Concerns About a Soft Neck Lump: When to Seek ENT Advice

Yesterday, I suddenly felt a lump on the left side of my neck?

Yesterday, I felt a lump on the left side of my neck, which is probably less than 0.5 cm.
It is not painful, seems soft, and appears to be movable.
I can only feel it when I touch it carefully, so I am quite worried.
In March, I had a CT scan of my head and neck because I have a tumor near my Adam's apple (which has been stable in size for several years).
After reviewing the scan, the doctor only mentioned the tumor near my Adam's apple, which he considered benign and suggested monitoring it.
He did not indicate any abnormalities in my posterior neck.
I also underwent a nasopharyngoscopy at the end of February, and the doctor performed a physical examination earlier this month, both of which showed no issues.
Can I be reassured about this lump in my posterior neck?

Luo Kai-Ren, 20~29 year old female. Ask Date: 2018/05/20

Dr. Zheng Jueyi reply Otolaryngology

Hello, if there were no significant abnormalities in previous examinations, you may start with monitoring.
However, if there is a noticeable increase in size or persistent pain, medical evaluation is necessary.
If you are concerned or uncertain, you can schedule regular follow-up examinations at the clinic every 3 to 6 months.
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: 2018/05/20

More Info

When it comes to concerns about a soft lump in the neck, especially one that is small, movable, and painless, there are several factors to consider before deciding whether to seek advice from an ENT (Ear, Nose, and Throat) specialist.
Firstly, it's important to understand that lymph nodes are commonly found in the neck area, and they can become enlarged due to various benign conditions such as infections, inflammation, or even stress. Given that you have a history of a stable tumor near your Adam's apple that has not changed in size, it is reassuring that your previous imaging and examinations have not indicated any alarming issues. The fact that the lump you discovered is soft and movable is generally a good sign, as malignant tumors tend to be firmer and less mobile.

However, there are still reasons to be vigilant. If the lump changes in size, becomes painful, or if you start experiencing other symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue, it would be prudent to seek medical advice. These symptoms could indicate a more serious underlying condition that requires further investigation.

In your case, since you have had recent imaging (CT scan) and examinations (nasopharyngoscopy and physical exams) that did not reveal any concerning findings, it may be reasonable to monitor the lump for any changes. If it remains stable and you do not develop any new symptoms, you might choose to wait before seeking further evaluation. However, if you find yourself increasingly anxious about it, or if you feel that the lump is changing in any way, it is always best to consult with a healthcare professional for peace of mind.

Additionally, it is worth noting that self-examination can sometimes lead to unnecessary worry. If you have a history of benign conditions and your healthcare provider has reassured you about the stability of your existing tumor, it may help to focus on that reassurance. Regular follow-ups with your healthcare provider can also help in monitoring any changes in your condition.

In summary, while the lump you described does not immediately raise red flags, it is essential to remain observant and proactive about your health. If you have any doubts or if the lump changes, do not hesitate to reach out to an ENT specialist for a thorough evaluation. They can provide you with the necessary guidance and reassurance based on your medical history and current findings. Remember, your health and peace of mind are paramount, and seeking professional advice is always a wise choice when it comes to any new or concerning symptoms.

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