Armpit Lumps: When to Seek Medical Advice - Oncology

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Understanding armpit lumps can be concerning, especially when they have been present for a long time. In your case, since you have noticed a hard lump in your armpit since the fifth grade, it is important to consider several factors before deciding whether to seek medical advice.


Characteristics of the Lump
1. Consistency and Mobility: You mentioned that the lump feels hard but can be pushed around when your arm is down. This suggests that it may be a benign condition, such as a lipoma (a benign fatty tumor) or an enlarged lymph node. Lipomas are soft, movable lumps that are generally harmless, while lymph nodes can become enlarged due to infections or other conditions.

2. Duration: The fact that this lump has been present for many years without significant changes is reassuring. However, any changes in size, shape, or consistency should prompt further evaluation.

3. Associated Symptoms: It is crucial to consider whether you have experienced any other symptoms, such as pain, tenderness, fever, or unexplained weight loss. The presence of these symptoms could indicate a more serious condition that requires medical attention.


When to Seek Medical Advice
You should consider seeking medical advice if:
- The lump changes in size, shape, or consistency.

- You experience pain or tenderness in the area.

- There are associated symptoms such as fever, night sweats, or unexplained weight loss.

- You have concerns about the lump's appearance or if it affects your daily life.


Which Specialist to See
If you decide to seek medical advice, the following specialists may be appropriate:
1. Primary Care Physician: Your first step could be to visit your primary care physician. They can perform a physical examination and assess your medical history. Based on their evaluation, they may refer you to a specialist if necessary.

2. Dermatologist: If the lump appears to be a skin-related issue, such as a cyst or lipoma, a dermatologist would be well-suited to evaluate and treat it.

3. Surgeon: If the lump requires removal or further investigation, a general surgeon may be involved in the procedure.

4. Oncologist: In rare cases where there is suspicion of a malignant process, an oncologist may be consulted for further evaluation and management.


Conclusion
In summary, while the lump you describe may be benign, it is essential to monitor it for any changes and consider seeking medical advice if you have concerns. A primary care physician is a good starting point, and they can guide you to the appropriate specialist based on their findings. Remember, early evaluation can provide peace of mind and ensure that any potential issues are addressed promptly.