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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Hard Lump At The Top Of His Butt Crack?

My husband has stage 4 rectal cancer. He had bladder cancer 20 years ago. He has a hard lump at the top of his butt crack and has extreme pain in his rectum. He does have an infection and is on antibotics. Could this hard lump be another cancer?

Wed, 30 Jul 2014
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General Surgeon 's  Response
Hello!

Thank you for the query.

No, this lump is rather not a cancer. However it might be caused by a rectal cancer. Especially if there is a fistula caused by such cancer. The other possibility is that he has pilonidal cyst which has gotten infected. Due to ingrown hair in the butt crack area tissues get irritated and infected. This leads to an abscess formation.
For sure he should visit a general surgeon with this problem.

Hope this will help.
Regards.
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1 Doctor agrees with this answer

Pain Medicine & Palliative Care Specialist Dr. Kerry Pottinger's  Response
Hi,
The hard lump could be a pilonidal cyst. However, to make sure of the diagnosis, I recommend he sees his doctor so the area can be examined.
Regards,
Dr K A Pottinger
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What Is The Hard Lump At The Top Of His Butt Crack?

Hello! Thank you for the query. No, this lump is rather not a cancer. However it might be caused by a rectal cancer. Especially if there is a fistula caused by such cancer. The other possibility is that he has pilonidal cyst which has gotten infected. Due to ingrown hair in the butt crack area tissues get irritated and infected. This leads to an abscess formation. For sure he should visit a general surgeon with this problem. Hope this will help. Regards.