Neck Masses: Allergies, Concerns, and When to Seek Help - Otolaryngology

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Neck mass


Hello, doctor! Last month, I experienced nosebleeds for two consecutive days during one week, along with a lot of nasal discharge (just for your reference: the discharge is usually clear, and sometimes (rarely) slightly yellowish).
I visited the doctor twice, and both times I was diagnosed with allergic rhinitis.
Additionally, I have a round, tumor-like lump on the right side of my neck; it is smooth on the surface, about the width of a finger, and I haven't measured it in centimeters.
It feels soft, and I'm not sure if it is elastic, but it can be slightly moved when pressed.
The doctors said that it is likely not malignant and that I shouldn't worry too much, but I am very anxious about it, which is affecting my academic performance.
I want to see a doctor again, but my parents say that since the doctor said it’s nothing to worry about, I should not be concerned.

1.
Could I have cancer? I read online that neck tumors could be malignant or metastatic, and although I don't fully understand it, I feel it somewhat relates to my situation, so I want to ask.

2.
Is my condition allergic rhinitis?
3.
Should I see a doctor again? I am really scared, and I would appreciate your help.
Thank you! (I may not express myself very well, so please let me know if I need to provide any additional information.
Thank you!)

Eric, 10~19 year old female. Ask Date: 2020/06/21

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the physician's clinical diagnosis shows no abnormalities, and there is no significant enlargement or persistent pain, it is recommended to have a follow-up appointment every three months.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/21

More Info


It sounds like you are experiencing a lot of anxiety regarding your health, particularly concerning the neck mass and your nasal symptoms. Let’s break down your concerns and address them one by one.

1. Understanding the Neck Mass: From your description, the mass on the right side of your neck is soft, movable, and about the size of a finger. These characteristics are often associated with benign (non-cancerous) conditions, such as lymph nodes that can become enlarged due to infections or allergies. In many cases, lymph nodes can swell in response to infections, including those caused by allergies, which could explain your concurrent symptoms of allergic rhinitis (nasal congestion and runny nose). While it’s natural to worry about the possibility of cancer, especially when reading online, the fact that your doctors have assessed it as non-threatening is a reassuring sign. If the mass were malignant (cancerous), it would typically present with different characteristics, such as being hard, fixed in place, and possibly accompanied by other symptoms like unexplained weight loss or persistent fever.

2. Allergic Rhinitis: Your symptoms of runny nose and occasional nosebleeds align with allergic rhinitis. Allergies can cause inflammation in the nasal passages, leading to increased mucus production and sometimes bleeding, especially if the nasal membranes become irritated. The clear to slightly yellow mucus you described is also consistent with allergies, as bacterial infections usually produce thicker, greenish mucus. If you have been exposed to allergens like pollen, dust, or pet dander, this could explain your symptoms.

3. When to Seek Further Medical Attention: It’s understandable that you feel anxious about your health, especially when you are experiencing symptoms that are concerning to you. If your anxiety is affecting your daily life and academic performance, it may be beneficial to speak with a healthcare professional about your worries. You can consider visiting a different doctor or a specialist, such as an ENT (ear, nose, and throat) specialist, who can provide a thorough evaluation of your neck mass and nasal symptoms. It’s important to advocate for your health, and if you feel that your concerns are not being fully addressed, seeking a second opinion is completely reasonable.

In summary, while your symptoms may be related to allergies, the neck mass should be monitored. If it changes in size, becomes painful, or if you develop new symptoms, it would be wise to consult a healthcare provider again. Additionally, managing your anxiety is crucial; consider discussing your feelings with a mental health professional who can help you develop coping strategies. Remember, it’s okay to seek help and to ask questions about your health—your well-being is important.

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