<s>[INST] I have unusual growths better my Virginia and my anus. They don't pain but have grown significantly in the last 4 months. I fist noticed a small painless spot like a pimple but now they are like five and they are growing towards my anal opening. I last saw a Gyno 2years ago and had a Pap smear. The doctor said I was fine. I've not been sexually active for the last 3years. I'm scared that these growths could be cancerous. [/INST] Hi, There is definitely a concern for you to be worried about. The possibilities that I can think of are-- HPV (Human Papilloma Virus) infection that cause viral warts.- Condyloma accuminata- Benign anal skin tags.Please get yourself evaluated on these lines. I do not think it is cancer. However, only a biopsy could confirm this.PAP smear is not related to these external growths. Hope this helps you. </s>