There is a lump in the throat that moves when touched, and there are mainly the following clinical possibilities: the first situation, inflammatory enlargement of the lymph nodes in the neck, this kind of inflammatory infection, which occurs in the pharynx, spreads to the lymph nodes in the outer ring of the neck, resulting in inflammatory changes of the lymph nodes, which can be acute or chronic, and the lymph nodes can be movable in both cases. In the second case, the patient has skin, subcutaneous lipoma, or thyroglossal cyst in the neck, the former is mainly located in the subcutaneous, with swallowing, inactivity, but the subcutaneous is movable, the latter with swallowing can be up and down, in the neck can also be left and right up and down. In conclusion, if patients find lumps in the neck, it is recommended that they do oropharyngeal examination to exclude oropharyngeal diseases, and it is also recommended that they do routine examination of the pharynx, ultrasound examination of the neck, and if necessary, it can be combined with CT or magnetic resonance for judgment and treatment.