[20F] With painful groin lump and recent weight loss

Patient Description

A 20-year-old female presents with a painful and growing lump in the groin area, which appeared suddenly about one week ago and has since increased in size. The lump is hard, does not move, and is located closer to the pubic area. Additionally, the patient experiences random but rare foot numbness and was recently diagnosed with fibrocystic breast disease. She reports unexplained weight loss, having decreased from 110 to 97 pounds, and an increased frequency of urination without pain or discomfort. The patient has a Nexplanon implant and, therefore, does not have a menstrual cycle. There is no recent travel history or known family history of cancer due to adoption. Her medical history includes an undiagnosable leg disease present since birth, affecting nerve communication with the quad muscles. She reports no known allergies and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for your condition:

  1. Inguinal Hernia: A lump in the groin area that is hard and growing could be an inguinal hernia, which occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause a noticeable bulge and may be associated with discomfort or pain, especially when bending over, coughing, or lifting.

  2. Lymphadenopathy: Enlarged lymph nodes in the groin area can also present as a hard lump. This can occur due to infections, inflammation, or other underlying conditions. Given your recent weight loss and increased urination, it's important to consider systemic causes that might be affecting multiple areas of your body.

  3. Fibrocystic Breast Disease: While this condition primarily affects breast tissue, hormonal changes associated with it could potentially influence other symptoms, although this is less likely to be directly related to the lump in your groin.

What you can do

Lump in Groin Area:

  • It's important to see a healthcare provider as soon as possible to evaluate the lump. They may perform a physical examination and possibly imaging tests, such as an ultrasound, to determine the cause.
  • Avoid heavy lifting or straining, which could exacerbate a hernia if that is the cause.
  • Keep track of any changes in the size or feel of the lump, as well as any new symptoms, and report these to your doctor.

Weight Loss and Increased Urination:

  • Monitor your weight regularly and keep a record of any further changes.
  • Ensure you are staying hydrated, especially if you are urinating more frequently.
  • Consider discussing these symptoms with your healthcare provider, as they may want to check for conditions such as diabetes or thyroid issues.

Foot Numbness:

  • Since this is a rare occurrence, continue to monitor the frequency and duration of the numbness.
  • If it becomes more frequent or severe, or if you notice any other neurological symptoms, consult a healthcare provider.

You can use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider for a more comprehensive evaluation.

What you should look out for

  • Seek medical attention if you experience severe pain, fever, or if the lump becomes red, warm, or tender, as these could be signs of an infection or other urgent condition.
  • If you notice any new symptoms, such as changes in bowel habits, persistent fatigue, or further unexplained weight loss, contact your healthcare provider.
  • Be aware of any changes in your leg condition, especially if you notice increased weakness or numbness.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask


What could cause a hard, growing lump in the groin area?

A hard, growing lump in the groin area could be caused by an inguinal hernia, where tissue protrudes through a weak spot in the abdominal muscles, or by lymphadenopathy, which is the enlargement of lymph nodes due to infections or other conditions. It's important to see a healthcare provider for an accurate diagnosis.


Is unexplained weight loss and increased urination a cause for concern?

Unexplained weight loss and increased urination can be concerning as they may indicate underlying health issues such as diabetes, thyroid problems, or other systemic conditions. It's advisable to consult a healthcare provider to investigate these symptoms further.


How can fibrocystic breast disease affect other parts of the body?

Fibrocystic breast disease primarily affects breast tissue and is related to hormonal changes. While it is less likely to directly affect other parts of the body, hormonal fluctuations could potentially influence other symptoms. It's important to discuss any concerns with a healthcare provider.


What should I do if I experience random foot numbness?

If you experience random foot numbness, monitor the frequency and duration of the episodes. If the numbness becomes more frequent, severe, or is accompanied by other neurological symptoms, it's important to consult a healthcare provider for further evaluation.


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