Armpit Pain: When to See a Specialist for Tumor Concerns

Axillary swelling and pain?

A few days ago, while showering, I noticed a small area in my armpit that hurts when pressed, but there is no obvious lump when I look at it.
It feels somewhat hard when pressed, but not very hard (just a little bit hard), and it feels a bit swollen.
I also checked my breasts, and there are no symptoms there.
I would like to ask the doctor what this symptom could be and which department I should visit for medical attention.

Q, 20~29 year old female. Ask Date: 2018/10/16

Dr. Lai Yicheng reply Oncology

Hello, Miss.
The physician cannot provide treatment without a personal examination.
Please refer to similar questions in this field.
You may consult a general surgeon or a breast surgeon for an examination.
Radiation Oncology, Dr.
Lai, October 16, 2018.

Reply Date: 2018/10/16

More Info

Armpit pain can be concerning, especially when it is accompanied by any changes in the surrounding tissue, such as lumps or swelling. In your case, the pain you experience when pressing on a specific area of your armpit, along with the sensation of a slight hardness, warrants further investigation, even if there are no obvious lumps or other symptoms in the breast.

There are several potential causes for armpit pain, ranging from benign to more serious conditions. Some common causes include:
1. Muscle Strain: Overexertion or strain of the muscles in the shoulder or upper arm can lead to pain that radiates to the armpit area. This is often accompanied by tenderness and may improve with rest.

2. Lymphadenopathy: Swollen lymph nodes in the armpit can cause pain and discomfort. This can occur due to infections, inflammatory conditions, or malignancies. Even if you do not feel a distinct lump, the lymph nodes can be enlarged and tender.

3. Cysts or Lipomas: These are benign growths that can occur in the armpit area. Cysts are fluid-filled sacs, while lipomas are soft, fatty lumps. Both can cause localized pain or discomfort.

4. Infections: Skin infections, such as folliculitis or abscesses, can lead to localized pain and swelling. If there is any redness, warmth, or drainage, this could indicate an infection.

5. Nerve Compression: Conditions such as thoracic outlet syndrome can lead to nerve compression, resulting in pain that radiates from the neck or shoulder into the armpit.

6. Tumors: While less common, tumors in the breast or lymphatic system can present as pain or discomfort in the armpit area. This is particularly concerning if there are other risk factors or symptoms present.

Given your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. You should consider seeing a specialist in either general surgery or oncology, as they can assess for any underlying issues, including the possibility of tumors. A primary care physician can also be a good starting point, as they can perform an initial evaluation and refer you to the appropriate specialist if needed.

During your visit, the doctor will likely conduct a physical examination and may recommend imaging studies, such as an ultrasound or mammogram, to further investigate the area. Blood tests may also be performed to check for signs of infection or other systemic issues.

In summary, while your symptoms may not indicate a serious condition, it is essential to err on the side of caution. Early evaluation and diagnosis can lead to better outcomes, especially if there are any underlying issues that need to be addressed. If you experience any additional symptoms, such as fever, significant swelling, or changes in your breast tissue, seek medical attention promptly.

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