A small, soft, mobile neck lump may represent a reactive cervical lymph node, lipoma or another benign lesion. However, since it has persisted for several months, I recommend an in-person examination rather than continued observation alone.
Next steps:
1. Assess the exact location, size, consistency, tenderness and mobility of the lump, along with the oral cavity, throat, scalp and
thyroid.
2. Consider an ultrasound of the neck to characterise the lump and determine whether it is nodal or a soft-tissue lesion.
3. If the lump is persistent, enlarging or clinically suspicious, arrange ENT evaluation and appropriate tissue sampling, usually ultrasound-guided FNA or core biopsy as indicated.
Seek prompt assessment if it is growing, hard or fixed, or if there is unexplained weight loss, night sweats, persistent fever, hoarseness or difficulty swallowing. Breathing or swallowing difficulty requires urgent care.
Please do not repeatedly squeeze or massage the lump.