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Having Lump On The Back Of Head With Neck Pain, Ear Ache And Fatigue. Should I Be Concerned?

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Posted on Tue, 3 Dec 2013
Question: My husband has had a lump on the back of his head for years but lately it has started to grow and cause him discomfort. We don't know if it is related but he has also started having neck pain, earaches, and general fatigue. The lump isn't hard, but it isn't squishy either. We have always felt it was just a cyst but are starting to become concerned. He would NEVER consent to a biopsy so I am not sure what other options are available to us to diagnose it. Additional Details The lump is currently about the size of a grape. It has almost doubled in size over the last year. The skin above it is not red. The lump does not itch.
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Answered by Dr. Indu Kumar (1 hour later)
Brief Answer: Most probably swelling is benign in nature. Detailed Answer: Hello Thanks for writing to XXXXXXX From history, it seems that your husband's swelling is chronic in nature and such chronic cases are generally benign in nature. Firstly he should be properly examined and investigated. Most cases are diagnosed on clinical and imaging basis. Biopsy is not needed in most of the cases. Swelling may be due to lipoma,dermoid etc. CT Scan(Brain) may be needed to confirm extension of disease internally. So,you should consult surgeon. Other physical problems like neck pain, earache and generalized weakness is not related to swelling. It is due to other reasons. It needs to be investigated. He needs investigations like routine hemogram,RBS,LFT,Lipid profile,RFT. For neck pain,X-ray cervical spine (AP/Lateral view) should be taken. For earache he needs ENT consultation. Get well soon Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Indu Kumar

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Practicing since :2004

Answered : 6729 Questions

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Having Lump On The Back Of Head With Neck Pain, Ear Ache And Fatigue. Should I Be Concerned?

Brief Answer: Most probably swelling is benign in nature. Detailed Answer: Hello Thanks for writing to XXXXXXX From history, it seems that your husband's swelling is chronic in nature and such chronic cases are generally benign in nature. Firstly he should be properly examined and investigated. Most cases are diagnosed on clinical and imaging basis. Biopsy is not needed in most of the cases. Swelling may be due to lipoma,dermoid etc. CT Scan(Brain) may be needed to confirm extension of disease internally. So,you should consult surgeon. Other physical problems like neck pain, earache and generalized weakness is not related to swelling. It is due to other reasons. It needs to be investigated. He needs investigations like routine hemogram,RBS,LFT,Lipid profile,RFT. For neck pain,X-ray cervical spine (AP/Lateral view) should be taken. For earache he needs ENT consultation. Get well soon Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX