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Health library · Head & Neck

Thyroid swellings and neck lumps: when to get them checked

Most neck swellings are harmless, often a swollen gland from an infection. A lump that lasts, grows or feels hard should be examined.

Published by Disha Hospital, Chitradurga · Updated

Common causes of a neck swelling

A swollen lymph node from a throat or skin infection nearby is the most common cause and usually settles on its own. A thyroid swelling (goitre), a salivary gland swelling, or a cyst are other common reasons.

When a lump needs a closer look

A swelling that lasts more than two to three weeks, keeps growing, feels hard, or comes with voice change, difficulty swallowing or unexplained weight loss should be examined by a doctor.

What the examination involves

The surgeon feels the neck, mouth and throat, and may ask about family history and any other symptoms. An ultrasound is often the first scan ordered for a thyroid or neck swelling.

Needle test and biopsy

If a lump needs more than a scan, a fine needle test (FNAC) or a biopsy may be advised. These are usually done as a short outpatient procedure and the sample is sent for examination.

Is every neck lump cancer?

No. Most neck lumps are swollen glands from infection or harmless cysts. The reason for checking a lasting lump is to find the cause and treat it correctly, whatever it turns out to be.

This guide is general information. It cannot replace an examination. If you have symptoms, please see a doctor. Medical disclaimer.

Treatment for this at Disha Hospital: Head & Neck department.

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