Armpit Lumps: When to See a Doctor - Family Medicine

More Info

---

When you discover a lump in your armpit, especially one that is hard and painful to the touch, it is important to take it seriously and seek medical attention. The armpit (or axilla) is an area that contains lymph nodes, which can become swollen or develop lumps due to various reasons, including infections, inflammation, or more serious conditions like tumors.


When to See a Doctor
1. Pain and Tenderness: If the lump is painful, this could indicate an infection or inflammation. Conditions such as a swollen lymph node due to an infection (like a cold or flu) or an abscess can cause pain and require prompt treatment.

2. Duration: If the lump has been present for more than a couple of weeks without improvement, it is advisable to consult a healthcare professional. Persistent lumps should be evaluated to rule out serious conditions.

3. Size and Changes: If the lump is growing in size, changing in shape, or if you notice additional lumps in the area, these changes warrant a visit to the doctor.

4. Associated Symptoms: If you experience other symptoms such as fever, night sweats, unexplained weight loss, or fatigue, these could be signs of a more serious condition and should prompt immediate medical evaluation.


Which Specialist to See
For a lump in the armpit, you should consider seeing a primary care physician first. They can perform an initial evaluation and determine if further testing or referral to a specialist is necessary. Depending on the findings, you may be referred to:
- A General Surgeon: If the lump needs to be surgically removed or biopsied.

- An Oncologist: If there is a concern for cancer.

- An Infectious Disease Specialist: If an infection is suspected and requires specialized treatment.


Possible Causes of Armpit Lumps
1. Lymphadenopathy: Swollen lymph nodes can occur due to infections (viral or bacterial), autoimmune diseases, or malignancies.

2. Cysts: These are fluid-filled sacs that can develop in the armpit area and may become painful if infected.

3. Lipomas: These are benign tumors made of fat tissue that can feel soft and movable under the skin.

4. Infections: Conditions like hidradenitis suppurativa or abscesses can cause painful lumps in the armpit.

5. Malignancies: While less common, lumps can indicate lymphatic or breast cancer, especially if there are other concerning symptoms.


Conclusion
In summary, if you find a hard, painful lump in your armpit, it is crucial to seek medical advice. Start with a primary care physician who can assess your condition and guide you on the next steps. Early evaluation and diagnosis are key to addressing any potential issues effectively. Remember, while many lumps are benign, it is always better to err on the side of caution when it comes to your health.