What are the common causes of small cysts on the neck. How can you identify symptoms of neck cysts. What treatment options are available for neck cysts. When should you see a doctor about a neck lump.

Understanding Small Cysts on the Neck

Small cysts on the neck are a common occurrence that can cause concern for many individuals. These lumps or swellings can have various causes, ranging from benign growths to more serious conditions. Understanding the nature of these cysts, their potential causes, and available treatment options is crucial for proper management and peace of mind.

Common Types of Neck Cysts

There are several types of cysts that can develop on the neck. Some of the most common include:

• Epidermoid cysts
• Sebaceous cysts
• Thyroglossal duct cysts
• Branchial cleft cysts
• Lymphatic malformations

Each type of cyst has its own characteristics and origins. For instance, epidermoid cysts are typically small, round, and filled with keratin, while sebaceous cysts are related to blocked oil glands in the skin.

Epidermoid Cysts: A Closer Look

Epidermoid cysts are among the most common types of cysts found on the neck. These benign growths develop from the outermost layer of skin (epidermis) that becomes trapped beneath the surface. They are typically:

• Small and round
• Slow-growing
• Painless unless infected
• Filled with a cheese-like, keratin-rich substance

Can epidermoid cysts become cancerous? While it’s extremely rare, there have been isolated cases where epidermoid cysts have developed into squamous cell carcinoma. However, this occurrence is so uncommon that routine removal of asymptomatic epidermoid cysts is not generally recommended.

Causes of Small Neck Cysts

The development of small cysts on the neck can be attributed to various factors. Understanding these causes can help in prevention and early detection. Some common causes include:

1. Blocked hair follicles or oil glands
2. Trauma or injury to the skin
3. Genetic predisposition
4. Hormonal changes
5. Certain skin conditions like acne

Are some people more prone to developing neck cysts? Yes, individuals with a history of acne, those who have experienced skin trauma, or those with certain genetic conditions may be more susceptible to developing cysts on the neck.

Symptoms and Identification of Neck Cysts

Recognizing the symptoms of neck cysts is crucial for timely diagnosis and treatment. Common signs include:

• A small, round bump under the skin
• Slow growth over time
• Smooth, movable texture
• Possible discoloration of the overlying skin
• Tenderness or pain if infected

How can you differentiate between a cyst and other neck lumps? While cysts are typically soft, round, and movable, other neck lumps like swollen lymph nodes tend to be firmer and may be associated with other symptoms such as fever or sore throat. However, a proper medical evaluation is necessary for accurate diagnosis.

Diagnostic Approaches for Neck Cysts

When a neck cyst is suspected, healthcare providers may employ various diagnostic methods to confirm the nature of the lump and rule out more serious conditions. These may include:

1. Physical examination
2. Ultrasound imaging
3. CT or MRI scans
4. Fine needle aspiration biopsy
5. Surgical biopsy (in rare cases)

Why is accurate diagnosis important for neck cysts? Proper diagnosis ensures appropriate treatment and helps rule out more serious conditions like thyroid nodules or malignant tumors. It also guides the choice of treatment, whether conservative management or surgical intervention is needed.

Treatment Options for Small Neck Cysts

The treatment of small neck cysts depends on various factors, including the type of cyst, its size, location, and whether it’s causing any symptoms. Treatment options may include:

• Watchful waiting for asymptomatic cysts
• Warm compresses to promote drainage
• Antibiotics for infected cysts
• Corticosteroid injections to reduce inflammation
• Surgical excision for persistent or large cysts

Is surgical removal always necessary for neck cysts? No, many small, asymptomatic cysts can be managed conservatively without surgery. However, if a cyst is large, causing discomfort, or repeatedly becoming infected, surgical removal may be recommended.

Minimally Invasive Techniques

Advancements in medical technology have led to the development of minimally invasive techniques for cyst removal. These methods often result in less scarring and faster recovery times. Some of these techniques include:

• Laser therapy
• Radiofrequency ablation
• Endoscopic removal

Are these minimally invasive techniques suitable for all types of neck cysts? While these techniques can be effective for many types of cysts, their suitability depends on factors such as the cyst’s size, location, and specific characteristics. A healthcare provider can determine the most appropriate treatment approach on a case-by-case basis.

Prevention and Self-Care for Neck Cysts

While not all neck cysts can be prevented, certain measures can help reduce the risk of their development or recurrence:

1. Maintain good skin hygiene
2. Avoid picking or squeezing existing cysts
3. Protect the neck area from trauma
4. Manage underlying skin conditions like acne
5. Stay hydrated and maintain a healthy diet

Can lifestyle changes impact the development of neck cysts? While lifestyle factors may not directly cause cysts, maintaining overall skin health through proper hygiene, a balanced diet, and avoiding skin irritants can potentially reduce the risk of cyst formation.

When to Seek Medical Attention

While many small neck cysts are harmless, certain situations warrant medical evaluation. It’s important to consult a healthcare provider if you notice:

• Rapid growth of the cyst
• Changes in color or texture of the overlying skin
• Pain or tenderness
• Signs of infection (redness, warmth, pus)
• Interference with daily activities

Should all neck lumps be evaluated by a doctor? Yes, it’s advisable to have any persistent neck lump examined by a healthcare professional, even if it’s not causing symptoms. This helps rule out more serious conditions and ensures appropriate management.

Red Flags to Watch For

Certain symptoms associated with neck lumps require immediate medical attention:

• Difficulty swallowing or breathing
• Unexplained weight loss
• Persistent fever
• Night sweats
• Hoarseness or voice changes

Why are these symptoms considered red flags? These symptoms may indicate a more serious underlying condition, such as an infection or malignancy, which requires prompt evaluation and treatment.

Long-Term Outlook and Management

The long-term outlook for individuals with small neck cysts is generally favorable. Most cysts are benign and can be effectively managed with appropriate treatment. However, ongoing monitoring and follow-up may be necessary in some cases. Long-term management strategies may include:

1. Regular self-examinations
2. Periodic check-ups with a healthcare provider
3. Prompt attention to any changes in existing cysts
4. Adherence to recommended treatment plans
5. Lifestyle modifications to promote overall skin health

Can neck cysts recur after treatment? While recurrence is possible, especially with certain types of cysts, proper treatment and follow-up care can significantly reduce this risk. If a cyst does recur, it can usually be managed effectively with additional treatment.

Psychological Impact of Neck Cysts

The presence of visible neck cysts can sometimes have psychological effects on individuals, impacting self-esteem and social interactions. It’s important to address these concerns as part of comprehensive care. Some strategies to cope with the emotional aspects include:

• Open communication with healthcare providers about concerns
• Seeking support from friends, family, or support groups
• Exploring cosmetic options when appropriate
• Focusing on overall health and well-being

How can healthcare providers address the psychological impact of neck cysts? Healthcare providers can offer support by providing clear information about the condition, discussing treatment options, and referring patients to psychological support services if needed.

Emerging Research and Future Treatments

The field of dermatology and skin health is constantly evolving, with ongoing research into new treatments and management strategies for various skin conditions, including neck cysts. Some areas of current research include:

• Novel drug therapies to shrink cysts without surgery
• Advanced imaging techniques for more accurate diagnosis
• Genetic studies to understand predisposing factors
• Improved minimally invasive removal techniques

What potential breakthroughs are on the horizon for neck cyst treatment? While specific breakthroughs are difficult to predict, ongoing research aims to develop more effective, less invasive treatments that could potentially eliminate the need for surgical intervention in many cases.

Personalized Medicine Approaches

The concept of personalized medicine is gaining traction in various fields of healthcare, including dermatology. This approach takes into account individual genetic, environmental, and lifestyle factors to tailor treatment plans. For neck cysts, personalized medicine could lead to:

• More accurate prediction of cyst development risk
• Tailored prevention strategies
• Customized treatment plans based on individual characteristics
• Improved outcomes and reduced recurrence rates

How might personalized medicine change the way neck cysts are managed in the future? By considering individual factors, personalized medicine could potentially lead to more effective prevention strategies and targeted treatments, reducing the overall incidence and impact of neck cysts.

Neck lump: MedlinePlus Medical Encyclopedia

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A neck lump is any lump, bump, or swelling in the neck.

There are many causes of lumps in the neck. The most common lumps or swellings are enlarged lymph nodes. These can be caused by bacterial or viral infections, cancer (malignancy), or other rare causes.

Swollen salivary glands under the jaw may be caused by infection or cancer. Lumps in the muscles of the neck are caused by injury or spasm of the neck muscles (torticollis). These lumps are often at the front of the neck. Lumps in the skin or just below the skin are often caused by cysts, such as sebaceous cysts.

The thyroid gland may also produce swelling or one or more lumps. This can be due to thyroid disease or cancer. Most cancers of the thyroid gland grow very slowly. They are often cured with surgery, even if they have been present for several years.

All neck lumps in children and adults should be checked right away by a health care provider. In children, most neck lumps are caused by infections that can be treated. Treatment should start quickly to prevent complications or the spread of infection.

As adults age, the likelihood of the lump being a cancer increases. This is particularly true for people who smoke or drink a lot of alcohol. Most lumps in adults are not cancers.

Lumps in the neck from swollen lymph nodes may be caused by:

• Bacterial or viral infection
• Cancer
• Thyroid disease
• Allergic reaction

Lumps in the neck due to enlarged salivary glands may be caused by:

• Infection
• Mumps
• Salivary gland tumor
• Stone in salivary duct

See your provider to have the cause of the neck lump diagnosed and treated.

Contact your provider if you have an abnormal neck swelling or lumps in your neck.

The provider will take your medical history and do a physical exam.

You may be asked questions such as:

• Where is the lump located?
• Is it a hard lump or a soft, pliable (moves slightly), bag-like (cystic) mass?
• Is it painless?
• Is the entire neck swollen?
• Has it been growing bigger? Over how many months?
• Do you have a rash or other symptoms?
• Do you have difficulty breathing?

If you are diagnosed with a goiter (thyroid gland enlargement), you may need to take medicine or have surgery to remove it.

You may need the following tests if the provider suspects a thyroid nodule or another abnormality in the neck:

• Ultrasound scan of the thyroid and neck tissues
• CT scan of the head or neck
• Radioactive thyroid scan
• Thyroid biopsy
• Lymph node biopsy

If the lump is caused by a bacterial infection, you may need to take antibiotics. If the cause is a noncancerous mass or cyst, you may need surgery to remove it.

Lump in the neck

• Lymphatic system
• Neck lump

Bell EB, Nugent A, El-Deiry MW. Differential diagnosis of neck masses. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 113.

Matlock AG, Pfaff JA. Otolaryngology. In: Walls RM. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 58.

Updated by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Sebaceous Cyst and 6 Other Causes

A bump on the back of your neck can result from a cyst, ingrown hair, or another health condition. If it grows or occurs with other symptoms, you may want to have a doctor examine it.

It can be alarming to find a new bump anywhere on your body. While some lumps can be a cause for concern, a lump on the back of the neck or along your hairline usually isn’t anything serious. It could be anything from an ingrown hair to a swollen lymph node.

Keep reading to learn more about the possible causes and how to recognize them.

Sebaceous cysts are a common type of cyst that forms in blocked or damaged sebaceous glands. These glands secrete sebum, which is an oily substance that lubricates your skin and hair.

Sebaceous cysts feel like small, soft bumps. They’re usually found on your face, neck, or torso.

In most cases, your doctor can diagnose a sebaceous cyst just by looking at it. However, they may do some additional testing, such as a skin biopsy, if the bump:

• has a diameter larger than 5 centimeters (cm)
• shows signs of infection, such as redness, pain, or pus
• grows back quickly after being removed

While sebaceous cysts are harmless, some people prefer to remove them for cosmetic reasons. If you want to remove a sebaceous cyst, talk to your doctor. They can remove it with a minor surgical procedure.

Ingrown hair

An ingrown hair is a strand of hair that either grows back into itself and reenters your skin or grows under your skin due to a clogged hair follicle. This results in a pimple-like bump around the hair. They’re more common in areas where you regularly remove hair by waxing, shaving, or other methods.

If have short hair, you might get ingrown hairs on the back of your neck, especially along the bottom of your hairline. You might have just one or a cluster of several.

Most ingrown hairs resolve on their own without any treatment. To avoid developing an infection, try not to squeeze or pick at an ingrown hair.

Boil

Boils (also called furuncles) are pus-filled bumps that form under the skin due to bacteria in your hair follicles. While you can have a boil anywhere, they’re common in hairy areas that are exposed to a lot of sweat and friction. This makes the back of your neck particularly vulnerable to boils.

Symptoms of a boil include:

• a painful, pea-sized red lump
• redness and swelling
• an increase in size over a few days
• a white or yellow tip that may drain pus
• tenderness and warmth

For small boils, you can apply a warm compress to help the boil drain. Larger boils, which can grow to be the size of a golf ball, usually need to be drained by a doctor. In some cases, your doctor might also prescribe antibiotics for more severe infections.

Lipoma

A lipoma is a noncancerous, fatty lump that grows slowly, usually between your skin and muscle. You might have one or several. Lipomas are more common in middle-aged people and usually don’t cause any health problems.

While they can grow anywhere, they tend to appear on your neck, shoulders, arms, back, abdomen, or thighs. Lipomas are usually:

• soft and doughy
• easily movable under the skin
• smaller than 5 cm in diameter, though they can grow bigger
• painful if they contain blood vessels or are large enough to put pressure on a nearby nerve

Lipomas don’t require treatment unless they start to cause pain. If you think you might have a lipoma, your doctor may want to do a quick biopsy to make sure it isn’t something else. They can also help you remove a lipoma, usually either with surgery or liposuction.

Acne keloidalis nuchae

Acne keloidalis nuchae is an inflammation of the hair follicle that causes bumps on the back of the neck, along the hairline. It begins with small, itchy bumps that eventually lead to scarring and hair loss. Over time, they turn into keloids, which are large, raised bands of scarring.

The condition is more common in dark-skinned males, particularly those with thick, curly hair. Experts aren’t sure what causes it, but it may be related to:

• close shaving
• constant irritation from sports equipment or shirt collars
• certain medications
• chronic infections
• genetic mutations

Acne keloidalis nuchae is hard to treat. Start by avoiding close shaves and making sure your shirt collar doesn’t run against the back your neck. You can also try washing the area with tar soap.

If keeping the area clean and free of friction doesn’t help, talk to your doctor. They might prescribe antibiotics or corticosteroids. In addition, laser hair removal or surgery can sometimes help.

Swollen posterior cervical lymph node

Your posterior cervical lymph nodes are located near the back of your neck. Several things can cause a swollen posterior cervical lymph node, but the most common cause is a viral infection, such as a cold or the flu.

Some other common causes of swollen lymph nodes include:

• strep throat
• ear infections
• abscessed tooth
• skin wounds or infections

Less common causes of swollen lymph nodes include:

• HIV
• lupus
• cancer

Depending on the underlying cause, you might also notice additional symptoms, such as:

• pain and tenderness in the lymph node
• runny nose, sore throat, and other symptoms of an upper respiratory infection
• fever
• chills
• night sweats
• multiple swollen lymph nodes throughout your body

If your swollen lymph nodes are due to an underlying infection, they should return to their usual size once the infection clears up. Follow up with your doctor if you can’t determine the cause or notice that the swollen node:

• doesn’t go away after a few weeks
• continues to grow
• is hard and not movable
• is accompanied by a fever, night sweats, and unexplained weight loss

Lymphoma

Lymphoma is a type of cancer that starts in the lymphocytes, which are your white blood cells. Swollen lymph nodes are often the first sign of lymphoma. However, according to the American Cancer Society, swollen lymph nodes are much more likely to be a sign of infection than of lymphoma.

Other symptoms of lymphoma include:

• night sweats
• fever
• fatigue
• skin itching
• rash
• unexplained weight loss
• pain when drinking alcohol
• bone pain

Most of the time, a lump on the back of the neck is harmless. However, it’s important to follow up with your doctor right away if you notice:

• symptoms of severe infection, such as an ongoing fever
• a bump that doesn’t go away after two to four weeks
• a lump that’s hard and not moveable
• a lump that grows or changes rapidly
• a lump that’s accompanied by night sweats or unintended weight loss

A lump on the back of the neck is usually not serious, and most go away without any treatment. If you’re concerned or have other symptoms, talk to your doctor.

Any lump that remains longer than a couple of weeks should be examined by your doctor.

Neck cyst – signs, causes and methods of treatment in “SM-Clinic”

The surgeon treats this disease

• About the disease
• Species
• Neck cyst symptoms
• Causes of neck cysts
• Neck cyst diagnosis
• Neck cyst treatment
• Prophylaxis
• Rehabilitation
• Questions and Answers
• Doctors

About the disease

Recently, congenital anomalies of the neck and face have become more common, which may be due to poor environmental conditions (primarily worsening background radiation). Lateral soft tissue cysts are usually diagnosed immediately after birth (often combined with the presence of a fistulous tract), median cysts are diagnosed several years later.

Cervical cysts are not only an aesthetic defect. The inconvenience is also associated with the presence of pathological discharge from the fistula, painful sensations when swallowing. In some cases, neck cysts are accompanied by the development of inflammation. In 1-2% of patients there is also a risk of malignant degeneration.

Treatment involves surgery. Puncture and introduction of sclerosants into the cyst cavity is not very effective.

Species

According to the classification, the following types of neck cysts are distinguished:

• median (central) – located along the central vertical of the neck;
• lateral (lateral) – localized on the right or left.

Congenital cysts of the neck are often accompanied by fistulas. If the fistulous canal has 2 openings (one opens on the skin of the anterior surface of the neck, and the other on the mucous membrane of the oral cavity), then it is complete. A fistula is considered incomplete when there is only 1 fistula.

Neck cyst symptoms

Lateral neck cysts are more common than median cysts. Often they are asymptomatic for a long time. The tumor-like formation usually becomes well visualized when the head is turned to the side contralateral to the cyst. Cystic formation is usually elastic to the touch, not soldered to the surrounding tissues. Subjective symptoms of neck cysts with lateral localization usually appear when the contents are suppurated or when the formation is large, when there is compression of the large vessels and nerves of the neck.

Central cysts are usually located in the space between the superior surface of the thyroid cartilage and the hyoid bone. The position of the cyst can vary, being somewhat away from the midline, above the hyoid bone, below the upper edge of the thyroid cartilage.

Median cysts of the neck are usually round, elastic to the touch and little mobile. They move a little when swallowing. In the absence of complications, the skin over the cyst is not changed, while the skin can be taken in a fold. When feeling the formation of pain is absent. As a rule, the size of the central cysts is usually 20-40 mm. With suppuration of the median cyst, the likelihood of the formation of a fistulous tunnel increases. Fistulas are formed when pus finds a way out (the fistulous opening is located on the front surface of the neck. The fistulous discharge can periodically irritate the skin and lead to its maceration.

Causes of a cyst in the neck

Causes of a cyst in the neck are associated with a deviation from the normal course of the embryonic period.

• Lateral cysts. It is believed that their formation is due to the non-closure of the gill furrows. As a rule, this pathological process is associated with the action of unfavorable factors on the embryo at the 4-6th week of development.
• Median cysts. It is believed that they develop as a result of a delay in the reverse development (reduction) of the prenatal existing thyroid duct (it extends from the blind opening of the tongue to the thyroid gland). If this duct does not undergo reverse development, then it can transform into derivatives such as the pyramidal process of the thyroid gland, accessory thyroid glands, cysts and fistulas. The impact of unfavorable factors on the embryo at the 6-7th week of development creates prerequisites for the formation of median cysts.

Get advice

If you experience these symptoms, we recommend that you make an appointment with your doctor. Timely consultation will prevent negative consequences for your health.

To learn more about the disease, prices for treatment and sign up for a consultation with a specialist, you can call:

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Treatment is carried out in accordance with clinical recommendations

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Comprehensive assessment of the nature of the disease and treatment prognosis

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Neck cyst diagnostics

In order to diagnose and differential diagnosis of cysts and fistulas of the neck, paraclinical studies are carried out to exclude the specific nature of the pathological formations of the anterior surface of the neck.

• Contrast radiography – allows you to determine the size of the cyst, the nature of its structure, the presence of lateral branches, connection with the hyoid bone.
• Ultrasound scanning – ultrasound shows the size of the formation, its structure and connection with nearby organs.
• Computed (CT) or magnetic resonance imaging (MRI) – performed in complex clinical cases and allows you to assess in detail what the cyst looks like and what signs are characteristic of it.
• Puncture and cytological examination of the contents.

The final diagnosis of neck cysts is based on imaging data. And sometimes a morphological assessment of the cellular composition is also required.

Expert opinion

Although central cysts and fistulas of the neck are prenatal anomalies, they are rarely detected immediately after birth. As a rule, they are diagnosed in childhood or adolescence, sometimes even in adulthood. This feature is due to the fact that the central cysts increase in size very slowly, usually within 8-10 years. As practice shows, most often the time interval from the onset of the first symptoms to the visit to the doctor is from 6 months to 3 years.

Shikhaleva Natalya Gennadievna

Traumatologist-orthopedist, plastic surgeon, doctor of the highest category, MD

Treatment of neck cysts

Treatment of neck cysts is performed surgically.

Conservative treatment

The introduction of sclerosing agents into the cyst cavity is not very effective, so this method is practically not used at present.

Surgical treatment

Recently, in operations to remove median cysts and fistulas of the neck, doctors have begun to use microsurgical technology. The method allows you to consider in more detail all possible branches of the fistulous tract or strand and radically excise them, isolate the fistula or cyst from soldered and scar tissue.

Prevention

Pregravid preparation and creation of optimal conditions for prolonging pregnancy (reducing the risk of infectious diseases in a pregnant woman, protection from radiation, providing the body of a pregnant woman with vitamins and minerals, avoiding the unreasonable use of drugs) can reduce the likelihood of formation of neck cysts.

Rehabilitation

After surgery, the patient is recommended to come for dressings and antiseptic treatment of the surgical wound. This helps to create optimal conditions for tissue repair and wound healing.

Questions and Answers

Diagnosis and treatment of this condition is carried out by a general surgeon, an orthopedic traumatologist, and in some cases the assistance of an oral and maxillofacial surgeon is also required.

The contents of the cysts are viscous, opaque with a yellowish tint. The inflammatory process to which cysts are subject leads to the formation of persistent fistulas. Very often, the inflammatory process in cysts is provoked by viral colds and foci of chronic infection of the pharynx (chronic tonsillitis, chronic pharyngitis, hypertrophy of the lingual tonsil). Neck cysts can also suppurate and undergo malignant transformation.

Bogdanov K.P. About median cysts and fistulas of the neck. Anatomical and topographic characteristics: author. dis. … cand. honey. Sciences. – M., 1963. – 14 p.

Kiselev A.S., Pazhetnev A.N. Branchiogenic brushes and fistulas of the neck and face // Ros. otorhinolaryngitis – 2007. – No. 5. – P. 91–94.

Shulga I. A., Zheleznov A. M., Shulga A. I. Median cysts and fistulas of the neck, their surgical treatment. – Orenburg, 2007. – 116 p.

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