Most cephalic masses are substantial or cystic, without pulsation. Pulsatile masses in the head and neck are less common, but they must be treated with great caution and can have serious consequences if they are not handled properly. Pulsatile masses are mostly vascular in nature and require further examination in the hospital. If the boundary of the non-pulsating mass is clear, it can be moved and there is no tenderness, there is no need to be nervous, it is generally a benign lesion, and surgery or observation can be considered. If the mass grows gradually and there is pain and discomfort and localized redness and tenderness, you should go to the hospital immediately.