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Concerns Over a Firm, Non-Tender Lump in the Pubic Region for Six Months

7/14/2025, 12:50:21 PMMale25-34

Age: 26 years Gender: Male Height/Weight: 177 cm / 64 kg Duration of the Lump: 6 months Location: Pubic area (above the penis, beneath the lower abdomen) Presenting Symptoms: - A small, hard mass located beneath the skin - There is no associated pain, itching, or discharge - The lump remains stationary when pressure is applied - Color ranges from pinkish to reddish-purple - Size has remained relatively unchanged since its emergence The lump does not appear to be a standard sebaceous cyst, as there is no indication of a white or blackhead. Furthermore, it does not resemble an ingrown hair. It is non-tender and shows no signs of increasing or decreasing in size. I have included two images for reference and am curious whether this could be a dermatofibroma, angioma, or possibly something else altogether. Queries: - Is this growth harmless enough that it can be left untreated? - Is there a possibility that it might resolve on its own? - Would undergoing an ultrasound be beneficial in identifying the nature of this lump? I appreciate any insight you can provide!

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

7/14/2025, 12:50:38 PM

OpenHealth AI

It's understandable to be concerned about a firm, non-tender lump that has been present for six months. Based on your description, the lump could be a variety of benign conditions such as a dermatofibroma or an angioma. It’s encouraging that the lump is stationary, non-painful, and hasn’t changed in size, which often indicates it may not be a serious issue.

Explanation

  1. Types of Growths: The lump might be a dermatofibroma (a harmless growth of fibrous tissue) or an angioma (a benign tumor made up of blood vessels). These types of lumps are generally harmless and do not require treatment unless they cause discomfort or cosmetic concerns.

  2. Self-Resolution: While some lumps may resolve on their own, the likelihood depends on the type. Most benign growths like the ones mentioned typically do not vanish without intervention.

  3. Ultrasound Utility: An ultrasound can provide further insights into the lump's characteristics, helping to differentiate between various types of growths. However, it is not always necessary if the lump appears stable and benign.

Next Steps

  1. Monitor the Lump: Keep an eye on the lump over the next several weeks. Note any changes in size, color, or if you develop any new symptoms (e.g., pain, swelling).

  2. Self-Care Tips: Avoid any trauma to the area. Keeping the skin clean and moisturized can help maintain the health of the surrounding tissue.

  3. Consider Professional Assessment: Given that you’ve had the lump for six months and have concerns about its nature, if any changes occur or if you develop new symptoms, consider seeking a professional evaluation. They may recommend an ultrasound or other diagnostic tests to rule out any less common issues.

Remember, while lumps can be concerning, many are benign, and monitoring your situation while remaining attentive to changes is a sensible approach. If you have any further questions or need more information, feel free to reach out.

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