Neck lumps - Rajan Patel

Date Published: 
Tuesday, September 5, 2017 - 08:30

Rajan Patel talks about the diagnosis and management of neck lumps in primary care. Rajan is a head and neck surgeon at MercyAscot hospital and has a keen interest in teaching.



  • Common presentations – causes of neck lump
  • Key questions to ask patient
  • Best practice examination
  • Wider examination
  • Risk factors/red flags
  • Diagnostic features
  • Investigations to order
  • Guidance on referral
  • Specialist assessments – what to tell patients

Take home messages

  • Most neck lumps are benign
  • 10% chance of malignancy
  • Features that merit referal to specialist:
    • increase in size of neck lump
    • neck lumps greater then 2cm
    • neck lump duration greater than 6 weeks or 3 weeks if it is changeing
    • if neck lump is associated with head and neck constitutional symptoms(night sweats, fever, itch, weight loss).

          Clinician resources

          • NICE National institute of clinical excellence group UK.



          Mr Rajan Patel
          Consultant Surgeon

          To contact Rajan Click here.




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