Multiple Lumps Underarms: Should You Worry About Breast Cancer?

Multiple lumps in the axilla?

There are multiple lumps in both armpits (3 to 4 lumps on each side) that have persisted for over one to two years.
Since there is no pain and no significant increase in size, I haven't paid much attention to them.
The lumps vary in size, with the larger ones being close to one centimeter (approximately 0.8 cm) and the smaller ones being under 0.5 cm.
They are not painful when squeezed, and there is no discoloration.
The lumps can only be faintly seen when both arms are raised.
Recently, I am concerned whether this could be a sign of breast cancer.
If I want to get further examined at a hospital, which department should I consult?

xyl, 20~29 year old female. Ask Date: 2021/08/16

Dr. Chen Sirong reply Oncology

Xyl, 22 years old, female.

1.
Recently concerned whether it might be a sign of breast cancer?
A: It has been persistent for more than a year or two, without significant enlargement or changes in color.
Based on your description, there should be no need for concern.

2.
If further examination at the hospital is needed, which department should I visit?
A: You should see either the General Surgery or Breast Surgery department.

Wishing you peace of mind, Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2021/08/16

More Info

When it comes to the presence of multiple lumps in the underarm area, particularly in the context of concerns about breast cancer, it is essential to approach the situation with a balanced perspective. The presence of lumps or masses in the axillary (underarm) region can be concerning, especially for individuals with a family history of breast cancer. However, not all lumps are indicative of malignancy.

Firstly, it is important to understand that lumps in the underarm area can arise from various causes. These can include benign conditions such as lymphadenopathy (swollen lymph nodes), which can occur due to infections, inflammation, or even benign tumors like lipomas or cysts. In many cases, lymph nodes can become enlarged in response to infections or other non-cancerous conditions. The fact that the lumps you describe have been present for over a year without significant changes in size or pain is a reassuring factor. Generally, cancerous lumps tend to grow over time and may be associated with other symptoms such as pain, changes in skin texture, or systemic symptoms like weight loss or fever.

Given your description of the lumps being non-tender and not changing in color, it is less likely that they are malignant. However, it is always prudent to have any new or concerning lumps evaluated by a healthcare professional. In your case, since you have multiple lumps under both arms, it would be advisable to consult with a healthcare provider who specializes in breast health or general surgery. You can schedule an appointment with a breast surgeon or a general surgeon, as they can perform a thorough examination and determine if further imaging studies, such as an ultrasound or mammogram, are necessary.

In addition to physical examination, the healthcare provider may consider your personal and family medical history, including any risk factors for breast cancer. If there is a significant family history of breast cancer or other risk factors, they may recommend more proactive screening or genetic counseling.

It is also important to note that self-exams and regular screenings are crucial for early detection of breast cancer. If you have a family history of breast cancer, you should be particularly vigilant about regular breast examinations and mammograms as recommended by your healthcare provider.

In summary, while the presence of multiple lumps in the underarm area can be concerning, the characteristics you described suggest that they may not be indicative of breast cancer. However, it is always best to err on the side of caution and consult with a healthcare professional for a thorough evaluation. They can provide you with the necessary guidance and reassurance, as well as determine if any further diagnostic tests are warranted. Regular monitoring and communication with your healthcare provider are key components in managing your breast health and addressing any concerns you may have.

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