a New Bump on the Left Back of the Head - Neurosurgery

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There is a protrusion on the left posterior side of the occipital region?


There is a lump approximately the size of half a quail egg located on the left side of the back of the head, about one and a half palm widths above the neck and three finger widths to the left from the center.
This lump was recently discovered, and there has been no significant trauma to the head recently.
Please help evaluate this condition.

Lin Tonghai, 30~39 year old female. Ask Date: 2021/03/24

Dr. Zhang Junwei reply Neurosurgery


Without a physical examination, it is not possible to make a determination.
It is recommended to consult a neurosurgery outpatient clinic for evaluation.

Reply Date: 2021/03/24

More Info


When it comes to a new bump on the back of the head, particularly in the area you described, there are several potential causes that should be considered. Given that you mentioned the bump is located approximately one and a half palm widths above the neck and three finger widths to the left of the midline, it is important to evaluate the characteristics of the bump, any associated symptoms, and your medical history.

Firstly, the bump could be a benign condition such as a lipoma, which is a soft tissue tumor made up of fat cells. Lipomas are generally painless and slow-growing, and they are usually not a cause for concern unless they become bothersome or change in size. Another possibility is a sebaceous cyst, which can occur when a hair follicle becomes blocked. These cysts can sometimes become inflamed or infected, leading to discomfort or pain.

Another consideration is a lymph node enlargement. Lymph nodes can swell due to infections or other inflammatory processes. If you have recently had any infections, such as a cold or throat infection, this could explain the swelling. In some cases, lymph nodes can also swell due to more serious conditions, so it’s essential to monitor any changes.

If the bump is hard, fixed in place, or associated with other symptoms such as pain, tenderness, or changes in sensation, it could indicate a more serious condition, such as a bone growth or even a more concerning issue like a tumor. Although tumors in this area are rare, they can occur, and any new growth should be evaluated by a healthcare professional.

In your case, since you mentioned that there was no recent significant trauma to the head, it is less likely that the bump is a result of a traumatic injury. However, if you start to experience symptoms such as headaches, dizziness, changes in vision, or any neurological symptoms, it would be prudent to seek medical attention promptly.

Given the location and characteristics of the bump, I recommend scheduling an appointment with a healthcare provider, preferably a neurologist or a primary care physician. They may perform a physical examination and possibly imaging studies, such as an ultrasound or MRI, to better understand the nature of the bump. This will help in determining whether it is benign or if further investigation is warranted.

In summary, while many bumps on the head can be benign, it is crucial to monitor the bump for any changes and consult with a healthcare professional for a thorough evaluation. Early diagnosis and management can help alleviate any concerns and ensure appropriate care.

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