Lumps Behind the Ear: Are They a Sign of Cancer? - Oncology

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Postauricular mass


Hello doctor, I have developed two lumps on the bones behind my left and right ears, which have persisted for two months.
One is 0.5 cm, soft, and movable, while the other varies in size between 1 cm and 1.3 cm, is harder, and not very movable.
Could this possibly be cancer? Thank you, doctor.

A Yue, 10~19 year old female. Ask Date: 2017/11/11

Dr. Chen Sirong reply Oncology


A-Yue / 17 years old / Female
1.
I have developed two lumps on the bones behind my left and right ears.

A: The location may be relatively uncommon.
2.
One lump measures 0.5 cm, is soft, and movable.

A: The characteristics described are more suggestive of a benign condition.
3.
The other lump varies in size, sometimes measuring between 1 cm and 1.3 cm, and is harder and less movable.

A: This could potentially be malignant, as it is hard and immobile; although the likelihood is low, it cannot be definitively ruled out without a proper consultation.
4.
Cancer?
A: Same as above.
- Chen Si-Rong, Taoyuan Hospital.

Reply Date: 2017/11/11

More Info


When it comes to lumps behind the ear, it’s understandable to be concerned about the possibility of cancer, especially given the anxiety surrounding health issues. However, it’s important to approach this topic with a clear understanding of the potential causes and the appropriate steps to take.

Lumps behind the ear can arise from various conditions, and not all of them are cancerous. Common causes include swollen lymph nodes, which can occur due to infections, inflammation, or other benign conditions. The lymphatic system plays a crucial role in the immune response, and lymph nodes can swell in response to infections, such as those caused by viruses or bacteria. For instance, a common cold or ear infection can lead to lymphadenopathy, which is the medical term for swollen lymph nodes.

In your case, you mentioned two lumps: one that is soft and movable, and another that fluctuates in size and is harder. The soft, movable lump is more likely to be a benign lymph node, particularly if it is not causing pain or discomfort. The hard lump that changes in size could also be a lymph node or possibly a sebaceous cyst, which is a non-cancerous growth that can occur in the skin.

While it is essential to consider the possibility of cancer, especially if there are concerning symptoms such as persistent swelling, changes in the lump's characteristics, or associated symptoms like unexplained weight loss, night sweats, or fever, the likelihood of cancer is generally low in younger individuals with lumps that are soft and movable. However, the hard lump that changes size warrants further investigation.

To determine whether these lumps are cancerous or benign, a thorough evaluation by a healthcare professional is necessary. This typically involves a physical examination, and if deemed necessary, imaging studies such as an ultrasound or CT scan may be performed. In some cases, a biopsy may be recommended to obtain a definitive diagnosis.

It’s also worth noting that while the presence of lumps can be alarming, many benign conditions can present similarly. For instance, conditions like lipomas (fatty tumors), cysts, or even reactive lymphadenopathy due to a recent infection can all cause lumps behind the ear.

If you are experiencing additional symptoms such as pain, changes in hearing, or any neurological symptoms, it is crucial to seek medical attention promptly. Additionally, if you have a family history of cancer or other risk factors, it is advisable to discuss these with your healthcare provider.

In conclusion, while the presence of lumps behind the ear can be concerning, they are not always indicative of cancer. A thorough evaluation by a healthcare professional is essential to determine the nature of these lumps and to rule out any serious conditions. If you have not already done so, I recommend scheduling an appointment with an ear, nose, and throat (ENT) specialist or a general practitioner who can guide you through the necessary evaluations and provide peace of mind. Remember, early detection and intervention are key in managing any health concerns effectively.

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