Hard Lumps in the Armpit: When to Seek Medical Attention - Oncology

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There is a lump in the armpit?


Recently, I discovered a small lump near my right chest under the armpit, measuring less than 0.5 cm in diameter.
It is round, hard, and painless.
A month ago, I had a routine breast examination that revealed a hard mass of about 3 cm in my left breast.
After imaging, ultrasound, and fine needle aspiration, it was determined to be benign.
However, now I have what seems to be a lymph node.
I'm unsure if this is related and whether I need to seek immediate medical attention or if I can wait for a follow-up in a year.

QQ, 30~39 year old female. Ask Date: 2017/09/13

Dr. Chen Sirong reply Oncology


QQ / 35 years old / Female 1.
I'm not sure if it's related.
A: It should be related.
2.
Do I need to seek immediate medical attention or can I wait a year for follow-up? A: If there are any changes, you should seek medical attention immediately; there's no need to wait a year.
Wishing you a safe and speedy recovery.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2017/09/13

More Info


When it comes to hard lumps in the armpit, particularly after having a previous benign finding in the breast, it’s essential to approach the situation with caution and awareness. The lump you’ve described, being small (less than 0.5 cm), round, hard, and painless, could potentially be a lymph node or another benign structure. However, given your history of a larger lump in the breast, it’s prudent to consider a few factors before deciding on the next steps.

Firstly, lymph nodes can become reactive due to various reasons, including infections, inflammation, or malignancies. In your case, since you have a known history of a benign breast condition, it’s possible that this new lump is a reactive lymph node, especially if you’ve had any recent infections or illnesses. However, the presence of a new lump, particularly in the context of a previous breast issue, warrants further evaluation.

The general recommendation is to seek medical attention if you notice any of the following:
1. Changes in Size or Shape: If the lump increases in size or changes in shape, this could indicate a need for further investigation.

2. Associated Symptoms: If you experience symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue, these could be signs of a more serious condition.

3. Duration: If the lump persists for more than a few weeks without improvement, it’s advisable to consult a healthcare provider.

4. Changes in the Breast: Any new changes in the breast, such as new lumps, changes in skin texture, or discharge, should be evaluated promptly.

Given your previous benign finding, it’s understandable to feel reassured, but it’s crucial to remain vigilant. A follow-up with your healthcare provider is recommended to discuss the new lump. They may suggest imaging studies, such as an ultrasound, or even a biopsy if there’s any concern about the nature of the lump.

In terms of timing, while it might be tempting to wait until your next scheduled check-up in a year, it’s generally better to address new findings sooner rather than later. Early evaluation can provide peace of mind and ensure that any potential issues are addressed promptly.

In conclusion, while the lump you’ve described may very well be benign, especially in light of your previous findings, it’s essential to consult with your healthcare provider. They can perform a thorough examination, possibly order imaging studies, and determine whether any further action is necessary. Remember, it’s always better to err on the side of caution when it comes to changes in your body, particularly in the context of a previous health issue.

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