a Lump in Your Armpit: Causes and Concerns - Surgery

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A lump in the armpit?


Hello doctor, a few days ago while taking a shower, I suddenly felt a lump in my armpit (slightly towards the arm in the middle fold).
It's about 1 cm in size, and starting the next day, it began to itch when I touched it.
Upon closer inspection, I can see that it is slightly swollen, but not very prominent.
Today, it looks a bit red.
Could this be lymphadenopathy or a tumor?

CY01, 20~29 year old female. Ask Date: 2022/02/13

Dr. Li Zhonghuai reply Surgery


Hello! Most of the cases are inflamed sebaceous cysts.
It is recommended to seek medical treatment.
Take care! Changhua Hospital cares about you!

Reply Date: 2022/02/13

More Info


When you discover a lump in your armpit, it can understandably cause concern. The lump you described, measuring about 1 cm and accompanied by itching and slight redness, could have several potential causes. It's essential to approach this situation with a clear understanding of the possibilities and the appropriate steps to take.

One common cause of a lump in the armpit is swollen lymph nodes. The lymphatic system plays a crucial role in your immune response, and lymph nodes can become enlarged due to various reasons, including infections, inflammation, or even malignancies. If the lump is indeed a swollen lymph node, it may be a response to an infection in the body, such as a viral or bacterial infection. For instance, conditions like a cold, flu, or even a localized skin infection can lead to lymphadenopathy (swelling of the lymph nodes).

Another possibility is that the lump could be a benign cyst or lipoma. Cysts are fluid-filled sacs that can develop in various parts of the body, including the armpit. They are usually harmless and may resolve on their own. Lipomas, on the other hand, are soft, fatty lumps that are also benign and typically do not require treatment unless they become bothersome.

In some cases, the lump could be related to a skin condition, such as folliculitis or an abscess, especially if it is itchy and red. Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, which can lead to small, painful lumps in the affected area.

While the majority of lumps in the armpit are benign, it is crucial to monitor the lump for any changes. If it continues to grow, becomes increasingly painful, or is accompanied by other symptoms such as fever, night sweats, or unexplained weight loss, it is essential to seek medical attention promptly. These could be signs of a more serious condition that requires further evaluation.

To address your concerns, I recommend the following steps:
1. Self-Monitoring: Keep an eye on the lump for any changes in size, shape, or color. Note any additional symptoms that may develop.

2. Hygiene: Maintain good hygiene in the area, as this can help prevent infections that might exacerbate the lump.

3. Avoid Irritation: Try to avoid scratching or irritating the lump, as this can lead to further inflammation or infection.

4. Consult a Healthcare Provider: If the lump does not improve within a week or two, or if you notice any concerning symptoms, schedule an appointment with your healthcare provider. They may perform a physical examination and, if necessary, order imaging studies or a biopsy to determine the nature of the lump.

5. Consider Allergies or Irritants: If you suspect that the lump may be related to an allergic reaction or irritation (for example, from deodorants or soaps), consider switching to hypoallergenic products.

In conclusion, while a lump in the armpit can be concerning, many causes are benign. However, it is crucial to remain vigilant and consult a healthcare professional if you have any doubts or if the lump persists or worsens. Early evaluation and diagnosis are key to addressing any potential issues effectively.

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