and Treating External Anal Growths: What You Need to Know - Surgery

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I have a growth on the outside of my anus?


I have a growth about one centimeter in size outside my anus, which has been there for a while.
It doesn't hurt and hasn't changed.
One day while I was out, it suddenly appeared the next day; it wasn't like this before.
I don't know what it is, and it has been three or four years without any changes.
Would it be okay to have it surgically removed?

Xiao Guan, 20~29 year old female. Ask Date: 2005/09/25

Dr. Hou Yongji reply Surgery


Hello: It is advisable to seek treatment from a colorectal surgeon nearby.
Wishing you good health!

Reply Date: 2005/09/25

More Info


When it comes to external anal growths, such as the one you described, it is essential to approach the situation with caution and seek professional medical advice. While I cannot provide a diagnosis or treatment plan, I can offer some general information about potential causes, considerations, and treatment options for external anal growths.


Understanding External Anal Growths
External anal growths can manifest in various forms, including skin tags, warts, hemorrhoids, or even more serious conditions like anal polyps or tumors. The fact that your growth has been present for several years without pain or significant changes is a positive sign, but it does not eliminate the need for a thorough evaluation by a healthcare professional.

1. Common Types of Growths:
- Skin Tags: These are benign growths that often appear as small, soft lumps. They are usually harmless and can be removed if they become bothersome.

- Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small, fleshy growths. They may require treatment if they cause discomfort or spread.

- Hemorrhoids: Swollen blood vessels in the anal area can sometimes be mistaken for growths. They can be internal or external and may cause itching, bleeding, or discomfort.

- Polyps: These are growths on the lining of the anal canal or rectum and may require removal and biopsy to rule out cancer.

- Tumors: Although less common, tumors can develop in the anal region and may require more extensive evaluation and treatment.


When to Seek Medical Attention
Given that your growth has been stable for several years, it may not be an immediate cause for concern. However, you should consider seeking medical attention if you experience any of the following:
- Changes in size, shape, or color of the growth.

- Bleeding or discharge from the growth.

- Pain or discomfort in the anal area.

- Changes in bowel habits or other gastrointestinal symptoms.


Diagnostic Evaluation
A healthcare provider will typically perform a physical examination and may recommend additional tests, such as:
- Visual Examination: A thorough inspection of the anal area.

- Biopsy: If there is any suspicion of malignancy, a small sample of tissue may be taken for laboratory analysis.

- Imaging Studies: In some cases, imaging studies may be necessary to evaluate deeper structures.


Treatment Options
If the growth is determined to be benign and not causing any issues, your doctor may recommend monitoring it over time. However, if removal is indicated, there are several methods available:
- Surgical Excision: This is a common method for removing growths, especially if they are bothersome or suspected to be problematic.

- Cryotherapy: This involves freezing the growth to destroy it.

- Electrosurgery: This technique uses electrical currents to remove the growth.

- Topical Treatments: For warts, topical medications may be prescribed to help eliminate the growth.


Conclusion
While your external anal growth has not caused any significant issues over the years, it is always best to consult with a healthcare professional for a proper evaluation and to discuss your concerns. They can provide personalized advice based on your medical history and the characteristics of the growth. Remember, early detection and treatment of any abnormal growths are crucial for maintaining your health and peace of mind.

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