Neck lumps in the elderly are taken more seriously than in younger individuals because the likelihood of cancer increases with age. While benign causes still exist, a persistent or growing neck lump in an older adult always warrants medical evaluation.
Common Causes of Neck Lumps in the Elderly:
1. Cancer (Malignancy) – Most Concerning
Types:Metastatic cancer (spread from other areas like mouth, throat, lungs, or breast)
Lymphoma
Thyroid cancer
Salivary gland tumors
Signs:
Hard, painless, fixed lump
Grows steadily
May be associated with weight loss, hoarseness, difficulty swallowing, or night sweats
2. Enlarged Lymph Nodes (Lymphadenopathy)
Cause: Infections (less common in elderly) or cancer
Note: In older adults, persistently enlarged nodes are more likely to be malignant than reactive (infection-related)
3. Thyroid Nodules or Goiter
May be benign or malignant
Features: Lump in front of the neck, may move when swallowing
Risk factors: History of radiation, family history, rapid growth
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