Painless Lumps in Your Armpit: Causes and Concerns - Dermatology

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Lump in the armpit?


I have small, BB-sized lumps in my armpit that don't hurt when pressed or squeezed, and they don't go away.
They are not visible on the surface, but I can feel them when I touch.
What could this be?

Li Peiyun, 10~19 year old female. Ask Date: 2015/05/23

Dr. Wu Yuxin reply Dermatology


It is most likely a cyst, but it cannot be confirmed without imaging.
It is recommended that you seek medical attention.

Reply Date: 2015/05/23

More Info


When it comes to painless lumps in the armpit area, there are several potential causes that can be considered. The fact that these lumps feel like small BBs and are not painful upon pressure is an important detail that can help narrow down the possibilities. Here are some common causes of painless lumps in the armpit:
1. Lymph Nodes: The armpit contains lymph nodes, which are part of the immune system. They can become enlarged due to various reasons, including infections, inflammation, or even cancer. However, if they are not painful and have been present for a while without any other symptoms, they may simply be reactive lymph nodes that are not a cause for concern.

2. Lipomas: These are benign tumors made of fat tissue. Lipomas are usually soft, movable, and painless. They can occur anywhere in the body, including the armpit, and are generally harmless unless they grow large enough to cause discomfort or cosmetic concerns.

3. Sebaceous Cysts: These are small, non-painful lumps that can occur when sebaceous glands become blocked. They are typically filled with a thick, yellowish substance and can be found in various locations, including the armpit.

4. Fibromas: These are benign tumors made of fibrous or connective tissue. They can also appear as painless lumps and are generally not a cause for concern.

5. Infections: While infections often cause pain and swelling, some infections can lead to the formation of painless lumps, especially if they are chronic or if the body has formed a wall around the infection.

6. Other Conditions: There are other less common conditions that can cause painless lumps, such as certain skin conditions or even tumors.
Given that these lumps are painless and have not changed significantly, they are likely benign. However, it is essential to monitor them for any changes in size, shape, or texture, as well as for the development of any new symptoms, such as pain, redness, or fever.


Recommendations:
1. Observation: Keep an eye on the lumps. If they remain the same size and do not cause any discomfort, they may not require immediate medical attention.

2. Consult a Healthcare Provider: If you notice any changes in the lumps or if you develop other symptoms (such as fever, weight loss, or night sweats), it is advisable to see a healthcare provider. They may perform a physical examination and, if necessary, imaging studies or a biopsy to determine the nature of the lumps.

3. Avoid Self-Diagnosis: While it can be tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety. A healthcare professional can provide a more accurate diagnosis and appropriate recommendations based on a thorough evaluation.

4. Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and adequate hydration can support your immune system and overall health, which may help in preventing various conditions.

In summary, while painless lumps in the armpit can be concerning, many are benign and not indicative of serious health issues. However, staying vigilant and consulting with a healthcare provider for a professional evaluation is always a prudent approach to ensure peace of mind and proper health management.

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