Lumps in the Neck: When to Seek Medical Advice

Lymph nodes?

Hello, doctor.
I would like to ask about a situation.
Three years ago, I accidentally touched a round lump on the area near my lower jaw and neck, which is about close to but not quite one centimeter in size.
At that time, the doctor prescribed anti-inflammatory medication, but it did not go away after finishing the course, and it has not changed in size since then.
Later, about last year or the year before (my memory is a bit unclear on when it appeared), I also found a lump on the shoulder and neck area, which is also close to but not quite one centimeter in size.
It has not gone away, but it has not noticeably increased in size either.
I am quite worried about this, so I would like to consult with the doctor about what this situation might be.
Thank you, doctor.
^^

hen danxin de ren, 20~29 year old female. Ask Date: 2013/03/27

Dr. Chen Sirong reply Oncology

It's understandable to be concerned.
At 29 years old, you should be reassured that it is likely benign.
You have previous experience, so you may not need to worry excessively.
However, it is important to be cautious and monitor for the following signs: 1.
Increase in tumor size 2.
Hardening of the tumor 3.
Tumor becoming fixed or adhered to the subcutaneous tissue or muscle, making it immobile.
If any of these occur, you should consult a doctor.
As long as you maintain the current situation, there is no need for excessive worry, just stay vigilant.

Reply Date: 2013/03/27

More Info

When it comes to lumps in the neck, it is essential to approach the situation with caution and awareness. Based on your description, you have two lumps: one near your jawline and another on your shoulder, both of which have remained stable in size for an extended period. While it is reassuring that they have not changed significantly, it is still important to understand the potential implications and when to seek medical advice.

Lumps in the neck can arise from various causes, including benign conditions such as lipomas (fatty tumors), lymphadenopathy (swollen lymph nodes), or cysts. In some cases, they may also indicate more serious conditions, including infections or malignancies. Given that you have had these lumps for a while without significant change, it is likely that they are benign, but this does not eliminate the need for further evaluation.

Here are some key points to consider regarding your situation:
1. Duration and Stability: Lumps that have been present for several years and have not changed in size are often less concerning than those that grow rapidly or change in character. However, any persistent lump should be evaluated by a healthcare professional.

2. Associated Symptoms: Pay attention to any additional symptoms that may accompany the lumps, such as pain, tenderness, fever, night sweats, unexplained weight loss, or changes in appetite. The presence of these symptoms may warrant more urgent medical evaluation.

3. Medical Evaluation: It is advisable to consult a healthcare provider, especially if you have concerns about the lumps. A thorough physical examination is essential, and your doctor may recommend imaging studies, such as an ultrasound or CT scan, to assess the lumps further. In some cases, a biopsy may be necessary to determine the nature of the lump.

4. Possible Causes: The lumps could be due to various reasons:
- Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammatory conditions, or malignancies. If the lumps are lymph nodes, they may indicate an immune response to an infection or other underlying condition.

- Cysts: Sebaceous cysts or other types of cysts can form in the skin or subcutaneous tissue and may remain stable for years.

- Lipomas: These are benign tumors composed of fatty tissue and are typically soft and movable.

5. When to Seek Immediate Care: If you notice any sudden changes in the lumps, such as rapid growth, hardness, or the development of new symptoms (e.g., fever, difficulty swallowing, or breathing issues), seek medical attention promptly.

6. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor the lumps, especially if they remain unchanged. Your doctor may recommend periodic evaluations to ensure that there are no changes over time.

In conclusion, while the stability of your lumps is a positive sign, it is still important to seek medical advice to rule out any potential issues. A healthcare professional can provide a comprehensive evaluation and guide you on the appropriate next steps. Remember, early detection and intervention are key to managing any health concerns effectively.

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