Neck Lumps
Neck Lumps Services
At Spokane ENT, we provide comprehensive evaluation and management of neck masses (lumps), which can have various causes ranging from benign conditions such as reactive lymph nodes or thyroid nodules to more serious conditions including cancer. Neck lumps can occur in any age group and may be discovered by the patient or during routine physical examination. Our team specializes in the systematic evaluation of neck masses to determine the underlying cause and develop appropriate treatment plans based on the diagnosis.
We utilize advanced diagnostic techniques to evaluate neck masses, including detailed history taking to assess the duration, rate of growth, associated symptoms, and potential risk factors. Our evaluation includes comprehensive physical examination with palpation to assess the size, location, consistency, and mobility of the mass. We may perform imaging studies such as ultrasound, CT scan, or MRI to characterize the mass and assess its relationship to surrounding structures. When indicated, we perform fine needle aspiration (FNA) biopsy or core needle biopsy to obtain tissue samples for pathological analysis, which is crucial for accurate diagnosis and treatment planning.
Our treatment approach for neck masses is individualized based on the underlying diagnosis. For benign conditions such as reactive lymph nodes or benign thyroid nodules, we may recommend observation or medical management. For masses that require surgical removal, we offer minimally invasive and open surgical techniques depending on the location and characteristics of the mass. For malignant neck masses, we work closely with a multidisciplinary team including medical oncology, radiation oncology, and pathology to develop comprehensive treatment plans. Our goal is to provide accurate diagnosis, appropriate treatment, and excellent outcomes for all patients with neck masses.
Neck Lumps Resources
Frequently Asked Questions
Neck lumps can be enlarged lymph nodes (from infection, inflammation, or cancer), thyroid nodules, salivary gland masses, or congenital cysts. Evaluation by an ENT helps determine the cause.
See an ENT if a neck lump persists more than 2 weeks, grows, is hard or fixed, or is associated with swallowing problems, hoarseness, or weight loss. Early evaluation is important.
Evaluation includes history, physical exam, and often imaging (ultrasound, CT, or MRI). A fine-needle biopsy may be done to obtain a tissue sample for diagnosis.
No. Many neck lumps are benign (infection, inflammation, cysts). However, persistent or concerning lumps should be evaluated to rule out cancer or other serious conditions.
Fine-needle aspiration (FNA) uses a thin needle to remove cells from a neck mass for examination under a microscope. It helps determine if a lump is benign or cancerous.