Neck Lumps: Is It a Lipoma or Something Else? - Surgery

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Not sure if it's a lipoma?


Hello Dr.
Lin: Since childhood, I have had a lump next to my neck.
It is not painful when I touch it, and it moves when I press on it.
As I have aged, this lump has gradually decreased in size, but a few days ago, a colleague at work suddenly pointed out that the lump next to my neck has become sharper.
I wonder what the reason could be? I have ignored it all these years because I thought it was a birthmark.

Mihudandan, 20~29 year old female. Ask Date: 2004/08/03

Dr. Lin Hongmao reply Surgery


Dear Sandy: It is really difficult to diagnose without seeing it.
It could possibly be a lipoma or something like a lymph node, so it's better not to guess and to have it checked at the outpatient clinic for peace of mind.
Thank you for your question! Wishing you good health! Lin Hong-Mao

Reply Date: 2004/08/03

More Info


When it comes to neck lumps, the most common benign growths include lipomas, cysts, and lymphadenopathy. A lipoma is a soft, fatty lump that is usually painless and can move slightly when pressed. They are generally harmless and often require no treatment unless they become bothersome or for cosmetic reasons. Cysts, on the other hand, can be filled with fluid or semi-solid material and may become inflamed or infected, leading to discomfort or pain. Lymph nodes can swell due to infections, inflammation, or other medical conditions, and they may be tender to the touch.

In your case, since you mentioned that the lump has been present since childhood, is not painful, and has changed in shape, it is essential to consider a few factors. The fact that it has become more pointed could indicate a change in its structure, which might warrant further investigation. While many neck lumps are benign, any changes in size, shape, or texture should be evaluated by a healthcare professional.

It’s crucial to consult with a physician, preferably an ENT (Ear, Nose, and Throat) specialist or a general surgeon, who can perform a physical examination and may recommend imaging studies such as an ultrasound or CT scan to assess the lump further. In some cases, a biopsy may be necessary to determine the exact nature of the lump, especially if there is any suspicion of malignancy or if it exhibits unusual characteristics.

In summary, while the lump you describe may very well be a lipoma or another benign condition, the changes you’ve observed should not be ignored. It’s always better to err on the side of caution when it comes to any growths on the body, especially those that have changed over time. Seeking medical advice will provide you with peace of mind and ensure that any necessary treatment is initiated promptly.

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