There is a lump in the armpit?
There is a small, hard lump under my right armpit that has been there for a long time.
It hasn't changed in size and is not painful.
Is this normal, and do I need to see a doctor?
xin, 10~19 year old female. Ask Date: 2020/01/22
Dr. Hu Ziren reply Oncology
It appears to be normal tissue; observation is recommended.
Reply Date: 2020/01/22
More Info
A lump under the armpit can be a common concern, and while many lumps are benign, it is essential to understand when to seek medical advice. In your case, you mentioned that the lump is small, hard, has not changed in size, and is not painful. These characteristics can be reassuring, but they do not completely rule out the need for further evaluation.
Understanding Lumps Under the Armpit
1. Common Causes: Lumps in the armpit area can arise from various causes, including:
- Lymph Nodes: The armpit contains lymph nodes that can become enlarged due to infections, inflammation, or other conditions. A small, hard lump could be a lymph node that has reacted to a minor infection or irritation.
- Cysts: Sebaceous cysts can form in the skin and may feel firm. These are usually harmless and can be left alone unless they become infected or bothersome.
- Fibroadenomas: These are benign tumors that can occur in breast tissue, which may extend into the armpit area.
- Lipomas: These are soft, fatty lumps that are generally harmless and can occur anywhere in the body, including the armpit.
2. When to See a Doctor: While many lumps are benign, certain signs warrant a visit to a healthcare provider:
- Changes in Size or Shape: If the lump begins to grow or change in shape, this should be evaluated.
- Pain or Discomfort: If the lump becomes painful or tender, it is advisable to seek medical attention.
- Associated Symptoms: If you experience other symptoms such as fever, night sweats, unexplained weight loss, or fatigue, these could indicate a more serious condition.
- Duration: If the lump has been present for an extended period (e.g., several weeks to months) without change, it is still wise to have it checked, especially if you have any concerns.
3. Diagnostic Evaluation: If you decide to see a doctor, they may perform a physical examination and may recommend further tests, such as:
- Ultrasound: This imaging test can help determine the nature of the lump (solid vs. cystic) and its relation to surrounding tissues.
- Biopsy: In some cases, if there is concern about the nature of the lump, a biopsy may be performed to rule out malignancy.
Conclusion
In summary, while a small, hard lump under the armpit that has not changed in size or caused pain may not be a cause for immediate concern, it is always best to err on the side of caution. If you have any doubts or if the lump exhibits any concerning features, it is advisable to consult with a healthcare provider. They can provide a thorough evaluation and peace of mind, ensuring that any potential issues are addressed promptly. Regular self-examinations and awareness of changes in your body are crucial for maintaining health and catching any potential problems early.
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