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Lump in the groin, lymphoma - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Lymphoma
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1761 Questions
User :   Hi. I have a large hard stationary lump in my right groin. It is not at all painful. I saw a surgeon who says she is going to take it out on wednesday. Her concern is lymphoma. I have not been HIV tested, and also know I have herpes. Could this lump have anything to do with either of those? She indicated that if it did, the lump would be tender and painful. Is this correct?
Doctor :   Let me read it first
Doctor :  
She is correct
Doctor :  
for the Herpes
User :   If it were a result of herpes, the lump would be painful, and I would have visible soars?
Doctor :  
Herpes is an infection by virus and hence it is paiful
User :   That makes sense.
Doctor :  
With HIV it can be possible to be painful too but more often it is painless
Doctor :  
With HIV there are multiple lymph nodes at various locations
User :   This is centralized to my right groin area. ~sigh~ I just want to be sure I'm aiming in the right direction here.
Doctor :  
Ok having said all these, I wish to know more about your problem so that I can guide you better
Doctor :  
If you feel that you are stuck with only these questions and I have cleared them, good
User :   The lump started small and grew over 6-8 weeks.
User :   Its grape sized and very hard
Doctor :  
How many are there?
User :   Just 1.
User :   in the right groin
Doctor :  
Is it at the junciton of abdomen and thigh on the front side or towards the inside of the thigh
User :   it's more toward the inside of the thigh. near my leg crease
User :   on the front side
Doctor :  
What is your age and gender?
User :   Male, 25. Family history of AML, Breast Cancer and Malignent
User :   melinoma
Doctor :   Ok
Doctor :  
When was the first time you noticed it?
User :   in the shower about 8 weeks ago. It was just like a little notch, I didn't think much of it
User :   and then a week ago, I noticed it had gotten considerably bigger.
User :   which is when I got nervous.
Doctor :  
Ok
Doctor :  
Do you have discharge / pus from the penis?
User :   none.
Doctor :  
Do you have any problem anywhere apart from the lump?
User :   other syptoms you mean?
Doctor :   yea
User :   frequent night sweats that are sometimes but no always drenching and weight loss
Doctor :  
Are you able to pinch the skin over the lump?
User :   im not moving quite as quickly as i usually do
User :   yes i can pich the skin
Doctor :   Are you able to hold the lump with two fingers of thumb and index finger
User :   yes.
Doctor :  
Are you able to move the lump sideways?
Doctor :  
or any other ways?
User :   i don't think i can move the actual lump....i think im just moving the skin around it.
Doctor :  
So it just fixed on the tissue it is arise from?
User :   i think so?
Doctor :  
Ok
Doctor :  
It should be a lymph node.
User :   yes, the doc saidit definitely is
Doctor :  
But what is making it to swell and its internal structure makes it easier to
Doctor :   know the cause

Doctor :  
Hence you need the biopsy of the lump
Doctor :   which is taken out with a very small incision over the area
Doctor :  
by the surgeon
Doctor :  
and send for the pathologist's opinion
Doctor :  
basing the on the pathologist's impression the treatment can be started
User :   right. Other than lymphoma, what else could be determined from the biopsy?
Doctor :  
A simple lymphadenitis
User :   is that common?
Doctor :  
Yes
User :   for some reason I feel as though my oncologist has me set up to think it's lymphoma because of the nodes non-reactionary status
Doctor :   Ok
Doctor :  
The lump that you see might be a single node or many nodes attached each other
Doctor :  
That can be made out only a Doctor examining it
User :   a lymphadentis is not painful or tender?
Doctor :  
It is painful initially that is called Acute lymphadenitis
Doctor :  
some are painless because of not acute changes in it called Chronic lymphadenitis
User :   interesting. Well I'm glad to know theirs at least one other option than lymphoma. That calms my nerves a bit.
Doctor :   You do not have to worry and if you start worrying

Doctor :  
then actual problem could be benign but the anxiety makes yiour health worse
User :   You're exactly right. Thank God for ativan calming my nerves!
Doctor :  
It would be interesting to know if I say that one who walks on the road without wearing a foot wear have these lymph nodes swollen throughout the life but very much benign
User :   ha
User :   Well thank you very much. I'll hope for a positive outcome, although my family history is not on my side.
Doctor :   Me too
Doctor :  
Please fill the feedback form say done
Doctor :  
when done
User :   Thank you, take care
Doctor :  
Thanks for consulting me
Doctor :  
Bye for now
User :   byebye
Doctor :  
Please get back to me after the report
User :   you bet!
Doctor :  
I shall give you more inputs
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