Sebaceous Cysts: Concerns About Groin and Breast Symptoms - Surgery

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Strange things?


Hello, doctor.
I would like to ask if sebaceous cysts can occur in the genital area.
Recently, I noticed a small bump that looks like a pimple in the area covered by pubic hair.
This has never happened before.
The bump is small and does not hurt if I leave it alone, but since it is in a sensitive area, I wanted to consult with you before deciding whether to seek medical attention.
Additionally, I occasionally experience breast tenderness that does not seem to be directly related to my menstrual cycle.
Furthermore, I sometimes notice white discharge from my nipples.
What could this be? Is it related to the mammary glands? I would appreciate your guidance.
Thank you!

Qing, 20~29 year old female. Ask Date: 2005/01/14

Dr. Lin Kecheng reply Surgery


Hello, Ms.
Ching: You mentioned that you have developed something resembling a pimple in the area covered by pubic hair.
As you noted, the occurrence of sebaceous cysts is more common, and folliculitis can also easily occur.
If local hygiene is insufficient, inflammation may arise, and you may consider consulting a general surgeon for treatment.
For young women, breast tenderness is often related to menstruation, although many cases have no identifiable cause.
Occasionally, there may be white discharge from the nipple.
It is advisable to see a breast surgeon or a general surgeon to perform a smear and cytological examination of the white discharge, as well as a breast ultrasound to alleviate your concerns.

Reply Date: 2005/01/14

More Info


Sebaceous cysts, also known as epidermoid cysts, can indeed occur in various parts of the body, including the groin area. These cysts are typically benign and form when sebaceous glands become blocked, leading to the accumulation of sebum and dead skin cells. The appearance of a small, pimple-like bump in the pubic region, especially if it is painless and not inflamed, could very well be a sebaceous cyst. However, it is essential to monitor the cyst for any changes in size, color, or pain, as these could indicate an infection or other issues that may require medical attention.

Regarding your breast symptoms, breast tenderness and the occasional presence of white discharge from the nipple can be concerning but are not uncommon. Breast tenderness can be influenced by hormonal fluctuations, particularly around the menstrual cycle. However, if the pain is persistent or severe, it is advisable to consult a healthcare provider to rule out any underlying conditions.

The white discharge you mentioned could be due to several factors, including hormonal changes, benign conditions like galactorrhea (which can occur due to hormonal imbalances), or even infections. If the discharge is spontaneous, persistent, or accompanied by other symptoms such as pain or changes in the breast tissue, it is crucial to seek medical evaluation. A healthcare provider may recommend imaging studies, such as a mammogram or ultrasound, and possibly laboratory tests to determine the cause of the discharge.

In summary, while sebaceous cysts can occur in sensitive areas like the groin, it is essential to keep an eye on any changes. For your breast symptoms, especially with the presence of discharge, a consultation with a healthcare professional is recommended to ensure that there are no underlying issues that need to be addressed. Regular self-examinations and awareness of your body are vital in maintaining breast health, and any new or unusual symptoms should always be discussed with a healthcare provider.

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