a Movable Lump on the Back of Your Neck: What to Do?

I felt a lump on the back of my neck?

Recently, I noticed a large, movable lump on the back of my neck when I looked up.
It is not attached to the skin, and I cannot feel it when I look down.
It is completely painless, but I am a bit worried about what it could be (the location is below the hairline, not at the nuchal area).
Many people have felt it, and it is quite large and firm! Which specialist should I see for this? I had an ultrasound at an ENT clinic last month, which showed no issues, but it only covered the front of my neck and not the back.
I am wondering which department would be best for the back of my neck.
Thank you, doctor, for taking the time to respond.

Niming, 30~39 year old female. Ask Date: 2024/06/09

Dr. Zhang Junwei reply Neurosurgery

General surgery, plastic surgery, and neurosurgery are all acceptable.

Reply Date: 2024/06/09

More Info

When it comes to discovering a movable lump on the back of your neck, it can understandably cause concern. The first step in addressing this issue is to understand what the lump might be and the appropriate medical steps to take.

Based on your description, the lump you are feeling is located below the hairline and is movable, hard, and painless. These characteristics can help narrow down potential causes. Commonly, lumps in this area can be lymph nodes, which can become enlarged due to various reasons, including infections, inflammation, or even benign conditions. Another possibility is that it could be a lipoma, which is a benign tumor made of fat tissue. These are generally soft, movable, and painless as well.

Since you mentioned that you recently had an ultrasound done at an ENT (ear, nose, and throat) clinic, and it showed no issues in the front neck area, it might be beneficial to follow up with a healthcare provider who specializes in neck and head conditions. An ENT specialist would be a good choice, as they are well-versed in conditions affecting the neck and can perform a thorough examination. If necessary, they may recommend imaging studies, such as an ultrasound or MRI, to further evaluate the lump.

In addition to consulting an ENT, if the lump persists or changes in size, shape, or becomes painful, it would be wise to seek further evaluation from a general surgeon or a primary care physician. They can provide additional insights and determine if a biopsy or further diagnostic tests are needed.

It's also important to monitor any accompanying symptoms. If you experience fever, night sweats, unexplained weight loss, or any other systemic symptoms, these could indicate a more serious condition that requires immediate medical attention.

In summary, while a movable, painless lump on the back of your neck is often benign, it is essential to have it evaluated by a qualified healthcare professional. An ENT specialist would be a suitable choice for an initial assessment, and they can guide you on the next steps based on their findings. Always trust your instincts when it comes to your health; if something feels off, it's best to get it checked out.

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