A common presenting symptom is of noticing a lump in the neck. Due to the complicated nature of the anatomy of the neck (see Head and Neck Structure and Function) there are numerous possible structures that a lump could arise from. The lump could be benign (not cancer) or malignant (cancer).
To make educated clinical diagnoses a thorough examination is essential. The first thing you will usually have during a physical examination is palpation of the neck. An experienced specialist hands will often be able to significantly narrow down the possible causes. The rest of the head neck and throat will also be examined. Frequently a fibreoptic endoscopy of the nose and throat will be required at the time of the examination. This is often essential as a lump in the neck may be a sign of an under lying problem inside the throat. The procedure takes only a few minutes with the minimum of discomfort. Further diagnostic tests may include ultrasound scanning, CT scanning, biopsy or fine needle aspiration (FNA), and blood tests.
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.