Neck and thyroid lumps may be easily palpated and seen on scans, but frequently it is necessary to take a sample of cells from the lump to determine its exact nature. FNA can often distinguish between benign and malignant neck lumps and cysts.
FNA is often performed with ultrasound guidance to ensure that an accurate sample is taken. Local anaesthetic is usually injected to numb the skin, and then a thin needle is inserted through the skin into the lump. The needle may need to be moved in and out of the lump 3-4 times to obtain an adequate sample and is then withdrawn from the skin. A small amount of bleeding can occur briefly afterwards and occasionally some tenderness or bruising can last a few days. The sample has to be processed and then carefully examined by a doctor called a cytologist afterwards. This means the result may take several days to come back. Occasionally the sample may be inadequate and a repeat sample may be required. This occurs in less than 10% of samples.
As part of our on-going commitment to providing high standards of treatment to our patients, we are proud to be registered with the Care Quality Commission under the Care Standards Act 2000.
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Dr Gerald Brookes is regularly consulted by the media for his expertise. He has been interviewed by the Daily Mail, featured on Channel 4's Embarassing Bodies, looked after The X-Factor contestants and recently, appeared on BBC Radio 2 with Chris Evans.
Media: Channel 4
Adele was experiencing dizziness and balance problems so severe that she could barely function. In desperation, after consulting her GP to no avail, she got in touch with Channel 4’s Embarrassing Bodies team. The show then contacted Dr Gerald Brookes, who was able to diagnose her rare condition as Basilar Migraine.
Catherine Eade was having dizzy spells and balance problems. When inexplicably she started suffering memory loss too, she consulted Dr Gerald Brookes at The Harley Street ENT Clinic who correctly diagnosed her problem as benign paroxysmal positional vertigo (BPPV).
The Harley Street ENT Clinic looked after The X-Factor TV show contestants for many seasons. At the end of the 2010 season, Dr Gerald Brookes was interviewed by Nicky Broyd of Boots WebMD on the perils of high pressure performing.