Removing neck lumps
If you see Mr Cascarini for a diagnosis, it is likely that your neck lump will turn out to be benign. Most are. Benign lumps are not cancerous and may not need to be removed at all.
If the lump is large, you might want it removed because it is affecting your appearance and your confidence. It may be in a position where it causes problems – such as on the collar line. Other benign lumps may have the potential into turn into something more serious, so it’s a good idea to have them removed earlier rather than later.
Diagnosing the cause of neck lumps
Mr Cascarini works alongside Dr Gitta Madani, a Consultant Radiologist who specialises in diagnosing lumps and bumps in the neck and mouth using ultrasound scanning, fine needle aspiration and MRI scanning.
Surgical removal of benign neck lumps
This type of neck lump surgery is usually done as a day case. You will have been through your initial consultation and a range of diagnostic tests and Mr Cascarini will have discussed your treatment options. If you decide to go ahead and have your neck lump removed, he will arrange for your booking to be made at one of his surgical clinics, where the operation will be scheduled.
You will be given specific instructions from the clinic on how to prepare, whether you can eat or drink and what time to arrive. The surgery is likely to be short and, even if you have had a general anaesthetic, you will normally be able to go home later the same day. An overnight stay may be required if your surgery is planned for the afternoon.
Surgical removal of the parotid gland (one of the salivary glands), which can cause a neck lump if it becomes blocked, usually needs a couple of nights in hospital. The incision tends to be larger and a drain might be required.
Surgery to remove cancerous neck lumps
Mr Cascarini has experience and expertise in removing head and neck cancers, which may be detected because they lead to a neck lump.
Removing the cancer often requires quite extensive surgery and the lymph nodes in the neck may also need to be dissected and removed. This is to prevent the cancer spreading to the rest of the body.
Mr Cascarini uses robotic surgery techniques to reach cancers in the mouth and throat and then uses tissue reconstruction to restore as much function to the throat as possible.