Enlarged hard lump in the axilla?
A hard lump was found in the right axilla, which is sometimes painful.
It is not palpable when the arm is hanging down but becomes visible when the arm is raised, and is even more prominent when lying down and holding the head.
There is no noticeable swelling in the left axilla.
Is this a malignant tumor or lymphadenopathy? Which specialty should I consult for further examination?
Xiao Feng, 20~29 year old female. Ask Date: 2015/11/27
Dr. Chen Yunfang reply Oncology
Hello: Regarding the lump in your armpit, I believe it is best to see it in person; a visual and physical examination is necessary to determine the cause.
You may want to consult with an "oncologist" or a "breast surgeon," which would be more appropriate.
Thank you!
Reply Date: 2015/11/27
More Info
When you discover an enlarged lump in your armpit, it can understandably cause concern, especially regarding the possibility of cancer or lymph node issues. The characteristics you've described—hardness, occasional pain, and visibility when raising your arm—are important clues in assessing the nature of the lump.
Firstly, it's essential to understand that lymph nodes can become enlarged for various reasons, including infections, inflammation, or malignancies. In your case, the lump's hardness and the fact that it is only present on one side may suggest a localized issue, which could be due to an infection or inflammation in the area, or it could be related to lymphatic drainage from nearby tissues.
Lymph nodes are part of the immune system and can swell in response to infections (like a cold or flu), autoimmune diseases, or cancers. In the context of cancer, lymph nodes can become enlarged due to metastasis from a primary tumor elsewhere in the body. However, not all enlarged lymph nodes are cancerous. In fact, many are benign and resolve on their own once the underlying issue is treated.
Given the symptoms you've described, it would be prudent to consult with a healthcare professional. The best course of action would be to see a primary care physician or a general practitioner first. They can perform a physical examination and assess your medical history. Based on their findings, they may refer you to a specialist, such as an oncologist or a surgeon, for further evaluation if they suspect a more serious condition.
Diagnostic imaging, such as an ultrasound or CT scan, may be recommended to get a better look at the lump and surrounding tissues. In some cases, a biopsy may be necessary to determine the nature of the lump definitively. A biopsy involves taking a small sample of tissue from the lump to be examined under a microscope for cancer cells or other abnormalities.
In summary, while an enlarged lump in the armpit can be concerning, it is not automatically indicative of cancer. The best approach is to seek medical evaluation to determine the cause of the enlargement. Early assessment and diagnosis are crucial in managing any potential health issues effectively. Remember, many conditions can cause lymph node enlargement, and with appropriate medical guidance, you can navigate this situation with greater clarity and peace of mind.
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