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Hi. I Can Feel A Small Movable Lump When I

Posted on Thu, 25 Apr 2019

Question: Hi. I can feel a small movable lump when i push inside my external lips (labia majora) It is kidney bean sized and shaped and has the consistency of a lymph node. i am 19 years old and sexually active. It is felt closer to my groun area than to the opening of my vaginal lips. Itis not visable fromthe outside and is not causing me any pain bleeding discomfort od abnormal discharge. it is no bigger than 1cm in diameter and feels to be connected to a vein or legament/tendon of some kind. I am a person who suffers from healthy anxiety and worry that this is some kind of cancer like vulvar sarcomas etc. Can you give me some more information on what you think this could be, please. It feels like a normal body sensation but is not symmetrical with the other outer vaginal lip.

I've been told that it is a cyst. Can cysts can develop underneath the top layer of skin and have no visibility by the naked eye? I've seen many photos of cysts being elevated from above the skin but mine is not. The lump I feel cannot be seen externally and is only felt on palpitation. I have been researching all day because I'm so worried and saw types of vulvar cancer. I am extremely worried about sarcomas as I've heard they can be misdiagnosed as a cyst. What would be my symptoms of those? As I've been told they grow very fast in almost a weeks time and are also visible with the eye, no need for palpitations, and not moveable. I've had this lump present for 2 weeks now possibly longer with no growth.

Answered by Dr. Soumya (25 minutes later)

Brief Answer:
This is just a cyst

Detailed Answer:
Hi,

I understand your concerns.

Following is my reply:

1) First we need to think of common problems and then uncommon ones. Common problem is cyst. All descriptions you describe resemble cyst more than sarcoma which is very rare.

2) This cyst contains mucous which is making changes to movement.

3) This cyst can be drained in out patient by your doctor without much pain. Please get examined by your gynecologist.

4) Let me reassure you again that this is just a cyst and not cancer.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (23 minutes later)

Thank you. If it was a sarcoma, how fast would I typically be seeing growth? and what additional symptoms would I have? ie: Would it be visible by the naked eye without the need for palpaltation

Answered by Dr. Soumya (0 minute later)

Brief Answer:
This is not sarcoma

Detailed Answer:
Hi,

You are right. Sarcoma would be visible, laarger and harder.

Growth would be slow and over period of six months atleast.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (41 minutes later)

Okay. I was told that I would even see growth within 2-3 weeks? What about Eptholiod sarcoma?

Answered by Dr. Soumya (10 minutes later)

Brief Answer:
This is not sarcoma

Detailed Answer:
Hi,

Even epitholoid carcinoma takes about six months from presentation to diagnosis. These account for less than one percent of all sarcomas.

Hence I believe this is just a cyst and nothing else.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (8 minutes later)

Okay. How does a sarcoma develop on early stages?

Answered by Dr. Soumya (24 minutes later)

Brief Answer:
Cyst is more common

Detailed Answer:
Hi,

Sarcoma develops as a soft tissue mass and slowly but gradually increases in size over 6 months. Softness becomes more firm. It develops over time.

Your cyst is has developed over short time and soft , inside vulva. This is suggestive of cyst . Cyst is extremely common in your age group.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D