Groin Masses: Symptoms, Causes, and Specialist Recommendations - Oncology

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Inguinal mass


Hello Dr.
Fan, my girlfriend discovered a lump in her groin area about three weeks ago.
The lump is elongated and resembles a leech, approximately five centimeters long, and appears slightly darker than the surrounding skin.
It is painful to the touch and seems to worsen after riding a bicycle.
Could this be lymphadenopathy? Which specialist should we consult? Thank you.

Kevin, 30~39 year old female. Ask Date: 2009/11/01

Dr. Fan Sheng reply Oncology


Dear Kevin: It sounds like lymphadenopathy and inguinal hernia should both be considered.
I recommend consulting with a hematologist-oncologist and a general surgeon.
Thank you.

Reply Date: 2009/11/01

More Info


Hello, thank you for your question regarding the groin mass your girlfriend has discovered. Based on your description, it sounds like she has a mass in the groin area that is elongated, approximately five centimeters in length, darker than the surrounding skin, and painful upon pressure, with increased discomfort after cycling.
Firstly, it is essential to understand that a mass in the groin can arise from various causes, and the symptoms you described could potentially indicate several conditions. One possibility is lymphadenopathy, which refers to the enlargement of lymph nodes. This can occur due to infections, inflammatory conditions, or malignancies. The groin area contains several lymph nodes that can become swollen in response to infections in the lower extremities, genital area, or even systemic infections.

Another possibility is a benign cyst or lipoma, which are common soft tissue masses that can occur in the groin. Cysts are fluid-filled sacs that can become inflamed or infected, leading to pain and tenderness. Lipomas are fatty tumors that are usually painless but can sometimes cause discomfort if they press on surrounding tissues.

In some cases, the mass could be related to a hernia, especially if there is a noticeable bulge that increases with activity or straining. Hernias occur when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall.

Given the characteristics of the mass—its size, shape, color, and the associated pain—it is crucial to seek medical evaluation. I recommend that your girlfriend consult with a healthcare professional, specifically a general surgeon or a specialist in internal medicine. They can perform a thorough physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to better understand the nature of the mass.

If there is any suspicion of infection or other underlying conditions, the doctor may also order blood tests or other diagnostic procedures. It is important not to delay seeking medical advice, especially since the mass has been painful and has changed in response to physical activity.

In summary, while the symptoms could suggest lymphadenopathy, other possibilities such as cysts, lipomas, or hernias should also be considered. A timely consultation with a general surgeon or an internal medicine specialist will provide the necessary evaluation and management. Thank you for your inquiry, and I wish your girlfriend a swift resolution to her condition.

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