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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Lump In The Neck?

Hi, A couple of weeks ago I felt a hard lump in my neck, it's just to the left of my Adams apple and about level with it, maybe a little higher, the lump is some where between a marble and a pea in size, it doesn't hurt and it does move up and down when I swallow and stick my Tongue out, if I push it it moves inwards towards my Adams apple but kind of clicks, or pops as I move it. I have an appointment at my gp's tomorrow but I'm terrified it might be cancer, could it be a nodule on my thyroid or is it to high up in my neck? Could it be a rock hard lymph node? Do I have a lymph node where I describe? Any ideas/advice would be great.
Thu, 26 Jun 2014
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General Surgeon 's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

The history what you have described (moving up and down when I swallow and stick my tongue out) is typical of a thyroglossal cyst. This is a congenital cyst of the thyroglossal duct if not obliterated completely (which it should under nomal circumstances).However, it ought to be confirmed by a clinical examination and related investigations like a CT scan/MRI of the neck region to rule out any other swelling arising from a lymph node and or the thyroid itself, which is less likely with the typical history have narrated. If confirmed, this needs a surgery to remove the cyst.

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. Wishing you an early recovery. Dr Shareef.


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What Causes A Lump In The Neck?

Hi ! Good afternoon. I am Dr Shareef answering your query. The history what you have described (moving up and down when I swallow and stick my tongue out) is typical of a thyroglossal cyst. This is a congenital cyst of the thyroglossal duct if not obliterated completely (which it should under nomal circumstances).However, it ought to be confirmed by a clinical examination and related investigations like a CT scan/MRI of the neck region to rule out any other swelling arising from a lymph node and or the thyroid itself, which is less likely with the typical history have narrated. If confirmed, this needs a surgery to remove the cyst. 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. Wishing you an early recovery. Dr Shareef.