extremely fearful
I have a large lump in my armpit that feels hard and is painful to touch.
Recently, it seems to have developed some pus around it, but I'm afraid to squeeze it.
What could it be? Is it a lymph node tumor? Should I avoid touching it? Can I drain the pus? How will I know when it is healed? If I need to monitor it, how long should the observation period be? Please help me answer these questions; I am very anxious! Thank you!
Jun, 20~29 year old female. Ask Date: 2005/04/29
Dr. Chen Sirong reply Oncology
Hello: 1.
It may be folliculitis or suppurative lymphatic metastasis from breast cancer.
2.
Do not attempt to touch or squeeze it yourself.
3.
Please seek assistance from a general surgery outpatient clinic promptly.
After a definitive diagnosis and treatment, the physician will naturally arrange for follow-up outpatient observation.
Sincerely, Dr.
Chen Sih-Rong, Oncology.
Reply Date: 2005/04/29
More Info
When it comes to lumps under the arm, especially those that are painful, hard, and showing signs of possible infection (like pus), it is essential to approach the situation with caution and seek medical advice. Your description suggests that you might be dealing with an inflamed lymph node or possibly an abscess, which can occur due to various reasons, including infections or other underlying conditions.
Firstly, it’s important to understand that lymph nodes can become swollen in response to infections, inflammation, or even malignancies. The fact that your lump is painful and has developed a surrounding area that appears to be oozing suggests that there may be an infection present. This could be a simple skin infection, such as a boil or abscess, which often requires medical intervention.
Here are some key points to consider:
1. Do Not Squeeze or Pop the Lump: It is crucial that you do not attempt to squeeze or pop the lump. Doing so can lead to further infection, increased inflammation, or even the spread of bacteria into the bloodstream, which can be dangerous.
2. Seek Medical Attention: Given the symptoms you described, it is advisable to see a healthcare professional as soon as possible. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to better understand the nature of the lump. If it is an abscess, they may need to drain it in a sterile environment.
3. Signs of Infection: If you notice increasing redness, warmth, swelling, or if you develop fever, these are signs that the infection may be worsening, and you should seek immediate medical care.
4. Observation Period: If a healthcare provider assesses the lump and determines that it is safe to observe it (for example, if it is a lymph node reacting to a mild infection), they will provide specific instructions on how long to monitor it. Typically, if a lump does not improve within a week or two, or if it continues to grow or change, further evaluation is warranted.
5. Healing Indicators: Signs that the lump is healing may include a reduction in size, decreased pain, and the absence of redness or pus. If the lump resolves completely, that is a good sign, but if it persists or worsens, further investigation is necessary.
6. Potential Conditions: While it is natural to worry about serious conditions like tumors, many lumps under the arm are benign and related to infections or lymphatic responses. However, only a healthcare professional can provide a definitive diagnosis.
In summary, while it is understandable to feel anxious about a lump under your arm, it is crucial to avoid self-diagnosis and treatment. Seeking medical advice is the best course of action to ensure proper care and peace of mind. Your health and safety should always come first, and a healthcare provider can guide you through the necessary steps to address your concerns effectively.
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