Neck Issues: Possible Causes of Lumps and Discomfort - Otolaryngology

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Neck problems


Hello, about 5 to 6 years ago, I had thyroid antibodies and took medication for 1 to 2 years, which restored my levels to normal.
I have been having regular check-ups once a year, and everything has been normal.
However, two weeks ago, I noticed a 1 to 2 cm soft, movable lump in the area of my right upper neck near the tonsils.
When I eat, I feel discomfort as if food is stuck, even though I have swallowed it.
What could this possibly indicate in terms of medical conditions?

Wenwen, 30~39 year old female. Ask Date: 2016/08/05

Dr. Li Jiaxuan reply Otolaryngology


The diagnosis of neck sarcoma may require more detailed clinical descriptions and sometimes even necessitate a biopsy or fine-needle aspiration cytology of the sarcoma.
It is recommended to visit an otolaryngology clinic for further examination.
Wishing you good health.

Reply Date: 2016/08/05

More Info


Hello! Thank you for sharing your concerns regarding the lump in your neck and the discomfort you are experiencing. Based on your description, there are several potential causes for the lump and the sensation of food being stuck in your throat. It's important to approach this situation with a comprehensive understanding of possible medical conditions.

Firstly, given your history of thyroid issues, it's crucial to consider that any new growths in the neck area should be evaluated by a healthcare professional. The lump you described, which is soft and movable, could potentially be a benign condition such as a lymph node enlargement, a cyst, or a lipoma (a benign fatty tumor). Lymph nodes can swell in response to infections or inflammation, and they are often palpable when they become enlarged.
Another possibility is that the lump could be related to your salivary glands, particularly if it is located near the area of your tonsils. Salivary gland issues, such as sialadenitis (inflammation of the salivary glands) or salivary stones, can also cause discomfort and a sensation of fullness or obstruction when swallowing.
Additionally, the sensation of food feeling stuck could be related to esophageal issues. Conditions such as esophageal motility disorders or gastroesophageal reflux disease (GERD) can lead to discomfort during swallowing. If you are experiencing any accompanying symptoms such as heartburn, regurgitation, or significant weight loss, these should be discussed with your healthcare provider.

Given your previous thyroid condition, it is also essential to rule out any potential recurrence or related issues. Thyroid nodules are relatively common and can sometimes be mistaken for other types of lumps in the neck. While most thyroid nodules are benign, some can be malignant, so it is vital to have any new or changing lumps evaluated through imaging studies, such as an ultrasound, and possibly a fine-needle aspiration biopsy if indicated.

In summary, while there are several benign explanations for the lump and discomfort you are experiencing, it is crucial to consult with a healthcare professional for a thorough evaluation. They may recommend imaging studies and possibly a referral to an ear, nose, and throat (ENT) specialist for further assessment. Early diagnosis and appropriate management are key to addressing any underlying issues effectively.

In the meantime, monitor any changes in the lump's size, any new symptoms that arise, and your overall health. If you experience difficulty breathing, swallowing, or any other concerning symptoms, seek medical attention promptly. Remember, your health is paramount, and addressing these concerns with a professional will provide you with the best guidance and care.

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