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1.The history of symptoms and localisation suggest the possible cause could be
lymph nodal enlargement. Other causes could be venous pathology,
lipomas.
2.Lymph nodal enlargement is due to presence of any infection / inflammation , it can be localised or systemic and presence of any malignancy, lymph nodal pathology itself also can cause the condition.
3.In this case i would ask for a x-ray chest and
ultrasound abdomen pelvis - for a over view - if any possible causes for the inguinal lumps / nodes.
4.Then inguinal ultrasound scan will assess the nature of the lumps and its source and extensions - if required an FNAC - fine needle aspiration cytology will be helpful.
5.So recommend you to treat any possible abnormality you are aware of and then when your turn comes get the general checkup for further evaluation. Good luck.
Hope i have answered your query,
any thing to ask do not hesitate to ask.
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