a Hard Lump in Your Armpit: Causes and Treatment - Dermatology

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A hard lump under the armpit?


Hello doctor, I have had a hard, painless lump in my armpit for a while, but it seems to have grown larger recently.
I measured it and it is about 1 centimeter in size now.
Initially, it was painless, but starting from the second day, it has become painful when I touch it.
I would like to ask what this could be and how it should be treated.

Xiao Feng, 10~19 year old female. Ask Date: 2013/07/12

Dr. Lin Xinpeng reply Dermatology


Hello: Based on your description, it is possible that you have an inflamed epidermoid cyst or an inflamed sweat gland.
If your symptoms include redness, swelling, heat, and pain, it indicates a bacterial infection beneath the skin, and you may need oral antibiotics.
It is recommended that you visit a dermatologist for a definitive diagnosis and treatment.

Reply Date: 2013/07/12

More Info


A hard lump in the armpit can be concerning, especially when it changes in size or becomes painful. There are several potential causes for this type of lump, and understanding them can help guide appropriate treatment.


Possible Causes
1. Lymphadenopathy: One of the most common causes of a hard lump in the armpit is swollen lymph nodes. Lymph nodes can become enlarged due to infections (such as a cold or flu), inflammatory conditions, or more serious issues like lymphoma or other cancers. If the lump is painful, it may indicate an active infection or inflammation.

2. Cysts: Sebaceous cysts can develop in the armpit area. These are non-cancerous lumps filled with a protein called keratin. They can become inflamed or infected, leading to pain and swelling.

3. Lipomas: These are benign tumors made of fat tissue. They are usually soft and movable, but they can sometimes feel firm. Lipomas are generally painless and require no treatment unless they cause discomfort or cosmetic concerns.

4. Infections: Bacterial infections, such as abscesses, can lead to painful lumps in the armpit. These may require drainage and antibiotics for treatment.

5. Other Tumors: While less common, other types of tumors (both benign and malignant) can develop in the armpit area. If the lump continues to grow or changes in character, further evaluation is warranted.


Recommended Actions
1. Medical Evaluation: Given that the lump has increased in size and has become painful, it is essential to consult a healthcare provider. They may perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the lump's characteristics.

2. Biopsy: If there is concern about the nature of the lump, a biopsy may be necessary to determine if it is benign or malignant.

3. Treatment Options: Treatment will depend on the underlying cause of the lump:
- Infection: If the lump is due to an infection, antibiotics may be prescribed, and drainage may be necessary if an abscess is present.

- Cysts: If a cyst is causing discomfort, it may be drained or surgically removed.

- Lymphadenopathy: If the lump is due to swollen lymph nodes, treating the underlying infection or condition may resolve the swelling.

- Observation: If the lump is benign and asymptomatic, your doctor may recommend monitoring it over time.


Conclusion
In summary, a hard lump in the armpit that has increased in size and become painful warrants a thorough evaluation by a healthcare professional. Early diagnosis and appropriate treatment are crucial, especially if there is a possibility of a more serious underlying condition. Do not hesitate to seek medical attention to ensure proper care and peace of mind.

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