Persistent Armpit Lump with Negative Imaging Results
At 24 years old, and weighing 125 pounds at a height of 5'6", I have been dealing with a lump in my armpit for two years. My journey has taken me to four different doctors in search of answers. Initially, some physicians prescribed antibiotics, suspecting the lump was a cyst. However, none of them have physically examined or palpated the lump during their assessments. While the antibiotics offer some relief, I have to undergo treatment for 6 to 8 weeks, about three times a year, which has negatively impacted my digestive health. This lump is not only visibly noticeable but also causes considerable discomfort. The current doctor I’m seeing struggled to locate the lump during the examination. Despite this, both the ultrasound and CT scan failed to identify any mass or enlarged lymph nodes. Yet, I can confidently say there is an identifiable mass present. The CT scan report did note, "There is thickening of the RIGHT axillary skin with irregular curvilinear subcutaneous dense tissue, most indicative of axillary breast tissue, extending into the lower axillary area, measuring roughly 3.7 x 2 cm in size." Unfortunately, when I contacted my doctor’s office, the receptionist informed me that the doctor didn't find any mass or enlarged lymph nodes on the scan, nor did he provide any clarification about the noted skin thickening. Now, I'm uncertain about how to proceed. Should I reach out to the clinic again to advocate for my concerns or attempt to get in touch with my doctor directly? The persistent pain in my arm makes it difficult for me to drive, as any movement triggers a sharp pain. I am desperately seeking a long-term solution. Should I resign myself to a routine of antibiotics that only provide partial relief a few times a year, or is it worthwhile to pursue this issue further?
Answers (1)
3/21/2025, 2:50:37 AM
OpenHealth AI
It sounds like you’re going through a challenging situation with a persistent armpit lump that has not been resolved after extensive medical evaluations. Your experience of discomfort, along with the unclear findings on imaging, understandably leaves you feeling uncertain about your next steps.
Explanation
Lumps or swellings in the armpit area can arise from various causes, including benign conditions like cysts or lymph node enlargement, axillary breast tissue, or even infections. The imaging results you've shared indicate some thickening of the skin and dense tissue, but without clear masses, it's perplexing. It’s important to note that while antibiotics provide temporary relief, they do not address the underlying issue.
The discomfort you experience with movement, especially the pain, is significant, and the current management (antibiotics) is not satisfactory for your quality of life. Given your already extensive medical consultations and treatments, it's completely reasonable to seek more clarity and a long-term solution.
Next Steps
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Contact Your Doctor's Office: Reach out directly to your doctor's office. Express your concerns clearly and request a follow-up appointment to discuss the lump, particularly the findings about the skin thickening. Stress the pain you are experiencing and how it impacts your daily activities.
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Prepare for Your Appointment: Before the appointment, write down a detailed account of your symptoms, the history of your treatments, and any questions you have. This preparation helps ensure you cover everything during your visit.
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Consider a Specialist: If your current doctor is unable to provide clarity, consider asking for a referral to a specialist, such as an endocrinologist or a surgeon with experience in soft tissue masses. They may have more specific insights or be able to arrange further testing if needed.
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Second Opinion: If you feel that your concerns are not being adequately addressed, it may benefit you to seek a second opinion from another primary care physician or specialist who may approach your case differently.
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Documentation: Keep a symptom diary to note when the pain is worst, any factors that aggravate it, and the impact on your daily activities. This information can give your healthcare provider a clearer picture.
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Pain Management: While seeking a resolution, consider pain management strategies. Over-the-counter anti-inflammatory medications may help (consult a pharmacist if you're unsure). Gentle stretching exercises, if not painful, might relieve some discomfort.
Remember, you deserve answers and a long-term solution. It's crucial to continue advocating for yourself and pursuing appropriate care. Your health and comfort are paramount.
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