Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues

There is a 2-3 cm swelling at the junction of the lower jaw and the posterior neck, 3 cm below the right ear?

Dear Dr.
Cheng,
Two weeks ago, I woke up to find a "sudden lump about 2-3 cm" at the junction of my right jaw and the back of my neck, approximately 3 cm below my right ear.
It feels movable and firm to the touch.
I initially suspected it might be a large pimple on my earlobe, which I have been manipulating, and now it seems like there is a sebaceous cyst inside my earlobe.
Could the repeated infections be the reason for the 2-3 cm unknown lump on my jaw?
On November 5th, I visited a local hospital where the doctor performed a "left nostril endoscopy" and said everything looked fine.
He also asked if I had a fever or sore throat, to which I replied no.
He examined my throat and ears and said they looked good as well.
The doctor suggested it might be lymphadenopathy but was unsure of the cause.
He prescribed me Cephradine and Acetaminophen, but after taking them for several days, the lump has not decreased in size.
I am worried that I might have a serious illness, especially since I have a "smoking habit." I am concerned about the possibility of nasopharyngeal carcinoma.
I reviewed the early symptoms of nasopharyngeal cancer: (1) swollen neck lymph nodes: (none currently), (2) blood-streaked nasal discharge: (none currently), (3) hearing loss, tinnitus, or a feeling of blockage in the inner ear: (I have experienced a feeling of fullness in my right ear since September, but the doctor said it looked fine on November 5th), (4) nasal congestion: (I have allergic rhinitis and my right nostril is currently blocked).
The doctor performed a "left nostril endoscopy" on November 5th and said it was okay, (5) facial numbness, diplopia, or tongue muscle atrophy: (none currently).
I am so worried that I can't sleep at night! I even got up to research online...
My baby is due in two months, and I am really anxious! I am unsure if I should seek a tumor evaluation at another hospital.
I hope Dr.
Cheng can provide me with some answers! Thank you.

A-Kai, 30~39 year old female. Ask Date: 2012/11/10

Dr. Zheng Jueyi reply Otolaryngology

Dear Ah Kai,
Based on the symptoms you described, it appears that you may be experiencing lymphadenopathy.
The most common causes are infections in the head and neck region, such as infections of the ear or teeth.
An endoscopic examination typically only requires entry through one nostril, as the nasopharynx, oropharynx, and hypopharynx are centrally located, allowing for observation from one side.
If both the physician's physical examination and the endoscopic examination are normal, and you do not exhibit the six major symptoms, the likelihood of nasopharyngeal carcinoma is low.

As for the inflamed lymph nodes, antibiotics can be used for treatment.
Some may decrease in size after the infection improves, while others may remain the same.
Generally, observation is sufficient unless the lymph nodes continue to enlarge or there is persistent pain or infection, in which case a surgical biopsy may be recommended.
Wishing you peace and health.
Sincerely,
Dr.
Cheng Jue-Yi
Attending Physician, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2012/11/10

More Info

When it comes to the sudden appearance of a lump near the jaw, particularly in the area where the jaw meets the neck, there are several potential causes that need to be considered. Based on your description of the lump being movable, firm, and located near the ear, it is important to explore various possibilities, including lymphadenopathy, cysts, or even more serious conditions.

Firstly, lymph nodes can become enlarged due to a variety of reasons, including infections, inflammation, or malignancies. Given that you have a history of allergies and nasal congestion, it is possible that your body is reacting to an infection or inflammation in the upper respiratory tract, which can lead to lymph node enlargement. The fact that you have not experienced fever or throat pain is somewhat reassuring, but it does not completely rule out an underlying issue.

The lump you described could also be a sebaceous cyst or a pilar cyst, which are common benign growths that can occur in the skin. These cysts can become inflamed or infected, leading to discomfort and swelling. If you have been manipulating the area, it is possible that you have exacerbated the condition, leading to further irritation.

Another consideration is the possibility of a salivary gland issue. The submandibular gland, located beneath the jaw, can become blocked or infected, leading to swelling in that area. This could explain the firmness and the location of the lump.
Your concern about nasopharyngeal cancer is understandable, especially with your smoking history. However, the absence of other symptoms such as persistent nasal bleeding, significant weight loss, or neurological symptoms is a positive sign. While smoking is a risk factor for various cancers, including nasopharyngeal cancer, it is crucial to approach this with a balanced perspective and not jump to conclusions without further evaluation.

Since the lump has not resolved with the antibiotics prescribed, it may be beneficial to seek a second opinion or further evaluation. A thorough examination by an ear, nose, and throat (ENT) specialist is advisable. They may recommend imaging studies, such as an ultrasound or CT scan, to better visualize the lump and assess its characteristics. Additionally, if there is any suspicion of a cyst or a more serious condition, a biopsy may be warranted to obtain a definitive diagnosis.

In the meantime, it is important to manage your anxiety regarding this situation. Stress can exacerbate physical symptoms and lead to further discomfort. Engaging in relaxation techniques, such as deep breathing exercises or mindfulness, may help alleviate some of your concerns.

In summary, while there are several potential causes for the lump near your jaw, including lymphadenopathy, cysts, or salivary gland issues, it is essential to follow up with a healthcare professional for a comprehensive evaluation. Given your history of allergies and smoking, it is prudent to remain vigilant but also to approach this situation with a level-headed perspective. Seeking a second opinion or further diagnostic testing will provide clarity and help address your concerns effectively.

Similar Q&A

Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns

There are hard lumps near the neck and the lower jaw close to the masseter muscle. They are smooth and movable, and pressing on them is somewhat uncomfortable. Upon self-examination, the lump in the neck is less than 1 cm, while the one near the jawline close to the masseter musc...

Dr. Zhong Ruixian reply Pediatrics
It is more likely to be lymph nodes. If there is any enlargement or hardening, it is recommended that you seek medical evaluation!

Concerns About a Lump on the Jaw: When to See an ENT Specialist?

Hello, several years ago I noticed a lump on the angle of my left jaw. It has never been painful when pressed, but occasionally it seems to get larger, and at times it appears to shrink. Although it doesn't hurt and doesn't cause any issues, I am concerned that it has g...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possibilities based on your description, including salivary gland tumors, hemangiomas, subcutaneous masses, inflammation, salivary gland stones, and lymphadenopathy, among others. It is advisable to see a physician if the symptoms persist.

Understanding Lumps Near the Ear: When to Worry About Changes

Hello, Dr. Hsieh: A year ago, I had an examination, and the doctor said it was a lymph node. A year later, although the lump has not increased in size, I recently noticed a strange sound in my left ear when I run or open my mouth wide, which I have not experienced before. Additio...

Dr. Ye Dawei reply Otolaryngology
Sir, your issue may be related to the temporomandibular joint. I recommend that you come to the clinic for an evaluation. My clinic hours are Monday, Wednesday, Thursday, and Friday mornings.

Understanding a Lump Between the Jaw and Neck: ENT Insights

In the past month, after eating, I noticed a large lump between my right lower jaw and neck, approximately 2 to 3 centimeters in size (the left side is normal). However, after about half an hour, it disappears. I checked my oral cavity and found no ulcers, and my nasal discharge ...

Dr. Zheng Jueyi reply Otolaryngology
Hello, common issues that may involve the submandibular gland include discomfort in the neck area. If the discomfort persists, it is advisable to consult an otolaryngologist for examination.