Neck Lumps: When to Worry About Unusual Growths - Oncology

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Swelling in the neck?


Hello, doctor.
About a year ago, I discovered a lump in my neck, located near the jawline.
One is round and the other has an irregular shape.
I went to the hospital for an ultrasound and a CT scan.
The doctor said that the round part has not increased in size after monitoring it for a while, and it is likely an enlarged lymph node.
However, the irregular part could not be captured on the ultrasound or CT scan, but I can feel a foreign body sensation.
When I asked the doctor, they did not specify what it could be, only saying to return if it becomes painful.
Could it be something serious, or is it just psychological?

Long, 30~39 year old female. Ask Date: 2023/03/01

Dr. Hu Ziren reply Oncology


Ultrasound and CT scans did not reveal any findings, which may indicate benign tissue or psychological factors.
It is recommended to simply monitor the situation.

Reply Date: 2023/03/01

More Info


When it comes to neck lumps, it’s essential to approach the situation with caution and awareness. The presence of unusual growths in the neck area can be concerning, and understanding when to worry about these lumps is crucial for your health.
From your description, it seems you have two distinct lumps: one that is round and has been identified as likely being an enlarged lymph node, and another that is irregular in shape and has not been clearly defined through imaging studies like ultrasound or CT scans. Enlarged lymph nodes can occur for various reasons, including infections, inflammatory conditions, or malignancies. The fact that your doctor has indicated that the round lump has not changed in size over time is a positive sign, as stable lumps are often less concerning than those that grow rapidly.

However, the irregular lump that you mentioned is not visible on imaging and causes you discomfort is more concerning. Irregular lumps can sometimes be indicative of more serious conditions, including tumors or cysts. The sensation of having a foreign body in your neck can also contribute to anxiety, which may amplify your perception of the lump.
Here are some key points to consider regarding neck lumps:
1. Duration and Change: Lumps that have been present for a long time without change are generally less concerning than those that grow quickly or change in shape or consistency. Since your round lump has remained stable, this is a reassuring factor.

2. Characteristics of the Lump: The shape, size, and consistency of the lump can provide clues. Round, smooth lumps are often benign, while irregular, hard lumps may warrant further investigation.

3. Associated Symptoms: If you experience additional symptoms such as fever, weight loss, night sweats, or persistent pain, these could be red flags that require immediate medical attention.

4. Follow-Up: Regular follow-up with your healthcare provider is essential. If the irregular lump continues to cause discomfort or if you notice any changes, further evaluation may be necessary. This could include a biopsy or additional imaging studies to obtain a clearer picture of what is happening.

5. Psychological Impact: It’s important to acknowledge the psychological aspect of dealing with health concerns. Anxiety can exacerbate the perception of symptoms, and it may be beneficial to discuss these feelings with a healthcare professional or a counselor.

In conclusion, while the round lump appears to be stable and likely benign, the irregular lump requires careful monitoring and possibly further investigation. It is essential to maintain open communication with your healthcare provider, express your concerns, and seek clarity on any uncertainties you may have. If you feel that your symptoms are worsening or if new symptoms arise, do not hesitate to seek immediate medical attention. Your health and peace of mind are paramount, and addressing these concerns proactively is the best approach.

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