a Movable Lump in the Armpit: Causes and Concerns - Dermatology

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Doctor, I apologize for bothering you, but I have recently discovered a small hard lump in my armpit (about one centimeter from the outer side of my breast).
When I touch or squeeze it, I can feel it move, but it does not cause any pain or discomfort.
There is also a very itchy sensation, and the color is either skin-toned or light pink.
What could this be?

Xiao Mi, 10~19 year old female. Ask Date: 2011/09/30

Dr. Lin Xinpeng reply Dermatology


Hello: The lump in your armpit is likely to be an epidermoid cyst, a tumor of the skin appendages, a soft tissue tumor, a breast-related tumor, or lymphadenopathy.
Based on your description and clinical symptoms, since it is movable when pressed or touched and shows no signs of pain or infection, it may be an epidermoid cyst or a benign growth.
It is recommended to consult a surgeon or dermatologist for further diagnosis.
If the lump shows no significant changes, you may continue to monitor it in an outpatient setting.
However, if the lump continues to increase in size in a short period, regardless of pain, you should see a physician for evaluation and consider undergoing a skin biopsy to confirm the diagnosis.

Reply Date: 2011/09/30

More Info


When it comes to a movable lump in the armpit, there are several potential causes that could explain its presence. Given that you mentioned the lump is small, hard, movable, and not painful, it is important to consider a few common possibilities.

1. Lymph Nodes: One of the most common causes of a lump in the armpit is an enlarged lymph node. Lymph nodes can become swollen due to various reasons, including infections (like a cold or skin infection), inflammation, or even more serious conditions like lymphoma. The fact that your lump is movable and not painful is somewhat reassuring, as painful lymph nodes often indicate an active infection or inflammation.

2. Lipoma: Another possibility is a lipoma, which is a benign tumor made of fat tissue. Lipomas are typically soft, movable, and painless. They can occur anywhere in the body, including the armpit area. If the lump feels soft and is not causing any discomfort, it could very well be a lipoma.

3. Sebaceous Cyst: A sebaceous cyst is another benign condition that can occur in the skin. These cysts are filled with a substance called sebum and can feel firm or soft. They are usually painless unless they become infected.

4. Fibroadenoma: Although more commonly found in breast tissue, fibroadenomas can sometimes present in the armpit area. These are benign tumors that are typically movable and painless.

5. Infection or Abscess: While you mentioned that the lump is not painful, it’s still worth noting that some infections can present as lumps that may not be immediately painful. If the lump were to become red, warm, or painful, it could indicate an abscess that would require medical attention.

Given your description of the lump being itchy and its color being similar to your skin or light pink, it could also suggest a dermatological issue, such as a benign skin lesion or irritation.

Recommendations:
- Observation: If the lump remains unchanged, is not painful, and does not grow, it may be safe to monitor it for any changes.

- Medical Evaluation: However, it is always best to consult a healthcare professional for a proper evaluation. They may recommend imaging studies, such as an ultrasound, to better understand the nature of the lump. A physical examination by a doctor can provide more insight and help rule out any serious conditions.

- Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary anxiety. A healthcare provider can give you a definitive diagnosis and appropriate advice.


Conclusion:
In summary, while a movable lump in the armpit can be benign, it is essential to have it evaluated by a healthcare professional, especially if there are any changes in size, color, or associated symptoms. Early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly.

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