Armpit Lumps: When to Seek Medical Advice - Surgery

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Axillary lump


Hello: Around June of last year, I noticed a lump about the size of a BB pellet in my left armpit.
I had squeezed it before, and it didn't swell up, but by April or May of this year, it had grown to about the size of a marble.
It is red, swollen, itchy, and painful.
I am concerned whether it is a fibroma or related to lymph nodes or the breast.
I would like to seek medical advice but am unsure which specialty to consult.

Rita, 20~29 year old female. Ask Date: 2006/06/12

Dr. Lai Jihong reply Surgery


The axillary tumor you mentioned has increased in size from that of a BB pellet last year to that of a marble this year, and it appears red, swollen, and painful, which suggests signs of infection.
Based on your description, it is likely a tumor, and it could very well be a subcutaneous cyst with infection.
Of course, there is also a small possibility that it could be lymphadenopathy, which may be related to the breast; this would require clinical examination or ultrasound for further evaluation.
I recommend that you consult a general surgeon or a breast surgeon.
Wishing you good health! :)

Reply Date: 2006/06/12

More Info


When it comes to understanding armpit lumps, it's important to recognize that they can arise from various causes, and some may warrant immediate medical attention. Based on your description of a lump that has grown in size, has become red, swollen, itchy, and painful, it is advisable to seek medical advice promptly.


Potential Causes of Armpit Lumps
1. Lymphadenopathy: One of the most common causes of lumps in the armpit area is swollen lymph nodes. This can occur due to infections (like a cold or flu), inflammatory conditions, or more serious issues such as lymphoma or other malignancies. The lymph nodes can become enlarged in response to infections or other immune responses.

2. Fibroadenoma: This is a benign tumor that is commonly found in breast tissue but can also occur in the axillary region. These lumps are typically firm, movable, and painless, but they can sometimes cause discomfort.

3. Cysts: Sebaceous cysts or other types of cysts can develop in the armpit area. These are usually benign and can become inflamed or infected, leading to pain and swelling.

4. Infections: Conditions such as abscesses or infections of the skin (like folliculitis) can also present as painful lumps in the armpit. These may require drainage and antibiotics.

5. Breast-related issues: Since the armpit is close to breast tissue, any changes in the breast can sometimes manifest as lumps in the armpit. Conditions such as mastitis or breast tumors can lead to lymph node enlargement in the axillary region.


When to Seek Medical Advice
You should seek medical attention if you experience any of the following:
- The lump continues to grow or changes in appearance.

- The lump is painful, red, or warm to the touch, which may indicate an infection.

- You experience systemic symptoms such as fever, night sweats, or unexplained weight loss.

- There are changes in your breast tissue or any unusual discharge from the nipple.

- You have a history of cancer or other significant health issues that may complicate the situation.


Which Specialist to Consult
Given your symptoms and concerns, the best course of action would be to consult a primary care physician or a family doctor first. They can perform an initial examination and assess the lump's characteristics. Based on their findings, they may refer you to a specialist, such as:
- Dermatologist: If the lump appears to be a skin-related issue, such as a cyst or infection.

- Oncologist: If there is a suspicion of malignancy or if further imaging and biopsy are needed.

- General Surgeon: If surgical intervention is required for diagnosis or treatment.


Conclusion
In summary, while many armpit lumps are benign, your symptoms of growth, redness, swelling, and pain are concerning and warrant a medical evaluation. Early diagnosis and treatment are crucial, especially if there is a possibility of a more serious underlying condition. Don't hesitate to seek medical advice; it's always better to err on the side of caution when it comes to changes in your body.

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