HomeAnswersAllergy Specialistnasopharyngeal cancerCan lump in neck with hearing loss be due to nasopharyngeal cancer?

I have hearing loss with lump in neck. Is it due to nasopharyngeal cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At March 9, 2020
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

I am a 29-year-old female. I have had ear pressure and fullness since May of last year in my left ear only. I had a hearing test that showed mild hearing loss. About a week ago I noticed a small lump (maybe two) in my neck. It feels hard but hurts when I push on it sometimes. I do not have an ENT appointment for a few weeks and I am worried I might have nasopharyngeal cancer.

Hello,

Welcome to icliniq.com.

The chances of it being NPC (nasopharyngeal carcinoma) are minimal. To rule it out we need to do a nasal endoscopy. What hearing loss came out in the test? Conductive or sensorineural? Did you take any antibiotics to remove the neck lump in case it is due to any infection? I suggest you try a course of Amoxicillin clavulanic acid appropriate for your weight so that the lump goes off if it is due to some infection.

If you have the report on audiometry please upload the same.

Patient's Query

Thank you doctor,

The hearing test said to type a sensorineural hearing loss. I also did a nasal endoscopy but it did not show anything. Does the lymph node look like something I should be worried about?

No, I have not taken any antibiotics. I have had a cold, cough, and flu for a couple of weeks.

Hi,

Welcome back to icliniq.com.

In the setting of NPC, the patient usually has a conductive type of hearing loss with ear fullness, etc. You seem to have neural-type hearing loss which is not the usual case for an NPC. Take a course of antibiotics like I said. The node most probably will go off with that. The node appears to be due to the cold or flu.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N
Dr. Shyam Kalyan. N

Otolaryngology (E.N.T)

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