Swollen Lymph Node Under Left Armpit: Causes and Concerns - Oncology

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There is a lump in the left armpit, approximately the length of a finger segment, measuring about 0.5 centimeters in size?


Today, after taking a shower, I noticed a lump in my left armpit, about the length of a finger (in the area where armpit hair grows), approximately 0.5 cm in size.
There is a similar but less pronounced lump in my right armpit.
The lump in my left armpit is somewhat painful when pressed.
Last night, I experienced a muscle cramp (which is rare for me; I only had cramps during my pregnancy last year).
I'm not sure if the cramping is related to this issue.
I breastfed for a year (from May 2014 to May 2015) and weaned naturally.
Could it be that not all of the breast milk was fully expelled, leading to some kind of abnormality? Or could it be something concerning? Please help clarify, thank you!

Xiao Shu, 30~39 year old female. Ask Date: 2016/01/07

Dr. Chen Sirong reply Oncology


Patient: 32 years old, female
1.
After taking a shower today, I noticed a lump in my left armpit, approximately the length of a fingertip (in the area where I have underarm hair), and about 0.5 cm in size.
There is a similar but less pronounced bump in my right armpit.
The swollen area in my left armpit is somewhat painful when pressed.
Could this be due to residual milk not being fully expelled, causing some changes? Or could it be something concerning?
Response: A consultation with a breast surgeon is necessary for a definitive diagnosis.
2.
Last night, I experienced a muscle cramp (I rarely get cramps, only during my pregnancy last year).
I'm unsure if the cramping is related to this issue.

Response: The correlation cannot be determined.
Thank you for your inquiry.

Taoyuan Hospital, Dr.
Chen Sih-Rong

Reply Date: 2016/01/07

More Info


Swollen lymph nodes can be a cause for concern, especially when they appear suddenly or are accompanied by other symptoms. In your case, the swollen lymph node under your left armpit, which is about 0.5 cm in size and tender to the touch, could be due to several factors.
Lymph nodes are part of the lymphatic system, which plays a crucial role in the body’s immune response. They can become swollen for various reasons, including infections, inflammation, or even malignancies. Given that you have noticed this swelling after a shower, it is possible that it could be related to a recent infection, such as a viral or bacterial illness. Common infections that can cause lymph node swelling include:
1. Localized Infections: If there is an infection in the arm, breast, or even a skin infection in the area, the lymph nodes in the armpit may swell as they work to filter out pathogens.

2. Systemic Infections: Conditions like the flu or mononucleosis can lead to generalized lymphadenopathy, where multiple lymph nodes throughout the body swell.

3. Inflammatory Conditions: Autoimmune diseases, such as lupus or rheumatoid arthritis, can also cause lymph nodes to swell due to chronic inflammation.

4. Malignancies: Although less common, cancers such as lymphoma or breast cancer can present with swollen lymph nodes. This is particularly concerning if the swelling persists or is accompanied by other symptoms such as unexplained weight loss, night sweats, or fever.

Regarding your concern about whether the swelling could be related to breastfeeding or if there is a possibility of "something bad" occurring, it is important to note that while breastfeeding can lead to changes in breast tissue and sometimes cause issues like mastitis (an infection of breast tissue), it is less likely to cause isolated lymph node swelling in the armpit. However, if there was an infection related to breastfeeding, it could potentially lead to swollen lymph nodes.

The cramping you experienced the night before could be unrelated to the swollen lymph node. Muscle cramps can occur for various reasons, including dehydration, electrolyte imbalances, or simply muscle fatigue. If you have not experienced cramps frequently, it may not be directly connected to the lymph node issue.

In summary, while swollen lymph nodes can be benign and related to common infections, it is essential to monitor the situation. If the swelling persists for more than a couple of weeks, increases in size, or is accompanied by other concerning symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. They may perform a physical examination, take a detailed medical history, and possibly order imaging studies or blood tests to determine the underlying cause of the lymphadenopathy.
In the meantime, ensure you stay hydrated, maintain a balanced diet, and observe any other symptoms that may arise. If you notice any significant changes or if the pain worsens, do not hesitate to seek medical attention.

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