Lumps Behind the Ear: Causes and Concerns - Oncology

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Posterior auricular lymphadenopathy?


A few days ago, I noticed two round lumps behind my ear.
They feel hard to the touch and are movable, but they are not painful and are slightly itchy.
What could this be?

Xia En, 10~19 year old female. Ask Date: 2016/08/14

Dr. Hu Ziren reply Oncology


Hello, it sounds like it may be related to localized inflammation or infection.
I suggest monitoring it for a while.
:) By Dr.
Hu Ziren

Reply Date: 2016/08/14

More Info


When you discover lumps behind your ear, it can be concerning, especially if they are hard, movable, and slightly itchy. These lumps can arise from various causes, and understanding their nature is essential for determining the appropriate course of action.

One common cause of lumps behind the ear is swollen lymph nodes. The lymphatic system plays a crucial role in your immune response, and lymph nodes can become enlarged due to infections, inflammation, or other medical conditions. Infections, such as a cold or ear infection, can lead to lymphadenopathy, where the lymph nodes swell as they work to fight off pathogens. If the lumps are indeed lymph nodes, they may feel firm and movable, and they might be accompanied by other symptoms like fever or a sore throat.

Another possibility is sebaceous cysts, which are benign lumps that can form when sebaceous glands become blocked. These cysts are usually painless and can be moved under the skin. They may feel firm and can sometimes become inflamed or infected, leading to discomfort or itching. If the cyst becomes infected, it could present with redness, warmth, and tenderness.

Additionally, lipomas, which are benign tumors made of fatty tissue, can also appear as soft, movable lumps under the skin. They are generally painless and do not require treatment unless they cause discomfort or cosmetic concerns.

In some cases, the lumps could be related to skin conditions such as folliculitis or dermatitis, which can cause localized swelling and itching. Allergic reactions or insect bites can also lead to localized swelling and discomfort.

Given that the lumps are hard, movable, and slightly itchy, it is essential to monitor them closely. If they persist, grow, or are accompanied by other symptoms such as pain, fever, or changes in skin color, it would be prudent to consult a healthcare professional. A doctor can perform a physical examination and may recommend imaging studies or a biopsy if necessary to determine the exact nature of the lumps.

In summary, while lumps behind the ear can often be benign, they can also indicate underlying health issues. It is crucial to pay attention to any accompanying symptoms and seek medical advice if there are any concerns. Early evaluation can help ensure that any potential issues are addressed promptly, especially if you are experiencing discomfort or if the lumps change in size or characteristics.

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