a Painful Lump in the Groin: When to Seek Help - Dermatology

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There is a lump on the thigh measuring approximately 8 centimeters?


Hello Dr.
Wu, I have a lump next to my groin that is about seven centimeters in size.
A few days ago, I noticed it was painful while taking a shower.
I've had a fever at night for the past two days.
A doctor at the hospital prescribed me anti-inflammatory and pain relief medications.
When I touch it while sitting with my legs crossed, it's very noticeable.
I also consulted Dr.
Lai Da-X on Minsheng East Road, but he was unsure of what it is and didn't provide any recommendations, only prescribing anti-inflammatory and pain relief medications.
I've noticed that there are small red spots on the skin around the lump.
Could this be a skin tumor, Dr.
Wu? I have been taking the medication for three days now, and the lump is no longer painful, and I haven't had a fever at night.
Could you please advise me on what to do next? Which specialty should I see? Best regards.

Aru, 30~39 year old female. Ask Date: 2012/05/15

Dr. Wu Yuxin reply Dermatology


It could be an abscess or an infected cyst rupture; you can consult a dermatologist or a surgeon for treatment.

Reply Date: 2012/05/15

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the painful lump in your groin area. Based on your description, it sounds like you have been experiencing significant discomfort, and it is understandable to seek clarity on this matter.
Firstly, a lump in the groin can arise from various causes, including but not limited to lymphadenopathy (swollen lymph nodes), hernias, cysts, or even infections. The fact that you have experienced pain and fever suggests that there may be an inflammatory or infectious process at play. The presence of red spots on the skin surrounding the lump could indicate a localized infection or irritation, which may require further evaluation.

Given that you have already consulted with a physician who prescribed anti-inflammatory and pain relief medications, it is a positive step that you are noticing some improvement in your symptoms. The reduction in pain and fever is encouraging, but it is essential to continue monitoring the lump and any associated symptoms.

Here are some recommendations for your next steps:
1. Follow-Up Appointment: Since you have already seen a doctor and received medication, it is advisable to schedule a follow-up appointment with the same physician or a specialist if your symptoms do not fully resolve. A specialist in general surgery or a urologist may be particularly well-suited to evaluate groin lumps.

2. Imaging Studies: Depending on the findings during your follow-up visit, your doctor may recommend imaging studies such as an ultrasound or CT scan. These tests can help provide more information about the nature of the lump, whether it is solid or fluid-filled, and its relationship to surrounding structures.

3. Monitoring Symptoms: Keep a close watch on any changes in the lump, such as size, tenderness, or the development of new symptoms. If you experience increased pain, fever, or any other concerning symptoms, seek medical attention promptly.

4. Skin Changes: The red spots you mentioned could be related to an infection or an inflammatory response. If these spots worsen or if you develop new symptoms like increased redness, swelling, or drainage, it is crucial to inform your healthcare provider.

5. Consider a Dermatologist: If the skin changes persist or worsen, consulting a dermatologist may be beneficial. They can evaluate the skin lesions and determine if they are related to the lump or if they represent a separate dermatological issue.

6. Avoid Self-Diagnosis: While it is tempting to search for information online, it is essential to avoid jumping to conclusions about the nature of the lump, such as assuming it is a tumor. Many benign conditions can present similarly, and only a thorough examination and appropriate tests can provide a definitive diagnosis.

In summary, while it is reassuring that your symptoms have improved, it is essential to continue monitoring your condition and follow up with your healthcare provider. They will be able to guide you on the appropriate next steps based on your clinical presentation and any additional findings.

Please take care, and do not hesitate to reach out for further assistance or clarification on your health concerns.

Best regards.

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