Pain in Armpit: Should You Worry About Breast Cancer?

Pain upon palpation of the axilla?

Hello, doctor.
I have a painful spot under my right armpit that hurts when pressed, but I don't feel anything when I'm not pressing it.
It's been like this for a few years.
Since I don't usually press on my armpit, I tend to forget about it.
The appearance seems normal, and there are no lumps, but I'm still a bit worried if it could be related to breast cancer.

Guandong Zhu, 30~39 year old female. Ask Date: 2021/10/13

Dr. Ye Qianyu reply Family Medicine

Hello! Since a simple physical examination cannot provide a differential diagnosis, it is recommended that you visit a breast surgery clinic as soon as possible.

Reply Date: 2021/10/13

More Info

When it comes to breast health, particularly concerning pain in the armpit area, it's essential to approach the situation with a combination of awareness and caution. Your concern about the pain in your right armpit is valid, especially given the potential link between breast health and any discomfort in the surrounding areas. However, it's important to understand that not all pain or discomfort in the armpit is indicative of breast cancer.

Firstly, the pain you're experiencing could be related to several benign conditions. For instance, it could be due to muscle strain, nerve irritation, or even lymphatic issues. The axillary (armpit) region contains lymph nodes, and sometimes inflammation or infection in these nodes can cause localized pain. Additionally, conditions such as fibrocystic breast changes or hormonal fluctuations related to your menstrual cycle can also lead to discomfort in the breast and surrounding areas.

It's also worth noting that breast cancer typically does not present with pain as a primary symptom. In fact, most breast cancers are painless and are often detected through routine screenings or self-examinations. The majority of breast lumps or masses are benign, such as fibroadenomas or cysts, which can sometimes cause discomfort but are not cancerous.

Given your history of pain that has persisted for several years without any significant changes, it may not be an immediate cause for alarm. However, it is crucial to remain vigilant, especially if you notice any new symptoms, such as changes in the breast's appearance, new lumps, or any discharge from the nipple. Regular self-examinations and routine mammograms (as recommended by your healthcare provider) are essential for early detection of any potential issues.

If the pain in your armpit continues or worsens, or if you develop any new symptoms, it would be prudent to consult with a healthcare professional. They may recommend imaging studies, such as an ultrasound or mammogram, to rule out any underlying issues. Additionally, a physical examination can help determine if there are any palpable abnormalities in the breast or lymph nodes.

In summary, while your concern about breast cancer is understandable, the pain in your armpit is more likely related to benign causes. However, staying proactive about your breast health through regular check-ups and being aware of any changes in your body is the best approach. If in doubt, don't hesitate to reach out to your healthcare provider for further evaluation and peace of mind.

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