In a message dated 97-05-22 08:59:22 EDT, you write: << Looking for opinions on what this lump might be. I saw a woman in my WIC clinic yesterday that presented with moderate engorgement and a golf ball sized lump. Over the phone it had sounded like a plugged duct and several medical professionals brushed her off as well (from phone description). However I was very surprised when I saw it. It isn't really on the breast it is under the armpit. More like a swollen lymphnode. It is tender and sore. Did not appear to be hard but I did not palpate it. I let her pump a bit to relieve engorgement while she was there, told her to make sure she nurses every two hours and to try various positions. I explained about heat prior to nursing and ice inbetween to relieve swelling. And then referred her to her OB for evaluation. Did I do OK or am I missing something. -- Warmllly, Ilene >> Ilene, Could this be a supernumary nipple? Some women have excess mammary tissue under the arms. If you get a chance, do palpate the whole swollen area (gently) to see if there is any leaking from a nipple pore. There may be something that looks like a mole, or just a large pore. Then check the other side for extra swelling as well. I do definately believe she needs to be evaluated by her OB. It could be a swollen lymph node or something more serious. But extra breast tissue is fairly common and pain can be relieved with keeping a cabbage compress directly on the site until it resolves. Let us know, Jeanne Fisher Austin, TX