Persistent Lumps: Are They Signs of Lymphoma? - Oncology

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An unexplained mass for nearly two years?


Hello doctor, I started noticing a lump under my left ear and below my right ear during the summer of 2014.
It doesn't hurt or itch, and it feels soft to the touch.
It has remained about the same size, roughly 1 centimeter, for over a year now.
I haven't experienced any fever, night sweats, or weight loss during this time.
I have had lumps in my groin, armpits, and neck, but they have resolved.
I remember that the lump below my right ear appeared after swelling in the parotid gland, which went down but left this lump behind.
Strangely, sometimes I feel like the lump has shrunk, but it eventually returns to its original size.
Could this be a sign of lymphoma? Additionally, I have a cavity in one of my teeth, which seems to have developed around the same time as the lump.
It has created a small hole, and I haven't addressed it yet.
Is there any connection between this and the lump?

Jiao Lv Nan Hai, 10~19 year old female. Ask Date: 2016/01/04

Dr. Lai Yicheng reply Oncology


Hello, sir: It is recommended that you consult an otolaryngologist regarding the lumps behind your left ear and below your right ear, as well as seek dental treatment for your cavities.
Maintaining good healthcare habits can provide peace of mind, and the specialists in each field will offer you the best treatment and advice.
Dr.
Lai from the Radiation Oncology Department at Changhua Hospital is concerned about you.

Reply Date: 2016/01/04

More Info


Understanding persistent lumps, especially in the context of potential lymphoma, can be a source of anxiety for many patients. In your case, you have described a soft, non-painful lump located under your right ear that has remained stable in size for over a year. This is an important detail, as the characteristics of the lump can provide clues about its nature.

Firstly, it’s essential to understand that not all lumps or swollen lymph nodes indicate cancer, including lymphoma. Lymphoma typically presents with certain characteristics, such as rapid growth, firmness, and associated systemic symptoms like fever, night sweats, and unexplained weight loss. The absence of these symptoms in your case is reassuring. The fact that your lump has not changed significantly in size and has not been accompanied by systemic symptoms is a positive sign.

Lumps in the neck area, particularly around the salivary glands, can often be benign. They can result from various causes, including infections, inflammation, or even benign tumors. In your case, you mentioned that the lump appeared after experiencing swelling in the area, which could indicate that it is related to a previous infection or inflammation, such as sialadenitis (inflammation of the salivary glands) or a reactive lymph node due to a past infection.

Regarding your dental health, it is worth noting that dental issues, such as cavities or infections, can sometimes lead to swelling in the adjacent lymph nodes. The body’s immune response to dental infections can cause lymph nodes to swell as they work to fight off the infection. However, since you have not experienced any acute symptoms related to your dental health, it is less likely that your cavity is directly causing the lump you described.

If the lump has remained stable and you are not experiencing any concerning symptoms, it may not require immediate intervention. However, it is always wise to consult with a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the lump further and rule out any serious conditions. If there are any changes in the lump's characteristics, such as an increase in size, firmness, or the development of new symptoms, it would be prudent to seek medical advice promptly.

In summary, while persistent lumps can be concerning, many are benign and do not indicate serious conditions like lymphoma, especially when they are stable and not accompanied by systemic symptoms. Your dental health may play a role, but it is essential to have a healthcare provider evaluate the lump to provide peace of mind and ensure appropriate management. Regular monitoring and open communication with your healthcare provider are key to addressing any concerns you may have regarding your health.

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