Penile Lumps: Cancer, Lipomas, and What to Do Next - Urology

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Dear Patient,
Thank you for reaching out with your concerns regarding the lump you have discovered on the shaft of your penis. It’s understandable to feel anxious when encountering new growths or changes in your body, especially in such a sensitive area. Let’s break down the potential causes of the lump and what steps you should consider taking next.


Understanding the Lump
1. Possible Causes:
- Lipoma: A lipoma is a benign tumor made of fat tissue. They are usually soft, movable, and painless. Given that you have a similar lump on your arm, it is possible that the lump on your penis could also be a lipoma, especially if it feels soft and is not causing any discomfort.

- Pearly Penile Papules: These are small, benign growths that can appear around the glans of the penis. They are normal anatomical variations and are not harmful.

- Sebaceous Cysts: These are small lumps beneath the skin that can occur when sebaceous glands become blocked. They are typically painless and can resolve on their own.

- Genital Warts: Given your history of HPV, it’s important to consider that the lump could be a wart. These can appear as small, flesh-colored or white bumps and may be raised or flat.

- Penile Cancer: While it’s less common, any new growth should be evaluated to rule out malignancy, especially if it changes in size, color, or texture.

2. Symptoms to Monitor:
- Since you mentioned that the lump is painless and has not changed in size, this is a reassuring sign. However, keep an eye out for any changes, such as:
- Increased size or growth
- Changes in color or texture
- Development of pain, itching, or discharge
- Any associated symptoms like swelling or lymph node enlargement

Next Steps
1. Consult a Healthcare Provider: It is advisable to schedule an appointment with a healthcare provider, preferably a urologist, who specializes in conditions of the genital area. They can perform a physical examination and may recommend further tests, such as imaging or a biopsy, if necessary.

2. Do Not Delay: While many lumps can be benign, it is important not to ignore any new growths, especially in the genital area. Early evaluation can provide peace of mind and ensure that any potential issues are addressed promptly.

3. Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary worry. A healthcare professional can provide a definitive diagnosis and appropriate treatment options.

4. HPV Consideration: Since you mentioned a history of HPV, it’s worth discussing this with your doctor. HPV can lead to genital warts and, in some cases, is associated with an increased risk of certain cancers. Regular screenings and monitoring are essential.


Conclusion
In summary, while the lump you are experiencing could be a benign condition such as a lipoma or cyst, it is crucial to have it evaluated by a healthcare professional to rule out any serious conditions, including penile cancer. Early detection and treatment are key to managing any health concerns effectively.
Please take care of yourself, and do not hesitate to seek medical attention soon. Your health and peace of mind are important.

Best regards,
Doctor Q&A Teams