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My vet tech wife believes you're correct, a cyst or blocked gland and nothing to worry about. Keep an eye on it to be safe. Def not a tick.
Appreciate the comment, another commenter mentioned parasitic fly. And to me it looks exactly like the butt end of a botfly larvae, and the shape under the skin seems to match too. Does your wife have any experience with that or think this could potentially be the culprit? Gonna try smothering with something unbreathable as soon as I can either way.
armchair speculations: have you watched any videos of botflies? they are responsive to stimulation and will retreat inside when touched. if your puppers fleshy bit is inactive, i’d wager some kind of sebum growth.