[27F] With painful lump in underarm and side breast area

Patient Description

A 27-year-old female presents with a painful lump in the underarm and side boob area, approximately 2 inches wide and 4 inches long. The pain is sharp and achy, present even when the arm is relaxed. The lump was first noticed today and feels warm to the touch but shows no redness, drainage, or pus. The patient denies fever or chills. There is a possible swollen lymph node in the armpit and a potential lump in the breast, but no changes in skin or nipple discharge. The patient uses marijuana and has a family history of breast cancer. Menstrual periods are regular, with the last period ending two days ago. Medical history includes hypertensive disorder, Protein S deficiency, and mood changes. Current medications include Eliquis (5 mg twice a day), Losartan (25 & 12.5 mg), a women's multivitamin, Claritin, potassium, magnesium, and B-12, all taken daily. No known allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for the painful lump in your underarm and side boob area:

  • Infected or Inflamed Lymph Node: Lymph nodes can become swollen and painful due to infections or inflammation. This could explain the warmth and pain you are experiencing.

    • Treatment: Typically, this involves treating the underlying infection, which may require antibiotics. Warm compresses can help alleviate discomfort.
  • Breast Cyst or Fibroadenoma: These are non-cancerous lumps in the breast that can sometimes be painful, especially if they are pressing against other tissues.

    • Treatment: These often require monitoring, but sometimes aspiration or surgical removal is necessary if they cause significant discomfort.
  • Abscess: A localized infection that can cause a painful, warm lump. This is more likely if the lump becomes red and starts to drain pus.

    • Treatment: Abscesses often require drainage and antibiotics.
  • Lipoma: A benign fatty lump that can sometimes become painful if it presses on nerves or other tissues.

    • Treatment: Usually, no treatment is necessary unless it causes discomfort, in which case surgical removal might be considered.
  • Breast Cancer: Given your family history, it is important to consider this possibility, although it is less likely given the sudden onset and warmth.

    • Treatment: This would require a thorough evaluation by a healthcare provider, including imaging and possibly a biopsy.

What you can do

While it is important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Apply Warm Compresses: This can help reduce pain and inflammation.
  2. Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help manage pain.
  3. Monitor the Lump: Keep an eye on any changes in size, shape, or symptoms. Take notes and pictures if possible.
  4. Stay Hydrated and Rest: General wellness can help your body fight off any potential infections.
  5. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you notice any of the following:

  • Rapid Increase in Size: If the lump grows quickly, it needs to be evaluated promptly.
  • Redness or Pus: Signs of infection that may require antibiotics or drainage.
  • Fever or Chills: Indications of a systemic infection.
  • Persistent or Worsening Pain: If the pain does not improve or gets worse.
  • New Symptoms: Any new lumps, nipple discharge, or skin changes.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.

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5 mo ago


People Also Ask


What could cause a painful lump in the underarm and side boob area?

A painful lump in the underarm and side boob area could be caused by an infected or inflamed lymph node, a breast cyst or fibroadenoma, an abscess, a lipoma, or in rare cases, breast cancer.


How can I differentiate between a benign lump and a more serious condition like breast cancer?

Benign lumps like cysts or fibroadenomas are often smooth, movable, and may be painful, while cancerous lumps are more likely to be hard, irregular, and painless. However, a healthcare provider should evaluate any new lump, especially with a family history of breast cancer.


What are the treatment options for an infected or inflamed lymph node?

Treatment for an infected or inflamed lymph node typically involves addressing the underlying infection, which may require antibiotics. Warm compresses can help alleviate discomfort, and over-the-counter pain relief can manage pain.


When should I seek medical attention for a lump in the breast or underarm?

You should seek medical attention if the lump rapidly increases in size, becomes red or starts to drain pus, if you experience fever or chills, if the pain persists or worsens, or if you notice new symptoms like nipple discharge or skin changes.


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