Lumps Under the Armpit: When to Seek Further Evaluation

Q: Lumps Under the Armpit: When to Seek Further Evaluation

Hello： Regarding your symptoms, please visit a surgical specialist for evaluation. <br>The doctor will perform a physical examination to confirm the diagnosis. <br>Treatment, prescriptions, or issuance of a diagnosis certificate cannot be provided without a personal examination b

There is a lump in the armpit?

Hello Doctor, I am 20 years old! Recently, I found a lump in my right armpit while showering.
It's a little smaller than 2 centimeters.
I had a cold earlier and felt weak and fatigued.
The lump hurts when I touch it, but it doesn't hurt when I'm not touching it.
I'm worried it might be a tumor, so I went to see a dermatologist.
After the examination, the doctor said it was inflammation due to weakened immunity and prescribed medication for both oral and topical use.
Now it's the fifth day, and the lump is still swollen but no longer painful.
I went for a follow-up appointment the day before yesterday, and the doctor examined it again, saying it has decreased a little, but I can't really tell.
I specifically asked the doctor if it could be a lymph node issue, and he said it didn't seem like it because my lump is not round.
Should I continue to monitor it or seek further examination? I'm a bit worried, so I would appreciate your insights when you have time.

Lin Tongxue, 20~29 year old female. Ask Date: 2019/01/27

Dr. Lai Yicheng reply Oncology

Hello: Regarding your symptoms, please visit a surgical specialist for evaluation.
The doctor will perform a physical examination to confirm the diagnosis.
Treatment, prescriptions, or issuance of a diagnosis certificate cannot be provided without a personal examination by the physician.
Thank you for reaching out to Changhua Hospital.
Sincerely, Dr.
Lai Yi-Cheng, Department of Radiation Oncology.

Reply Date: 2019/01/27

More Info

When it comes to lumps under the armpit, especially in a young individual like yourself, it is important to approach the situation with both caution and understanding. Based on your description, you have a lump that is less than 2 cm, which has been evaluated by a dermatologist who suggested that it is likely due to inflammation related to a weakened immune system. The fact that it has become less painful and has shown some signs of reduction is a positive indication.

Lumps in the armpit can arise from various causes, including swollen lymph nodes, cysts, infections, or even benign tumors. In your case, the lump's characteristics—being non-painful when not touched and the doctor's assessment—suggest that it may not be a serious concern. However, it is essential to monitor the situation closely.

Here are some key points to consider regarding when to seek further evaluation for lumps under the armpit:
1. Duration and Changes: If the lump persists beyond a few weeks without improvement, or if it continues to grow, it would be prudent to seek further evaluation. Changes in size, shape, or consistency can be significant indicators of the need for further investigation.

2. Associated Symptoms: Pay attention to any additional symptoms that may arise, such as fever, night sweats, unexplained weight loss, or persistent fatigue. These symptoms could indicate a more systemic issue that warrants further investigation.

3. Pain and Discomfort: While you mentioned that the lump is not painful unless touched, any increase in pain or discomfort should be taken seriously. If the lump becomes painful or tender, it is advisable to consult a healthcare professional.

4. Response to Treatment: Since you have been on medication for about five days, it is important to assess how the lump responds to treatment. If there is no significant improvement or if it worsens, follow up with your healthcare provider.

5. Professional Evaluation: If you have ongoing concerns or if the lump does not resolve, consider asking your doctor for a referral to a specialist, such as an endocrinologist or a surgeon, for further evaluation. Imaging studies, such as an ultrasound, may be recommended to better characterize the lump.

6. Lymph Node Considerations: Your concern about whether the lump is related to lymph nodes is valid. Lymph nodes can swell due to infections, inflammation, or malignancies. The fact that your doctor assessed it as unlikely to be lymphatic is reassuring, but if you have any doubts, it is always best to seek a second opinion.

In summary, while your current situation seems manageable and is being monitored, it is essential to remain vigilant. If the lump does not improve, changes, or if you develop new symptoms, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and it is always better to err on the side of caution when it comes to potential health concerns.

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