the Likelihood of Benign Growths Near the Trachea - Oncology

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There is a mass next to the trachea in the neck?


During my father's health check-up, a mass was found next to the trachea.
Upon further inquiry, he mentioned that it had been present for two years, was palpable, but had not caused any discomfort or shown any increase in size.
Given this situation, what is the likelihood that this mass is benign?

w, 20~29 year old female. Ask Date: 2021/10/13

Dr. Hu Ziren reply Oncology


The probability of it being benign is higher, but it is recommended to visit an otolaryngologist to check for any possibility of malignancy.

Reply Date: 2021/10/13

More Info


When it comes to the presence of a mass or lump near the trachea, particularly one that has been stable for an extended period without causing discomfort or significant changes in size, the likelihood of it being benign is generally high. However, several factors must be considered to make a more informed assessment.

Firstly, the characteristics of the lump are crucial. Benign growths, such as cysts, lipomas, or even certain types of lymph nodes, often have distinct features that differentiate them from malignant tumors. These benign masses tend to be well-defined, mobile, and soft to the touch. If your father has been able to feel the lump for two years without any changes, this stability is a positive sign. Malignant growths, on the other hand, may present with irregular borders, hardness, and can be associated with symptoms such as pain, difficulty swallowing, or changes in voice.

Secondly, the patient's age and medical history play a significant role. Older individuals or those with a history of smoking or exposure to carcinogens may have a higher risk of malignant growths. However, if your father is relatively healthy and has no significant risk factors, the chances of the lump being benign increase.

Additionally, imaging studies such as ultrasound, CT scans, or MRI can provide more information about the nature of the lump. These imaging modalities can help determine the size, shape, and relationship of the mass to surrounding structures, which can be indicative of whether it is benign or malignant. If the imaging results suggest that the mass is well-circumscribed and does not invade surrounding tissues, this further supports the likelihood of a benign process.

In some cases, a biopsy may be recommended to obtain a definitive diagnosis. A fine needle aspiration (FNA) or core needle biopsy can provide cellular material for examination under a microscope, allowing for a more accurate determination of the nature of the lump.

In summary, while the likelihood of the mass being benign is high given its stability and lack of symptoms, it is essential to follow up with appropriate imaging and possibly a biopsy to confirm this. Regular monitoring by a healthcare professional is advisable to ensure that any changes in the lump's characteristics are promptly addressed. If your father has not already done so, consulting with an otolaryngologist (ENT specialist) or a pulmonologist would be beneficial for a thorough evaluation and to discuss the best course of action.

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