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Neck Lumps

Neck lumps can be a concerning symptom, often indicating underlying health issues such as infections, inflammation, or, in some cases, head and neck cancers. At Metro ENT, we specialise in diagnosing and treating neck lumps with precision and compassion. Whether it’s an enlarged lymph node, a benign cyst, or a malignant tumor, we work closely with each patient to develop a personalised treatment plan tailored to their specific needs and concerns.

Treatment options for neck lumps at Metro ENT may include minimally invasive procedures, surgical excision, radiation therapy, or chemotherapy, depending on the underlying cause and extent of the condition. Our multidisciplinary approach ensures that patients receive comprehensive care and support throughout their treatment journey. From early intervention to long-term management, we are dedicated to providing the highest quality of care to help patients achieve optimal outcomes and improved quality of life.

Dr Ryan De Freitas

MBBS (Hons), BMedSci, MRCS, DOHNS, FRACS

ENT Surgeon

Diagnosis & Assessment

The management of neck lumps requires a thorough assessment of the patient’s medical history and a comprehensive physical examination. This evaluation focuses not only on the characteristics of the lump but also considers potential risk factors such as smoking, alcohol consumption, and any related symptoms specific to the head and neck region, such as sore throat or difficulty swallowing. Following this initial evaluation, specific diagnostic tests, including ultrasound-guided fine-needle aspiration (FNA), are often required to investigate and accurately diagnose the underlying condition.

Testing & Treatment

Medical tests such as blood work, ultrasound imaging, CT scans, MRI scans, or PET scans may also be utilized to further assess the neck lump and aid in diagnosis. In cases involving the oropharynx, which encompasses structures like the tonsils and the base of the tongue, careful consideration must be given to differentiating benign conditions, such as branchial cysts, from potentially more serious concerns like viral-related or HPV-positive squamous cell carcinoma.

Given the rising incidence of misdiagnosis, particularly among younger, non-smoking, and non-drinking individuals, early detection and appropriate treatment are crucial. Treatment modalities for oropharyngeal cancers may include radiotherapy or Trans-Oral Robotic Surgery (TORS), especially for small tumors originating from the base of the tongue or tonsils.