Long-Lasting Neck Lumps: When to Worry and When to Relax - Oncology

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Years of neck mass?


Hello doctor, when I was a child (around 11 or 12 years old), I discovered a lump in my neck that was movable and had a smooth surface.
Later, after a prolonged cold that didn't improve, I went to the hospital for a check-up and found out I was close to developing pneumonia.
At that time, I also asked the doctor about the neck lump, and he said that as long as it didn't grow or harden, there was nothing to worry about, so I stopped paying attention to it.
However, as I grew older, I started to feel anxious about it, even though the lump seemed to remain unchanged.
I have had health check-ups and blood tests due to discomfort, and there were no issues.
My family has also reassured me that I shouldn't worry too much.
I've been researching online for a long time and have seen doctors mention that if it were malignant, it wouldn't remain unchanged for so long.
Yet, I still can't put my mind at ease, so I'm reaching out to ask the doctor… nearly 10 years have passed, my health has been fine, and the lump hasn't shown any signs of growth or hardening.
Should I really not be concerned? I've been feeling quite anxious lately, and after repeatedly touching it, I experienced some pain a few days ago.
My family has told me that constant touching could lead to inflammation, but I am genuinely worried.
I would appreciate your clarification, thank you.

CC, 20~29 year old female. Ask Date: 2022/02/26

Dr. Hu Ziren reply Oncology


If there have been no changes or any discomfort for over 10 years, it is advisable to simply monitor the situation without any particular concern.

Reply Date: 2022/02/26

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the neck lump you have had since childhood. It’s completely understandable to feel anxious about any persistent lump, especially when it has been present for such a long time. Let’s break down your situation and address your concerns.

Firstly, it’s important to note that many neck lumps, particularly those that are movable, smooth, and have not changed in size or consistency over the years, are often benign. Common causes of such lumps include lymph nodes, which can become enlarged due to infections, or lipomas, which are fatty tumors that are also non-cancerous. The fact that your lump has remained stable for nearly a decade is a reassuring sign. Medical professionals often look for changes in size, shape, and texture as indicators of potential issues.

You mentioned that a doctor previously assessed the lump and advised you that it was not a concern as long as it did not change. This is consistent with standard medical advice. If a lump is not growing, hardening, or associated with other symptoms (such as pain, fever, or significant weight loss), it is generally not a cause for alarm. However, your anxiety about it is valid, and it’s important to address that.

It’s also worth noting that anxiety can sometimes manifest physically, leading to symptoms such as tenderness or discomfort in areas that you may be frequently touching or worrying about. The act of repeatedly touching the lump can indeed lead to localized irritation or inflammation, which might explain the recent pain you’ve experienced. It’s advisable to minimize touching the area to prevent any unnecessary irritation.

Given that you have undergone health checks and blood tests that returned normal results, this further supports the notion that there is likely no underlying serious condition. However, if you continue to feel anxious about the lump, or if you notice any changes, it would be prudent to consult with a healthcare provider for peace of mind. They may recommend imaging studies, such as an ultrasound, to further evaluate the lump if necessary.

In terms of managing your anxiety, consider engaging in relaxation techniques such as mindfulness, meditation, or gentle exercise. These practices can help alleviate stress and reduce the focus on the lump. It may also be beneficial to talk to a mental health professional if your anxiety persists, as they can provide strategies to help you cope with your worries.

In conclusion, based on the information you provided, it seems that there is no immediate cause for concern regarding your neck lump. However, your feelings of anxiety are valid, and addressing them is important for your overall well-being. If you have any further questions or if anything changes with the lump, please do not hesitate to seek medical advice.

Take care, and I hope this information helps to ease your worries.

Best regards.

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