Black Hard Bumps on the Scrotum: Causes and Concerns

There is a black hard lump on the scrotum?

Hello, I have several black hard lumps on my scrotum (and they are located on top of the blood vessels), which look somewhat like raised moles.
They haven't been painful, and I didn't think much of them (for about one to two years), but recently they have been getting larger.
When I wash, if I accidentally rub against them, it feels like popping a pimple, and then they bleed (only blood, no pus).
After the bleeding stops, the lumps remain and do not go away.
Could you please advise what this might be? Thank you.

Chun Chun, 20~29 year old female. Ask Date: 2016/01/31

Dr. Li Xinyi reply Urology

It sounds like a biopsy should be performed.
However, it is still necessary to see a urologist for an in-person examination and further discussion.

Reply Date: 2016/01/31

More Info

The presence of black hard bumps on the scrotum, especially if they have been there for a year or two and have recently started to grow or change, warrants careful consideration. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights based on common medical knowledge regarding similar conditions.

Firstly, the description of the bumps being black and hard, resembling raised moles, could suggest a few possibilities. One common cause for such bumps is seborrheic keratosis, which are benign skin growths that can appear anywhere on the body, including the scrotum. They are usually painless and can vary in color from light tan to dark brown or black. However, if these bumps have changed in size, color, or have started to bleed, it is essential to consider other possibilities.

Another potential cause could be a condition known as a dermatofibroma, which is a benign fibrous nodule that can also appear on the skin. These are typically firm and can be brownish or black in color. While they are generally harmless, changes in their appearance or symptoms like bleeding should prompt further evaluation.

Moreover, the presence of these bumps on the scrotum could also indicate a more serious condition, such as a skin infection or, in rare cases, skin cancer, particularly if they are associated with bleeding or significant changes in appearance. Conditions like squamous cell carcinoma or melanoma can present as new or changing lesions on the skin, and they require prompt medical attention.

Given that you mentioned the bumps have started to bleed, even if it was just blood without pus, this is a concerning sign. Bleeding from a skin lesion can indicate irritation, infection, or a more serious underlying issue. It is crucial to avoid manipulating or squeezing these bumps further, as this can lead to additional irritation or infection.

In terms of management, it is advisable to seek a consultation with a dermatologist or a urologist. They can perform a thorough examination and may recommend a biopsy of the lesions if there is any suspicion of malignancy or if the diagnosis remains unclear. A biopsy involves taking a small sample of the tissue for laboratory analysis, which can provide definitive information about the nature of the bumps.

In the meantime, maintaining good hygiene in the area is essential. Avoid using harsh soaps or scrubs that could irritate the skin further. If you experience any pain, swelling, or signs of infection (such as increased redness, warmth, or pus), it is important to seek medical attention promptly.

In summary, while the bumps on your scrotum may be benign, the recent changes in size and the occurrence of bleeding are concerning signs that should not be ignored. A thorough evaluation by a healthcare professional is necessary to determine the exact nature of these lesions and to rule out any serious conditions. Early diagnosis and intervention can lead to better outcomes, so I encourage you to seek medical advice as soon as possible.

Similar Q&A

Understanding Black Bumps on the Scrotum: Causes and Treatment Options

There are black, raised bumps on the scrotal epidermis that bleed when punctured. I have undergone cryotherapy, but there has been no improvement. Are there other treatment options available? What condition could this symptom indicate?

Dr. Wu Yuxin reply Dermatology
It is described as a possible vascular keratosis, but without actually seeing the lesion, it cannot be confirmed. It is recommended to have a dermatologist evaluate it for a definitive diagnosis.

Understanding Black Bumps on the Scrotum: Causes and Treatment Options

Hello, doctor… Regarding the black bumps on the epidermis of my scrotum that you mentioned could possibly be vascular keratosis… Is it possible to remove them with laser? Although they do not affect my daily life, having these symptoms is still unsettling… I hope there is a treat...

Dr. Wu Yuxin reply Dermatology
Sure.

Understanding Painful Black Bumps on the Scrotum and Penis

Hello Doctor: Recently, I have developed small bumps on the skin of my left thigh near the inner side, close to the groin. At first, they were tiny and dark, and they itch when scratched and hurt when touched. I thought they were pimples, but they don't seem to be. Now, I ha...

Dr. Wu Yuxin reply Dermatology
No lesions were observed, making it difficult to determine the issue. If it is causing significant distress, please seek medical attention promptly.

Understanding Small Hard Bumps on the Scrotum: Causes and Concerns

Hello, doctor: I would like to ask about some small bumps on the surface of my scrotum. They are the same color as the skin and appear as small, raised spots. Some are slightly larger while others are smaller, but they are not as big as acne. They feel firm and are small lumps be...

Dr. Xu Weikai reply Urology
Hello, I find it difficult to provide an accurate diagnosis based on your description. I believe it may be some type of sebaceous gland blockage, which is likely benign and related to puberty and greasy foods. Recommendations: Enhance local hygiene and reduce the intake of greasy...