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How should breast and axillary lumps be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have noticed lumps under my breast and in my armpit, which tend to become painful around the time of my period. I previously had surgery at a breast center, and it worked for about a year, but now the lumps have returned and are persistent. The pain is quite uncomfortable.

  1. Could you provide some insight or advice on what might be causing this?

  2. What I should do next?

Please help.

Thank you.

Answered by Dr. Mohamed Abdirahman Ali

Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

As you have mentioned, you have a lump in both your breast and axillary region.

Given your age, this is likely a benign condition, but it is important to undergo a triple assessment for any lump in the breast to ensure accurate diagnosis and treatment.

The triple assessment consists of:

  1. History and clinical examination.

  2. Radiological examination (ultrasound and mammogram).

  3. Histopathological examination (biopsy of the lump).

To help with a more accurate diagnosis, I would like to ask a few questions:

  1. Which breast is involved (right or left)? Which quadrant (upper medial, upper lateral, lower, inner quadrant)?

  2. What is the size of the lump? Is it increasing or decreasing in size? Is it mobile or fixed? Are there any skin changes? How long have you had the lump? Have you experienced any fever or trauma to the breast? Does the lump come and go?

  3. Is there any history of breast cancer in your family?

  4. Have you had surgery before? Have you undergone any investigations or tests that you would like to share?

Your responses will be very helpful in reaching a definitive diagnosis and determining the best course of action.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 9, 2025
Reviewed At May 14, 2025

Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

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