Advice from other specialists may be needed in certain conditions. This would usually be an ear, nose and throat (ENT) specialist in the first instance. If the lump is thought to be worrying, you would be referred to a specialist as a matter of urgency for further tests. Lumps thought to be normal reactive lymph nodes would not need further tests or referral unless they don't settle down. It will depend on the findings on examination. However, if this doesn't settle once the condition causing it to swell has gone, further tests would be done. In some cases no tests are needed if the lump is thought to be a normal lymph node, reacting to an infection or inflammation in your system. Other types of scans may also be used.Ī chest X-ray may be needed in some cases. They may also be helpful to check for infections such as glandular fever.Īn ultrasound scan is often a helpful test, to establish the nature of the lump. Blood tests may be helpful, to check on your thyroid function, and to rule out blood-related cancers such as lymphomas or leukaemias. Your doctor may then suggest some tests, depending on what they have found on examination and on where the lump is. Other checks may be relevant, depending on the site of the swelling. Your doctor may want to examine you elsewhere - for example, to listen to your lungs with a stethoscope, to look in your ears and throat for infection, or to feel for enlargement of other lymph glands or organs. (A congenital swelling called a thyroglossal cyst moves as you do this.) Or you may be asked to stick your tongue out. You may be asked to swallow while the doctor feels it (as lumps in the thyroid gland move as you swallow). This will give the doctor an idea of its location within your neck, its consistency and whether there are any other lumps. Have you any other symptoms? (Particularly feeling tired, easy bruising, sweats in the night, losing weight.).What will the doctor do?įirst the doctor will want some more information about the lump or swelling. Others are bone tumours (sarcoma) or tumours of cartilage (chondrosarcoma). Some of the cancerous lumps have already been described above. Benign tumours of other types of soft tissue, nerves or blood vessels.Tumours can be non-cancerous (benign) or cancerous. You have them in various places in your body, including many in the neck. These swell up in the process of combatting infection or inflammation in your body. The main blood vessel in your neck is your carotid artery. Your submandibular gland is under your jaw, and your sublingual glands are under your tongue. Your parotid gland is in front of your ears. There are three main salivary glands on each side of your neck. These glands release saliva when you eat, or think about food. This gland is in the middle of the lower part of your neck and helps to control your metabolism. Your skin, and the layers of tissue, fat and muscle underneath it.Lumps can come from many structures, most commonly: Lumps can arise from the outside surface of your neck, ie your skin, or from anything underneath it. Feeling out of breath or having difficulty breathing.A change in your voice (such as a hoarse voice) for more than three weeks.You will need to see your doctor for any lump which sticks around, but if you have any of the following symptoms in addition to the lump then do so as soon as possible: The most worrying types of lumps tend to feel very hard, solid or craggy, and have gradually grown over a period of a very few weeks. If it is red or very tender, it might well be an infection and it may need antibiotics. If it goes on its own, or comes and goes, it is also less likely to be anything serious. As a very broad rule, if it is soft, it is less likely to have a worrying cause. The only way to be sure your lump isn't anything to worry about is to visit the doctor and get it all checked out. Should I be concerned about a lump in my neck?
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