[61M] Presenting with a non-painful red lump on foreskin

Patient Description

A 61-year-old male reports the sudden appearance of a jellybean-sized, hard, red lump on the foreskin. The lump is not painful and has not changed in size or appearance since it was first noticed. The patient denies any recent injuries, trauma, or sexual activity that could account for the lump. There are no accompanying symptoms such as fever, difficulty urinating, or discharge from the lump. The patient has no known drug allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses. There is no family history of cancer, and the patient is not aware of any potential hereditary issues. The patient has not been diagnosed with diabetes and has no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Cyst: A cyst is a small, non-cancerous lump that can appear anywhere on the body, including the foreskin. They are usually harmless and may not cause any symptoms unless they become infected or large.

    • Treatment: Most cysts do not require treatment unless they are causing discomfort or other symptoms. If necessary, a doctor may choose to drain or remove the cyst.

  • Folliculitis: This is an infection of the hair follicles that can cause a red, swollen bump to appear. It's usually caused by bacteria or fungi.

    • Treatment: Folliculitis often resolves on its own, but topical or oral antibiotics may be prescribed if the infection is severe or persistent.

  • Genital warts: These are small, fleshy growths caused by certain strains of the human papillomavirus (HPV). They are usually painless but can be itchy.

    • Treatment: Genital warts often go away on their own, but they can also be removed by a doctor using various methods.

  • Penile cancer: Although rare, penile cancer can cause a lump or growth on the penis. It's more common in men over 60 and those with HPV.

    • Treatment: Treatment options for penile cancer include surgery, radiation therapy, and chemotherapy.

Please remember that this is not an exhaustive list and other conditions could also be possible. It's important to seek medical attention to get a proper diagnosis.

What you can do

Given the sudden appearance of the lump, it would be best to consult a healthcare provider as soon as possible. They can examine the lump and may order tests to determine the cause.

In the meantime, avoid scratching or picking at the lump as this could lead to an infection. Keep the area clean and dry.

What you should look out for

You should seek immediate medical attention if:

  • The lump grows in size or changes in appearance
  • You experience pain or discomfort
  • You notice any discharge from the lump
  • You develop other symptoms such as fever, chills, or unexplained weight loss

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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9 mo ago

People Also Ask

What are the common causes of a hard, red lump on the foreskin?

Common causes of a hard, red lump on the foreskin include cysts, folliculitis, genital warts, and, in rare cases, penile cancer. It's important to consult a healthcare provider for an accurate diagnosis.

How can I differentiate between a cyst and other types of lumps on the foreskin?

A cyst is usually a small, non-cancerous lump that is painless and does not change in size. Other types of lumps, like those from folliculitis, may be associated with infection and can be painful or itchy. A healthcare provider can help differentiate between these conditions.

When should I be concerned about a lump on the foreskin?

You should be concerned if the lump grows in size, changes in appearance, becomes painful, discharges, or if you develop other symptoms like fever or unexplained weight loss. In such cases, seek medical attention promptly.

What are the treatment options for a lump on the foreskin?

Treatment options depend on the cause of the lump. Cysts may not require treatment unless symptomatic, while folliculitis might need antibiotics. Genital warts can be removed by a doctor, and penile cancer requires more intensive treatments like surgery or chemotherapy. Always consult a healthcare provider for appropriate treatment.

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