Lumps in the Armpit: What You Need to Know - Breast and Thyroid

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When raising both arms, one side of the armpit appears swollen?


Hello, I just noticed in the mirror after taking a shower that there is a lump on the left side of my armpit where I have underarm hair when I raise my arms, but there is none on the right side.
Could this be a swollen lymph node? It feels hard when I press on it, but it doesn't hurt, and it disappears when I lower my arm.

Yan, 20~29 year old female. Ask Date: 2015/07/30

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello: It may be accessory breast tissue.
Please monitor for any enlargement or symptoms.
If there are any changes, please visit the outpatient clinic for examination.
Wishing you safety and health.
Sincerely, Dr.
Chou Chia-Cheng, Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/30

More Info


When you notice a lump in your armpit, especially one that appears when you raise your arms, it can understandably cause concern. Based on your description, it sounds like you may be experiencing a swollen lymph node or a benign lump, but let's delve deeper into what this could mean.


Understanding Lumps in the Armpit
1. Lymph Nodes: The armpit (axillary region) contains a significant number of lymph nodes, which are part of your immune system. These nodes can become swollen due to various reasons, including infections, inflammation, or even more serious conditions like lymphoma. A hard, non-painful lump that appears when you raise your arm could indeed be a swollen lymph node. If the lump is soft and mobile, it is more likely to be benign.

2. Benign Conditions: Other common causes of lumps in the armpit include cysts (fluid-filled sacs), lipomas (fatty tumors), or even follicular issues related to hair growth. Given that you mentioned the lump is located near where you have armpit hair, it could potentially be a follicular cyst or an ingrown hair, which is often benign and may resolve on its own.

3. When to Seek Medical Attention: If the lump persists, grows larger, becomes painful, or is accompanied by other symptoms such as fever, night sweats, unexplained weight loss, or fatigue, it is crucial to consult a healthcare professional. They may perform a physical examination and, if necessary, imaging studies (like an ultrasound) or a biopsy to determine the nature of the lump.

4. Self-Examination: It’s important to regularly check your body for any changes. If you notice any new lumps or changes in existing ones, keep track of their size, shape, and any associated symptoms. This information can be very helpful for your healthcare provider.

5. Possible Causes of Lymphadenopathy: Swollen lymph nodes can be caused by:
- Infections: Such as bacterial or viral infections (e.g., a cold, flu, or localized skin infection).

- Autoimmune Diseases: Conditions like lupus or rheumatoid arthritis can cause lymph nodes to swell.

- Cancer: While less common, cancers such as lymphoma or metastasis from other cancers can lead to swollen lymph nodes.


Conclusion
In summary, while the lump you are experiencing in your left armpit could be a swollen lymph node or a benign lump, it is essential to monitor it closely. If it does not resolve or if you have any concerning symptoms, please seek medical advice. A healthcare professional can provide a thorough evaluation and appropriate management based on your specific situation. Remember, early detection and diagnosis are key to addressing any potential health issues effectively.

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