Persistent Lumps: When to Seek Medical Attention - Oncology

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The lump has not disappeared for a long time?


Hello doctor, I have hard lumps in many parts of my body, including under my armpits and on my chest.
They are painful when lightly pressed and have been increasing in size (they haven't gone away).
Additionally, there are so many lumps under my armpits that they have connected to the lumps on my chest, and sometimes I also experience pain in my neck.
This symptom has persisted for several years.
When I was younger, I was afraid to go to the hospital for a consultation, but now I would like to understand my body's condition better to mentally prepare myself before visiting a doctor.
Thank you for taking the time to read my concerns, and I hope to receive your response soon.

Miss Lin, 20~29 year old female. Ask Date: 2004/09/12

Dr. Fan Sheng reply Oncology


Hello Miss Lin: The lumps in your armpit have become numerous and have connected to the lumps in your breast? That sounds quite serious.
I don't want to speculate, so please seek medical attention as soon as possible! Sincerely, Fan Sheng.

Reply Date: 2004/09/12

More Info


It sounds like you are experiencing a concerning situation with multiple persistent lumps in various areas of your body, particularly in the armpit and chest regions. Given that these lumps have been present for several years, have increased in size, and are associated with pain, it is essential to take these symptoms seriously and seek medical attention.


Understanding Lumps and When to Seek Help
Lumps or masses in the body can arise from various causes, including benign conditions such as lipomas (fatty tumors), cysts, or swollen lymph nodes due to infections or inflammatory processes. However, persistent lumps that change in size, especially those that are painful, warrant a thorough evaluation to rule out more serious conditions, including tumors or malignancies.

1. Characteristics of the Lumps: You mentioned that the lumps are hard and painful upon light pressure. This could indicate inflammation or irritation in the surrounding tissues. The fact that they have increased in size and have become interconnected is also noteworthy. Lumps that are fixed in place, hard, and associated with pain may require further investigation.

2. Duration and Changes: The duration of your symptoms is significant. Lumps that persist for years without change may be less concerning than those that grow or change in character. However, any change in size, shape, or associated symptoms (like pain) should prompt a medical evaluation.

3. Associated Symptoms: You mentioned experiencing pain in the neck area as well. This could indicate that the lumps are related to lymphatic drainage or could be a sign of a systemic issue. It’s essential to consider any other symptoms you may have, such as fever, weight loss, night sweats, or fatigue, as these can provide important clues to your healthcare provider.


Recommended Actions
1. Consult a Healthcare Provider: Given the nature of your symptoms, it is advisable to schedule an appointment with a healthcare provider, preferably a primary care physician or a specialist such as an endocrinologist or an oncologist. They can perform a physical examination and may recommend imaging studies (like an ultrasound or CT scan) and possibly a biopsy to determine the nature of the lumps.

2. Prepare for Your Appointment: Before your visit, it may be helpful to document the following:
- The size and location of each lump.

- Any changes in size or characteristics over time.

- Any associated symptoms (pain, fever, etc.).

- Your medical history, including any previous diagnoses or treatments.

3. Stay Informed: While waiting for your appointment, try to stay informed but avoid excessive worry. Many lumps are benign, and understanding that not all lumps indicate serious conditions can help alleviate some anxiety.

4. Follow-Up: If your healthcare provider recommends further tests or treatments, be sure to follow through. Regular monitoring and follow-up appointments are crucial for managing any potential health issues.


Conclusion
In summary, while many lumps can be benign, the characteristics you've described—persistent, painful, and increasing in size—are reasons to seek medical evaluation. Early diagnosis and intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare professional. Taking proactive steps in your health care is essential, and being prepared for your appointment can help you feel more at ease.

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