A hard lump above the ear that hurts when you touch it is mostly considered to be caused by boils on the ear, sebaceous cysts secondary infection, etc. It can be treated by topical medications, internal medications, and surgical excision. 1. Ear boils: a hard lump on top of the ear that hurts when touched may be caused by infection, initially localized red, swollen, hot, painful small nodules, and later gradually enlarged, conical bulge. Those who did not have pus in the early stage can apply topical mupirocin ointment to the lesion. Apply antibiotic anti-infection treatment, such as amoxicillin clavulanate potassium, cefuroxime and so on. In the advanced stage, if the boil has been suppurated and burst, consider incision and drainage treatment. 2. Sebaceous cysts secondary infection: due to the sebaceous gland secretion obstruction, the secretion of the gland accumulation, causing the cyst epithelium expansion and the formation of sebaceous cysts. Localized infection will lead to pain, abscess, rupture, pus and so on. It can be treated with surgical excision. A hard lump on top of the ear hurts when touched, it is recommended to go to the hospital to check the cause of the disease, and follow the doctor’s instructions for medication and treatment.