Persistent Armpit Lump: When to Seek Specialist Care?

The swelling in the armpit is increasing?

I developed a small hard lump the size of a mung bean under my left armpit in October, which was later surgically removed.
However, starting from January 1st of this year, I began to experience noticeable pain, and the lump has been growing larger.
The doctor suggested it might be folliculitis and prescribed antibiotics, but as of today, it has continued to grow and is now about the size of two fifty-cent coins, with sharp pain starting to occur.
Which specialist should I see for this issue?

Chen Chen, 10~19 year old female. Ask Date: 2023/01/07

Dr. Hu Ziren reply Oncology

It is recommended to see a general surgeon or a plastic surgeon, as it may be folliculitis combined with cellulitis (or an abscess).

Reply Date: 2023/01/07

More Info

When dealing with a persistent lump in the armpit, especially one that has grown significantly and is causing pain, it is crucial to seek appropriate medical care. Given your situation, where a small lump was previously removed and has now reappeared larger and painful, it is advisable to consult a specialist who can provide a thorough evaluation and appropriate treatment.

In your case, the best course of action would be to see a dermatologist first. Dermatologists specialize in skin conditions, including infections like folliculitis (which your doctor initially suspected) and other skin-related issues. They can perform a detailed examination of the lump and may recommend further diagnostic tests, such as imaging studies or a biopsy, to determine the exact nature of the lump.
If the dermatologist suspects that the lump is not merely a skin issue but rather something deeper, they may refer you to a general surgeon or an oncologist. A general surgeon can evaluate the lump for potential surgical intervention if necessary, especially since you have a history of a similar issue. An oncologist would be appropriate if there is any concern about the lump being cancerous or related to a malignancy, particularly given its growth and associated pain.

It's important to note that lumps in the armpit can arise from various causes, including:
1. Infections: Conditions like abscesses or folliculitis can cause painful lumps. If the lump is infected, it may require drainage and antibiotics.

2. Lymphadenopathy: Enlarged lymph nodes can occur due to infections, autoimmune diseases, or malignancies. If the lump is a swollen lymph node, further investigation may be needed to determine the underlying cause.

3. Cysts: Sebaceous cysts can form under the skin and may become inflamed or infected, leading to pain and swelling.

4. Tumors: While less common, both benign and malignant tumors can present as lumps in the armpit area.

Given that your lump has increased in size and is causing discomfort, it is essential to act promptly. Delaying medical attention could lead to complications, especially if the lump is due to an infection or a more serious condition.

In summary, start with a visit to a dermatologist for a comprehensive evaluation. They can guide you through the necessary steps, whether that involves treatment, further testing, or referrals to other specialists. Remember, early intervention is key in managing any health concern effectively.

Similar Q&A

Persistent Underarm Lump: When to Seek Further Medical Evaluation

Doctor, I would like to ask about a lump in my armpit that has been present for almost six months. Last year, I went for a breast surgery consultation, and the doctor said that the lump was simply an enlarged lymph node. The doctor mentioned that it would resolve on its own and a...

Dr. Chen Sirong reply Oncology
Ms. Tsao / 19 years old / Female, should I continue to see a breast surgeon or should I be referred to a general surgeon for examination? 1. I recommend seeing a breast surgeon. 2. Breast surgeons are also general surgeons. Wishing you a speedy recovery. Taoyuan Hospital, Dr. Che...

Painful Lump in Armpit: When to See a Specialist?

Hello, doctor: I have had a lump in my armpit for over six months. I am a patient with atopic dermatitis, and when my skin is inflamed, the lump in my armpit becomes particularly swollen and is accompanied by pus discharge. However, when my skin condition is better, the symptoms ...

Dr. Chen Sirong reply Oncology
Mo / 22 years old / Female. Which department should I consult for this issue? A: General Surgery. Wishing you a pleasant autumn and good health. Taoyuan Hospital, Dr. Chen Sih-Rong.

Understanding Persistent Armpit Lumps: When to Seek Medical Advice

Hello: I have a long-shaped lump that has swollen under my right armpit. When I lower my arm, it causes pain and friction, but it does not move. This has been going on for quite some time and has not gone down. In the past, I would sometimes develop similar lumps after eating fri...

Dr. Hu Ziren reply Oncology
It may be a localized inflammation, such as folliculitis or an abscess; if the symptoms persist or worsen, it is advisable to see a general surgeon or a specialist in surgical oncology.

Swollen Lump Under Left Armpit: Which Specialist to Consult?

Hello doctor, I have noticed a lump under my left armpit over the past three days. It feels like a ball when I raise my arm, but I can hardly feel it when my arm is down. However, it is painful when pressed. I have read that it is recommended to see a surgeon, dermatologist, or b...

Dr. Hu Ziren reply Oncology
It is recommended to observe for a month or more (1-3 months). If there is no spontaneous resolution or if it increases in size, it is advisable to consult a general surgeon.