Lumps Near the Armpit: When to Seek Medical Advice

Lump near the axilla?

Hello, I would like to ask about a hard lump I found near my right armpit, approximately 1.5 centimeters in size.
It only hurts when I press on it firmly, and it does not move.
I discovered it in March of this year, and it hasn't shown any signs of growing.
Could this be malignant? Which specialist should I see for an examination? Thank you.

Qiao Yi Si, 20~29 year old female. Ask Date: 2015/09/06

Dr. Chen Sirong reply Oncology

Hello, Joyce / 26 / 1.
I would like to ask if this appears to be malignant? (It does not move) This particular spot resembles something concerning, while the others do not.
However, it is necessary to have an in-person consultation to determine which specialty I should see for examination.
General surgery, plastic surgery, or orthopedics should all be appropriate.
Thank you for your message.
Taoyuan Hospital, Dr.
Chen Sih-Jung.

Reply Date: 2015/09/06

More Info

When it comes to discovering a lump near the armpit, especially one that is approximately 1.5 cm in size, it is essential to approach the situation with caution and awareness. The fact that you have noticed this lump since March and that it has not changed in size is a positive sign, but it does not eliminate the need for a thorough evaluation.

Lumps in the axillary (armpit) region can arise from various causes, including benign conditions such as lipomas (fatty tumors), cysts, swollen lymph nodes, or other soft tissue masses. However, they can also be indicative of more serious conditions, including infections or malignancies. The pain you experience when pressing on the lump could suggest inflammation or irritation, but it is not definitive of a specific diagnosis.

Given your situation, here are some steps and considerations:
1. Seek Medical Attention: It is advisable to consult a healthcare professional for an accurate diagnosis. You can start by visiting a primary care physician or a general practitioner. They will conduct a physical examination and may order imaging studies, such as an ultrasound, to better understand the nature of the lump.

2. Possible Referrals: Depending on the initial findings, your doctor may refer you to a specialist. If the lump is suspected to be related to lymph nodes, you may be referred to an oncologist or a hematologist. If it appears to be a soft tissue mass, a surgeon specializing in general surgery or a plastic surgeon may be consulted.

3. Diagnostic Tests: The healthcare provider may recommend further tests, including blood tests, imaging studies (like ultrasound or CT scans), or even a biopsy if there is a concern about malignancy. A biopsy involves taking a small sample of tissue from the lump to be examined under a microscope.

4. Monitoring: If the lump is determined to be benign and not causing any significant issues, your doctor may suggest a watchful waiting approach, where the lump is monitored over time for any changes.

5. Signs to Watch For: While waiting for your appointment, keep an eye out for any additional symptoms that may arise, such as:
- Rapid growth of the lump
- Changes in color or texture
- New lumps appearing in the same area or elsewhere
- Symptoms like fever, night sweats, or unexplained weight loss, which could indicate a more serious condition.

6. Understanding Risks: While the presence of a lump can be concerning, not all lumps are cancerous. Factors such as your age, medical history, and family history of cancer can influence the likelihood of malignancy. It is crucial to discuss these factors with your healthcare provider.

In conclusion, while the lump you have described may not necessarily be malignant, it is essential to seek medical advice to rule out any serious conditions. Early evaluation and diagnosis can lead to appropriate management and peace of mind. Remember, it is always better to err on the side of caution when it comes to health concerns.

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