Lumps Under the Armpit: When to Seek Medical Advice

Lumps or masses felt in the armpit?

Hello Doctor: Recently, I found a hard lump about the size of a mung bean in my armpit.
It doesn't hurt when pressed, and I can feel it when I gently touch it.
It feels somewhat like a larger, deeper comedo.
Although it seems to be beneath the skin, there are no visible abnormalities.
I have a bit of accessory breast tissue, and the lump is located about two centimeters above the nipple of the accessory breast, which is not in the typical area considered to be the breast.
I am quite worried that it might be breast cancer.
If further examination is necessary, could you recommend a hospital near Miaoli? Besides the breast surgery department, what other clinics can provide examinations? Thank you for your attention and response.
Thank you.

Xiao Xiang, 20~29 year old female. Ask Date: 2015/02/21

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Xiao Xiang,
Hello, general surgery would be appropriate.
Based on your description, it may be a skin cyst, which is the most common benign tumor of the skin.
If it increases in size or presents symptoms (such as hardness, swelling, or pain), surgical removal is recommended.
Wishing you safety and health.
Sincerely,
Zhou Jiazhen
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/02/21

More Info

When it comes to discovering a lump under the armpit, especially one that feels firm and is not painful, it is essential to approach the situation with caution and awareness. The lump you described, approximately the size of a green bean, could be a variety of things, ranging from benign conditions to more serious concerns. Given your description, it is understandable that you may be worried about the possibility of breast cancer, particularly since the lump is located near the area of your accessory breast tissue.

Firstly, it is important to note that not all lumps are indicative of cancer. Many lumps in the armpit area can be attributed to benign causes such as lymph nodes, cysts, or even lipomas (fatty tumors). Lymph nodes can become enlarged due to infections, inflammation, or other non-cancerous conditions. Since you mentioned that the lump is hard but not painful, this could suggest that it is not an acute inflammatory process, but it does not rule out the need for further evaluation.

In your case, since the lump is located near your accessory breast tissue, it would be prudent to consult a healthcare professional for a thorough evaluation. A clinical examination by a physician, preferably a breast specialist or a general surgeon, would be the first step. They may recommend imaging studies such as an ultrasound or mammogram to assess the characteristics of the lump more closely. These imaging techniques can help determine whether the lump is solid or cystic and whether it has any concerning features.

If you are concerned about breast cancer, it is important to remember that early detection significantly improves outcomes. While the lump you described may not exhibit alarming characteristics, it is always better to err on the side of caution. If the healthcare provider deems it necessary, they may recommend a biopsy to obtain a tissue sample for further analysis.

As for your request for recommendations for hospitals near Miaoli, I suggest looking into local medical centers that have a good reputation for breast health services. In addition to breast surgery clinics, you might also consider consulting with general practitioners, dermatologists, or even endocrinologists, depending on the nature of the lump and any associated symptoms you may have.

In summary, while it is understandable to feel anxious about a new lump, it is crucial to seek medical advice for a proper evaluation. A healthcare professional can provide you with the necessary guidance and reassurance. Remember, most lumps are benign, but it is always best to have them checked out to ensure your peace of mind and health.

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