<s>[INST] Hi.My 3 year old has a hard lump just above her right ear. I noticed that couple weeks ago and got freaked out. I asked my husband and he said that it s probably just her skull growing and not to worry about. Is this even true? I asked my daughter if it s hurting and she would say no. She s been acting normal, but I m here worried. Should I even worry? Please help. [/INST] Hi Dear,Welcome to HCM.UNDERSTANDING YOUR CONCERN. As per your query hard lump above ear in your daughter suggests mainly a dermoid cyst, with a possible intracranial extension. It could be sebaceous cyst as well which is non infected due to which no pain is there. You need to show it to a surgeon for a physical examination and a skull X-ray.That lump and the skin can be removed in a single sitting only simultaneously and they are mostly unrelated to each other, unless the lump turns out to be a lymph node. So it is advisable to get a needle biopsy of the lump prior to its excision, as it will help in planning the excision. Need not to worry about it. You should start a course of antibiotics like Amoxycillin 500mg thrice daily and some anti-inflammatory drugs like Diclofenac twice daily.Hope your concern has been resolved.Get Well Soon.Dr. Harry Maheshwari </s>