Movable Lumps in the Armpit: What to Do Next? - Oncology

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There is a hard lump in the armpit?


There is a hard lump in my armpit about the size of a BB pellet that moves around.
I discovered it about three years ago, and recently I squeezed it, but it burst and disappeared.
I would like to know what the implications might be and what I should do next.

A Chun, 20~29 year old female. Ask Date: 2018/04/10

Dr. Lai Yicheng reply Oncology


Hello: Regarding your symptoms, please visit a surgical specialist for evaluation.
The doctor will perform a physical examination and further confirm the diagnosis.
Thank you for reaching out for consultation.
Changhua Hospital cares about you.
Dr.
Lai Yi-Cheng, Department of Radiation Oncology.

Reply Date: 2018/04/10

More Info


When it comes to movable lumps in the armpit, it's essential to approach the situation with caution and awareness of potential implications. Based on your description, it sounds like you had a movable lump in your armpit for about three years, and recently, you accidentally squeezed it, causing it to rupture. Here’s a comprehensive breakdown of what this could mean and what steps you should consider taking next.


Understanding the Lump
Movable lumps in the armpit can be caused by various factors, including:
1. Lymph Nodes: The armpit contains lymph nodes that can become swollen due to infections, inflammation, or other medical conditions. These nodes are typically movable and can vary in size.

2. Cysts: Sebaceous cysts or epidermoid cysts can develop in the skin and may feel like small, movable lumps. They are generally benign but can become inflamed or infected.

3. Lipomas: These are benign tumors made of fat tissue that can also present as soft, movable lumps under the skin.

4. Infections: Sometimes, infections in the area can lead to the formation of abscesses, which may feel like lumps.


What Happens When You Squeeze a Lump
Squeezing or manipulating a lump can lead to several outcomes:
- Rupture: If the lump was a cyst or an abscess, squeezing it could cause it to rupture, leading to the release of its contents. This might provide temporary relief but could also lead to infection if the area is not properly cleaned.

- Inflammation: Manipulating the lump can cause inflammation, leading to increased pain, swelling, or redness in the area.

- Infection: If the lump was infected or if the skin was broken during the squeezing, there is a risk of introducing bacteria, which could lead to further complications.


What to Do Next
1. Monitor the Area: Keep an eye on the site where the lump was located. Look for signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, it’s crucial to seek medical attention.

2. Avoid Further Manipulation: Refrain from squeezing or touching the area further to prevent additional irritation or the risk of infection.

3. Maintain Hygiene: Keep the area clean and dry. If there is any open wound from where the lump ruptured, clean it gently with soap and water and consider applying a sterile bandage.

4. Consult a Healthcare Provider: Given that the lump was present for three years, it’s advisable to consult a healthcare professional, especially if you experience any new symptoms or if the area does not heal properly. A doctor can perform a physical examination and may recommend imaging studies or a biopsy if necessary.

5. Follow-Up: If the lump reappears or if you have any ongoing concerns, follow up with your healthcare provider. They may suggest further evaluation or treatment options based on their findings.


Conclusion
In summary, while movable lumps in the armpit can often be benign, any changes in their characteristics or the way they feel should be taken seriously. Since you have already experienced a rupture, monitoring the area for signs of infection and consulting a healthcare provider is the best course of action. Early intervention can help prevent complications and ensure that any underlying issues are addressed appropriately.

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