Hi! Good evening. I am Dr Shareef answering your query. Your problem needs to be examined clinically for a definitive diagnosis and management. However, the duration of 14 years for the lump to be there signifies that it could be just a benign lesion. If I were your doctor, after a proper clinical examination, I would advise you for a plain x-ray cervical spine, and a FNAC (fine needle aspiration cytology) of the cyst/lump if clearly felt by the examining doctor. Further management would depend on the result of clinical examination and reports of related investigations.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.

Hi,Dear,Good evening.Thanks for your query to my virtual HCM Clinic.I studied your query in-depth.In My opinion-diagnosis is-?Dermoid Cyst ?Sebaceous Cyst?or it could be a chronic mastoiditis-as the pain and tenderness is felt.? or it could be -Normal -Mastoid tuberosity with tenderness due to the deep pressure on it-misunderstood by you as-hard cystic lump behind the right ear.AS the Surgeon could not see and detect it-you would need-X-ray Skull, USG of the Cystic Swelling, and or-CAT scan or MRI to confirm the diagnostic probabilities.Treatment-Would be-a-Surgical Excision- if its proved to by lump-? Dermoid or ?Sebaceous Cyst, b-Chronic mastoiditis-would be cared by Tb-NSAIDs,Antibiotics with Surgical debridement of the mastoiditis by a ENT Surgeon-Hope this would resolve your worrying query.Wellcome for more query from you.Good day.