Patients with hard lumps in the back of the neck may consult different departments depending on the nature of the hard lumps. If the hard mass belongs to superficial tissue neurofibroma, it is necessary to consult general surgery at this time, and local ultrasound examination can be improved in general surgery to clarify the size and shape of the fibroma. If the size of neurofibroma is small and there is no obvious symptom, it can be closely observed and does not need treatment for the time being. If the neurofibroma gradually increases in size during the observation and is accompanied by painful symptoms, surgical removal is recommended. If the hard mass originates from intracranial tumor lesion, it is necessary to consult neurosurgery, and the specific scope of the tumor lesion can be clarified by improving CT and MRI examination of the head, and surgery can be performed to remove the tumor lesion as soon as possible to avoid the progressive increase of the tumor, which may cause serious complications by compressing the important organs and nerves in the skull.