Should You See a Doctor for a Non-Painful Neck Lump? - Otolaryngology

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Cervical issues


Hello, doctor.
I have a lump about 0.5 to 1 centimeter in size located approximately six finger widths below my left ear, near my shoulder.
This lump has been present for over a year; it hasn't grown or disappeared, and it doesn't hurt or stand out unless I lie down, which makes the muscle more prominent.
It feels elastic to the touch, and when I press it, it doesn't move away but simply disappears.
Do I need to see a doctor for this?

Hsuan, 20~29 year old female. Ask Date: 2017/09/09

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no continuous enlargement, you may observe it yourself.
However, if it continues to grow or causes pain, it is advisable to seek medical examination for confirmation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/09

More Info


When it comes to a non-painful neck lump, particularly one that has been present for over a year without any noticeable changes, it is generally advisable to consult a healthcare professional for a thorough evaluation. While the characteristics you describe—such as the lump being small (0.5-1 cm), non-painful, and stable in size—are often reassuring, there are several important considerations to keep in mind.

First, it is essential to understand the potential causes of neck lumps. Lumps in the neck can arise from various sources, including lymph nodes, cysts, lipomas (benign fatty tumors), or even more serious conditions such as tumors. Lymph nodes can become enlarged due to infections, inflammation, or malignancies. Given that your lump has been stable and non-painful, it may be less likely to be associated with an acute infection, but it is still crucial to rule out any underlying issues.

The fact that the lump is located near the sternocleidomastoid muscle (the muscle that runs along the side of the neck) and is only visible when lying down suggests that it may be a benign structure. However, the absence of pain and the lump's stability do not entirely eliminate the need for medical evaluation. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to better characterize the lump and assess its nature.

In addition, it is important to consider any accompanying symptoms. If you experience any changes in swallowing, breathing difficulties, unexplained weight loss, or any other concerning symptoms, these could warrant more immediate medical attention. Even in the absence of such symptoms, a healthcare professional can provide peace of mind and ensure that the lump is not indicative of a more serious condition.

In summary, while your lump may not currently be causing any discomfort or concern, it is prudent to seek medical advice. A healthcare provider can assess the lump's characteristics, perform necessary diagnostic tests, and determine whether any further action is required. Early evaluation can help identify any potential issues before they develop into more significant problems, ensuring your overall health and well-being.
In conclusion, while the lump you describe may not seem alarming, it is always best to err on the side of caution. Consulting a doctor will provide you with the necessary information and reassurance regarding your health. Remember, proactive healthcare is key to maintaining good health, especially when it comes to changes in your body that you may not fully understand.

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