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Soft or firm lump on a baby's or child's neck

Also called: Neck lump in a child

A lump on a baby's or child's neck is usually a swollen lymph node from a cold or infection. A lump that keeps growing, is hard, or comes with fever, night sweats, or weight loss should be checked.

Common causesSwollen lymph nodes, cysts
Usually serious?Usually not
Get checked ifGrowing, hard, or with fever or weight loss
If you think it's an emergency, call 911.Possible poisoning or something swallowed? Call Poison Control at 1-800-222-1222.

Overview

Lymph nodes swell with infections and shrink over weeks.

Some lumps are cysts present from birth.

When to get medical care

Call 911Trouble breathing or swallowing.
Get care todayRed, hot, painful lump with fever.
See a doctor soonA lump lasting more than 2 to 4 weeks or growing.

Causes

Causes include infections, cysts, and rarely cancer.

OwieClear has pages on 2 conditions that can cause soft or firm lump on a baby's or child's neck. Each shows how soon to get care.

Common causes

Less likely causes

  • RhabdomyosarcomaOften needs care today

    The most common soft tissue cancer in children.

What you can do at home

  • Watch the size.

Medicines

Antibiotics if infected.

At the doctor

The provider will check.

Questions you may be asked

  • Size
  • Fever

The exam

A neck exam.

Tests

  • Ultrasound
  • Blood tests

Prevention

Track changes.

  • Measure over time

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

Start the symptom checker

Sources

Last updated 2026-11-13.