[27F] With a long-standing lump behind the ear

What might be happening

Based on the information you have provided, here are some possible explanations for the lump behind your ear:

• Benign Cyst: A common cause of lumps behind the ear is a benign cyst, such as an epidermoid cyst or a sebaceous cyst. These are usually harmless, non-cancerous growths that can remain unchanged for years.

  • Treatment: Typically, no treatment is necessary unless the cyst becomes infected or bothersome. In such cases, a doctor might recommend removal.

• Lipoma: Another possibility is a lipoma, which is a benign tumor made up of fat tissue. Lipomas are generally soft, but they can sometimes feel firm and are usually painless.

  • Treatment: Lipomas usually do not require treatment unless they cause discomfort or cosmetic concerns. Surgical removal is an option if needed.

• Lymph Node: Although less likely given the duration and lack of change, a swollen lymph node could be another explanation. Lymph nodes can become enlarged due to infections or other immune responses.

  • Treatment: If it were a lymph node, it would typically resolve on its own or with treatment of the underlying cause. Persistent or unexplained lymph node enlargement should be evaluated by a doctor.

• Other Benign Tumors: There are other types of benign tumors that could present as a lump behind the ear, such as a fibroma or a neurofibroma.

  • Treatment: These usually do not require treatment unless they cause symptoms or cosmetic concerns.

What you can do

While the lump does not seem to be causing any immediate issues, it is always a good idea to have it evaluated by a healthcare professional to rule out any serious conditions. Here are some steps you can take:

1. Consult a Doctor: Schedule an appointment with your primary care physician or a dermatologist to have the lump examined. They may perform a physical examination and possibly recommend imaging tests or a biopsy to determine the nature of the lump.
2. Monitor the Lump: Keep an eye on the lump for any changes in size, shape, or symptoms. Note any new symptoms that may arise.
3. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track any changes in the lump, and share this information with your healthcare provider. This can help in monitoring the condition over time.

What you should look out for

While the lump has been stable for years, there are certain signs that should prompt more immediate medical attention:

• Rapid Growth: If the lump suddenly starts to grow or change in shape.
• Pain or Discomfort: If the lump becomes painful or tender.
• Skin Changes: If the skin over the lump becomes red, inflamed, or ulcerated.
• Systemic Symptoms: If you develop other symptoms such as unexplained weight loss, fever, or night sweats.

Remember, while the lump is likely benign, it is always best to get a professional evaluation to ensure there are no underlying issues. If you have any further questions or concerns, feel free to reach out to a healthcare provider.