Painful Lumps Above the Buttocks: Causes and Treatment - Surgery

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There is a lump above the buttock?


Dear Dr.
Hou,
My father has a noticeable hard lump approximately 2 to 3 centimeters in diameter located in the upper left area of his buttock (not near the anus).
This has been present for some time, but recently it has started to cause pain when lying down or when touched.
What could this be? Is there any risk associated with it? If surgery and hospitalization are required, will it be covered by health insurance? Thank you for your response, and I appreciate your efforts.

Emily, 20~29 year old female. Ask Date: 2005/02/15

Dr. Hou Yongji reply Surgery


Dear user: Based on your description, a clear diagnosis cannot be made.
Please consult a nearby colorectal surgeon for evaluation and treatment.
(Generally, if it is a hemorrhoid surgery, it is covered by health insurance.) Hsinchu Hospital, Department of Surgery, Ministry of Health and Welfare.

Reply Date: 2005/02/15

More Info


When it comes to painful lumps above the buttocks, there are several potential causes that need to be considered. The lump you described, measuring about 2-3 centimeters in diameter and causing pain upon lying down or touching, could be indicative of a few different conditions.
One common cause of such lumps is a lipoma, which is a benign tumor made up of fatty tissue. Lipomas are generally soft, movable, and painless, but they can become painful if they press on nearby nerves or if they become inflamed. Another possibility is a sebaceous cyst, which can occur when a hair follicle becomes blocked. These cysts can become inflamed or infected, leading to pain and discomfort.

In some cases, the lump could be a muscle knot or a trigger point, which is a tight band of muscle that can cause pain in the surrounding areas. This is often due to muscle strain or overuse and can be treated with physical therapy or massage.

More serious conditions, such as abscesses or tumors, should also be ruled out. An abscess is a collection of pus that can occur due to infection, and it often requires drainage and antibiotics. Tumors, whether benign or malignant, can also present as lumps and may require further evaluation through imaging studies or biopsy.

Regarding the potential danger of the lump, it is essential to have it evaluated by a healthcare professional. While many lumps are benign, any new or changing lump, especially one that is painful, warrants further investigation to rule out serious conditions.
As for treatment, the approach will depend on the underlying cause of the lump. If it is a lipoma or sebaceous cyst and is not causing significant discomfort, it may simply be monitored. However, if it is painful or growing, surgical removal may be recommended. Surgical procedures for benign lumps are often covered by health insurance, but this can vary based on the specific policy and the medical necessity of the procedure. It is advisable to consult with your father’s healthcare provider to discuss the options and any potential costs involved.

In summary, while the lump above your father’s buttocks may be benign, it is crucial to seek a thorough evaluation from a healthcare professional. They may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump and determine the appropriate course of action. Early diagnosis and treatment are key to ensuring the best outcomes.

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