Axillary Lumps: Causes, Symptoms, and When to Seek Help - Oncology

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Small lump in the armpit?


Recently, I experienced sudden pain in my right armpit.
It hurts significantly when I touch it, raise my arm, or squeeze my armpit.
Upon closer examination, I found a small swollen area.
The next day, I visited a dermatologist who diagnosed it as inflammation.
After taking medication and applying ointment as prescribed, it quickly resolved.
However, in the past few days, the pain in my right armpit has returned, and I discovered another lump, this time located below the previous one.
Additionally, I have been experiencing pain near my right jawbone when yawning.
Is there a connection between these symptoms? Which specialist should I consult? I usually use antiperspirant.

Jia Yu, 10~19 year old female. Ask Date: 2016/09/25

Dr. Lai Yicheng reply Oncology


Dear Miss Chia-Yu,
Thank you for your inquiry.
Here are my responses:
1.
Regarding the swollen feeling in your armpit, please consider whether it is related to your menstrual cycle.
If the swelling and pain occur before and after your period, it may be linked to hormonal changes.
I recommend that you consult with a breast surgeon.
2.
It is also possible that you may be experiencing hidradenitis suppurativa.
I suggest you consult a dermatologist to discuss your current cleansing methods and whether you need to change your antiperspirant products.
Thank you for reaching out.

Sincerely,
Dr.
Lai Yi-Cheng
Department of Radiation Oncology
Changhua Hospital

Reply Date: 2016/09/25

More Info


Understanding axillary lumps can be a source of concern for many individuals, especially when accompanied by pain or discomfort. The axillary region, commonly known as the armpit, contains various structures, including lymph nodes, sweat glands, and fatty tissue. When a lump or swelling occurs in this area, it can be indicative of several underlying conditions, ranging from benign to more serious issues.


Causes of Axillary Lumps
1. Lymphadenopathy: One of the most common causes of lumps in the axillary region is swollen lymph nodes. This can occur due to infections (such as bacterial or viral infections), inflammatory conditions, or malignancies. When the body is fighting an infection, lymph nodes can become enlarged and tender.

2. Infections: Conditions like abscesses or folliculitis can lead to localized infections in the skin or underlying tissues, resulting in painful lumps. These infections may require drainage or antibiotics for resolution.

3. Cysts: Sebaceous cysts or epidermoid cysts can develop in the axillary area. These are generally benign and may not require treatment unless they become infected or bothersome.

4. Lipomas: These are benign tumors made of fatty tissue that can occur anywhere in the body, including the axilla. They are usually painless and do not require treatment unless they grow large or cause discomfort.

5. Malignancies: While less common, lumps in the axillary region can be a sign of breast cancer or lymphoma. If the lump is hard, immovable, or associated with other concerning symptoms (such as weight loss or night sweats), further evaluation is warranted.


Symptoms to Watch For
- Pain or tenderness: As you mentioned, the pain in your axilla and the area near your jaw can be significant. This could indicate inflammation or infection.

- Size and consistency of the lump: Changes in size, shape, or consistency of the lump should be monitored.

- Associated symptoms: Fever, night sweats, unexplained weight loss, or changes in your overall health can be red flags that warrant further investigation.


When to Seek Help
Given your symptoms of recurrent pain and the presence of a lump in your axilla, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in this area, such as:
- Primary Care Physician: They can perform an initial evaluation and determine if further testing or referral is necessary.

- Dermatologist: If the lump is suspected to be a skin-related issue, a dermatologist can provide specialized care.

- General Surgeon: If the lump requires surgical intervention or further diagnostic procedures, a general surgeon can be consulted.

- Oncologist: If there is a concern for malignancy, an oncologist may be involved in your care.


Conclusion
In summary, while many axillary lumps are benign and resolve with appropriate treatment, persistent or recurrent lumps, especially when associated with pain, should not be ignored. It is essential to have a thorough evaluation to rule out any serious conditions. Keep track of any changes in your symptoms and communicate these with your healthcare provider to ensure you receive the best possible care.

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