During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. What does this finding indicate?

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A pilonidal cyst or sinus is a hair-containing cyst or sinus located in the midline over the coccyx or lower sacrum. It often opens as a dimple with a visible tuft of hair and, possibly, an erythematous halo. Carcinoma, or a malignant neoplasm, in the colon or rectum is typically asymptomatic. Rectal polyps are protruding growths from the rectal mucous membrane and are fairly common. They are difficult to palpate and found on examination with a scope. Pruritus ani is intense itching and burning in the perineum and has several causes such as soaps, fecal soiling or hemorrhoids, sexually transmitted infections, and pinworm manifestations in children.

During an Assessment of a 20-Year-Old Man, the Nurse Finds