Soft Lumps Under the Jaw: Common ENT Concerns - Otolaryngology

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Soft lumps under the jaw, especially when they have been present for an extended period, can be a common concern and are often related to benign conditions. Given your description of the lumps being soft and movable, they could likely be lymph nodes or benign cysts, such as epidermoid cysts or lipomas.
Lymph nodes are part of the body’s immune system and can become palpable when they are enlarged due to various reasons, including infections, inflammation, or even benign conditions. In adults, particularly those around the age of 60, it is not uncommon to have palpable lymph nodes that are not indicative of any serious health issue, especially if they are soft, movable, and not associated with other symptoms like pain, fever, or significant changes in size.

Epidermoid cysts are another possibility. These are small, benign lumps that can develop under the skin and are filled with keratin. They are generally harmless and can be left untreated unless they become bothersome or infected. Lipomas, which are fatty tumors, are also soft and movable and are typically not a cause for concern unless they grow large or become painful.

It is important to consider the following points regarding your situation:
1. Duration and Stability: Since you mentioned that these lumps have been present for over five years without significant changes, this is reassuring. Stable lumps that do not change in size or character are less likely to be malignant.

2. Associated Symptoms: If the lumps are not associated with any pain, fever, or other systemic symptoms, this further suggests that they are likely benign. If you were experiencing symptoms such as difficulty swallowing, persistent pain, or changes in voice, this would warrant further investigation.

3. Family History: The fact that your mother and aunt have similar lumps could suggest a genetic predisposition to benign conditions, but it is still essential to have them evaluated by a healthcare professional to rule out any serious conditions.

4. Medical Evaluation: While many soft lumps can be benign, it is always a good idea to have any new or concerning lumps evaluated by a healthcare provider. They may perform a physical examination and, if necessary, imaging studies like an ultrasound or CT scan to better understand the nature of the lumps.

5. When to Seek Help: If you notice any changes in the lumps, such as increased size, hardness, or the development of new symptoms, it would be prudent to seek medical advice.
In summary, while the soft lumps you describe are likely benign, especially given their long-standing nature and lack of associated symptoms, it is always best to consult with a healthcare provider for a thorough evaluation. They can provide peace of mind and ensure that there are no underlying issues that need to be addressed. Regular check-ups and monitoring of any changes are advisable as part of good health management, especially as one ages.