Neck Lumps: When to Worry and What to Do
Finding a lump in your neck can be worrying, but most are harmless. Many neck lumps are caused by simple infections or benign (non-cancerous) conditions. However, in some cases, a neck lump can be the first sign of something more serious, so it’s important to get it checked promptly.
At Hampshire ENT clinics, our specialists provide rapid assessment, diagnosis, and treatment for all types of neck lumps, using the latest imaging and diagnostic techniques.
🩺 Common Causes of Neck Lumps
Neck lumps can develop in anyone, at any age. Common causes include:
1. Reactive or Infected Lymph Nodes
The most frequent cause of neck lumps
Usually due to viral or bacterial infections
Often tender and may come and go
2. Thyroid or Parathyroid Swelling
Lumps low in the front of the neck may come from the thyroid gland
Usually painless and move when you swallow
3. Salivary Gland Problems
Blocked or infected salivary glands can cause swelling near the jaw or under the chin
May become painful, especially during eating
4. Cysts and Benign Growths
Common in younger people (e.g. branchial cysts, thyroglossal cysts)
Typically smooth, soft, and non-tender
5. Tumours or Cancer
In adults, a persistent, firm, or enlarging lump may require further tests
Early diagnosis greatly improves outcomes
🔍 What to Expect at Hampshire ENT Clinics
Our neck lump assessment typically includes:
Detailed examination by an ENT consultant
Ultrasound scan of the neck
Fine-needle aspiration (FNA) or biopsy if needed
CT or MRI scans for deeper or complex cases
All investigations are performed quickly and locally to minimise anxiety and delay.
🌟 Why Choose Hampshire ENT Clinics?
Consultant-led, rapid-access assessment
Modern diagnostic imaging and on-site biopsy
Close links with head and neck cancer multidisciplinary teams
Personalised treatment plans, from reassurance to surgery
📞 When to Seek Advice
You should book an ENT review if you notice:
A lump lasting more than 3 weeks
A lump that’s growing or feels hard and fixed
Associated symptoms such as hoarseness, swallowing difficulty, or unexplained weight loss
Early assessment gives peace of mind and in serious cases, leads to quicker treatment and better outcomes.
👉 If you’ve noticed a neck lump, contact Hampshire ENT clinics for expert, prompt assessment and personalised care.
Frequently Asked Questions (FAQs): Neck Lumps
What is a neck lump?
A neck lump is any swelling or mass felt in the neck. It may arise from lymph nodes, the thyroid or salivary glands, cysts, or other tissues.
Are most neck lumps harmless?
Yes. The majority of neck lumps are benign, particularly those related to infections or inflammatory conditions. However, persistent lumps should always be assessed to exclude more serious causes.
What is the most common cause of a neck lump?
The most common cause is reactive lymph nodes, which enlarge in response to infections such as colds, sore throats, dental infections, or skin infections.
How long should a neck lump last before being checked?
Any neck lump that persists for more than 3 weeks, is getting bigger, or does not settle after an infection should be assessed by an ENT specialist.
What features are more concerning?
Features that warrant prompt ENT review include:
A firm or hard lump
A lump that is fixed and not mobile
Progressive enlargement
Associated symptoms such as hoarseness, difficulty swallowing, ear pain, unexplained weight loss, or night sweats
A neck lump in adults over 40 with no obvious infection
Can thyroid problems cause neck lumps?
Yes. Lumps low in the front of the neck are often related to the thyroid gland. Most thyroid nodules are benign, but they should be properly investigated.
What salivary gland problems cause neck swelling?
Blocked or infected salivary glands can cause swelling under the jaw or near the ear, sometimes painful and worse during meals.
How are neck lumps investigated?
Assessment usually includes:
Consultant ENT examination
Ultrasound scan of the neck
Fine needle aspiration (FNA) or biopsy if indicated
CT or MRI scanning for deeper or complex lumps
This structured approach allows rapid and accurate diagnosis.
Does a neck lump always mean cancer?
No. Most neck lumps are not cancer. However, in adults, a persistent unexplained neck lump is considered significant until proven otherwise, which is why timely assessment is important.
What happens after investigations?
Depending on the findings, you may be:
Reassured and discharged
Monitored with follow-up
Treated with medication
Referred for surgery or specialist care if required
Where can I be assessed?
Rapid, consultant-led neck lump assessment is available at Hampshire ENT Clinics, with access to modern imaging and biopsy services.