HEAD AND NECK / NECK LUMPS
Neck Lump and Salivary Gland Assessment in Bintulu, Sarawak
Clear answers about neck lumps and salivary gland swelling from consultant ENT surgeon Dr. Yasmin at Kemena Pacific Hospital.
WhatsApp the clinicWhat causes a neck lump?
Most neck lumps are swollen lymph glands reacting to an infection and settle within a few weeks. Others come from the salivary glands, thyroid or skin. A lump that lasts, grows or feels hard should be examined by an ENT specialist.
Salivary gland problems
The main salivary glands sit in front of the ears (parotid) and under the jaw (submandibular). Problems include:
- Swelling and pain under the jaw at mealtimes, often from a salivary stone
- Infection of the gland, with pain, redness and fever
- A painless lump in front of the ear or under the jaw
Signs that need prompt assessment
- A neck lump lasting more than three weeks
- A lump that is growing, hard or fixed
- A lump with hoarseness, difficulty swallowing or weight loss
- A lump with blood in nasal mucus or a blocked ear on one side
- Facial weakness with a lump in front of the ear
How Dr. Yasmin assesses neck lumps
Dr. Yasmin examines the neck and the inside of the nose, mouth and throat, often with an endoscope. An ultrasound scan and a fine needle sample of the lump may be arranged to find out what it is. Treatment depends on the cause and ranges from medicine for infections to removal of a salivary stone or gland. When further treatment is needed, she explains the results and arranges the next steps.
FAQs
Is a neck lump always cancer?
No. Most are swollen glands from infection. A lump lasting more than three weeks should still be checked.
What is a fine needle sample?
A thin needle collects a few cells from the lump for testing. It is quick and done with minimal discomfort.
Why does my jaw swell when I eat?
This is often caused by a salivary stone blocking the gland and can be treated.