What do Neck Lumps in the elderly Mean (Page 2 ) | July 9, 2025

4. Salivary Gland Issues

Tumors: Often in the parotid or submandibular glands

Other causes: Blocked ducts or infection (less common with age)

5. Lipomas or Cysts

Benign fat or fluid-filled growths

Usually soft, mobile, and painless

Less concerning but still need evaluation if large or changing

⚠️ Red Flags That Suggest Cancer in Elderly Patients

Hard, fixed, or painless lump

Persistent lump lasting more than 2–3 weeks

Rapid growth

Associated symptoms:

Weight loss

Hoarseness or voice changes

Difficulty swallowing or breathing

Night sweats or fatigue

Persistent sore throat or ear pain (especially on one side)

What to Do

If an elderly person has a neck lump:

Do not ignore it, even if it’s painless.

See a healthcare provider for a physical exam.

Tests may include:

Ultrasound or CT scan

Fine-needle aspiration (biopsy)

Blood work

Endoscopy (if throat cancer is suspected)

Summary:
While neck lumps in younger people are often due to infections, in the elderly they carry a higher risk of being cancerous. Early detection and diagnosis are critical for effective treatment.

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