Suspected Tumors in a Child's Neck: What to Do Next - Oncology

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There is a suspected tumor in the upper posterior neck?


Hello, Doctor: I would like to ask about my niece, who is 6 years old.
When I was giving her a bath the day before yesterday, I noticed a suspicious lump on both sides of her neck near the base of the skull while washing her hair.
When I pressed on it, she said it didn't hurt and that it was movable.
A few days ago, she had been complaining of pain and numbness in her neck.
Could this be cancer? Which specialist should we see? Thank you.

Annie, 30~39 year old female. Ask Date: 2008/09/30

Dr. Fan Sheng reply Oncology


Annie: Based on your description, it is difficult to determine whether it is cancer.
I recommend consulting a pediatric surgeon or a pediatric hematologist-oncologist.
Wishing you all the best.

Reply Date: 2008/09/30

More Info


When it comes to suspected tumors in children, especially in sensitive areas like the neck, it is crucial to approach the situation with caution and thoroughness. Your niece's case, where you discovered lumps on either side of her neck, raises valid concerns, particularly given her recent complaints of neck pain. While the lumps may not be painful to the touch, any new growths or changes in a child's body warrant further investigation.

First and foremost, it is essential to understand that not all lumps or masses in children are cancerous. Many benign conditions can present as lumps, such as lymphadenopathy (swollen lymph nodes), cysts, or even benign tumors. However, given the location and the fact that your niece has experienced pain, it is prudent to seek medical advice.

The first step is to schedule an appointment with a pediatrician. They will conduct a thorough physical examination and take a detailed medical history. The pediatrician may ask about any additional symptoms your niece may be experiencing, such as fever, weight loss, or changes in appetite, which can help in assessing the situation. Based on their findings, the pediatrician may refer you to a specialist, typically a pediatric oncologist or an ear, nose, and throat (ENT) specialist, for further evaluation.

Diagnostic imaging, such as an ultrasound or MRI, may be recommended to get a clearer picture of the lumps. These imaging studies can help determine the size, shape, and characteristics of the masses, which can provide valuable information regarding their nature. If there is any suspicion of malignancy, a biopsy may be necessary to obtain tissue samples for histological examination.

In terms of the potential for cancer, while it is a possibility that cannot be ruled out, it is important to remember that many neck masses in children are benign. Conditions such as reactive lymphadenopathy, which can occur due to infections, are common in children and often resolve on their own. However, if the lumps persist or grow, or if there are concerning features on imaging studies, further investigation will be warranted.

In summary, the best course of action is to consult a pediatrician as soon as possible. They will guide you through the necessary steps, including referrals to specialists if needed. Early evaluation and diagnosis are key to managing any potential health issues effectively. It is understandable to feel anxious about the situation, but taking proactive steps will ensure that your niece receives the appropriate care and attention.

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