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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Lump On The Scrotum?

Have a hard black bump on right side of scrotum. Hard has seemed to become larger this week. Started out like where a whisker hair gets irritated. Now looks like a bb gun pellet but is dark maybe even black. Doesn t hurt or itch. Just afraid will knock it off and bleed on clothing.
Mon, 23 Nov 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A hard black lump on scrotum which started after hair irritation is suggestive of some skin or skin adnexal lesion.
Lumps in scrotum can be due to lesions of testis or epididymus.
However, the history rules out possibility of lump arising from testis or epididymus.
Irritation of the hair follicle can lead to infection and inflammation of the follicle.
Black color indicates that there is collection of blood in the lesion or a hematoma formation.
The exact pathogenesis of the lesion cannot be predicted.
A clinical assessment of the lesion is required.
In case there is evidence of infection, appropriate antibiotic will be required.
If there is hematoma formation, hematoma will resolve spontaneously of no other complication is detected.
I suggest you to consult your surgeon for further management.

Thanks and take care
Dr Shailja Puri
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What Causes Hard Lump On The Scrotum?

Hello and welcome to HCM, A hard black lump on scrotum which started after hair irritation is suggestive of some skin or skin adnexal lesion. Lumps in scrotum can be due to lesions of testis or epididymus. However, the history rules out possibility of lump arising from testis or epididymus. Irritation of the hair follicle can lead to infection and inflammation of the follicle. Black color indicates that there is collection of blood in the lesion or a hematoma formation. The exact pathogenesis of the lesion cannot be predicted. A clinical assessment of the lesion is required. In case there is evidence of infection, appropriate antibiotic will be required. If there is hematoma formation, hematoma will resolve spontaneously of no other complication is detected. I suggest you to consult your surgeon for further management. Thanks and take care Dr Shailja Puri