[49M] With a long-standing neck lump that has recently enlarged

What might be happening

Based on the information provided, possible explanations for your symptoms include:

• Lymphadenopathy: This is a condition in which lymph nodes, which are part of the body's immune system, become enlarged. This can happen for a variety of reasons, including infection, autoimmune disease, or malignancy. The fact that your lump is hard and immobile could suggest a more serious condition, such as cancer. However, this is not definitive and further tests would be needed to confirm.

  • Diagnostic tests may include blood tests, imaging studies (like an ultrasound or CT scan), or a biopsy of the lymph node. Treatment would depend on the underlying cause.

• Salivary Gland Disorders: Your salivary glands are located throughout your mouth and throat. They produce saliva, which keeps your mouth moist and helps you to digest food. Disorders of the salivary glands can cause lumps in the neck area. These can include infections, stones, or tumors.

  • Diagnostic tests may include imaging studies or a biopsy. Treatment would depend on the underlying cause.

• Lipoma: This is a benign (non-cancerous) tumor made up of fat tissue. They are usually soft, but can sometimes feel hard. Lipomas are usually not harmful, but if they grow or become bothersome, they can be removed surgically.

• Thyroid Nodule: This is a growth in the thyroid gland, which is located in the neck. Most thyroid nodules are benign, but some can be cancerous.

  • Diagnostic tests may include blood tests, imaging studies, or a biopsy. Treatment would depend on the underlying cause.

Please note that this is not an exhaustive list and other diagnoses are also possible.

What you can do

Given that your lump has been present for several years but has recently grown larger, it would be advisable to seek medical attention. A healthcare provider can examine the lump and may order further tests to determine the cause.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Difficulty breathing or swallowing
• Rapid increase in the size of the lump
• New lumps appearing
• Unexplained weight loss
• Persistent or high fever
• Night sweats

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.