Neck Lumps: Are They Enlarged Lymph Nodes or Something Else? - Otolaryngology

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Neck mass


In the past few days, I accidentally noticed several tubular structures near my neck close to the clavicle when I raised my shoulders.
They feel relatively soft and are present on both sides of my neck, not just one or two.
They move up and down when I push them.
Could this be an enlargement of the supraclavicular lymph nodes, or are they just lymphatic vessels or muscle tissue? A few months ago, I had a lump at the junction of my neck and cheek, and after undergoing ultrasound and CT scans at the hospital, there were no abnormalities, and I was advised to have regular follow-ups.
The lumps near my clavicle are something I only recently noticed.
Should I be concerned about this?

Axiang, 10~19 year old female. Ask Date: 2020/08/09

Dr. Zheng Jueyi reply Otolaryngology


Hello: The common concern may be lymph nodes.
If you are worried, it is advisable to seek medical examination for confirmation.
Wishing you peace and health! Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/08/09

More Info


When it comes to understanding neck lumps, particularly those located near the clavicle, it is essential to consider several factors, including the characteristics of the lumps, their mobility, and any associated symptoms. Based on your description, you have noticed soft, movable structures on both sides of your neck near the clavicle. This raises the question of whether these could be enlarged lymph nodes or something else entirely.

Lymph nodes are small, bean-shaped structures that play a crucial role in the immune system. They can become enlarged due to various reasons, including infections, inflammation, or malignancies. In your case, the fact that the lumps are soft and movable is generally a reassuring sign. Enlarged lymph nodes due to infection or inflammation often feel firm and may be tender to the touch. If they are soft and mobile, they could be benign lymph nodes or even other structures such as blood vessels or muscle tissue.

Given that you had previous imaging studies (ultrasound and CT scan) that showed no abnormalities, it is possible that these new findings are not a cause for immediate concern. However, the appearance of new lumps warrants further evaluation, especially if they persist, grow, or are associated with other symptoms such as fever, night sweats, weight loss, or changes in your overall health.

In terms of urgency, while it is always best to err on the side of caution, the fact that you have had recent imaging with no findings of concern suggests that there may not be an immediate need for alarm. However, it is advisable to follow up with your healthcare provider to discuss these new findings. They may recommend further evaluation, such as repeat imaging or a physical examination, to determine the nature of these lumps.

In conclusion, while the lumps you are feeling could potentially be enlarged lymph nodes, their soft and movable nature, combined with your recent normal imaging studies, suggests that they may not be a cause for immediate concern. Nonetheless, it is essential to keep your healthcare provider informed about any new developments and to seek their advice on the best course of action. Regular follow-ups and monitoring are key to ensuring that any changes in your condition are addressed promptly.

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