[21F] Concerned about a painful armpit lump

Patient Description

A 21-year-old female presents with a hard, painful lump in her left armpit, which was first noticed 2 days ago. The pain intensifies upon lifting the arm or when the lump is touched. There is no reported recent injury or trauma to the area. The patient is not pregnant and has not provided any additional symptoms. While the presence of a lump can be concerning, it is important to note that there are various potential causes, including infections, benign cysts, or lymphadenopathy. A thorough clinical evaluation is necessary to determine the cause of the lump and to rule out malignancy. The patient should be advised to seek medical attention for a physical examination and possibly imaging or a biopsy as indicated.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possible causes for the lump in your armpit:

  • Infection: An infection can cause swollen lymph nodes, which can appear as lumps. These are often painful and can be caused by a variety of conditions, such as a skin infection or an immune response to a virus or bacteria.

    • Treatment: If an infection is the cause, your doctor may prescribe antibiotics or other medications to treat the underlying infection.
  • Lipomas: These are benign (non-cancerous) fatty lumps that grow under the skin. They are usually painless, but can sometimes cause discomfort if they press on nerves or have a supply of blood vessels.

    • Treatment: Lipomas usually don't need treatment unless they're causing discomfort or you're unhappy with how they look. If necessary, they can be removed with surgery.
  • Cysts: These are fluid-filled sacs that can form in various parts of the body, including the armpit. They can be painful, especially if they become infected.

    • Treatment: Small cysts may disappear without treatment. Larger or painful cysts might need to be drained or removed surgically.
  • Cancer: While it's possible that a lump could be a sign of cancer (such as breast cancer or lymphoma), it's important to remember that there are many other, more common causes of lumps. It's also important to note that lumps caused by cancer are typically not painful.

    • Treatment: If cancer is the cause, treatment options can include surgery, radiation therapy, chemotherapy, or a combination of these.

What you can do

It's important to get any new lump checked out by a healthcare professional, especially if it's painful or doesn't go away after a couple of weeks. They can evaluate the lump and may order tests, such as a biopsy or an ultrasound, to determine the cause.

What you should look out for

You should seek immediate medical attention if:

  • The lump grows rapidly or changes in size, shape, or color
  • You notice other lumps
  • You experience other symptoms, such as unexplained weight loss, fever, or night sweats

Remember, I am an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What are the common causes of a painful lump in the armpit?

Common causes of a painful lump in the armpit include infections (such as swollen lymph nodes due to a skin infection), benign conditions like lipomas or cysts, and less commonly, cancer. A thorough evaluation by a healthcare professional is necessary to determine the exact cause.


How can I differentiate between a benign lump and a potentially cancerous one?

Benign lumps, such as lipomas or cysts, are often soft, movable, and may be painful if they press on nerves. Cancerous lumps are typically hard, fixed, and usually not painful. However, only a medical evaluation can accurately differentiate between them.


What should I do if the lump in my armpit does not go away or gets worse?

If the lump does not go away after a couple of weeks or gets worse, it is important to seek medical attention. A healthcare professional may perform a physical examination and order tests like an ultrasound or biopsy to determine the cause.


Are there any specific symptoms that indicate the lump might be due to an infection?

Symptoms that might indicate an infection include redness, warmth, swelling, and tenderness around the lump, as well as systemic symptoms like fever or feeling unwell. If these symptoms are present, it's important to consult a healthcare provider for appropriate treatment.


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