attention. Based on your description, the lump you have noticed is approximately two centimeters in size, painful upon pressure, and has shown some fluctuation in size. These characteristics can be indicative of a few different conditions.


Possible Causes of Groin Lumps:
1. Lymphadenopathy: One of the most common causes of lumps in the groin area is swollen lymph nodes, which can occur due to infections (viral or bacterial), inflammatory conditions, or malignancies. If the lump is firm and painful, it may suggest an infection or inflammation.

2. Sebaceous Cyst (Epidermoid Cyst): These are benign lumps that can occur when a hair follicle becomes clogged with oil and dead skin cells. They are usually painless unless they become infected, in which case they can become red, swollen, and tender.

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

4. Lipoma: A lipoma is a benign tumor made of fat tissue. They are usually soft, movable, and painless, but can sometimes cause discomfort if they press on nearby structures.

5. Tumors: While less common, both benign and malignant tumors can present as lumps in the groin area. If the lump is hard, fixed, and associated with other systemic symptoms (like weight loss, fever, or night sweats), further evaluation is warranted.


When to Seek Help:
Given that your lump is painful upon pressure and has fluctuated in size, it is advisable to consult a healthcare professional. You should seek medical attention if you experience any of the following:
- The lump continues to grow or changes in appearance.

- You develop additional symptoms such as fever, chills, or unexplained weight loss.

- The lump becomes increasingly painful or shows signs of infection (redness, warmth, pus).

- You have difficulty moving or experience pain radiating from the lump.


Which Specialist to Consult:
For a lump in the groin area, you should consider seeing a primary care physician first, who can perform an initial evaluation. Depending on their findings, they may refer you to a specialist such as:
- General Surgeon: If a hernia or surgical intervention is suspected.

- Dermatologist: If the lump appears to be a skin-related issue, like a cyst.

- Oncologist: If there is a concern for malignancy after further evaluation.


Conclusion:
In summary, while there are many benign causes for a lump in the groin, the symptoms you describe warrant a medical evaluation to rule out serious conditions. It is essential to have a healthcare professional assess the lump, especially since it is painful and has changed in size. Early diagnosis and treatment can lead to better outcomes, so do not hesitate to seek medical advice.

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