Post-Surgery Neck Tumor Changes: What to Expect - Otolaryngology

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Tumor near the right carotid artery in the neck?


Hello Doctor, I would like to ask you a question.
Initially, I noticed a hard lump in my neck that was about 1 cm and painless.
After seeing a doctor, I was informed that it might be a subcutaneous tumor (the explanation was not very clear).
I underwent a minor surgery to remove it on September 13th and went home the same day.
A week later, during a follow-up appointment, the doctor said it was a benign tumor and that I shouldn't worry too much.
He prescribed me an ointment to apply.
However, today when I touched the surgical site, I found that it feels hard, and there seems to be a larger area of hardness surrounding the incision site.
I'm wondering if this could be due to the surgery, possibly like a blood clot that hasn't resolved.
Since the doctor who examined me will be on leave next week, I thought I would seek your advice here.
Thank you.

Yanlin, 20~29 year old female. Ask Date: 2017/10/01

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common to have scar tissue after surgery, which is a normal phenomenon.
The wound may take several weeks to months to gradually soften.
If you are concerned, you can return to the surgeon for a check-up.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/01

More Info


After surgery for a neck tumor, it is common for patients to experience changes in the area around the surgical site. These changes can include the formation of hard lumps or masses, which may be concerning for patients. In your case, you mentioned that after your surgery on September 13, you noticed a hard area around the surgical site, which has raised some questions about what to expect during the recovery process.

Firstly, it is important to understand that the formation of a hard lump post-surgery can be attributed to several factors. One common reason is the development of scar tissue, which occurs as part of the healing process. When the body undergoes surgery, it naturally responds by forming scar tissue to repair the incision. This scar tissue can feel firm or hard to the touch, and it may extend beyond the original incision site, creating a larger area of hardness. This is typically a normal part of healing and should gradually soften over time.

Another possibility is the accumulation of fluid, known as a seroma, which can occur after surgery. A seroma is a pocket of clear fluid that can form in the space left by the removal of tissue. While seromas are generally harmless, they can sometimes feel firm and may require monitoring or, in some cases, drainage if they become too large or uncomfortable.

Additionally, hematomas, which are collections of blood outside of blood vessels, can also develop after surgery. They may feel hard and can be tender or painful. Hematomas usually resolve on their own, but if they are large or symptomatic, they may require medical intervention.

Given that your doctor has already informed you that the tumor was benign and has prescribed a topical ointment, it is a positive indication that there is no immediate cause for concern. However, it is essential to keep an eye on the hard area and monitor for any changes. If the hardness persists, increases in size, or is accompanied by pain, redness, or other concerning symptoms, it would be advisable to follow up with your healthcare provider.

In the meantime, here are some general recommendations for managing post-surgical recovery:
1. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon or healthcare provider. They will monitor your healing process and address any concerns you may have.

2. Self-Examination: Continue to gently examine the area around the surgical site. Take note of any changes in size, shape, or texture of the lump, as well as any new symptoms that may arise.

3. Pain Management: If you experience discomfort, discuss pain management options with your doctor. Over-the-counter pain relievers may be recommended, but always consult your healthcare provider before taking any medication.

4. Avoid Strain: Refrain from heavy lifting or strenuous activities that could strain the surgical site. Allow your body adequate time to heal.

5. Healthy Lifestyle: Maintain a balanced diet and stay hydrated to support your body’s healing process. Adequate nutrition can help promote recovery.

6. Communication: If you have any concerns or questions, do not hesitate to reach out to your healthcare provider. They are there to help you navigate your recovery.

In conclusion, while it is normal to experience some hardness around the surgical site after a neck tumor removal, it is essential to remain vigilant and communicate with your healthcare provider about any changes or concerns. Your doctor will be able to provide the best guidance based on your specific situation and ensure that your recovery progresses smoothly.

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