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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. It is not visable from the 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.

Answered by Dr. Bhagyesh V. Patel (8 hours later)

Brief Answer:
benign lesion as bartholin or sebaceous cyst. not cancer.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my surgical experience, the small lump with consistency of lymph node
involving skin below labia majora is usually soft tissue swelling as Bartholin, sebaceous
cyst or else.

My recommendations at present

- Do not panic at all, as this is absolutely not a sign or symptom of cancer in any
manner.
- Book an appointment with your OBGY for primary check up of the swelling.
- Keep a check over the size of swelling till you consult the doctor.

Do feel free to discuss further regarding the issue.
Wish you best recovery.

Regards.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (10 hours later)

Okay. Thank you for the reassurance. So you are saying that 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. Bhagyesh V. Patel (1 hour later)

Brief Answer:
follow up .You definitely have benign soft tissue lump only.

Detailed Answer:
Hi
Thanks for the follow up.

* Surely, cyst can present in many of the instances without visible over the surface when
it is of tiny size. It is certain size only when you get it over the skin.

* So far as sarcomas are concerned, they are very rapidly progressing tumors with
distorted tissue architecture , which is not definitely your case.

Thanks.

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

Follow up: Dr. Bhagyesh V. Patel (12 hours later)

okay. i am extremly worried about sarcomas. how would this develop? abythjng like my symptoms that i described at all? is this a concern to me?

Answered by Dr. Bhagyesh V. Patel (40 minutes later)

Brief Answer:
follow up .

Detailed Answer:
Hi

* The development of sarcoma is a neoplastic process at genetic levels at multiple
steps in different cases.

However, you are not supposed to worry about the same as it does not imply to you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (8 hours later)

Okay. So your saying it would not present like the symptoms I’ve described to you so it is not an option.

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
follow up .

Detailed Answer:
Surely yes.
Sarcoma is not the option for you.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

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