I had a betta a few years ago with a lump like this. At the time I thought it was lymphocystis but I've since been told it was a tumour. I say it, but several other smaller lumps developed after a while.
The betta didn't seem bothered by the lump for months. He ate and swam around as usual. But the main, largest lump was just above his gill and as it grew it invaded his gill and he went rapidly downhill. When he stopped eating and just lay on the bottom of the tank, I reluctantly decided to euthanise him.
Let yours live a normal life. If the lump is a tumour there is no treatment. Since the lump is not in a place which will cause him problems, he should be able to live with it.