Axillary Pain: Could It Be a Fibroadenoma? - Surgery

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Axillary pain, particularly in the context of a palpable lump in the breast or axillary region, can raise concerns about various conditions, including fibroadenomas, which are benign tumors commonly found in breast tissue. Given your description of a new lump in the axillary area, along with a history of fibroadenomas, it is essential to approach this situation with careful consideration.


Understanding Fibroadenomas
Fibroadenomas are solid, non-cancerous breast tumors that are most often found in women in their reproductive years. They are typically round or oval, firm, and movable under the skin. These tumors are composed of both glandular and fibrous breast tissue, and they can vary in size. While fibroadenomas are generally painless, they can sometimes cause discomfort, especially if they are located near sensitive areas or if hormonal changes occur, such as those associated with the menstrual cycle.


Your Symptoms
1. Location and Characteristics: You mentioned that you have a history of accessory breast tissue (supernumerary breast tissue) and that you felt a small lump beneath it. The fact that this lump is movable and has become painful could indicate that it is a fibroadenoma, especially if it has changed in size or sensitivity in relation to your menstrual cycle.

2. Pain and Hormonal Influence: Breast tissue can be sensitive to hormonal fluctuations, particularly during menstruation. This sensitivity can lead to discomfort or pain in existing lumps or the development of new symptoms.
3. Other Considerations: While fibroadenomas are benign, it is crucial to differentiate them from other potential causes of axillary pain and lumps, such as cysts, infections, or even malignant tumors. The presence of pain, especially if it is new or has changed in character, warrants further evaluation.


Recommended Actions
1. Clinical Evaluation: It is essential to consult with a healthcare provider, preferably a breast specialist or a general surgeon, who can perform a thorough clinical examination. They will assess the lump's characteristics, including its size, shape, and mobility, and will also consider your medical history.

2. Imaging Studies: Depending on the clinical findings, your doctor may recommend imaging studies such as a breast ultrasound or mammogram. These tests can help differentiate between a fibroadenoma and other types of lumps, such as cysts or suspicious masses that may require further investigation.

3. Biopsy: If there is any concern about the nature of the lump, a biopsy may be performed. This procedure involves taking a small sample of tissue from the lump to be examined microscopically for any signs of malignancy.

4. Monitoring: If the lump is confirmed to be a fibroadenoma and is not causing significant discomfort or changes, your doctor may recommend a watchful waiting approach, with regular follow-up examinations to monitor for any changes.


Conclusion
In summary, while it is possible that the lump you are feeling in your axillary area could be a fibroadenoma, especially given your history, it is crucial to have it evaluated by a healthcare professional. They will be able to provide a definitive diagnosis and recommend appropriate management based on the findings. Early evaluation is key to ensuring that any changes in your breast tissue are addressed promptly and effectively.