Has anyone ever heard of this? Sorry TMI - Perianal Lump/Cyst?

Question

Just wondering if someone might have experienced or have a family member who has had this problem. Yesterday, I kind of felt something weird, or like a bit of pain that I hadnt felt before, so I decided to examine. There was a pink discolorated place beside my anus (but not in it or anything). Anyway, if you push on it, it feels like a hard lump. I freaked out and went to the ER because my worst fear is cancer. The doctor just said "I'm sorry but I dont know what that could be". He put me on antibiotics and said to take a bath 4Xs a day and referred me to a surgeon (again, another of my worst fears). This problem has a dull, warm, aching pain. Its kind of a lot like an ingrown hair, but worse and no head on it like an ingrown hair has. Just wondering if anyone has any knowledge of what this could be. I am really worried about it and have never known of it to happen to anyone else. Any help would be greatly appreciated!

Answer 1

Anal and perianal disorders are a major cause of outpatient referrals accounting for about 20% of the cases seen.

These disorders are often extremely embarrassing and distressing to the patient and these features probably account for why the patient often waits a long time before seeking medical advice.

Most anal and perianal disorders can be treated on an outpatient basis. However, abscesses and haemorrhoids that have been strangulated or thrombosed may present as surgical emergencies.
anal carcinoma
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The majority of cancers within the anal canal are squamous cell carcinomas. Normal skin lines the anus and rarely, basal cell carcinomas may arise in this area. Malignant melanomas can occur in the anal canal or the anus.

Anal carcinoma is uncommon.

It is usually infiltrative and ulcerating. Lymphatic spread is to groin lymph nodes. In extensive disease, spread may occur to para-aortic and iliac nodes

anal warts
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Anal warts are benign tumours of the epidermis induced by inoculation of specific papova viruses; they are usually transmitted by sexual activity.

If the immune system is compromised, they can present major problems to cure.

The general principles of management of warts is presented in the menu below. Note that if surgical excision under local anaesthetic is the only practical treatment option, then normal skin between the warts needs to be carefully preserved so as to avoid delays in healing and anal canal stenosis.

It is prudent to consider the HIV and hepatitis B status of the patient, and counselling as to the wart presence and treatment of sexual partners

haemorrhoids
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Anal continence requires the apposition of three mucosal pads which:

are composed of subepithelial vascular cushions
are found in the left lateral, right anterolateral and right posterolateral portions of the anal canal
form haemorrhoids when the pads become enlarged and congested
Haemorrhoids may cause:

anal pain
pruritus ani
bright red rectal bleeding
Haemorrhoids are very common and can occur at any age.

hidradenitis suppurativa
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Hidradenitis suppurativa is a deep-seated inflammatory condition that produces lesions which mainly occur in the axillae and groins. Hidradenitis is primarily an acne-like follicular occlusion disease where apocrine glands only become involved in the context of peri-follicular inflammation - it is not a primary disease of apocrine glands (1,2,3)

perianal abscess
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Perianal abscesses are common surgical emergencies. They may present acutely or insidiously with perianal pain, tenderness and swelling.

Ischiorectal lesions are the commonest, but abscesses may be perianal, intermuscular or pelvirectal.

Men are affected more often than women.

perianal haematoma
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A perianal haematoma is an acutely painful condition that often has an onset after straining at stool. The haematoma is caused by rupture of a blood vessel beneath the anal skin. On examination, there is a blue-black bulge in the skin near the margin of the anus. Sometimes this condition is described as a 'thrombosed external pile' but it is not related at all to haemorrhoids.

Generally the perianal haematoma resolves over a few days and the patient requires only oral analgesia. If the pain becomes intolerable then it is possible to excise and drain the haematoma under anaesthesia.

pilonidal sinus
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'Pilonidal' means a nest of hairs. A pilonidal sinus is a sinus that contains a tuft of hairs. These sinuses are commonly found in the skin covering the sacrum and coccyx but can occur between the fingers, particularly in barbers, and at the umbilicus.

A pilonidal sinus is not lined by skin and there are no hairs growing within it. In fact, the hairs in the sinus are short, broken pieces of hair that either get sucked into a pre-existing dimple or actually pierce the normal skin in the gluteal cleft and then, by acting as foreign bodies, aid and support the development of chronic infection. The result is a chronic abscess which contains hair and which flares up at frequent intervals into an acute abscess.



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Answer 2

1

Answer 3

Perianal Lump

Answer 4

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RE:
Has anyone ever heard of this? Sorry TMI - Perianal Lump/Cyst?
Just wondering if someone might have experienced or have a family member who has had this problem. Yesterday, I kind of felt something weird, or like a bit of pain that I hadnt felt before, so I decided to examine. There was a pink discolorated place beside my anus (but not in it or anything)....

Answer 5

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Answer 6

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Answer 7

Hemorrhoids are associated with constipation and straining at bowel movements. How to get rid of hemorrhoids https://tr.im/Xyxr6
Pregnancy is also associated with hemorrhoids. These conditions lead to increased pressure within the hemorrhoidal veins that causes them to swell. Other conditions, for example chronic liver disease, may also cause increased venous pressure and may be associated with hemorrhoids. Hemorrhoids are very common and are estimated to occur in up to one-half of the population by age 50.

Answer 8

well it isnt going to kill you so stop worrying about that. Do the hot soaks, keep as clean as you can (use those diaper wipes) and see what happens, theres no urgency. could be a boil, cyst, like anywhere else on your body.