Swelling in the Neck and Armpit: When to See an Oncologist - Oncology

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Swelling in the neck and armpit?


Hello doctor, I would like to ask about a situation I noticed earlier.
When I palpated my neck, I felt that the skin on both sides had different elevations; the left side seems slightly raised, but I can't feel a distinct lump.
Additionally, the left armpit also feels different from the right side, being more prominent, but there are no "lumps" present.
What could this condition be? Should I see an oncologist?

Xiao Yu, 20~29 year old female. Ask Date: 2018/03/30

Dr. Hu Ziren reply Oncology


Could it be that long-term poor posture has caused asymmetry in the musculoskeletal muscles of the left and right shoulders? It is recommended to consult an orthopedic specialist or a rehabilitation physician.

Reply Date: 2018/03/30

More Info


When it comes to swelling in the neck and armpit, it is essential to understand the potential causes and when to seek medical attention. The symptoms you describe—uneven skin texture and slight swelling on the left side of your neck and armpit—can be indicative of various conditions, ranging from benign to more serious issues.

Swelling in these areas can be attributed to several factors, including lymphadenopathy (swollen lymph nodes), infections, inflammatory conditions, or even tumors. The lymphatic system plays a crucial role in our immune response, and lymph nodes can become enlarged due to infections (like a cold or flu), autoimmune diseases, or malignancies. In your case, the fact that you notice asymmetry—where one side appears more swollen than the other—could suggest that there is an underlying issue that needs to be evaluated.

Given your symptoms, it is advisable to consult a healthcare professional. While your first instinct might be to see an oncologist, it may be more appropriate to start with a primary care physician or an ear, nose, and throat (ENT) specialist. These professionals can conduct a thorough examination, including a physical assessment and possibly imaging studies (like an ultrasound or CT scan) to determine the nature of the swelling. If there is a suspicion of malignancy or if the primary care physician finds something concerning, they can then refer you to an oncologist for further evaluation and management.

In terms of what to expect during your visit, the doctor will likely ask about your medical history, any recent infections, other symptoms (like fever, weight loss, or night sweats), and perform a physical examination. They may also order blood tests or imaging studies to gather more information about the swelling.

If the swelling is due to an infection, it may resolve with appropriate treatment, such as antibiotics. However, if it is related to a more serious condition, such as lymphoma or another type of cancer, early detection and intervention are crucial for the best outcomes.

In summary, while the presence of swelling in the neck and armpit can be concerning, it is essential to approach the situation methodically. Start with a visit to a primary care physician or an ENT specialist, who can guide you through the necessary steps for diagnosis and treatment. Early evaluation is key, especially if there are any additional symptoms or changes in your health.

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