Neck Lumps: When to Seek Medical Advice for Lipomas - Surgery

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There are lumps growing on the neck?


I have a friend who has developed lumps on her neck that resemble lipomas.
Several years ago, a doctor at National Taiwan University Hospital mentioned that even if surgery were performed, the likelihood of recurrence would be high.
Over the past few years, she has been taking traditional Chinese medicine to maintain her health, but it has not been effective.
She continues to lose weight, and the lumps on her neck have increased in number, now extending to the front and sides.
Some guests at her home have mentioned that if this condition grows to the point of compressing the trachea, it could lead to serious complications.
Therefore, I would like to ask if anyone knows of a doctor who specializes in this type of condition, as the information we have at home comes from relatives and friends, and I am unsure how to advise her to seek medical attention.

Chen, 20~29 year old female. Ask Date: 2002/05/31

Dr. Cai Xingzhi reply Surgery


If a neck lipoma presents symptoms, surgical removal is an option.
The difficulty of the surgery is present but not overly challenging; it can typically be performed under local anesthesia and is unlikely to result in serious complications.

Reply Date: 2002/05/31

More Info


When it comes to neck lumps, particularly those resembling lipomas, it is essential to understand the nature of these growths and when to seek medical advice. Lipomas are benign tumors made up of fatty tissue, and they are generally harmless. However, there are several factors to consider when evaluating whether a lump requires further medical attention.

Firstly, it is crucial to assess the characteristics of the lump. Lipomas are typically soft, movable, and painless. They can vary in size and may appear anywhere on the body, including the neck. If your friend's lump has changed in size, shape, or color, or if it has become painful, these changes warrant a medical evaluation. Additionally, if the lump is growing rapidly or if multiple lumps are appearing, it is advisable to consult a healthcare professional.

Your friend's situation, where the lumps have multiplied and are located on both sides of the neck, raises some concerns. While lipomas are usually not a cause for alarm, the presence of multiple lumps, especially if they are causing discomfort or affecting daily activities, should be evaluated by a physician. The risk of these lumps compressing nearby structures, such as the trachea or major blood vessels, is a valid concern. If a lump is large enough to exert pressure on the trachea, it could lead to breathing difficulties, which is a medical emergency.

In terms of seeking medical advice, it is best for your friend to consult a healthcare provider who specializes in conditions of the neck, such as an otolaryngologist (ear, nose, and throat specialist) or a general surgeon. These specialists can perform a thorough examination, potentially including imaging studies like ultrasound or MRI, to determine the nature of the lumps. If necessary, they can also perform a biopsy to rule out any malignant conditions.

Regarding the treatment options, if the lumps are confirmed to be lipomas and are not causing any symptoms, the physician may recommend a watchful waiting approach. However, if the lumps are symptomatic or if your friend desires removal for cosmetic reasons, surgical excision may be considered. It is important to note that while lipomas can recur after removal, the recurrence rate is generally low, and many patients find relief from symptoms after surgery.

Your friend's use of traditional Chinese medicine (TCM) for management is not uncommon, as many individuals seek alternative therapies for various health issues. However, it is essential to recognize that while TCM may provide some benefits, it should not replace conventional medical evaluation and treatment, especially when concerning growths that could potentially lead to complications.

In conclusion, it is advisable for your friend to seek medical advice promptly, especially given the changes in her condition. A thorough evaluation by a qualified healthcare professional will provide clarity on the nature of the lumps and the best course of action. Encourage her to prioritize her health and not rely solely on anecdotal advice from family or friends. Early intervention can often lead to better outcomes and peace of mind.

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