Hard Lumps in the Neck: What Could They Mean? - Oncology

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There is a hard lump in the neck?


Doctor, my mother is 62 years old.
One day she felt a hard lump on each side of her jaw where it connects to her neck.
The lumps are movable and do not cause any pain when pressed.
She has had them for several months and has not experienced any other physical discomfort.
What could this be?

Xiao Ru, 30~39 year old female. Ask Date: 2005/07/07

Dr. Chen Sirong reply Oncology


Hello: 1.
The most likely diagnosis is lymphadenopathy.
2.
It is mobile, which makes it more likely to be benign.
3.
It is recommended to promptly visit an otolaryngology clinic for examination of the nasopharynx and oral cavity to check for other tumors.
Sincerely, Dr.
Chen Sih-Rong, Oncology.

Reply Date: 2005/07/07

More Info


When it comes to hard lumps in the neck, particularly in someone who is 62 years old, there are several potential causes that need to be considered. The fact that these lumps are movable, non-painful, and have been present for several months is a positive sign, but it is still essential to evaluate them properly.

One common cause of hard lumps in the neck is lymphadenopathy, which refers to swollen lymph nodes. Lymph nodes can become enlarged due to various reasons, including infections, inflammation, or even malignancies. In older adults, it is not uncommon for lymph nodes to become reactive due to chronic infections or other benign conditions. If the lumps are indeed lymph nodes, their mobility and lack of pain could suggest that they are not currently reactive to an acute infection.

Another possibility is the presence of lipomas, which are benign tumors made of fatty tissue. Lipomas are typically soft, movable, and painless, and they can occur anywhere in the body, including the neck. They are generally harmless and do not require treatment unless they become bothersome or grow significantly.

Additionally, cysts, such as sebaceous cysts or branchial cleft cysts, can also present as lumps in the neck. These cysts are usually benign and can be removed if they cause discomfort or cosmetic concerns.

Given that your mother has had these lumps for several months without any associated symptoms such as pain, fever, or significant changes in size, it is likely that they are benign. However, it is crucial to have a healthcare professional evaluate them to rule out any serious conditions. A thorough physical examination, along with imaging studies such as an ultrasound or CT scan, may be necessary to assess the nature of these lumps further.

If there are any changes in the lumps, such as increased size, pain, or the development of new symptoms, it is essential to seek medical attention promptly. In some cases, a biopsy may be warranted to obtain a definitive diagnosis, especially if there is any suspicion of malignancy.

In summary, while the presence of hard lumps in the neck can be concerning, the characteristics you described suggest that they may be benign. However, it is always best to consult with a healthcare provider for a comprehensive evaluation and peace of mind. Regular monitoring and follow-up appointments can help ensure that any changes are addressed promptly.

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