Lumps and Pain: When to Worry About Cancer Risks - Oncology

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Unaware of what illness I have?


Doctor, since August, I have noticed a hard, round lump on the right side of my neck behind my ear.
It is not visible, only palpable, and it has not gone away for a long time.
Is there a significant chance that this could be cancer? Is there also a possibility that it is an enlarged lymph node? If I absolutely refuse to undergo Fine Needle Aspiration (FNA), are there other methods for examination? Additionally, I have experienced intermittent pain in my left abdomen (which I suspect is related to the rectum) since I was twelve years old, mostly a dull ache.
What could this condition be?

kommy, 30~39 year old female. Ask Date: 2006/12/23

Dr. Fan Sheng reply Oncology


If the mass behind the ear has not changed much since August, the likelihood of it being cancer is low.
However, it is still advisable to see an otolaryngologist to check for any nasopharyngeal tumors.
The most straightforward way to conduct other examinations would be to remove the entire mass for biopsy.
Regarding the left abdominal pain, could it be endometriosis? Should you consider consulting a gynecologist?

Reply Date: 2006/12/23

More Info


When it comes to health concerns, especially regarding lumps and persistent pain, it’s natural to feel anxious and worried about the possibility of cancer. Your description of a hard, round lump behind your ear that has not diminished over time, along with intermittent pain in your left abdomen, raises valid concerns that should be addressed with a healthcare professional.

Firstly, let’s discuss the lump behind your ear. Lumps in this area can be due to various reasons, including swollen lymph nodes, cysts, or even benign tumors. Lymph nodes can swell in response to infections, inflammation, or malignancies. While the persistence of the lump is concerning, it does not automatically indicate cancer. However, it is crucial to monitor any changes in size, shape, or associated symptoms such as pain, fever, or weight loss. If the lump remains unchanged but is hard and round, it is advisable to seek further evaluation from a healthcare provider.

If you are hesitant to undergo Fine Needle Aspiration (FNA) for testing, there are alternative methods to investigate the lump. Imaging studies such as ultrasound, CT scans, or MRI can provide valuable information about the nature of the lump without invasive procedures. These imaging techniques can help determine if the lump is solid or cystic and whether there are any concerning features that warrant further investigation. Ultimately, a thorough discussion with your healthcare provider about your concerns and preferences will help guide the best approach for diagnosis.

Now, regarding the intermittent pain in your left abdomen, which you suspect may be related to the rectum, it is essential to consider various potential causes. Abdominal pain can arise from gastrointestinal issues, such as irritable bowel syndrome, diverticulitis, or even conditions affecting the reproductive organs in females. Given that this pain has been present since you were twelve, it may be chronic and related to a non-cancerous condition. However, any persistent or worsening abdominal pain should be evaluated by a healthcare professional to rule out serious conditions, including cancer.

In both cases, it is vital to communicate openly with your healthcare provider about your symptoms, concerns, and any fears you may have regarding cancer. They can perform a comprehensive evaluation, which may include a physical examination, imaging studies, and possibly laboratory tests to arrive at a diagnosis. Early detection and intervention are key in managing any health issue effectively.

In conclusion, while the presence of a lump and persistent pain can understandably lead to anxiety about cancer, it is essential to approach these concerns with a clear plan. Seek medical advice, consider alternative diagnostic methods if you are uncomfortable with certain procedures, and ensure that you are proactive in managing your health. Remember, many lumps and pains are benign, and with appropriate medical guidance, you can find reassurance and the right path forward.

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