The reason for this post is so others can read it and hopefully not instantly jump to the worst conclusion, I haven't had an infection, I haven't been poorly.
Positively, this week I've had blood tests and an ultrasound both of which have come back with excellent results, the doctor described my bloods as "perfect" and my radiologist scanning my lymph node said they are "perfectly healthy nodes". I suffer with extreme health anxiety and I have been crippled by this. I have been absolutely racked with fear, to the point that I have not stopped obsessing over it, particularly touching it perhaps 100 times per day and convincing myself I have cancer and that I would die (I know that cancer doesn't mean death but I was being irrational). For around six weeks now I've had a raised noticeable large lymph node behind my right ear, sitting on and behind the mastoid bone. Gun control vs.I just wanted to post more for reassurance then anything else.I see so much of this in pain management Merideth C.Abortion debates need to happen, but both sides need some ground rules Michael McCutchen, MD, MBA | Policy.It’s time to prevent the exploitation of sick people for profit Anonymous | Physician.Will Smith’s slap is a trauma response Melissa Hankins, MD | Conditions.The path to gender-affirming care is closing: We need to open it Anonymous | Policy.A new kind of metric in medicine Eve Makoff, MD | Physician.Post-Roe, miscarriage is more dangerous Kim M.How doctors should organize Drea Burbank, MD | Physician.A cancer patient’s last wish Farhan S.Gun violence is our society’s disease Leslie Mattson, MD | Policy.Why are women leaving medicine? Gaslighting.
Otherwise, watchful waiting is probably going to be the safest, least invasive and most cost-effective approach to lumps and bumps on the head. In other words, I can see it from across the room. Things that make me concerned are typically blatantly obvious. If the lump is small and difficult for someone else to find, the chance it represents something that needs to be urgently evaluated is probably zero. These lumps certainly generate a disproportionate amount of anxiety relative to the true risk that exists from them. This calcified area is not dangerous and tends to remodel and go away as the skull grows, typically within several months. This is definitely something parents notice and worry about. These areas of injury will sometimes calcify leading to a hard bony knot on the skull. Infants will often have swelling or bruising of their skull from delivery. Because these can sometimes rupture due to trauma and cause a strong inflammatory reaction, they are often surgically removed. They are rubbery and the size of a pea or lima bean. These are typically located at the part of the eyebrow closest to the temple. I have probably seen 3 to 4 kids in my career with a cyst in their eyebrow. It has never caused me any problems and is not very noticeable, so I have just lived with it.) (Your beloved, middle aged, blogging pediatrician has a thyroglossal duct cyst. Other times, they can be simply observed for problems. Occasionally, these will need to be surgically removed.
LYMPH NODES BEHIND EAR SKIN
Cysts in these locations may also have dimples or tunnel from the skin down to the cyst. Typical locations are in front of the ear (preauricular cyst), in the front middle of the neck (thyroglossal duct cyst) or the sides of the neck (brachial cleft cyst). However, some people could go their whole life with a cyst without having any problems. These can sometimes get infected and lead to problems. There are certain locations on the head that children can be born with a congenital cyst. Even then, I will simply recheck it in a few weeks to make sure it is not continuing to grow. A lymph node needs to at least the size of a marble before I even bat an eyelash at it. If a lymph node is the same size that it was a month ago, it is healthy. Bad lymph nodes keep growing and are not subtle. Healthy lymph nodes fluctuate in size, they grow and they shrink. Often these are found in young infants (2 months old), leading to an office visit (if you have an infant, feel the back of his skull a few inches above the neck… you see what I mean?). A pea-sized, rubbery knot beneath the skin is nothing to worry about. Most parents realize that lymph nodes can be found in the neck, but do not know that they are also found around the ears and at the back of the skull. By far these are the most common lumps that parent notice and worry about. These are the things that parents notice: Worst case scenario is some lumps (cysts) may need to be surgically removed, but this is rare. Fortunately, these lumps are almost always nothing to be concerned about. The first thing that comes to parents minds is that the lump represents something bad, like cancer.
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