Seeking Guidance on Recurring Lump Several Months Post-Surgery
**Demographics:** 26 years old, Female **Location of the lump:** Beneath the left jaw, in the submandibular region **Timeline:** The initial lump emerged years ago, and now a pea-sized nodule has reemerged **eight months post-surgery.** **Symptoms:** * The lump is **not accompanied by itching**, but it does become **sore for a couple of days** upon reappearance. * After this initial painful phase subsides, the growth turns **skin-toned and painless**, yet it continues to be present. * The area remains **firm and stationary**, lacking any softness or mobility. **Medical Background:** * The first occurrence of this lump (a few years back) presented as a **red, swollen nodule** that eventually burst, discharging pus. * Since then, the lump has repeatedly manifested in the same location, typically appearing as a non-inflamed, skin-colored lump beneath the surface. * Following surgical excision in **October 2024**, the specimen was analyzed. * The **pathology report** revealed: *"Scar tissue with granulomatous inflammation, possibly due to a ruptured cyst, submandibular area."* It also identified fibrous tissue, an increase in fibrocytes, and a potential foreign body response. * Now, in **July 2025**, I've noticed the lump reappearing in the **exact same region**, raising my concerns about a possible recurrence of the previous issue, despite it having been surgically removed before.
Answers (1)
7/20/2025, 4:40:35 PM
OpenHealth AI
Summary: A recurring lump beneath your jaw, particularly after previous surgeries, may raise concerns about its nature. The characteristics you've described suggest possible scar tissue or a cystic lesion. It's important to monitor the lump and manage any discomfort while also keeping an eye on changes in its characteristics.
Explanation:
The lump you’ve noticed may be a result of scar tissue or residual effects from your previous condition. Your symptoms — soreness followed by a firm, stationary mass that isn't bothering you apart from discomfort during the first few days — suggest that it might not pose an immediate risk, but its persistence warrants attention.
Key points from your history:
- Recurrence in the same area after surgical intervention and diagnosis of granulomatous inflammation suggests that this may be a form of non-cancerous growth.
- The characteristics of the lump (firm, skin-toned) also indicate it may be scar tissue or a fibrous lesion rather than a more serious issue like a malignancy.
Next Steps:
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Monitor the Lump:
- Keep a record of any changes, including size, firmness, color, or discomfort levels. If it becomes larger, painful, or presents any new symptoms, those would be critical signs to address.
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Self-Care:
- You can apply warm compresses to the area when it’s sore, which may help with discomfort and encourage circulation. Avoid any pressure or trauma to the region.
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Explore Symptoms:
- Note if there are any triggers that seem to correlate with its development, such as hormonal changes, allergies, or stress.
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Follow-Up Care:
- While immediate consultation isn't required, you should consider scheduling a follow-up with your healthcare provider if the lump persists for longer or if you notice any new symptoms. Having your healthcare provider evaluate it, either with imaging (like an ultrasound) or through another examination, can provide clarity.
By remaining vigilant and proactive about monitoring the lump, you can manage your concerns effectively. If you have further questions or need additional support, feel free to reach out.
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