Lumps Behind the Ear: Causes and Treatment Options - Surgery

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There is a lump behind the ear?


Hello, I suddenly noticed a lump behind my ear that sometimes hurts and sometimes doesn't.
Could this be a subcutaneous cyst, or what could be the cause? It had shrunk for a while, but it seems to have reappeared, possibly due to my irregular lifestyle recently.
How can I reduce inflammation and swelling? (Last time, I didn't know why it just went away on its own.) Can I apply green oil, Xiao Nurse, or herbal essential oil? What should I take to improve this? Thank you.

Zhang, 20~29 year old female. Ask Date: 2020/08/03

Dr. Peng Xianwen reply Surgery


Hello Ms.
Chang: Surgery may be necessary for a potential cure, and it is recommended that you seek medical treatment.
Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.

Reply Date: 2020/08/03

More Info


When you notice a lump behind your ear that occasionally causes pain, it can be concerning. There are several potential causes for this type of lump, and understanding them can help you determine the best course of action.

One common cause of a lump behind the ear is a lymph node that has become swollen. Lymph nodes can swell due to infections, such as a cold or throat infection, or due to inflammation in the area. They are part of the immune system and can react to various stimuli, including infections or even stress. If the lump is soft and movable, it is likely a lymph node.
Another possibility is a sebaceous cyst, which is a non-cancerous lump filled with a protein called keratin. These cysts can develop when hair follicles become clogged. They are usually painless unless they become infected, in which case they can become red, swollen, and tender.
In some cases, the lump could be due to mastoiditis, an infection of the mastoid bone located behind the ear, which can occur after an ear infection. This condition is more serious and would require medical attention.

If the lump has appeared and disappeared before, it may indicate a recurrent issue, possibly related to your lifestyle or stress levels, as you mentioned. Stress can affect your immune system and lead to inflammation, which might cause lymph nodes to swell.

To address your concerns about treatment, here are some options:
1. Observation: If the lump is not causing significant pain or discomfort and is not growing, you may choose to monitor it. Many lumps can resolve on their own, especially if they are related to temporary infections or inflammation.

2. Warm Compresses: Applying a warm compress to the area can help reduce inflammation and promote drainage if the lump is a cyst or swollen lymph node.

3. Over-the-Counter Pain Relief: If the lump is painful, non-prescription pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.

4. Avoid Irritants: Avoid using topical treatments like essential oils or ointments without consulting a healthcare provider, as these may irritate the skin or worsen the condition.

5. Hydration and Nutrition: Maintaining a healthy diet and staying hydrated can support your immune system. Foods rich in vitamins C and E, zinc, and antioxidants can be beneficial.

6. Consult a Healthcare Provider: If the lump persists, grows, or is accompanied by other symptoms (such as fever, significant pain, or changes in hearing), it is crucial to seek medical advice. A healthcare provider can perform a physical examination and may recommend imaging studies or a biopsy if necessary.

In summary, while a lump behind the ear can be benign, it is essential to monitor its characteristics and any accompanying symptoms. If you have concerns about its nature or if it causes you distress, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate treatment options.

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