Hard, Non-Moving Lump in Pubic Area for 6 Months – Not Painful, Reddish Color. Dermatofibroma, angioma, or deep cyst? (Photos)

Question

I’m a 26-year-old male and I’ve had a small, firm lump in my pubic area for about 6 months. It’s painless, doesn’t move under the skin, and has a pinkish to reddish-purple color. It hasn’t changed in size much, but it’s not going away either. It doesn’t have a white or black head, and it’s not filled with pus. When I press on it, it’s firm and feels slightly deep under the skin. I’m trying to figure out if this could be a dermatofibroma, angioma, or some kind of deep cyst. I’ve attached two clear photos for reference. ▪️ Does this look like something benign that I can leave alone? ▪️ Will it go away on its own or should I get it removed? ▪️ Is an ultrasound helpful in identifying what it is? Thank you!

Anna Chacon, MD, FAAD · Answer

Thank you for your question and for providing a detailed description.

Based on what you’ve shared — a firm, painless, reddish-pink lump in the pubic area that hasn’t changed in size over six months — this does sound like a benign lesion. Possibilities include:

Dermatofibroma – a harmless, firm growth under the skin that often feels fixed and may have a pink to purplish tone.

Angioma or Angiokeratoma – benign vascular lesions that are usually red or purple and may bleed if irritated.

Deep epidermoid or pilar cyst – typically firm and can feel embedded, though they usually grow over time or become inflamed.

To answer your questions:
Does this look like something benign I can leave alone?
Yes, it appears benign based on your description. The fact that it’s painless, non-growing, and not changing is reassuring.

Will it go away on its own or should I get it removed?
Lesions like this typically do not go away on their own. If it’s not bothering you, it’s reasonable to leave it alone. However, removal is an option for cosmetic reasons or peace of mind.

Would an ultrasound help?
Yes, an ultrasound can be helpful, especially if the lesion feels deep or fixed. It can help distinguish between a solid mass, cyst, or vascular lesion.

If the lesion begins to change — becomes painful, grows, bleeds, or ulcerates — I recommend having it evaluated in person by a board-certified dermatologist. Otherwise, if it’s stable and not bothersome, monitoring is a safe option.

Hope this helps! Feel free to follow up with photos for a more specific opinion.

Hard, Non-Moving Lump in Pubic Area for 6 Months – Not Painful, Reddish Color. Dermatofibroma, angioma, or deep cyst? (Photos)

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Hard, Non-Moving Lump in Pubic Area for 6 Months – Not Painful, Reddish Color. Dermatofibroma, angioma, or deep cyst? (Photos)

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Everything you need to know about Lipoma Removal

Our mission is to create a world where every investment in modern beauty is Worth It.