Is It Cancer? Tumors and Skin Changes - Oncology

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Is it cancer?


There is a hard lump at the top of my thigh.
Is this considered the groin area? It feels like it has grown larger, is very firm, and does not move, almost like it is separated.
The skin around it is very itchy.
I had a mole near the hairline when I was a child, and I recently noticed a change in its color.
It's strange how the mole looks like a scab.
When I scratch it, I can remove some flakes of skin.
Could this be cancer? Thank you.

MM, 40~49 year old female. Ask Date: 2015/09/07

Dr. Chen Sirong reply Oncology


MM/41/11.
There is a hard lump at the top of the thigh.
Is this considered the groin area? The groin or inguinal region (Latin: regio inguinalis) refers to the area where the abdomen meets the thigh, specifically the indentation at this junction.
It is located near the thigh and the genital area, in the anatomical context of the human body.
If you have further questions, you can refer to Google Images.

2.
It feels like it has grown larger, is hard, and does not move, almost like it is segmented.
You seem to contradict yourself; I can't tell if it will move or not.
If it is hard and does not move, the likelihood of malignancy increases significantly.

3.
The edge of my abdomen is very itchy, and I had a mole as a child (located just above the hair).
Recently, I noticed a change in color, which is strange.
Why has the mole changed to look like a scab? If I scratch it, I can remove some flakes of skin.
Is this cancer? Is this mole the same as the one mentioned in points 1 and 2? Based on your description, I do not have strong suspicions that this mole is malignant, but it is still essential to visit a hospital for a proper diagnosis by a physician.
I recommend that you seek medical attention for the lump that has "grown larger, is hard, and does not move" as soon as possible.
Since you are going to see a doctor, you might as well have the other mole examined as well.
Thank you for your inquiry.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2015/09/07

More Info


When it comes to skin changes and the presence of tumors, it is crucial to understand the various signs and symptoms that may indicate a potential malignancy. Based on your description, you have a hard lump in the upper thigh area that feels enlarged and immovable, along with an itchy area near your abdomen where a mole has changed color and appears crusty. These changes warrant a thorough evaluation by a healthcare professional.

Firstly, the hard lump you described could be a variety of things, including a benign tumor, a cyst, or a lymph node. The fact that it is hard and immovable raises some concern, as these characteristics can sometimes be associated with malignant tumors. However, not all hard lumps are cancerous. For instance, lipomas (benign fatty tumors) can also present as firm, immovable masses. A healthcare provider would typically perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to further investigate the nature of the lump.

Regarding the mole that has changed color and appears crusty, this is particularly concerning. Changes in a mole's color, size, shape, or texture can be indicative of melanoma, a serious form of skin cancer. The fact that it can be scraped off and produces skin flakes may suggest irritation or a superficial skin condition, but it is essential to have it evaluated by a dermatologist. They may perform a biopsy to determine whether the mole is benign or malignant.

In general, the ABCDE rule is a helpful guideline for assessing moles and skin lesions:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

If your mole exhibits any of these characteristics, it is crucial to seek medical attention promptly.

In terms of prognosis, if a tumor or mole is found to be cancerous, the stage of the cancer will significantly influence treatment options and outcomes. Skin cancers, particularly melanoma, can metastasize (spread) to other parts of the body if not caught early. Early detection and treatment are vital for improving prognosis.
In conclusion, while it is not possible to definitively diagnose your condition without a medical evaluation, the symptoms you describe are concerning and warrant immediate attention from a healthcare professional. Please schedule an appointment with a dermatologist or your primary care physician as soon as possible for a comprehensive evaluation. Early intervention can make a significant difference in outcomes, especially when it comes to skin cancer.

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