Lumps Under the Chin: Potential Causes and Concerns - Oncology

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Swelling in the submandibular region?


In the past few days, I have noticed a lump at the junction of my chin and neck, almost in the center, not to the left or right.
When I pressed it with my index finger and thumb to measure its size, I found that the lump is at least three centimeters in diameter.
It feels deep, so it is not visible on the surface.
The location is at the very top of my neck, at least three to four centimeters away from the Adam's apple, and it seems to have limited mobility.
Could this possibly be a benign tumor?

Chen Ting-wei, 20~29 year old female. Ask Date: 2022/04/19

Dr. Chen Yunfang reply Oncology


Hello: Please visit an otolaryngologist for an examination; the doctor will be able to assess it through palpation.
Thank you.

Reply Date: 2022/04/19

More Info


Understanding lumps under the chin, particularly in the area where the chin meets the neck, can be concerning and warrants careful consideration. The presence of a lump measuring approximately three centimeters, which feels deep and is relatively immobile, raises several potential causes that should be explored.

Firstly, it is essential to understand that lumps in this area can arise from various sources, including lymph nodes, salivary glands, or even thyroid tissue. The most common cause of a lump in the neck region is lymphadenopathy, which refers to swollen lymph nodes. Lymph nodes can become enlarged due to infections (viral or bacterial), inflammatory conditions, or malignancies. Given the location of the lump, it could be a reactive lymph node responding to an infection or inflammation in the head, neck, or even systemic infections.

Another possibility is a benign tumor, such as a lipoma (a fatty tumor) or a cyst (like a sebaceous cyst). These types of growths are typically non-cancerous and can occur in various tissues. However, the fact that the lump is deep and immobile may warrant further investigation to rule out more serious conditions.

In some cases, lumps in this area can be associated with salivary gland issues, such as a blocked salivary duct or a salivary gland infection (sialadenitis). These conditions can lead to swelling and discomfort, particularly if there is an underlying infection.

Thyroid-related issues should also be considered, especially if the lump is located near the midline of the neck. Thyroid nodules are common and can be benign or malignant. If the lump is indeed related to the thyroid, further evaluation through imaging studies and possibly a biopsy may be necessary.

Given the size and characteristics of the lump you described, it is crucial to seek medical evaluation. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to better understand the nature of the lump. In some cases, a fine needle aspiration biopsy may be performed to obtain a sample of the tissue for further analysis.

It is important not to jump to conclusions about the nature of the lump without proper evaluation. While many lumps can be benign, the potential for malignancy, especially in adults, should not be overlooked. Early diagnosis and treatment are key to managing any underlying conditions effectively.

In summary, while the lump under your chin could potentially be a benign tumor, it is essential to consult a healthcare professional for a thorough assessment. They will be able to provide a more accurate diagnosis and recommend appropriate management based on the findings. Remember, timely medical attention is crucial for any new or concerning lumps, especially those that are persistent, growing, or associated with other symptoms such as pain, difficulty swallowing, or changes in voice.

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