Salivary Gland Issues: What Could That Bump Be? - Otolaryngology

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Oral and Maxillofacial Surgery


I feel a lump inside my left cheek.
When I was younger, I went to see a doctor and a dentist, but they couldn't identify it on the X-ray, so I just ignored it.
I have had this lump since elementary school; it was larger when I was younger but has since become smaller.
A few days ago, I had a mouth ulcer and noticed that the lump had increased in size a bit and was painful.
Once the ulcer healed, the lump returned to its original size.
I have had this lump for several years.
Could it be a salivary gland tumor?

Joan, 10~19 year old female. Ask Date: 2016/03/18

Dr. Zheng Jueyi reply Otolaryngology


Hello! The symptoms are more similar to lymph nodes, which can enlarge and shrink due to infection.
If you are concerned, you may seek medical attention for a diagnosis.
Wishing you health and happiness! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/18

More Info


When it comes to salivary gland issues, particularly concerning a bump or lump in the cheek area, it is essential to approach the situation with a thorough understanding of the potential causes and implications. Based on your description, it seems that you have been aware of this bump for many years, and it has fluctuated in size and sensitivity, particularly in relation to oral health issues like mouth sores.

Firstly, it is important to clarify that not all bumps or lumps in the cheek area are indicative of a salivary gland tumor. Salivary glands can develop various conditions, including benign tumors, cysts, or infections. The fact that the bump has been present for a long time and has changed in size could suggest a benign condition, such as a mucocele (a cyst formed from a blocked salivary gland) or a benign tumor like a pleomorphic adenoma. These conditions are generally not cancerous and can often be managed effectively.

However, the increase in size and tenderness of the bump following a mouth sore could indicate that the bump is related to the salivary gland's function or an inflammatory response. Salivary glands can become inflamed due to infections, dehydration, or blockages, leading to swelling and discomfort. If the bump is indeed a blocked salivary gland, it may become more noticeable during times of oral irritation or infection.

Given that you have had this bump since childhood and it has not caused significant issues until recently, it is advisable to consult with a healthcare professional, preferably an oral surgeon or an ENT specialist. They can perform a thorough examination, which may include imaging studies such as an ultrasound or MRI, to determine the nature of the bump. These imaging techniques can help differentiate between a benign condition and something that may require further intervention.

In your case, the fact that the bump returned to its original size after the mouth sore healed is a positive sign, suggesting that it may not be a serious issue. However, it is crucial to monitor any changes in size, pain, or associated symptoms, as these could indicate a need for further evaluation.

If the bump is determined to be a benign salivary gland issue, treatment options may include observation, surgical removal, or other interventions depending on the specific diagnosis. If it is a mucocele, for instance, it may be removed if it causes discomfort or cosmetic concerns. On the other hand, if it is a benign tumor, surgical excision may be recommended to prevent potential complications.

In summary, while the bump you are experiencing may not necessarily be a salivary gland tumor, it is essential to seek professional evaluation to rule out any serious conditions and to receive appropriate management. Regular check-ups and monitoring of any changes in your oral health are vital for maintaining overall well-being.

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