Although masses felt in the neck are often perceived as simple swellings, they can sometimes be a sign of serious health problems. Otorhinolaryngology Specialist Op. Dr. Nimet Özalp Devseren from Özel Ento Ear Nose Throat Surgical Medical Center emphasized the importance of early diagnosis, noting that the causes of neck masses are quite diverse.

Dr. Devseren stated, “Neck masses can occur due to many reasons, ranging from lymph nodes to thyroid nodules, from benign formations such as lipomas and cysts to infections,” adding, “At this point, performing an accurate and thorough examination is extremely important. Evaluating neck masses, diagnosing them, and making the proper referrals are among the core duties of ENT specialists. Therefore, every swelling noticed in the neck must be evaluated by an ENT physician.”

Highlighting that the causes of neck masses may vary between children and adults, Dr. Nimet Özalp Devseren said: “While reactive lymph nodes caused by infections are more common in children, more serious underlying causes may be seen in adults. For this reason, the evaluation approach also differs depending on the age group. In addition, although rarely, serious conditions such as lymphoma may underlie a neck mass. Upper respiratory infections, throat infections, or dental inflammations may cause temporary swellings in the neck. However, in rare cases, neck masses may be the first sign of head and neck cancers.”

Dr. Devseren stated that every palpable swelling in the neck has a cause, and any mass lasting longer than 3 weeks must be investigated. She added that early diagnosis both facilitates treatment and prevents potential serious diseases. “If the mass is hard and immobile, growing rapidly, painless, or accompanied by hoarseness, shortness of breath, night sweats, or weight loss, a doctor should be consulted without delay,” she said.

Emphasizing the need for a detailed physical examination for the proper evaluation of neck masses, Dr. Devseren noted: “When necessary, the nature of the mass is determined using advanced methods such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and biopsy. Treatment varies depending on the underlying cause. Masses caused by infection usually regress with medication, while benign tumors can be surgically removed if they cause discomfort. In malignant masses, surgical intervention, radiotherapy, or chemotherapy may be required.”