The vast majority of neck lumps are reactions to ongoing infections or inflammation, and therefore, they are generally not a cause for concern. These lumps, often tender to touch and multiple, are usually enlarged glands (lymph nodes) and typically resolve spontaneously within 2-4 weeks. However, a single, painless, persistently enlarged lump (lasting more than 4 weeks) is more concerning and warrants investigation. Lumps immediately above the collarbone around the windpipe often originate from the thyroid gland, while other lumps on the side of the neck may indicate benign or cancerous processes.
Patients with persistent, painless, single or multiple enlarged lumps should be urgently referred for further assessment, especially if associated with worrying signs like non-healing ulcers, sore throat, earache, voice changes, fatigue, unexplained weight loss, or night sweats.
Patients are advised to seek a referral from their GP to the One Stop Neck Lump Clinic I run at Mercy Hospital. This unique clinic offers a comprehensive approach where a specialist head and neck radiologist performs an ultrasound of the lump, followed by a needle biopsy under ultrasound guidance. The aspirated sample is then examined by a specialist head and neck pathologist. Patients will consult with me to discuss the outcomes of the scan and biopsy, leaving the clinic with a clear understanding of the lump’s nature in approximately 85 to 90% of cases. This multidisciplinary approach ensures the best medical practice.
Private:
Auckland Head & Neck Specialists, MercyAscot,
100 Mountain Road Epsom.
E-mail: info@ahns.co.nz
Greville Dental (Visiting Surgeon), 18 Hauraki Crescent, Pinehill. E-mail: info@ofhnsurgery.co.nz
