Thyroid Surgery London | London ENT Surgeons

Surgery & Treatment

Suspected Thyroid Swelling

At London ENT Surgeons, we understand that discovering a lump in your neck can be concerning. Whether you’ve been referred by your private GP or have contacted us directly, our team is here to provide rapid access to expert care, advanced diagnostics, and personalised treatment.

We recommend that all new neck lumps are investigated, even if they are painless or appear small. Early assessment ensures peace of mind and timely treatment if needed.

Step 1: Booking Your Appointment

You can:

Our team will arrange a prompt appointment at one of our central London locations.

Step 2: Your First Visit

You will be seen by one of our specialist head and neck, endocrine surgeons, who will:

Step 3: Diagnostic Investigations

We aim to complete all key investigations quickly, often during the same visit:

Ultrasound Scan: Performed by an expert radiologist to assess the thyroid and surrounding structures
Fine Needle Aspiration Cytology (FNAC): A needle biopsy to collect cells for analysis
Blood Tests: Including thyroid function (T3, T4, TSH), calcium, and other relevant markers
Additional Imaging (if required): CT, MRI, or nuclear medicine scans

Step 4: Diagnosis & Multidisciplinary Review

Your results will be reviewed by your consultant and, if needed, discussed at our Multidisciplinary Team (MDT) meeting, which includes:

This ensures a comprehensive and collaborative approach to your care.

Step 5: Personalised Treatment Plan

Based on your diagnosis, we will recommend the most appropriate next steps, which may include:

Monitoring: For benign, non-problematic swellings
Surgery (Thyroidectomy): Partial or total removal of the thyroid
Medical Management: For thyroid dysfunction or inflammation
Oncology Referral: If cancer is confirmed, for further treatment such as radioiodine therapy

Step 6: Aftercare & Follow-Up

Following treatment, we continue to support you with:

Why Choose London ENT Surgeons?

Surgery & Treatment

Primary Hyperparathyroidism

At London ENT Surgeons, we offer a comprehensive and cutting-edge approach to diagnosing and treating primary hyperparathyroidism — a condition caused by overactivity of one or more parathyroid glands, leading to elevated calcium levels and potential complications such as kidney stones, osteoporosis, and fatigue.

Whether you’ve been referred by a private GP or have contacted us directly, our team ensures rapid access to expert care, advanced diagnostics, and minimally invasive surgical options.

Step 1: Booking Your Appointment

You can:

Our team will arrange a prompt consultation with one of our endocrine or head and neck surgeons.

Step 2: Specialist Consultation

Your journey begins with a detailed consultation, where we:

Step 3: Diagnostic Investigations

To confirm the diagnosis and localise the overactive gland(s), we use a combination of advanced tests:

Blood Tests: To measure calcium, parathyroid hormone (PTH), vitamin D, and kidney function
Choline PET/CT Scan: A highly sensitive imaging technique to accurately localise parathyroid adenomas, especially when conventional scans are inconclusive
Ultrasound or Sestamibi Scans: May be used alongside PET/CT for anatomical correlation

Step 4: Multidisciplinary Review & Treatment Planning

Your case is reviewed by our expert team, including

We tailor a treatment plan based on your test results, symptoms, and preferences.

Step 5: Surgery (Parathyroidectomy)

If surgery is recommended, we offer:

Minimally invasive parathyroidectomy under general anaesthesia
Intraoperative PTH Monitoring (IOPTH): Ensures successful removal of the overactive gland by confirming a drop in hormone levels during surgery
Nerve Monitoring: Protects the recurrent laryngeal nerve to preserve voice quality Our state-of-the-art theatres and experienced surgical team ensure safety, precision, and comfort.