If the acne in the neck is not painful, first consider that it is caused by swollen lymph nodes, most of which are related to infectious diseases of the upper respiratory tract. If after the primary disease is cured, the symptoms of lymph nodes will not completely return to normal, and will always exist, it is necessary to carry out relevant local treatment. In addition, there is a big lump on the neck. Considering that it is a sebaceous gland cyst, which is soft and protrudes from the surface of the skin, if the cyst is broken, there will be more cheese like secretion flowing out. It is recommended that patients go to a regular hospital for relevant examinations to determine what causes them and treat them according to specific symptoms.