Movable Tumors Near Gums: ENT Insights and Guidance

Facial issues

Hello, since elementary school and approaching middle school, I have had a movable lump near my masseter muscle, close to the gums, which can be felt from the outside.
It varies in size, sometimes larger and sometimes smaller.
I haven't paid much attention to it over the years.
Recently, during a health check-up, an X-ray was taken, and it was noted that there were abnormalities in the lymph nodes.
I would like to know if this is a tumor or a lymph node.
It doesn't feel hard, but it is movable, and there are noticeable blood vessels connected to the lump.
Which specialist should I see for this?

99, 20~29 year old female. Ask Date: 2020/05/21

Dr. Ji Zhaoyun reply Otolaryngology

Hello, regarding the issue you mentioned, it could possibly be lymphadenopathy, masseter muscle hypertrophy, or other lesions.
If the symptoms persist, it is advisable to consult an otolaryngologist.
Wishing you good health and safety.

Reply Date: 2020/05/21

More Info

Understanding movable tumors near the gums can be quite concerning, especially when they have been present for many years and have shown fluctuations in size. Based on your description, it sounds like you may be dealing with a movable mass that could be a lymph node or a benign tumor, such as a lipoma or a cyst.
Movable tumors or masses in the oral and maxillofacial region can arise from various tissues, including lymphatic tissue, salivary glands, or even soft tissue structures. The fact that the mass is movable and not hard suggests that it may not be a malignant tumor, as malignant tumors are often fixed to underlying structures and do not move freely. However, the presence of blood vessels and the fluctuation in size could indicate a vascular nature, such as a hemangioma, or it could be related to lymphatic tissue, such as a reactive lymph node.

When you mention that a health check indicated "lymph abnormality," it raises the possibility that this mass could be a lymph node that is reacting to some form of inflammation or infection in the area. Lymph nodes can enlarge due to various reasons, including infections, inflammatory conditions, or even benign tumors. In some cases, they can also be involved in more serious conditions, so it is essential to have a thorough evaluation.

Given your symptoms and the location of the mass, I would recommend that you consult with an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are well-equipped to evaluate masses in the head and neck region, including those near the gums. They can perform a physical examination, possibly order imaging studies such as an ultrasound or CT scan, and determine whether a biopsy is necessary to establish a definitive diagnosis.

In addition to an ENT specialist, you might also consider consulting with a dentist or an oral surgeon, particularly if the mass is affecting your oral health or if there are concerns about the gums or teeth. They can provide insights into whether the mass is related to dental issues or if it requires further investigation.

In summary, while the characteristics of the mass you described suggest it may not be malignant, it is crucial to seek medical advice to rule out any serious conditions. An ENT specialist would be the most appropriate healthcare provider to evaluate your situation, and they can guide you through the necessary steps for diagnosis and management. Regular follow-ups and monitoring of the mass will also be important to ensure that any changes are addressed promptly.

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