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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does an oval lump on neck indicate?

hi.. I am 26 female.. i Noticed an oval lump in the back of my is 2 cm below the hairline. it is oblong. about 4 cm vertically and 2 cm horizontally. its in the centre and more towards the left side.i noticed it 2 weeks before and did a 5 day course of anti-inflammatory( paracetamol

+ serratiopeptidase + aceclofenac)'s firm to hard in consistency.. what should i do ?

i have past history of undergoing one operation 3 months back for a nodule on my lower back which seemed like a nodular melanoma coz of the overlying skin which became like a mole..i had excisional biopsy and it reported it to be benign dermal i was relieved... what shd my next action be ?
Wed, 25 Mar 2015
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Pathologist and Microbiologist 's  Response
Hi, thanks for writing to HCM and sharing your health problem!

Well, If I were your treating Doctor for this case of an oval lump on the nape of the neck, I would come up with three possibilities, these include:

1.     lymph nodes due to some chronic disorder like local infection, trauma, bruises, injuries, tuberculosis, lymphoma or chronic throat / neck infection or even malignant diseases in elderly people! possibility 80%

2.     The second possibility is of benign and simple conditions like lipoma or neurofibroma; there is nothing to worry about these! possibility 10%
3.     The last possibility is of sebaceous cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also! possibility 10%

Therefore, the treatment only depends upon the diagnosis and generally medicines are sufficient in majority of cases!

I suggest you to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns!

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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