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Your Guide to a Neck Mass Biopsy: Procedure, Risks, and Recovery



Undergoing a neck biopsy can be a nerve-wracking experience, but with the right preparation, you can approach the procedure with confidence and peace of mind.


Woman's neck

Neck Mass

A neck mass is an abnormal lump in the neck. These masses can vary in size, from being large enough to see and feel to very small. While most neck lumps are harmless and benign, some may indicate an underlying condition.


A cervical lymph node biopsy is a medical procedure where a small sample of tissue is taken from a suspicious area in the neck to be examined under a microscope. This can help diagnose conditions such as infections, inflammatory diseases, or cancers.



When a Neck Mass Biopsy Might Be Needed

If a neck mass persists for more than a few weeks or is growing, it might warrant a biopsy to rule out malignancy. Likewise, neck masses that don't have a clear cause, such as an infection or inflammation, may require a biopsy for further evaluation. A history of cancer or other significant medical conditions might also lead a doctor to recommend a biopsy.



When a Neck Mass Biopsy Might Not Be Necessary

In several cases, a biopsy may not be necessary. If a neck mass is associated with an obvious infection (like a sore throat or dental infection), it might resolve with treatment and not require a biopsy. Enlarged lymph nodes due to recent illness or inflammation may not need a biopsy if they shrink over time. Certain congenital cysts or benign masses may be diagnosed through imaging and physical examination without the need for a biopsy.


Infectious Causes

If a neck mass is associated with an obvious infection (like a sore throat or dental infection), it might resolve with treatment and not require a biopsy.


Reactive Lymph Nodes

Reactive lymph nodes are lymph nodes that have become swollen in response to an infection, inflammation, or other conditions. They are part of the body’s immune system and play a crucial role in fighting off infections and illnesses. Enlarged lymph nodes due to recent illness or inflammation may not need a biopsy if they shrink over time.


Congenital or Benign Conditions

Certain congenital cysts or benign masses may be diagnosed through imaging and physical examination without the need for a biopsy.



Understanding the Procedure

Before your neck biopsy, it's essential to understand what the procedure entails. There are different types of neck biopsies, including:


  • Fine Needle Aspiration¹(FNA): A thin needle is used to extract cells or fluid from a lump or mass. Often well-tolerated and performed with local anesthesia to numb the area. Usually takes about 15-30 minutes.

  • Core Needle Biopsy²⁾: A larger needle is used to remove a small cylinder of tissue. Typically, well-tolerated and done with local anesthesia, but sedation may be used in some cases. Typically takes around 30-60 minutes.

  • Surgical Biopsy³⁾: A small incision is made to remove a larger sample of tissue, which may require stitches afterward. Can take 60 minutes or more, especially if it requires anesthesia and stitches.


Your doctor will recommend the type of biopsy based on the nature of the suspicious area.



Discuss Your Medical History

Provide your healthcare provider with a complete medical history, including:


  • Current Medications: List all medications you are taking, including over-the-counter drugs, supplements, and herbal remedies.

  • Allergies: Inform your doctor about any known allergies, especially to medications or anesthesia.

  • Medical Conditions: Mention any existing medical conditions, such as bleeding disorders or infections.



Follow Pre-Procedure Instructions

Your doctor will give you specific instructions to follow before the biopsy. Common pre-procedure guidelines include:


  • Fasting: You may be asked not to eat or drink 6-8 hours before the procedure, especially if you will be receiving sedation or general anesthesia.

  • Medication Adjustments: Your doctor might instruct you to stop taking certain medications, such as blood thinners or anti-inflammatory drugs, a few days before the biopsy to reduce the risk of bleeding.

  • Clothing: Wear comfortable, loose-fitting clothing that allows easy access to your neck. You may be asked to change into a hospital gown.



Potential Risks and Complications

While neck biopsies are generally safe, there are potential risks and complications, including⁽⁾:


  • Bleeding

  • Infection at the biopsy site

  • Pain at the biopsy site

  • Bruising

  • Scarring

  • Anesthesia complications



How long will it take to get the results?

The time it takes to get biopsy results can take 7-10 days.



Plan for Recovery

Consider taking the rest of the day off to rest after the biopsy. Most patients can return to their regular activities the next day, but it’s a good idea to avoid strenuous activities for a few days to allow the biopsy site to heal.



Post-Procedure Care

After the biopsy, follow your doctor’s post-procedure care instructions carefully. These may include:


  • Wound Care: Keep the biopsy site clean and dry. You may need to change dressings if you had a surgical biopsy.

  • Pain Management: Over-the-counter pain relievers, such as acetaminophen, can help manage any discomfort. Avoid aspirin and ibuprofen, as they can increase the risk of bleeding.

  • Watch for Complications: Be aware of signs of infection, such as redness, swelling, or pus at the biopsy site, fever, or increased pain. Contact your healthcare provider if you experience any of these symptoms.



REFERENCES

[1] Sigmon DF, Fatima S. Fine Needle Aspiration. [Updated 2022 May 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557486/


[2] Mayo Foundation for Medical Education and Research. (2022a, August 20). Needle biopsy. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/needle-biopsy/about/pac-20394749


[3] National Cancer Institute. (n.d.). NCI Dictionary of Cancer terms. Comprehensive Cancer Information - NCI. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/surgical-biopsy


[4] Cleveland Clinic medical. (n.d.). What is a lymph node biopsy?. Cleveland Clinic. https://my.clevelandclinic.org/health/diagnostics/lymph-node-biopsy




 


Schedule a Neck Biopsy in Hollywood, FL


If you've noticed a lump or unusual growth in your neck, it's important to get it checked by a doctor. Don't wait! Call us today or connect with us through the link below to schedule a consultation and discuss your neck biopsy options.


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Phone: 754-888-1368




Dr. David Eleff, Otolaryngologist/Ear, Nose, and Throat Specialist at ENT Family in Hollywood, Florida.

This article has been medically reviewed by otolaryngologist, David Eleff, M.D.

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