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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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5 Year Child Unable To Move Neck. Swollen Lump Found Behind Tonsils. Hurts To Touch. What Could This Be?

hi my doughter is 5 yrs old.she told me she cant turn her neck left and right,mostly on one side,i thought it was becouse she slept on it wrong and got a crink so i was massageing her neck n there was a big hard swollen knot lump on her left side of her neck but it was closer to back of her neck on the side,but bhind her tonsils.she said she can swallow fine but it hurts if i touch it and if she turns her neck to that side.what could this be?
Mon, 30 Jul 2012
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Pathologist and Microbiologist,  's  Response
Hello dear!First of all let me tell you that neck masses in children are benign in about 90% of cases.In this age group most important cause is inflammation followed by a very low percentage of neoplastic neck masses.Since your child is having lump on back of her neck so most common cause can be muscle or tendon injury as neck stiffness is commonly associated with this type of lump and secondly there is severe pain on touching.Secondly it can be enlarged lymph nodes and third possibility in this age group can be tonsillitis, but it causes difficulty in swallowing also.Inflammatory lumps will regress once primary infection is treated wihin 4-6weeks but if it is persistent with or without symptoms then consult an ENT surgeon for complete examination.Stay cool and observe her for any other signs and symptoms.
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5 Year Child Unable To Move Neck. Swollen Lump Found Behind Tonsils. Hurts To Touch. What Could This Be?

Hello dear!First of all let me tell you that neck masses in children are benign in about 90% of cases.In this age group most important cause is inflammation followed by a very low percentage of neoplastic neck masses.Since your child is having lump on back of her neck so most common cause can be muscle or tendon injury as neck stiffness is commonly associated with this type of lump and secondly there is severe pain on touching.Secondly it can be enlarged lymph nodes and third possibility in this age group can be tonsillitis, but it causes difficulty in swallowing also.Inflammatory lumps will regress once primary infection is treated wihin 4-6weeks but if it is persistent with or without symptoms then consult an ENT surgeon for complete examination.Stay cool and observe her for any other signs and symptoms.