Could a Hard, Movable Lump on My Neck Artery Be a Tumor? - Oncology

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There is a lump on the carotid artery?


During the New Year, I had a case of tonsillitis with pus.
After taking antibiotics, it improved, but I noticed a lump about 3 cm on the left artery.
It is hard, not painful, and movable.
I would like to ask the doctor if it could possibly be a tumor.

A Cheng, 20~29 year old female. Ask Date: 2016/02/23

Dr. Chen Sirong reply Oncology


A-Cheng / 23 years old / Male
1.
It is quite rare for a 23-year-old to have head and neck cancer, but lymphoma is a possibility.
Overall, the likelihood is low, but it is not entirely absent.
2.
During the Lunar New Year, there was a case of tonsillar abscess, which improved after taking antibiotics.
However, it was discovered that there is a lump approximately 3 cm in size on the left artery, so the most likely cause is swollen lymph nodes due to inflammation.
3.
The lump is hard and painless, and it is movable.
Hardness may indicate malignancy, while mobility tends to suggest benignity.
It is still advisable to seek medical attention for a definitive diagnosis from a physician.
4.
I would like to ask the doctor if it could be a tumor.
It must be a tumor, but it could be either benign or malignant.
Thank you for your correspondence.
Taoyuan Hospital
Chen Si-Rong

Reply Date: 2016/02/23

More Info


When it comes to a hard, movable lump on the neck, particularly near the artery, it is essential to consider several factors before jumping to conclusions about its nature, such as whether it could be a tumor. Based on the information provided, the lump is approximately 3 cm in size, hard, movable, and painless, which are important characteristics to note.

Firstly, it is crucial to understand that not all lumps in the neck are tumors. Many lumps can be benign, such as lymph nodes that have become enlarged due to infection or inflammation. In your case, since you mentioned a history of tonsillitis that required antibiotics, it is possible that the lump could be an enlarged lymph node reacting to the previous infection. Lymph nodes can become swollen due to various reasons, including infections, autoimmune diseases, or even benign tumors.

The fact that the lump is hard and movable is also significant. Generally, benign lumps tend to be softer and more mobile than malignant tumors, which are often fixed to the surrounding tissues. However, this is not a definitive rule, and there are exceptions. For instance, some malignant tumors can also be movable, especially in the early stages.

Given that the lump has persisted after your recent illness, it is advisable to seek further evaluation from a healthcare professional. A thorough clinical examination is essential, and your doctor may recommend imaging studies, such as an ultrasound or CT scan, to assess the characteristics of the lump more closely. These imaging studies can help determine the nature of the lump and whether it has any concerning features.

If there is still uncertainty after imaging, your doctor may suggest a biopsy to obtain a tissue sample for pathological examination. This is the most definitive way to determine whether a lump is benign or malignant. It is understandable that you may have concerns about the possibility of cancer, especially given the characteristics of the lump. However, it is important to remember that many lumps that appear concerning are often benign.

In summary, while a hard, movable lump on the neck could potentially be a tumor, it is more likely to be a benign condition, especially in the context of a recent infection. It is crucial to follow up with a healthcare provider for a proper evaluation and to discuss any necessary diagnostic tests. Early assessment and diagnosis are key to addressing any potential issues effectively. Remember, the majority of neck lumps are not cancerous, but it is always best to err on the side of caution and seek medical advice.

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