Neck and Thyroid Clinic

The Neck and Thyroid Clinic at Spire Portsmouth Hospital offers fast diagnosis and treatment for lumps in the neck and thyroid. The service is open to everyone, with or without a GP referral.

Fast diagnosis and treatment - for your peace of mind

The clinic is led by Consultant Head and Neck and Thyroid Surgeons Mr Costa Repanos and Mr Saliya Caldera and is supported by specialist radiologists and pathologists. The clinic offers:

  • Rapid appointments
  • Access to specialist consultants
  • An experienced and supportive team
  • A full range of diagnostic treatments
  • Fast results

Visiting the Clinic

You can arrange an appointment at the clinic by calling 02392 456 172. Appointments are usually available within a week to ten days. A visit to the clinic would include:

  • An examination and review of your medical history
  • A flexible endoscopic examination
  • High resolution ultrasound by a specialist radiology consultant
  • Fine needle aspiration or core biopsy if indicated by the examination
  • Blood tests if required

You will be given your results as soon as possible after your initial visit, and in most cases peace of mind is restored. Should you need any further treatment, Spire Portsmouth Hospital can offer fast access to specialist private healthcare.


Mr Costa Repanos
Consultant ENT, Head and neck and thyroid surgeon

Mr Tim Mellor

Mr Rajiv Anand

Consultant Oral and Maxillofacial Surgeon

Mr Tim Mellor
Consultant Oral, Maxillofacial and Plastic Surgeon

Neck and thyroid lumps

Neck lumps are a common clinical problem, and the majority are benign. However, cancers of the mouth, throat, voice box (larynx), thyroid and some lymphomas (blood cancers) can first appear as painless, growing neck lumps.

A lump in the neck that persists for more than three weeks, especially if it is not associated with a cold, flu, or other infection should be assessed by a specialist consultant.

There are many different causes of neck lumps and the most common are listed below:

Thyroid gland
The thyroid gland is an important hormone gland situated just below the Adam’s apple in the neck. The gland produces a hormone (thyroxine) which is essential to control the body’s metabolism and well-being.

Lumps are very commonly found within this gland. The majority of such nodules are not serious, however about 5% (1 in 20) are cancers, which is why clinical assessment and thorough investigations are required.*

Several methods can be used to investigate thyroid lumps. An ultrasound is most frequently used to assess the lump and accurately guide a fine needle to take a small biopsy.

Thyroid surgery (thyroidectomy) may be performed for various reasons: if the lump is potentially malignant, if there is a cosmetic issue as a result of its size or if the thyroid is overactive. Surgery can be done through conventional ‘open’ surgery or endoscopically (‘keyhole’ thyroidectomy) for improved cosmetic results.

Parotid gland
The parotid gland is the largest salivary gland, positioned just below the ear and behind the jaw. It produces saliva that helps in the process of chewing foods and swallowing.

Lumps in the parotid gland are common among all ages. The majority are not cancerous but they can contain cancer cells, which is why thorough investigations are recommended.

Benign lumps can cause problems due to their increasing size, which can lead to unsightly swelling and pain. Stones can also form in the gland blocking the ducts that release saliva, which can cause painful swelling and infections.

Lymph nodes
Enlarged lymph nodes is the most common cause of neck lumps. The lymph nodes are part of the immune system and often enlarge when the body tries to fight off an infection. When the infection recedes, the swelling of the lymph nodes should subside as well. If they remain swollen, and especially if they continue to grow, they require medical attention.

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