Breast and Axillary Symptoms: What You Need to Know - Breast and Thyroid

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Nipple and axilla


Hello doctor, I am a 38-year-old male.
Two years ago, I experienced a warm, prickly sensation in my left armpit and consulted a surgeon, who performed a breast ultrasound.
The results showed that both my breast and armpit were normal, and the symptoms later disappeared.
Recently, this sensation has suddenly returned, and occasionally I feel itching around my nipple.
Last week, I returned to the doctor, who performed another ultrasound, and the results were also normal, with no significant lymphadenopathy.
However, last night after taking a shower, I suddenly noticed a red patch of skin on the edge of my left armpit.
When I pinch it, I feel a small bump (0.2 cm) that is not painful.
Could this be lymphadenopathy, or is it just a simple skin issue, considering I just had an examination last week?

A Zhe, 30~39 year old female. Ask Date: 2020/03/11

Dr. Yuan Tianmin reply Breast and Thyroid


It is unlikely that the lymphadenopathy is the issue; it seems more like a subcutaneous infection.
I still recommend that you see a dermatologist.

Reply Date: 2020/03/11

More Info


Understanding breast and axillary symptoms can be quite complex, especially when symptoms such as pain, itching, or unusual sensations arise. In your case, as a 38-year-old male experiencing a resurgence of sensations in the left axilla (armpit) and occasional itching around the nipple area, it’s essential to consider several factors.

Firstly, the sensations you describe—heat and tingling in the axilla—can be attributed to various causes. Since you have previously undergone ultrasound examinations that returned normal results, it is reassuring that no significant abnormalities were detected at that time. However, the recurrence of these sensations warrants further attention. The symptoms could be related to nerve irritation or compression, which can occur due to various reasons, including muscle tension, posture, or even repetitive movements.
The recent discovery of a small, red, raised area in your left axilla could be indicative of a skin condition rather than a lymph node issue. Conditions such as folliculitis (inflammation of hair follicles), dermatitis, or even an allergic reaction could manifest as localized redness and small bumps. If the area is not painful and there are no signs of significant swelling or systemic symptoms (like fever), it is less likely to be a lymphadenopathy (swollen lymph nodes).
It’s also important to note that lymph nodes can become reactive due to infections or inflammation in nearby areas, but since your recent ultrasound did not show any enlarged lymph nodes, this is a positive sign. However, if you notice any changes in the size of the bump, or if it becomes painful, it would be prudent to seek further evaluation.

In terms of breast symptoms in males, while breast cancer is less common in men than in women, it can still occur. Symptoms such as lumps, changes in the skin, or nipple discharge should always be evaluated. However, the absence of significant findings in your recent ultrasound is encouraging.
For the itching around the nipple, this could be due to several benign causes, including dry skin, irritation from clothing, or even a mild allergic reaction. If the itching persists or worsens, a dermatologist could provide insights into potential skin conditions that may require treatment.

In summary, while your symptoms may not currently indicate a serious condition, it is essential to monitor them closely. If the sensations in your axilla persist, or if you notice any new symptoms, such as changes in the skin, increased redness, or swelling, it would be wise to follow up with your healthcare provider. They may recommend further diagnostic tests or refer you to a specialist, such as a dermatologist, for a more thorough evaluation. Regular check-ups and being proactive about any changes in your body are key to maintaining your health.

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