Groin lump
Lump in the groin; Inguinal lymphadenopathy; Localized lymphadenopathy - groin; Bubo; Lymphadenopathy - groinA groin lump is swelling in the groin area. This is where the upper leg meets the lower abdomen.
Considerations
A groin lump may be firm or soft, tender, or not painful at all. Your health care provider should examine any groin lumps.
Causes
The most common cause of a groin lump is swollen lymph nodes. These may be caused by:
- Cancer, most often lymphoma (cancer of the lymph system)
- Infection in the legs
- Body-wide infections, often caused by viruses
- Infections spread through sexual contact such as genital herpes, chlamydia, or gonorrhea
Other causes include any of the following:
- Allergic reaction
- Drug reaction
- Harmless (benign) cyst
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Hernia (a soft, large bulge in the groin on one or both sides)
Hernia
A hernia is a sac formed by the lining of the abdominal cavity (peritoneum). The sac comes through a hole or weak area in the strong layer of the be...
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- Lipomas (harmless fatty growths)
Home Care
Follow the treatment your provider prescribed.
When to Contact a Medical Professional
Small lymph nodes that can be felt in the groin are common, especially in men, and usually result from prior leg infection. Make an appointment to see your provider if you have an unexplained groin lump.
What to Expect at Your Office Visit
The provider will examine you and may feel the lymph nodes in your groin area. A genital or pelvic exam may be done.
You will be asked about your medical history and symptoms, such as when you first noticed the lump, whether it came on suddenly or slowly, or whether it gets larger when you cough or strain. You may also be asked about your sexual activities.
Tests that may be done include:
- Blood tests such as a CBC or blood differential
CBC
A complete blood count (CBC) test measures the following:The number of white blood cells (WBC count)The number of red blood cells (RBC count)The numb...
Read Article Now Book Mark ArticleBlood differential
The blood differential test measures the percentage of each type of white blood cell (WBC) that you have in your blood. It also reveals if there are...
Read Article Now Book Mark Article - Blood tests to check for syphilis, HIV, or other sexually transmitted infections
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Kidney function tests
Kidney function tests
Kidney function tests are common lab tests used to evaluate how well the kidneys are working. Such tests include:BUN (Blood urea nitrogen) Creatinin...
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Liver function tests
Liver function tests
Liver function tests are common tests that are used to see how well the liver is working. Tests include:AlbuminAlpha-1 antitrypsinAlkaline phosphata...
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Liver spleen scan
Liver spleen scan
A liver scan uses a radioactive material to check how well the liver or spleen is working and to assess masses in the liver.
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Lymph node biopsy
Lymph node biopsy
A lymph node biopsy is the removal of lymph node tissue for examination under a microscope. The lymph nodes are small glands that make white blood ce...
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References
McGee S. Peripheral lymphadenopathy. In: McGee S, ed. Evidence-Based Physical Diagnosis. 5th ed. Philadelphia, PA: Elsevier; 2022:chap 27.
Poulose BK, Carbonell AM, Rosen MJ. Hernias. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Elsevier; 2022:chap 45.
Winter JN. Approach to the patient with lymphadenopathy and splenomegaly. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 159.
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Lymphatic system - illustration
The lymphatic system filters fluid from around cells. It is an important part of the immune system. When people refer to swollen glands in the neck, they are usually referring to swollen lymph nodes. Common areas where lymph nodes can be easily felt, especially if they are enlarged, are the groin, armpits (axilla), above the clavicle (supraclavicular), in the neck (cervical), and the back of the head just above hairline (occipital).
Lymphatic system
illustration
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Swollen lymph nodes in the groin - illustration
Lymph nodes play an important part in the body's defense against infection. Swelling might occur even if the infection is trivial or not apparent. Swelling of lymph nodes generally results from localized or systemic infection, abscess formation, or malignancy. Common areas where the lymph nodes can be felt include the groin area, armpit, the neck, under the jaw and chin, behind the ears, and below the occiput (prominence on the back of the head). As a rule, when swelling appears suddenly and is painful, it is usually caused by injury or an infection. Enlargement that comes on gradually and painlessly may result from malignancy or tumor.
Swollen lymph nodes in the groin
illustration
-
Lymphatic system - illustration
The lymphatic system filters fluid from around cells. It is an important part of the immune system. When people refer to swollen glands in the neck, they are usually referring to swollen lymph nodes. Common areas where lymph nodes can be easily felt, especially if they are enlarged, are the groin, armpits (axilla), above the clavicle (supraclavicular), in the neck (cervical), and the back of the head just above hairline (occipital).
Lymphatic system
illustration
-
Swollen lymph nodes in the groin - illustration
Lymph nodes play an important part in the body's defense against infection. Swelling might occur even if the infection is trivial or not apparent. Swelling of lymph nodes generally results from localized or systemic infection, abscess formation, or malignancy. Common areas where the lymph nodes can be felt include the groin area, armpit, the neck, under the jaw and chin, behind the ears, and below the occiput (prominence on the back of the head). As a rule, when swelling appears suddenly and is painful, it is usually caused by injury or an infection. Enlargement that comes on gradually and painlessly may result from malignancy or tumor.
Swollen lymph nodes in the groin
illustration
Review Date: 7/25/2022
Reviewed By: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.