Movable Lumps in Groin, Abdomen, and Armpit: What to Know

There are small hard lumps in the groin area, near the belly button, and under the armpit?

There are small, movable, firm lumps on both sides of the groin that have been present for about six years, with no pain upon pressure.
Their size is similar to that of the inner thighs near the groin, where two additional small lumps appeared on each side over the past 5 to 3 years, with one on the right being slightly oval.
Three years ago, a small lump the size of a peanut appeared to the right of the navel, and a little lump the size of a pea developed under the right armpit about a year and a half ago.
All of these lumps are small, firm, movable, and painless upon pressure.
Recently, I consulted a surgeon at the hospital who performed an ultrasound and concluded that they are lymph nodes, stating that they are small and not significantly enlarged, attributing their long-standing presence to my constitution, and no treatment was provided.
I also visited a family medicine department at the hospital, where light pressure near the navel suggested a lipoma, while the lump under the armpit was again identified as a lymph node related to my constitution, with no treatment recommended.
I am now seeking further consultation because six years ago, as a student, my understanding and awareness were not as mature as they are now that I have entered the workforce.
I am unsure which specialty to consult for proper evaluation and management.
I would like to thank the doctor in advance for their professional response and assistance.
I appreciate it.

Kuàilè, 20~29 year old female. Ask Date: 2015/12/09

Dr. Chen Sirong reply Oncology

Happy / 26 years old / Male.
I am unsure which department to consult.
1.
Recently 2.
Surgical department 3.
An ultrasound was performed on all areas, so your original approach was correct.
The management of the lymph nodes is considered small and not significantly enlarged.
The duration is believed to be related to individual constitution, and no treatment has been performed.
I also think there is no need for intervention unless new lymph nodes develop, or existing ones increase in size, change color, or present symptoms such as pain.
You can see a doctor then.
Thank you for your letter.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2015/12/09

More Info

Understanding movable lumps in the groin, abdomen, and armpit can be a source of concern for many individuals. Based on your description, it appears that you have been experiencing several small, movable, and painless lumps in various areas of your body for an extended period. These lumps have been evaluated by healthcare professionals, including surgeons and family medicine specialists, who have suggested that they may be lymph nodes or lipomas (fatty tumors).

Possible Causes of Movable Lumps
1. Lymph Nodes: The lumps you describe, particularly in the groin and armpit, could very well be lymph nodes. Lymph nodes are part of the lymphatic system, which plays a crucial role in immune function. They can become enlarged due to infections, inflammation, or other immune responses. However, if they are small, movable, and painless, they are often benign and not a cause for concern.

2. Lipomas: These are benign tumors made of fat tissue. They are typically soft, movable, and painless, and they can occur anywhere in the body, including the abdomen and groin. Lipomas are generally harmless and do not require treatment unless they become bothersome or painful.

3. Other Benign Tumors: Other types of benign tumors, such as sebaceous cysts or dermatofibromas, can also present as movable lumps. These are usually harmless and can be left untreated unless they cause discomfort.

4. Infections: Sometimes, infections can cause lymph nodes to swell. If you have had any recent infections, this could explain the presence of lumps. However, given that these lumps have been present for several years, this is less likely.

When to Seek Further Evaluation
While the lumps you describe have been evaluated and deemed benign, it is essential to remain vigilant. Here are some signs that warrant further evaluation:
- Change in Size or Shape: If any of the lumps increase in size, change shape, or become painful, it is crucial to seek medical attention.

- New Symptoms: The development of new symptoms, such as fever, night sweats, unexplained weight loss, or fatigue, should prompt a visit to your healthcare provider.

- Persistent Concerns: If you continue to feel anxious about the lumps despite previous evaluations, consider seeking a second opinion or consulting a specialist, such as a dermatologist or an oncologist.

Recommended Next Steps
1. Follow-Up with a Specialist: If you are still concerned, consider consulting a specialist in dermatology or oncology. They can provide a more in-depth evaluation and may recommend imaging studies or a biopsy if necessary.

2. Monitoring: Keep track of any changes in the lumps, including size, shape, or associated symptoms. Documenting these changes can be helpful for your healthcare provider.

3. Lifestyle Considerations: While the lumps may not be related to lifestyle factors, maintaining a healthy lifestyle can support your overall well-being. This includes a balanced diet, regular exercise, and adequate hydration.

4. Educate Yourself: Understanding your body and the nature of these lumps can help alleviate anxiety. Research reputable medical sources or consult your healthcare provider for more information.

In conclusion, while the lumps you describe are likely benign, it is always best to stay informed and proactive about your health. Regular check-ups and open communication with your healthcare providers are essential in managing any health concerns. If you have any further questions or need clarification, do not hesitate to reach out to your healthcare provider for personalized advice.

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