Hard Lumps Under the Armpit: When to Seek Further Evaluation - Oncology

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When it comes to hard lumps under the armpit, particularly those that have been evaluated and deemed benign, it is essential to understand the implications of the findings and the appropriate steps to take moving forward. Based on your description, you have a sizable lump (approximately 8x4 cm) that has been assessed through fine needle aspiration, breast ultrasound, and mammography, with the conclusion that it is benign. However, you are experiencing discomfort, including nerve pain and skin sensitivity, which can be concerning.

1. Follow-Up and Further Evaluation: Your physician has recommended a follow-up ultrasound in six months, which is a standard practice for monitoring benign lumps. However, given your symptoms of pain, discomfort, and occasional fever, it may be prudent to seek a second opinion or consult a different specialist, such as a general surgeon or an oncologist. These specialists can provide further evaluation and may offer additional insights into your condition. If you feel that your symptoms are not being adequately addressed, it is entirely reasonable to pursue further evaluation sooner than the suggested six months.

2. Management of Benign Lumps: While benign lumps typically do not require treatment, the presence of symptoms such as pain and discomfort can warrant intervention. In some cases, even benign lumps can cause significant issues, especially if they are large or located in a way that affects nearby structures, such as nerves or blood vessels. If the lump is causing you significant discomfort or impacting your daily activities, discussing options for treatment with your healthcare provider is important. This could include options such as surgical removal, especially if the lump is causing functional impairment.

3. Pain Management: Regarding the use of anti-inflammatory medications, it is generally acceptable to take over-the-counter pain relievers like ibuprofen or acetaminophen to manage discomfort, provided you do not have any contraindications to these medications. Ice packs can also be beneficial in reducing swelling and alleviating pain. Applying ice for 15-20 minutes at a time can help numb the area and reduce inflammation. However, it is crucial to ensure that you do not apply ice directly to the skin; instead, wrap it in a cloth or towel.

In summary, while your lump has been classified as benign, your ongoing symptoms warrant further discussion with your healthcare provider. It is essential to advocate for your health, especially if you are experiencing pain and functional limitations. Seeking a second opinion or consulting with a specialist can provide you with more options and peace of mind. Remember, your comfort and quality of life are paramount, and addressing any persistent symptoms is a crucial part of your healthcare journey.