Painful Lumps Behind the Ear and Neck: What to Know

A hard lump behind the ear appeared, and the next day, a hard lump was also found on the same side of the neck?

A hard lump was discovered behind the ear yesterday.
It is quite firm and causes pain when pressed; there is a slight pain when not pressed, but it is not very noticeable.
The pain is felt around the area near the lump, and pressing down along the lump towards the bone also elicits pain.
Today, the pain (which is more pronounced with pressure) has extended downwards, and I found a small hard lump on the same side of the neck that is also firm and painful.
P.S.
My older brother also discovered a hard lump on his back and has a history of cancer; he has since passed away.

Ting, 20~29 year old female. Ask Date: 2016/04/05

Dr. Chen Sirong reply Oncology

Ting / 21 years old / Female
1.
You didn't specify what you wanted to ask.

2.
You can first visit the ENT department for medical consultation.

Thank you for your message,
Taoyuan Hospital
Chen Si-Rong

Reply Date: 2016/04/05

More Info

When it comes to painful lumps behind the ear and neck, there are several potential causes that should be considered. The presence of a hard lump that is painful to the touch, along with associated pain in the neck, can be indicative of various conditions, ranging from benign to more serious issues.

One of the most common causes of lumps in this area is swollen lymph nodes. The lymphatic system plays a crucial role in the body’s immune response, and lymph nodes can become enlarged due to infections, inflammation, or malignancies. Infections, particularly viral or bacterial infections, can lead to lymphadenopathy (swelling of the lymph nodes). For instance, conditions like a cold, flu, or even strep throat can cause nearby lymph nodes to swell and become tender.

Another possibility is the presence of a cyst, such as a sebaceous cyst, which can form in the skin and may become inflamed or infected, leading to pain and discomfort. These cysts are usually benign but can sometimes require drainage or surgical removal if they become problematic.

In some cases, the lump could be related to a more serious condition, such as a tumor. While not all tumors are cancerous, the history of cancer in the family, as you mentioned regarding your brother, raises the level of concern. It is essential to consider that certain types of cancers can present as lumps in the neck or behind the ear, particularly lymphomas or metastatic disease from other primary sites.

Additionally, conditions such as mastoiditis, which is an infection of the mastoid bone located behind the ear, can also cause pain and swelling in the area. This condition typically arises from untreated ear infections and can lead to serious complications if not addressed promptly.

Given your symptoms, it is crucial to seek medical evaluation as soon as possible. A healthcare professional, particularly an otolaryngologist (ear, nose, and throat specialist), can perform a thorough examination, which may include imaging studies such as ultrasound or CT scans to assess the nature of the lumps and any underlying issues. Blood tests may also be necessary to check for signs of infection or other systemic conditions.

In summary, while there are several potential causes for the painful lumps you are experiencing behind your ear and in your neck, it is essential to consult with a healthcare provider for an accurate diagnosis and appropriate management. Early intervention can be critical, especially considering your family history of cancer. Do not hesitate to seek medical attention to ensure your health and peace of mind.

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