Neck Lumps: When to Seek Medical Attention

Regarding a lump on the neck?

Doctor, I would like to inquire about a lump that has developed on the right side of my neck.
It moves around, is painless, and is visible to the naked eye.
Sometimes, there is also a lump on the right side of my neck that appears and then disappears.
Recently, I have noticed a significant decline in my hearing.
Additionally, my skin often feels fragile, and I can easily get severe scratches when I scratch it.
If I don't take care of the wounds properly, they tend to become red.
Do you think I should go to a large hospital for an examination, or is it sufficient to visit a clinic?

Ka Ying Er, 20~29 year old female. Ask Date: 2020/07/22

Dr. Chen Sirong reply Oncology

Kaying Er / 28 years old / Female
Greetings!
1.
There is a movable lump on the right side of my neck that is not painful and is visible to the naked eye.
Sometimes, there is also a lump on the right side of my neck that disappears at times.

2.
I am experiencing significant hearing loss, and my skin often feels fragile, making it easy to get severe scratches when I scratch it.

3.
If I do not take care of my wounds properly, they tend to become red.
For points 1 and 2, it is advisable to see an otolaryngologist for a neck examination and a hearing test, which may require a visit to a larger hospital for the hearing evaluation.

3.
Everyone is the same; it is important to take good care of yourself, or your body will give you trouble!
Thank you for your letter.

Taoyuan Hospital
Dr.
Chen Si-Rong

Reply Date: 2020/07/22

More Info

When it comes to neck lumps, especially those that are noticeable, movable, and painless, it is essential to approach the situation with caution and awareness of the potential underlying causes. Your description of a lump on the right side of your neck that appears and disappears, along with recent hearing difficulties and skin sensitivity, raises several important considerations.

Firstly, the nature of the lump is crucial. Movable and painless lumps in the neck can often be lymph nodes, which may swell in response to infections or other inflammatory processes. However, the fact that you are experiencing significant hearing loss is concerning. Hearing issues can sometimes be associated with conditions affecting the neck, such as infections, tumors, or other systemic diseases. Given that the lump is accompanied by these symptoms, it is advisable to seek medical attention.

In terms of where to seek care, visiting a larger hospital with an ENT (Ear, Nose, and Throat) department would be beneficial. Larger hospitals typically have more resources and specialists who can conduct comprehensive evaluations, including imaging studies like ultrasound or CT scans, to assess the lump and any related issues. They can also perform hearing tests to determine the cause of your hearing loss.

Your mention of skin sensitivity and the ease with which you get bruised or scratched is another important symptom. This could indicate an underlying issue with your skin or blood vessels, or even a systemic condition that affects your skin's integrity. Conditions such as connective tissue disorders, blood clotting disorders, or even nutritional deficiencies can lead to increased bruising and skin fragility.
Given the combination of symptoms you are experiencing—movable neck lumps, hearing loss, and skin sensitivity—it is prudent to seek a thorough evaluation. A primary care physician can initially assess your symptoms and may refer you to a specialist if necessary. However, if you feel that your symptoms are severe or worsening, going directly to a hospital may be the best course of action.

In summary, while the lump itself may not be immediately alarming, the associated symptoms warrant a careful evaluation. It is advisable to seek medical attention at a larger hospital where specialists can provide a comprehensive assessment and appropriate diagnostic tests. Early intervention can be crucial in identifying any underlying conditions and ensuring proper treatment.

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