Persistent Armpit Lumps: When to Seek Medical Advice - Oncology

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Hello! It sounds like you're experiencing a concerning issue with a persistent lump in your right armpit. Given the details you've provided, it's important to understand a few key points regarding armpit lumps and when to seek medical advice.


Understanding Armpit Lumps
Armpit lumps can arise from various causes, and they can be benign or indicative of a more serious condition. Common causes include:
1. Lymphadenopathy: This is the enlargement of lymph nodes, which can occur due to infections (like a cold or skin infection), inflammatory conditions, or malignancies. The lymph nodes in the armpit can swell in response to infections in the arm, breast, or even systemic infections.

2. Cysts: These are fluid-filled sacs that can develop in the skin or deeper tissues. They can be painful if they become inflamed or infected.

3. Lipomas: These are benign tumors made of fat tissue. They are usually soft, movable, and painless, but can sometimes cause discomfort if they press on surrounding structures.

4. Infections: Skin infections, such as abscesses, can lead to painful lumps that may require drainage and antibiotics.

5. Other Conditions: In rare cases, lumps can be associated with more serious conditions, including tumors (benign or malignant).


When to Seek Medical Advice
Given that your lump has persisted for a significant amount of time without resolution, and considering that it is painful when pressure is applied, it is advisable to seek medical attention. Here are specific signs that warrant a visit to a healthcare provider:
- Duration: If the lump has been present for more than two weeks without improvement.

- Pain: If the pain is worsening or if the lump is tender to touch.

- Size Changes: If the lump is growing in size.

- Associated Symptoms: If you experience other symptoms such as fever, night sweats, unexplained weight loss, or fatigue.

- Mobility: If the lump is fixed and does not move when you touch it, this could be a cause for concern.


Which Specialist to See
For an armpit lump, you would typically start with a visit to a primary care physician. They can perform a physical examination and may order imaging studies, such as an ultrasound, to better understand the nature of the lump. Depending on their findings, they may refer you to a specialist, such as:
- Dermatologist: If the lump appears to be a skin-related issue, such as a cyst or abscess.

- Surgeon: If the lump requires surgical evaluation or removal.

- Oncologist: If there is a concern about malignancy based on the examination or imaging results.


Conclusion
In summary, while many armpit lumps can be benign and resolve on their own, your persistent lump, especially with associated pain, should be evaluated by a healthcare professional. Early assessment is key to addressing any potential underlying issues effectively. Don't hesitate to make an appointment with your doctor to discuss your symptoms and get the appropriate care. Your health is important, and seeking timely medical advice can provide peace of mind and ensure that any necessary treatment is initiated promptly.