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Published on: 11/18/2024

What Are the Possible Causes of a Lump Below the Ear?

A lump below the ear can have various causes, ranging from benign conditions like swollen lymph nodes to more serious issues such as tumors. Understanding the potential causes is important for proper evaluation and treatment.

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Explanation

Lymphadenopathy:

One of the most common reasons for a lump below the ear is lymphadenopathy, which refers to swollen lymph nodes. Lymph nodes can become enlarged due to infections, such as viral or bacterial illnesses, or due to inflammatory conditions. For example, infections like the common cold, strep throat, or even dental infections can lead to swollen lymph nodes in the neck and below the ear.

Salivary Gland Issues:

Another possible cause is related to the salivary glands, particularly the parotid gland, which is located near the ear. Conditions such as sialadenitis (inflammation of the salivary gland) or the formation of a salivary gland stone can lead to swelling and lumps in this area. Tumors, both benign and malignant, can also develop in the parotid gland, leading to noticeable lumps.

Cysts and Benign Growths:

Cysts, such as epidermoid cysts or sebaceous cysts, can form in the area below the ear and may present as lumps. These are usually benign and can occur when skin cells or oil become trapped under the skin. While they are generally harmless, they can become infected or inflamed, causing discomfort.

Other Causes:

  • Infections: Infections in the ear or throat can also lead to swelling and lumps below the ear. Conditions like mastoiditis, which is an infection of the mastoid bone behind the ear, can cause significant swelling and pain.
  • Tumors: While less common, tumors in the neck or head region can present as lumps below the ear. These can be either benign or malignant, and further evaluation is necessary to determine the nature of the lump.

(References)

  • Ferrer R. Lymphadenopathy: differential diagnosis and evaluation. Am Fam Physician. 1998 Oct 15;58(6):1313-20. PMID: 9803196.

  • Gaddey HL, Riegel AM. Unexplained Lymphadenopathy: Evaluation and Differential Diagnosis. Am Fam Physician. 2016 Dec 1;94(11):896-903. PMID: 27929264.

  • Tartaglione T, Botto A, Sciandra M, Gaudino S, Danieli L, Parrilla C, Paludetti G, Colosimo C. Differential diagnosis of parotid gland tumours: which magnetic resonance findings should be taken in account? Acta Otorhinolaryngol Ital. 2015 Oct;35(5):314-20. doi: 10.14639/0392-100X-693. PMID: 26824912; PMCID: PMC4720931.

  • Barbosa TJ, Zhang M, Wang HE. Patient with swollen ear. J Am Coll Emerg Physicians Open. 2020 Apr 6;1(3):294-295. doi: 10.1002/emp2.12031. PMID: 33000048; PMCID: PMC7493492.

  • Wisecarver IR, Cusimano LA, Mundinger GS. Posterior Auricular Mass. Eplasty. 2017 Jun 22;17:ic16. PMID: 28694912; PMCID: PMC5489652.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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