Discovering a Movable Lump on the Cheek: What to Do? - Oncology

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A hard lump found on the cheek?


Hello Dr.
Chen, I found a movable lump on the lower right side of my face on October 29.
It feels like a small round ball and is slightly painful when pressed.
I'm not sure which specialist I should see.
Thank you, Eva.

eva, 20~29 year old female. Ask Date: 2004/10/30

Dr. Chen Sirong reply Oncology


Hello: This is a response from Dr.
Chen Sih-Rong, Department of Plastic Surgery and Oncology.

Reply Date: 2004/10/30

More Info


When you discover a movable lump on your cheek, it can be concerning, and it's important to approach the situation with care. Based on your description, the lump feels hard, is movable, and causes slight pain when pressed. There are several potential causes for such a lump, and understanding these can help guide your next steps.


Possible Causes of a Movable Lump on the Cheek
1. Lymphadenopathy: One of the most common causes of a movable lump in the facial area is swollen lymph nodes. Lymph nodes can become enlarged due to infections, such as a cold or dental issues, or even more serious conditions. They are typically soft and movable.

2. Sebaceous Cyst: These are non-cancerous lumps that can form under the skin when a sebaceous gland becomes blocked. They are usually painless unless they become infected.

3. Lipoma: A lipoma is a benign tumor made of fat tissue. It is usually soft, movable, and painless. Lipomas can occur anywhere in the body, including the face.

4. Fibroma: This is a benign tumor made up of fibrous or connective tissue. Fibromas can also be movable and may cause discomfort if they press against surrounding tissues.

5. Infection or Abscess: If the lump is painful and red, it could be an abscess, which is a collection of pus that can occur due to infection. This would require medical attention.


What to Do Next
1. Monitor the Lump: Keep an eye on the lump for any changes in size, shape, or color. Note if it becomes more painful or if you develop other symptoms, such as fever or swelling in nearby areas.

2. Consult a Healthcare Professional: Given that the lump is causing some discomfort, it would be wise to schedule an appointment with a healthcare provider. A dermatologist or an ear, nose, and throat (ENT) specialist would be appropriate choices for evaluation. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to better understand the nature of the lump.

3. Avoid Manipulating the Lump: While it may be tempting to press or poke at the lump, doing so can lead to irritation or infection. It's best to leave it alone until you have seen a healthcare professional.

4. Prepare for Your Appointment: When you visit the doctor, be prepared to provide detailed information about the lump, including when you first noticed it, any changes you've observed, and any other symptoms you may be experiencing. This information will help the doctor make a more accurate diagnosis.


Conclusion
Finding a movable lump on your cheek can be alarming, but many causes are benign and treatable. It's essential to seek medical advice to determine the exact nature of the lump and to receive appropriate care. Early evaluation can help alleviate concerns and ensure that any necessary treatment is initiated promptly. Remember, while online resources can provide general information, they should not replace professional medical advice tailored to your specific situation.

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