Hard Lumps Under the Armpit: Causes and Concerns - Oncology

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There is a hard lump in the armpit?


After raising my hand high, I noticed a hard lump about 2 centimeters in size near my clavicle.
It only hurts when I squeeze or pinch it, and there are no visible wounds on the surface.
It suddenly appeared a couple of days ago, and I only discovered it while washing myself.

Ke Song, 10~19 year old female. Ask Date: 2024/03/16

Dr. Hu Ziren reply Oncology


It should just be normal or benign tissue.
It is recommended to observe it as long as there are no systemic discomforts or enlargement (accompanied by inflammation, such as redness, swelling, heat, etc.).

Reply Date: 2024/03/16

More Info


When it comes to hard lumps under the armpit, particularly those that appear suddenly and are painful when pressed, there are several potential causes that should be considered. The lump you describe, located near the clavicle and measuring about 2 cm, could be a lymph node, a cyst, or even a lipoma.
Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which helps the body fight infections. They can become enlarged due to various reasons, including infections (like a cold or flu), inflammation, or even more serious conditions such as lymphoma or other cancers. If the lump is indeed a lymph node, it may be reacting to an infection or inflammation in the body.
Cysts are fluid-filled sacs that can develop in various parts of the body, including the armpit area. They are usually benign and can be painless, but they may become painful if they become inflamed or infected.
Lipomas are benign tumors made of fat tissue. They are generally soft, movable, and painless, but in some cases, they can be firm and may cause discomfort if they press against nearby structures.

Given that the lump is painful when squeezed and has appeared suddenly, it is essential to monitor it closely. Here are some steps you can take:
1. Observation: Keep an eye on the lump. Note any changes in size, shape, or pain level. If it continues to grow or becomes increasingly painful, it is important to seek medical attention.

2. Consult a Healthcare Provider: It is advisable to see a healthcare professional, especially if the lump persists for more than a couple of weeks, if you experience other symptoms (such as fever, night sweats, or unexplained weight loss), or if the lump becomes hard and fixed in place. A doctor may perform a physical examination and may recommend imaging studies, such as an ultrasound, to get a better understanding of the lump.

3. Consider Possible Infections: If you have had any recent infections or illnesses, this could provide context for the lump. Inform your doctor about any recent health issues.

4. Avoid Self-Diagnosis: While it is tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety. It is best to rely on professional medical advice.

5. Follow-Up: If the lump is diagnosed as a lymph node reacting to an infection, your doctor may recommend monitoring it or treating the underlying cause. If it is a cyst or lipoma, treatment options may vary based on symptoms and personal preference.

In summary, while a hard lump under the armpit can be concerning, many causes are benign and treatable. However, it is crucial to consult with a healthcare provider for an accurate diagnosis and appropriate management. Early intervention can help address any underlying issues and provide peace of mind.

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