Lumps: Should You Worry About a Hard Mass Behind Your Ear? - Oncology

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Lump issue


Hello doctor, I have noticed a hard lump behind my ear for almost a year.
It used to be somewhat elastic and about two centimeters in size, but recently it has become harder and shrunk to about 0.8 centimeters.
It can still move slightly, and there is no redness, swelling, or increase in size.
Is this serious? Could it be cancer?

Hua Hua, 10~19 year old female. Ask Date: 2018/03/09

Dr. Chen Yunfang reply Oncology


Hello: For this type of lump, you can visit the ENT department at a hospital for a consultation with a physician.
Generally, common findings include benign lipomas or sebaceous cysts (similar to acne), but a physician's examination is necessary for a more accurate diagnosis.
Thank you for your inquiry.

Reply Date: 2018/03/09

More Info


When it comes to discovering a hard lump behind your ear, it’s understandable to feel concerned, especially if it has changed in size or consistency over time. Based on your description, it seems that the lump has been present for about a year, has decreased in size, and has become harder but remains movable and without any signs of redness or swelling. These characteristics can provide some reassurance, but it’s essential to consider a few key points regarding lumps in this area.

Firstly, lumps behind the ear can arise from various causes, including lymph nodes, cysts, or benign tumors. The lymph nodes in this region can become enlarged due to infections, inflammation, or other benign conditions. Since you mentioned that the lump has decreased in size and is not painful or associated with other symptoms (like fever or significant swelling), it may suggest that it is not an acute infectious process.

Cysts, such as sebaceous cysts, are also common and can feel firm or hard. They are generally harmless unless they become infected. If the lump is indeed a cyst, it may fluctuate in size and consistency based on factors like inflammation or irritation.

While the possibility of a malignant process, such as cancer, is always a concern when it comes to new or changing lumps, the characteristics you described—specifically, the lump being movable, not painful, and decreasing in size—are generally more indicative of a benign condition. However, it is crucial to remember that the only way to definitively determine the nature of the lump is through a medical evaluation.

I recommend that you schedule an appointment with an ear, nose, and throat (ENT) specialist or a healthcare provider who can perform a physical examination and possibly recommend imaging studies, such as an ultrasound or CT scan, if necessary. In some cases, a biopsy may be warranted to rule out any serious conditions, especially if there are any changes in the lump's characteristics or if new symptoms develop.

In summary, while the lump you described does not immediately suggest a severe issue, it is essential to have it evaluated by a healthcare professional. Regular monitoring and professional assessment are key to ensuring that any potential health concerns are addressed promptly. Remember, early detection and intervention are crucial in managing any health issue effectively.

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