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Armpit lump
I have small lump in my right armpit since 1.5 years. Did 2 times usg breast usg. Is there anything to worry about this in the future. Both Reports shared.please guide.
Answers (16)
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No need to worry , it's normal
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No issues at all.
If you are having problem with that cyst Consult general surgeon
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It is just a benign swelling, if troublesome, can get it excised by a gen surgeon.
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Not to worry. It is manageable.
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I have reviewed both ultrasound reports carefully.
First Report:
• Breast tissue: Normal
• No abnormal breast mass
• No enlarged lymph nodes
• Small hypoechoic area in right axilla
• BIRADS I (normal)
Second Report:
• Breast parenchyma: Normal
• No breast mass
• Right axilla: Well-defined hypoechoic subcutaneous cystic lesion (4.3 × 2.5 mm)
• Impression: Right axillary epidermal cyst
Important points:
✔ Present for 1.5 years
✔ No change suggesting malignancy
✔ No lymphadenopathy
✔ Breast normal
✔ BIRADS I (benign)
This is most consistent with a benign epidermal cyst, not cancer.
A cyst that remains stable for 1.5 years without suspicious changes is very unlikely to turn cancerous.
There is no current red flag in your reports.
Next Steps
You have 3 options:
✔ If asymptomatic:
• No immediate treatment required
• Annual clinical examination sufficient
✔ If painful / increasing in size:
• Minor surgical removal (simple daycare procedure)
✔ If sudden changes occur:
• Rapid increase in size
• Redness
• Pain
• Discharge
→ Immediate evaluation
No need for biopsy right now based on reports.
Health Tips
✔ Avoid repeated pressing or squeezing the lump
✔ Maintain hygiene in axillary region
✔ Avoid frequent shaving trauma
✔ Monitor size every 3–6 months
✔ Continue routine breast screening as per age guidelines
An epidermal cyst is a superficial skin lesion — not a deep breast tumor.
From both reports, there is no indication of malignancy at present.
If you would like, I can help you understand whether removal is necessary in your specific case based on size, symptoms, and personal risk factors.
Booking an online consultation will allow me to assess this thoroughly and give you clear long-term guidance so you can stay reassured.
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Non carcinoma cyst no chance of cancer
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As you are having axillary epidermal cyst,
-it is benign and no chance of transforming into a cancerous lesion
-it is a fluid filled lesion in which keratin is accumulated
Next Steps
-as it is 4 cm due to cosmetic reasons removal is justified
-you need to visit a surgeon to do cyst excision which is performed under local anaesthesia
-as you don’t have any symptoms no medical treatment required as of now
Health Tips
If you have any symptoms like pain or redness,medical treatment is required and for that you can contact me anytime via practo for further consultation
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Axillary epidermal cyst. Usually its reassuring untill its not causing redness,pain .you can remove it for cosmetic purposes.better if you go in a local hospital and discuss about this by a general surgeon physically.
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Go for mammography. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No worries
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anusha P
General Physician
1 yrs exp
Bangalore
More detailed history needed
Next Steps
consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Based on your reports — right axillary epidermal cyst and BI-RADS 1 in both breasts — this is reassuring and not a cancer concern.
Epidermal cyst → a benign (non-cancerous) skin cyst caused by blocked hair follicle or gland.
BI-RADS 1 → completely normal breast imaging (lowest risk category).
Since the lump has been stable for 1.5 years and imaging is normal, the future risk is very low.
Consult :
Rapid increase in size
Pain, redness, discharge
Hard fixed lump
Associated breast lump
No treatment needed if painless and stable.
Surgical removal is only required if it becomes painful, infected, or cosmetically bothersome.
Overall: Nothing serious. Just periodic observation (once yearly check if anxious).
If you want, I can also tell you how to differentiate harmless vs suspicious armpit lumps at home.
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