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
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
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.