Brief Answer:
Physical examination and investigations to confirm ...

Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history.
To recapitulate: Female / 30 years - slim built - little fatty patch near both underarms - pains a lot even on slight pressure - Wants to know whether this is normal or not ...

Fatty patches are absolutely normal near underarms and are the extension of the normal breast called as tail; and it can extend deep underarm in some people.

The cause of the pains can be:
-Most common is the Fibroadenosis, an usual association in may people. and this is not a cancer.
-Fat necrosis is known to occur although the exact cause is not known.

This can be confirmed by:
-Clinical evaluation and actual physical examination by a General Surgeon.
-Mammography and Ultrasonography.
-FNAC (Fine Needle Aspiration Cytology) preferably under Ultrasonography guidance.
-Biopsy if required

All these things done in a proper manner will confirm the cause whether benign or not. And you get a sound advise and stress-free life.

I hope this answer helps you, please feel free to ask for more if you need any further relevant information or if you feel there is a gap of communication.

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