Introduction Have you ever noticed a neck swelling and thought, “It’s painless, so it must be harmless” ? Many patients walk into my clinic with the same thought, only to realize that what seemed minor was actually a thyroid swelling , a solitary thyroid nodule , or even a parotid gland swelling . Sometimes, a simple lymph node swelling or a congenital neck swelling that has been present since childhood may reveal itself only in adulthood. As an ENT surgeon , I often advise if a neck swelling does not go away with routine treatment, don’t ignore it. Early consultation ensures that serious conditions, including malignancy, are detected in time. TL;DR Neck swellings should never be ignored , even if they are painless. Common causes include thyroid swellings , salivary gland swellings , lymph node swellings , and congenital neck swellings . Some may indicate malignancy. Always seek an ENT specialist’s opinion for proper diagnosis and treatment. Common Causes of Neck Sw...