Enlarged Growths Below the Ear: When to Seek Medical Help

An increase in the size of a tumor located below the ear may indicate several possibilities, including the potential for malignancy, infection, or other underlying conditions. It is important to seek medical evaluation to determine the exact cause and appropriate

Hello Dr.
Tsai, my mother had a growth similar to a sarcoma located just below her left ear when I was very young, about twenty years ago, with a diameter of approximately one centimeter.
However, in the past month, I have noticed that the growth has nearly doubled in size and has turned a reddish color, with visible blood vessels.
Although she claims it is not itchy or painful, I am still very concerned and unsure if these symptoms are normal.
I also don't know which specialty she should see if she decides to seek medical attention.
Furthermore, my mother insists on not going to the doctor, so I would greatly appreciate your guidance.
Thank you very much!

Xiao Ling, 20~29 year old female. Ask Date: 2008/06/29

Dr. Cai Dongqi reply Family Medicine

Generally, benign tumors do not grow larger, are soft, may or may not be painful, and remain unchanged for a few days to several years.
In contrast, malignant tumors gradually increase in size, are hard, typically painless, and may enlarge over a period of months to a year, often presenting with irregular or ulcerated appearances.
Please consult an otolaryngologist.

Reply Date: 2008/06/29

More Info

When it comes to enlarged growths or lumps below the ear, there are several important factors to consider, especially in the context of your mother's situation. The fact that this growth has been present for over twenty years and has recently increased in size and changed color is certainly noteworthy and warrants further investigation.

Firstly, it is essential to understand that any change in size, color, or appearance of a long-standing growth should be taken seriously. While many benign conditions can cause lumps in this area, such as lipomas (fatty tumors), sebaceous cysts, or lymphadenopathy (swollen lymph nodes), the recent changes you described could indicate a need for medical evaluation. The redness and visibility of blood vessels may suggest increased vascularity or inflammation, which could be associated with various conditions, including infections or even malignancies.

In terms of when to seek medical help, the general guideline is to consult a healthcare professional if there are any changes in a growth that has been stable for a long time. This includes increases in size, changes in color, or the development of new symptoms such as pain, itching, or discharge. Although your mother reports no pain or itching, the rapid growth and color change are concerning signs that should not be ignored.

As for which medical specialty to consult, an Ear, Nose, and Throat (ENT) specialist would be an appropriate choice. ENT doctors are trained to evaluate and treat conditions related to the head and neck, including growths near the ear. They can perform a thorough examination, possibly including imaging studies like ultrasound or CT scans, to assess the nature of the growth. If necessary, they may also perform a biopsy to determine whether the growth is benign or malignant.

If your mother is resistant to seeking medical attention, it may be helpful to discuss your concerns with her in a supportive manner. Emphasize the importance of understanding what the growth is and the potential risks associated with ignoring changes in it. Sometimes, bringing a family member or a trusted friend to the appointment can help alleviate anxiety and encourage her to seek the care she needs.

In summary, while the growth may not currently be causing discomfort, the recent changes in size and color are significant and warrant a medical evaluation. An ENT specialist would be the best point of contact for this issue. Early intervention can be crucial in managing any potential problems, and it is always better to err on the side of caution when it comes to health concerns.

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