Is It a Tumor? Painful Swelling and Lumps - Oncology

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Is it a tumor?


I have pain and swelling on both sides of my shoulders near the neck area, which hurts when pressed.
After self-massaging, it becomes red and tender.
I also have a few lumps about 1 to 2 centimeters in size near the back of my head and throat.
I visited a doctor due to throat inflammation, and the doctor said it should be fine.
However, the swelling at the back of my head has been present for four to five months.
Should I be concerned? Thank you.

Tian Kong Lan, 10~19 year old female. Ask Date: 2011/05/07

Dr. Chen Junyi reply Oncology


Please visit an otolaryngologist.

Reply Date: 2011/05/07

More Info


When it comes to understanding painful swelling and lumps, particularly in the context of your symptoms, it's essential to consider several factors. The presence of lumps or swelling in the neck and shoulder area can be concerning, especially if they have persisted for several months. However, the interpretation of these symptoms largely depends on their characteristics, duration, and associated symptoms.

From your description, it seems that you have multiple lumps in the back of your head and near your throat, with some tenderness when pressed. The fact that you have been experiencing throat inflammation could suggest that some of these lumps may be reactive lymph nodes. Lymph nodes can swell in response to infections, inflammation, or other stimuli, and they often return to normal size once the underlying issue resolves.
In your case, the doctor has indicated that the lumps are likely not a cause for concern, especially if they are associated with throat inflammation. However, the persistence of the lump at the back of your head for four to five months warrants further evaluation. While many lumps are benign, such as cysts or swollen lymph nodes due to infection, some may require further investigation to rule out more serious conditions, including tumors.

It's important to note that not all lumps are tumors, and many can be benign. For instance, lipomas (fatty tumors) and sebaceous cysts are common benign lumps that can occur in various parts of the body. However, if a lump is hard, fixed, growing, or associated with other symptoms such as weight loss, night sweats, or fever, it may require more thorough investigation, including imaging studies or a biopsy.

In your situation, since the lumps have been present for several months, it would be prudent to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the characteristics of the lumps and determine if further action is necessary. If there is any concern about the nature of the lumps, a referral to a specialist, such as an otolaryngologist (ear, nose, and throat doctor) or a surgeon, may be warranted for further evaluation.

In summary, while the lumps you describe may be benign, their persistence and the associated symptoms should not be ignored. Regular follow-up and communication with your healthcare provider are crucial to ensure that any potential issues are addressed promptly. If you notice any changes in the lumps, such as increased size, pain, or new symptoms, it is essential to seek medical attention as soon as possible. Remember, early detection and intervention are key to managing any health concerns effectively.

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