a Small Bump Near the Hairy Area: Causes and Concerns - Surgery

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There is a lump near the hair-bearing area of the anus?


There is a small 0.1 cm flesh-colored bump that has recently appeared in the hairy area of my buttocks.
It is not painful or itchy, and it is not a hard lump.
There is no bleeding or pus, and it does not hurt when detoxifying.
I would like to know what this could be.

Mr. Zeng, 20~29 year old female. Ask Date: 2016/03/04

Dr. Xu Kaixi reply Surgery


It could be folliculitis or a skin polyp.
A definitive diagnosis requires you to visit a healthcare provider for an examination.

Reply Date: 2016/03/04

More Info


When it comes to small bumps or growths in the hairy areas of the body, such as the one you described measuring about 0.1 cm, there are several potential causes to consider. Given that the bump is not painful, itchy, or hard, and does not produce any blood or pus, it is likely benign. However, it is essential to understand the possible reasons behind such a growth.

1. Sebaceous Cysts: One common cause of small, soft bumps under the skin is a sebaceous cyst. These cysts form when the sebaceous glands become blocked, leading to the accumulation of sebum (an oily substance). They are typically harmless and can occur anywhere on the body, including hairy areas.

2. Follicular Hyperkeratosis: This condition occurs when hair follicles become clogged with dead skin cells, leading to small, raised bumps. It is often seen in areas with hair and can be mistaken for acne or other skin conditions.

3. Lipomas: These are soft, fatty lumps that grow under the skin. They are generally harmless and can vary in size. Lipomas are usually movable and painless, which aligns with your description.

4. Skin Tags: These are small, soft pieces of skin that hang off the body. They are often found in areas where skin rubs against skin or clothing, such as the armpits, neck, or groin. Skin tags are benign and typically do not require treatment unless they become irritated.

5. Pilar Cysts: Similar to sebaceous cysts, pilar cysts are often found on the scalp and are filled with keratin. They are usually painless and can be removed if they become bothersome.

6. Moles or Nevi: While most moles are harmless, any new growth or change in an existing mole should be monitored. If the mole changes in color, size, or shape, it is advisable to consult a healthcare professional.

7. Infections: Although you mentioned that the bump is not painful or producing any discharge, it is still worth noting that some infections can present as soft bumps. Folliculitis, for example, is an infection of the hair follicles that can cause small, red bumps.

Given that the bump is not causing any discomfort or other symptoms, it may not require immediate medical attention. However, it is always wise to monitor any changes in size, shape, or color. If the bump becomes painful, changes in appearance, or if you develop any other concerning symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation.

In conclusion, while the small bump you described is likely benign, it is essential to remain vigilant and consult a healthcare provider if you have any concerns or if the bump changes over time. Regular self-examinations of your skin can help you catch any changes early, and maintaining good skin hygiene can prevent some of the conditions mentioned above.

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