Movable Tumors on the Jaw and Cheek: What You Need to Know - Oncology

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There are several lumps on the chin and face?


There are three movable lumps on the left cheek and the bottom of the chin, each approximately 1 cm in size.
They have been present for 2 to 3 years.
They tend to enlarge when there are sores in the mouth and return to their original size when the sores heal, but they have not disappeared.
What should I do?

A Gui, 10~19 year old female. Ask Date: 2015/09/03

Dr. Chen Yunfang reply Oncology


Hello: Everyone has salivary glands, from the "parotid glands" located on both sides of the cheeks, to the paired "submandibular glands" and "sublingual glands" under the chin.
In my outpatient clinic, I often encounter individuals who mistake their salivary glands for enlarged lymph nodes and come in worried that they might have lymphoma! Your description reminds me of these situations, but I still recommend that you consult a hematologist/oncologist or an otolaryngologist.
Experienced physicians can differentiate these conditions through physical examination.
Thank you for your inquiry!

Reply Date: 2015/09/03

More Info


Movable tumors or lumps in the jaw and cheek area can be concerning, especially when they have been present for an extended period, such as 2 to 3 years. The fact that these lumps are movable and change size in response to oral conditions (like mouth sores) suggests that they may not be traditional tumors but could be cysts, lipomas, or other benign growths. However, it is essential to have a thorough evaluation to determine their exact nature.


Understanding the Nature of the Lumps
1. Benign Tumors: Many lumps in the jaw and cheek area are benign. Common examples include:
- Lipomas: These are soft, movable lumps made of fat tissue. They are generally harmless and do not require treatment unless they cause discomfort or cosmetic concerns.

- Cysts: These are fluid-filled sacs that can occur in various tissues. Oral cysts can become inflamed or infected, leading to changes in size.

- Fibromas: These are benign tumors made of fibrous or connective tissue. They can also be movable and may change size based on inflammation or irritation.

2. Malignant Tumors: While less common, it is crucial to rule out malignant tumors, especially if there are changes in size, pain, or other concerning symptoms. Malignant tumors in the jaw area can include various forms of oral cancer.


Symptoms to Monitor
- Change in Size: If the lumps continue to grow or change significantly, this warrants further investigation.

- Pain or Discomfort: Persistent pain or discomfort in the area should be evaluated by a healthcare professional.

- Associated Symptoms: Symptoms such as difficulty swallowing, changes in speech, or unexplained weight loss should prompt immediate medical attention.


Recommended Actions
1. Consult a Specialist: It is advisable to see an oral surgeon or an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend imaging studies, such as an ultrasound or MRI, to assess the lumps further.

2. Biopsy: If there is any suspicion of malignancy or if the lumps do not resolve, a biopsy may be necessary. This involves taking a small sample of tissue for pathological examination to determine the nature of the lumps.

3. Monitoring: If the lumps are determined to be benign and not causing any issues, your doctor may recommend a watchful waiting approach, with regular follow-ups to monitor any changes.


Treatment Options
- Surgical Removal: If the lumps are bothersome, painful, or if there is uncertainty about their nature, surgical removal may be the best option. This can provide both a definitive diagnosis and relief from any symptoms.

- Observation: In cases where the lumps are benign and asymptomatic, regular monitoring may be sufficient.


Conclusion
In summary, movable lumps in the jaw and cheek area that have persisted for years should be evaluated by a healthcare professional. While many of these lumps are benign, it is essential to rule out any serious conditions. A thorough examination, possibly including imaging and biopsy, will help determine the appropriate course of action. Always prioritize your health and seek medical advice when in doubt about any changes in your body.

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