Soft Lumps on the Neck: When to Seek Medical Attention - Oncology

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There are two soft lumps on the neck?


A few days ago, I noticed my neck was itchy, and when I scratched it, I felt a soft lump that wasn't protruding and only felt firm when pressed (it moves and isn't painful).
When I checked my neck again, I found another similar lump, just a bit smaller.
I'm very anxious and looked online, which mentioned that if it were a tumor, I would experience symptoms like coughing, fever, or night sweats, but I haven't had any of those symptoms.
Should I see a doctor right away? The internet suggests waiting a few days to see if it goes away, but I can't wait because I'm afraid it will get worse.
It's been two days, and it hasn't gone away.
Should I go directly to an ENT clinic, or would it be better to go to a larger hospital's oncology department? I'm worried that if I wait too long, it might become more serious (I apologize for being overly concerned due to news reports).
Thank you.

Zhaohua, 10~19 year old female. Ask Date: 2017/02/21

Dr. Chen Yunfang reply Oncology


Hello: The description in the text is not very clear; it's hard to understand where you are referring to the lump.
If you are really concerned, clinic doctors usually see more cases of colds and may not be very sensitive to cancer.
I recommend visiting a hospital's hematology and oncology department, where a physician can examine the lump for you.
It might just be that you are worrying for no reason.
Thank you for your understanding.

Reply Date: 2017/02/21

More Info


When it comes to soft lumps on the neck, it’s understandable to feel anxious, especially when you come across information online that can be alarming. In your case, you’ve described feeling soft lumps that are movable, not painful, and without accompanying symptoms like cough, fever, or night sweats. These characteristics are important in assessing the situation.

Soft lumps in the neck can arise from various causes, including benign conditions such as lipomas (fatty tumors), swollen lymph nodes due to infections, or cysts. Lymph nodes can swell in response to infections, and they often return to normal size once the infection resolves. Since you mentioned that you have not experienced any systemic symptoms like fever or night sweats, this is a reassuring sign. However, it’s always best to err on the side of caution when it comes to health concerns.

Here are some key points to consider regarding your situation:
1. Characteristics of the Lump: The fact that the lumps are soft, movable, and not painful is generally a good sign. Hard, fixed lumps that are painful or associated with systemic symptoms (like fever or significant weight loss) are more concerning and warrant immediate medical evaluation.

2. Duration and Changes: If the lumps have not changed in size or characteristics over a few weeks, it may be less urgent, but it’s still advisable to have them evaluated. If they grow, become painful, or if you develop new symptoms, you should seek medical attention promptly.

3. When to See a Doctor: Given your anxiety about the lumps and the fact that they have not resolved after a couple of days, it would be prudent to consult a healthcare professional. You can start with your primary care physician, who can perform a physical examination and may refer you to a specialist if necessary. If you feel more comfortable, you can also visit an ear, nose, and throat (ENT) specialist, as they are well-equipped to evaluate neck lumps.

4. Diagnostic Approach: In most cases, a physical examination will be the first step. Depending on the findings, your doctor may recommend imaging studies, such as an ultrasound or CT scan, to further evaluate the lumps. In some cases, a biopsy may be necessary to rule out any serious conditions.

5. Avoiding Anxiety: While it’s natural to feel anxious, try to avoid excessive online research that may lead to unnecessary worry. Focus on getting a professional evaluation to address your concerns.

In summary, while the characteristics of the lumps you described are not immediately alarming, your anxiety and the persistence of the lumps warrant a medical evaluation. It’s best to consult with a healthcare provider who can assess your situation in person and provide guidance tailored to your specific case. Whether you choose to see a primary care physician or an ENT specialist, addressing your concerns sooner rather than later can help alleviate your anxiety and ensure that any necessary treatment is initiated promptly.

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