a Painful Lump in the Right Buttock Area: What to Do? - Oncology

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Mass in the right parotid gland?


There is a large lump on the right side of the buttock (or possibly the leg?) in a critical area.
Initially, I suspected it might be hemorrhoids, but hemorrhoids occur near the anus, while this lump is located in the lower right area of the vulva (when sitting).
It gets touched while walking and is painful when sitting.
It is a significant lump, and after a day, some parts have become indented while others remain hard.
Due to the sensitive location and being a female, I feel embarrassed and unsure about which specialty to consult.
I hope the doctor can provide some answers! Thank you!

Tian ya, 20~29 year old female. Ask Date: 2005/09/18

Dr. Chen Sirong reply Oncology


Hello: 1.
It is not possible to determine the cause of the condition based on your description.
2.
You should consult an obstetrician-gynecologist or a surgeon.
3.
You may seek treatment from a female physician.
Sincerely, Dr.
Chen Sih-Jung, Oncology.

Reply Date: 2005/09/18

More Info


When dealing with a painful lump in the right buttock area, it is essential to approach the situation with caution and seek appropriate medical evaluation. Based on your description, it seems that you are experiencing discomfort from a significant lump located in a sensitive area. Given the location and the nature of the lump, there are several potential causes that could be considered, and understanding these can help guide your next steps.

Firstly, it is important to clarify that a lump in the buttock region could arise from various conditions. Some common possibilities include:
1. Cysts: These are fluid-filled sacs that can develop in various tissues, including the skin and deeper tissues. A sebaceous cyst, for example, can occur in the buttock area and may become painful if it becomes inflamed or infected.

2. Abscess: An abscess is a collection of pus that can form due to infection. If the lump is warm, red, and tender, it may indicate an abscess that requires drainage and antibiotic treatment.

3. Lipoma: This is a benign tumor made of fatty tissue. Lipomas are usually soft and movable under the skin, and while they are generally painless, they can become uncomfortable if they press on surrounding structures.

4. Hematoma: If you have experienced any trauma to the area, a hematoma (a localized collection of blood outside of blood vessels) could form, leading to swelling and pain.

5. Muscle Strain or Tear: Sometimes, a lump can be a result of muscle strain or a tear, leading to localized swelling and discomfort.

6. Other Conditions: More serious conditions, such as tumors (benign or malignant), can also present as lumps in this area. While less common, it is crucial to rule these out.

Given the sensitivity of the area and the potential for various underlying issues, it is advisable to seek medical attention. You may feel embarrassed, but healthcare professionals are trained to handle such situations with confidentiality and professionalism.

What to Do Next:
1. Consult a Healthcare Provider: Given the location and nature of the lump, it would be best to consult a healthcare provider who specializes in conditions of the soft tissue, such as a general surgeon or a dermatologist. If the lump is painful and has changed in appearance, it is essential to seek evaluation sooner rather than later.

2. Physical Examination: A thorough physical examination will help the healthcare provider assess the lump's characteristics, such as size, texture, and tenderness. They may also inquire about any associated symptoms, such as fever, changes in bowel habits, or recent injuries.

3. Imaging Studies: Depending on the initial assessment, your doctor may recommend imaging studies, such as an ultrasound or MRI, to get a clearer picture of the lump and its relationship to surrounding structures.

4. Possible Biopsy: If there is any concern about the nature of the lump, a biopsy may be performed to determine whether it is benign or malignant.

5. Treatment Options: Treatment will depend on the diagnosis. If it is a cyst or abscess, drainage may be necessary. For a lipoma, surgical removal might be considered if it is causing discomfort.
6. Follow-Up Care: Regardless of the diagnosis, follow-up care is crucial to monitor the lump and ensure that any treatment is effective.

In conclusion, while it is understandable to feel apprehensive about seeking help for a lump in such a sensitive area, it is vital to prioritize your health. Early evaluation and intervention can lead to better outcomes and peace of mind. Remember, healthcare professionals are there to help you, and addressing your concerns is their priority.

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