Lipoma on the Labia: When to Consult a Dermatologist

Sarcoma on the inner side of the labia majora?

Hello Dr.
Huang, I have already been examined by a gynecologist regarding the following issue.
The gynecologist stated that it is not a wart, but rather a benign growth, with a blister appearing in the middle.
Therefore, no treatment was administered.
I would like to ask for your professional opinion from a dermatological perspective on whether there are any other concerns I should be aware of and if I should seek further evaluation from a dermatologist.
Thank you.

papa 2005/03/22
[Question]
Asking user: papa / Female / 50
Today, while showering, I suddenly noticed a flesh-colored bump on the inner side of my labia majora, about the size of a soybean.
It stands out quite clearly against the darker skin of my labia.
It is not painful or itchy when touched.
I believe it has developed within the past week.
I noticed it because about two weeks ago, I felt some pain in the area between my right labia and thigh, which felt like a pimple.
Upon inspection, I found a black spot that flattened out after two or three days and no longer caused any discomfort.
However, a similar area on the left side became itchy, and I discovered a raised black mole-like spot, which has also flattened out and is no longer bothersome, although there is still a black dot present.
Prior to this, my husband developed a wart resembling a flower with four petals on the left side of his scrotum, which we suspect he contracted from swimming in an indoor pool.
It has since been removed via electrosurgery at a dermatology clinic.
All of these events have occurred within the last month.
I am unsure if there is any correlation between them.
Should I consult a gynecologist again? How should this be managed? I look forward to your guidance.
Thank you, a nervous 50-year-old, papa.
[Response]
Doctor: Hsinchu Hospital / Gynecology / Hsinchu Hospital Gynecologist
Hello: Please promptly visit a gynecological clinic for examination.
If it is a condyloma (genital warts), it can be treated with electrosurgery or topical medications.

papa, 50~59 year old female. Ask Date: 2005/03/24

Dr. Huang Ruiyun reply Dermatology

Since a diagnosis cannot be made online, you may consider visiting a dermatologist for a second opinion.

Reply Date: 2005/03/24

More Info

When it comes to skin issues, particularly those involving the labia, it is essential to approach the situation with caution and a thorough understanding of the symptoms and potential diagnoses. Based on your description, it seems you have encountered a new growth on the labia that resembles a lipoma, which is generally a benign tumor made up of fat tissue. You mentioned that a gynecologist has already assessed it and determined that it is not a wart but rather a benign growth. However, you are right to seek further clarification from a dermatologist regarding any additional considerations.

Firstly, it is important to note that while lipomas are typically harmless, any new growth or change in the skin should be monitored closely. The fact that you have experienced other symptoms, such as pain and itching, as well as the appearance of black spots that have since subsided, raises some questions about the overall health of your skin in that area. The transient nature of these symptoms could suggest a variety of conditions, ranging from benign skin changes to more concerning dermatological issues.

In your case, since the gynecologist has already ruled out warts and identified the growth as benign, it may not be immediately necessary to see a dermatologist unless you notice changes in the size, shape, or color of the growth, or if you experience any new symptoms such as increased pain, bleeding, or persistent itching. Dermatologists specialize in skin conditions and can provide a more detailed evaluation if there are concerns about the nature of the growth or if it begins to cause discomfort.

Regarding the relationship between your symptoms and those experienced by your partner, it is worth noting that while some skin conditions can be contagious (such as warts), benign growths like lipomas are not. However, if your partner has had a wart removed, it is prudent to maintain good hygiene practices, especially if you have been in close contact, to prevent any potential transmission of viral infections.

If you decide to consult a dermatologist, they may perform a physical examination and, if necessary, a biopsy to confirm the diagnosis. They can also provide guidance on treatment options if the growth becomes bothersome or if there are any concerns about its appearance. In the meantime, it is advisable to keep the area clean and avoid any irritants that could exacerbate the symptoms.

In summary, while the initial assessment by your gynecologist is reassuring, it is always wise to remain vigilant about any changes in your skin. If you have any doubts or if the growth begins to change, do not hesitate to seek a second opinion from a dermatologist. They can offer specialized insights and help ensure that your skin health is maintained. Remember, proactive care and monitoring are key to addressing any skin concerns effectively.

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