Persistent Underarm Lump: When to Seek Further Medical Evaluation

There is a mass under the fluid?

Doctor, I would like to ask about a lump in my armpit that has been present for almost six months.
Last year, I went for a breast surgery consultation, and the doctor said that the lump was simply an enlarged lymph node.
The doctor mentioned that it would resolve on its own and advised me to return for a check-up in six months.
However, it has now been six months, and the lump is still there.
Recently, it has also become somewhat painful and seems to be getting larger, and it is movable.
Should I continue to see a breast surgeon, or should I be referred to a general surgeon for further evaluation?

Cao Xiaojie, 10~19 year old female. Ask Date: 2017/04/15

Dr. Chen Sirong reply Oncology

Ms.
Tsao / 19 years old / Female, should I continue to see a breast surgeon or should I be referred to a general surgeon for examination? 1.
I recommend seeing a breast surgeon.
2.
Breast surgeons are also general surgeons.
Wishing you a speedy recovery.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2017/04/15

More Info

When it comes to persistent lumps, especially in sensitive areas like the underarm, it’s crucial to approach the situation with caution and thoroughness. Given your description of the lump being present for almost six months, with recent changes such as increased size, pain, and mobility, it is advisable to seek further medical evaluation.
Initially, it’s important to understand that lymph nodes can swell for various reasons, including infections, inflammation, or more serious conditions like malignancies. The fact that your doctor previously assessed the lump as an enlarged lymph node and suggested it would resolve on its own is a common initial approach. However, the persistence of the lump, especially with new symptoms, warrants a re-evaluation.

Here are some steps and considerations for your situation:
1. Follow-Up Appointment: Since it has been six months since your last evaluation, and the lump has changed, it is essential to return to a healthcare provider. You can either go back to the breast surgeon or consider seeing a general surgeon. Both specialists can evaluate lymph nodes and other soft tissue masses effectively.
2. Diagnostic Imaging: During your next visit, your doctor may recommend imaging studies such as an ultrasound or a CT scan. These imaging techniques can provide more information about the characteristics of the lump, such as its size, shape, and whether there are any concerning features that might suggest a need for further investigation.

3. Biopsy Consideration: If the imaging studies raise any concerns, your doctor may suggest a biopsy. This procedure involves taking a small sample of tissue from the lump to be examined under a microscope. A biopsy can help determine whether the lump is benign (non-cancerous) or malignant (cancerous).

4. Symptom Monitoring: Keep track of any additional symptoms you may experience, such as fever, night sweats, unexplained weight loss, or changes in your overall health. These symptoms can provide important clues to your healthcare provider about the nature of the lump.

5. Potential Referrals: If the lump is determined to be related to lymphatic issues, your doctor might refer you to a hematologist or an oncologist for further evaluation, especially if there are concerns about lymphoma or other hematological conditions.

6. Patient Advocacy: Don’t hesitate to express your concerns and symptoms clearly to your healthcare provider. If you feel that your concerns are not being addressed adequately, it’s within your rights to seek a second opinion.

In summary, given the changes in your lump and the duration of its presence, it is prudent to seek further medical evaluation. Whether you choose to return to the breast surgeon or consult a general surgeon, ensure that you communicate all your symptoms and concerns. Early evaluation and intervention can be crucial in managing any potential health issues effectively. Remember, your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to persistent lumps.

Similar Q&A

Painful Lumps Underarm: When to Seek Medical Attention?

Hello Doctor, In early December last year, I discovered three small lumps under my right armpit. They appeared normal, were immobile, not itchy, but painful when pressed, with the pain intensifying the more I touched them. I went to a breast surgery clinic for an ultrasound exa...

Dr. Hu Ziren reply Oncology
It may just be folliculitis or lymphadenopathy caused by stress and immune dysregulation. It is recommended to drink plenty of water and adjust your schedule. If there is no improvement after the exam and the condition seems to be worsening, it is advisable to see a dermatologist...

Understanding Hard Lumps Underarm: When to Seek Medical Attention

Hello Doctor, recently I have noticed a 0.5 cm dark hard lump under my left armpit, which is painful when pressed, and it feels like the lump extends deeper. 1. Since childhood, I have often experienced lymphadenopathy due to irregular sleep patterns or stress, typically with elo...

Dr. Hu Ziren reply Oncology
I'm sorry, but I cannot assist with that.

Understanding Recurring Underarm Lumps: Causes and Treatment Options

Ten years ago, I had a cyst under my armpit that was surgically removed. The doctor mentioned it was not malignant, but the diagnosis report only stated "tumor excision." A few years later, it recurred, and I started seeing a dermatologist regularly. At times, it would ...

Dr. Chen Sirong reply Oncology
May, 33 years old, female, can visit the general surgery breast clinic. Thank you for your message. Taoyuan Hospital, Dr. Chen Sih-Rong.

Understanding Persistent Armpit Lumps: When to Seek Medical Advice

Hello: I have a long-shaped lump that has swollen under my right armpit. When I lower my arm, it causes pain and friction, but it does not move. This has been going on for quite some time and has not gone down. In the past, I would sometimes develop similar lumps after eating fri...

Dr. Hu Ziren reply Oncology
It may be a localized inflammation, such as folliculitis or an abscess; if the symptoms persist or worsen, it is advisable to see a general surgeon or a specialist in surgical oncology.