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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Lump In The Arm Pit After Chemotherapy?

In February I have had a lumpectomy in my right breast, 2 lymph nodes were removed but the cancer had not spread. April I started a course of chemotherapy (6 in total), on thursday I will start 4 weeks of radiotherapy. Today I felt a small lump in my right armpit Im worried about this being cancer am I over reacting?
Tue, 16 Jan 2018
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Oncologist 's  Response
Hi

After hearing your history i would advise you to do a biopsy test.

You also need to do a bilateral mammography test.

Lump in armpit can be due to

Diagnosing armpit lumps
A thorough physical examination is the first step in diagnosing an armpit lump. Your doctor will ask you questions about any changes in the lump, as well any pain you have in the area. Palpation, or massage, is used to determine the consistency and texture of the lump. This method is done exclusively by hand as the doctor gently examines the lymph nodes.

In some cases, a physical exam may prove that the lump isn’t harmful. For example, benign lumps, such as lipomas, don’t require additional treatment. If a lump is bothersome, however, a doctor can recommend treatment options to remove it.

Based on the results of your physical examination, your doctor may order further testing to rule out infection, allergic reaction, or cancerous changes. Your doctor may order a combination of the following diagnostic tests:

complete blood count to measure the number of red and white blood cells in your system
chest or breast X-ray (mammogram), which is an imaging test that allows your doctor to see the lump better
biopsy, which involves removing a small piece of tissue from the lump for testing
allergy testing

TREATMENT
Treating armpit lumps
The course of treatment your doctor recommends depends on the underlying cause of the lump. Bacterial infections can be treated with oral antibiotics. After several days, the armpit lump should start to disappear as your body fights the infection. If the lump doesn’t respond to oral antibiotics, you may have to be hospitalized for intravenous (IV) antibiotics.

If your lump is associated with allergies, it should subside once you start medication and learn to avoid your allergy triggers.

In most cases, armpit lumps don’t require any treatment, just simple observation. If your doctor determines this is the case, you can use home remedies such as warm compresses and over-the-counter pain relievers to ease any discomfort. Lumps that don’t require treatment include those associated with:

lipomas
viral infections
fibroadenoma (noncancerous breast lumps)
If your armpit lumps are cancerous, your doctor may refer you to a specialist for further care. Treatment will depend on the type of cancer and what stage you’re in, and it may involve a combination of:

chemotherapy
radiation therapy
surgery

OUTLOOK
Outlook for armpit lumps
The outlook for an armpit lump depends on its cause. For example, a lump that stems from a viral infection will eventually go away on its own. However, a lipoma, while harmless, does not go away on its own. A dermatologist can help you remove it.

The outlook for an armpit lump caused by cancer depends on a variety of factors, including the stage of cancer and whether the tumors have spread to other parts of the body. For the best chance of recovery, it’s important you go to a doctor early on for diagnosis and treatment.

Even if you don’t think the lump is harmful, it’s best to contact your doctor for an accurate diagnosis.
Regards
DR De
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What Causes A Lump In The Arm Pit After Chemotherapy?

Hi After hearing your history i would advise you to do a biopsy test. You also need to do a bilateral mammography test. Lump in armpit can be due to Diagnosing armpit lumps A thorough physical examination is the first step in diagnosing an armpit lump. Your doctor will ask you questions about any changes in the lump, as well any pain you have in the area. Palpation, or massage, is used to determine the consistency and texture of the lump. This method is done exclusively by hand as the doctor gently examines the lymph nodes. In some cases, a physical exam may prove that the lump isn’t harmful. For example, benign lumps, such as lipomas, don’t require additional treatment. If a lump is bothersome, however, a doctor can recommend treatment options to remove it. Based on the results of your physical examination, your doctor may order further testing to rule out infection, allergic reaction, or cancerous changes. Your doctor may order a combination of the following diagnostic tests: complete blood count to measure the number of red and white blood cells in your system chest or breast X-ray (mammogram), which is an imaging test that allows your doctor to see the lump better biopsy, which involves removing a small piece of tissue from the lump for testing allergy testing TREATMENT Treating armpit lumps The course of treatment your doctor recommends depends on the underlying cause of the lump. Bacterial infections can be treated with oral antibiotics. After several days, the armpit lump should start to disappear as your body fights the infection. If the lump doesn’t respond to oral antibiotics, you may have to be hospitalized for intravenous (IV) antibiotics. If your lump is associated with allergies, it should subside once you start medication and learn to avoid your allergy triggers. In most cases, armpit lumps don’t require any treatment, just simple observation. If your doctor determines this is the case, you can use home remedies such as warm compresses and over-the-counter pain relievers to ease any discomfort. Lumps that don’t require treatment include those associated with: lipomas viral infections fibroadenoma (noncancerous breast lumps) If your armpit lumps are cancerous, your doctor may refer you to a specialist for further care. Treatment will depend on the type of cancer and what stage you’re in, and it may involve a combination of: chemotherapy radiation therapy surgery OUTLOOK Outlook for armpit lumps The outlook for an armpit lump depends on its cause. For example, a lump that stems from a viral infection will eventually go away on its own. However, a lipoma, while harmless, does not go away on its own. A dermatologist can help you remove it. The outlook for an armpit lump caused by cancer depends on a variety of factors, including the stage of cancer and whether the tumors have spread to other parts of the body. For the best chance of recovery, it’s important you go to a doctor early on for diagnosis and treatment. Even if you don’t think the lump is harmful, it’s best to contact your doctor for an accurate diagnosis. Regards DR De