A cervical node biopsy is a specialized diagnostic procedure that involves removing a small sample of tissue from an enlarged lymph node in your neck for lab analysis. This quick outpatient procedure helps accurately diagnose the underlying cause of swollen lymph nodes, whether it's an infection, inflammatory condition, or potentially a more serious condition that requires immediate attention. At Lifetime Surgical, we use advanced, minimally invasive techniques with a delicate approach to ensure your comfort, promote faster recovery, and minimize scarring.
You may need a cervical node biopsy if you experience:
Persistent swelling or enlargement of lymph nodes in the neck (lasting more than 2-4 weeks)
Firm, rubbery, or hard lymph nodes that don't move when touched
Lymph nodes larger than 1 centimeter in diameter
Nodes that continue to grow in size over time
Unexplained weight loss, night sweats, or fever accompanying the swollen nodes
Previous history of cancer, particularly head and neck cancers
Abnormal findings on imaging studies such as ultrasound, CT scan, or MRI
Tender or painful lymph nodes that don't respond to antibiotics
Asymmetrical lymph node swelling (only on one side of the neck)
At Lifetime Surgical, our approach to cervical node biopsy combines precision with personalized care. The procedure begins with a thorough evaluation, followed by careful selection of the most appropriate biopsy technique—either fine needle aspiration (FNA), core needle biopsy, or excisional biopsy—based on your specific condition.
What sets us apart is our surgeon's expertise in using ultrasound guidance for enhanced accuracy, minimizing scarring with strategic incision placement, and our comprehensive team approach that coordinates pathology results and follow-up care seamlessly. We prioritize both diagnostic accuracy and your comfort throughout the entire process.
Immediate Post-Procedure (24-48 hours)
Apply ice packs to reduce swelling (20 minutes on, 20 minutes off)
Keep the incision site clean and dry
Take prescribed pain medication as directed
Avoid strenuous activities and heavy lifting
Watch for signs of infection (increased redness, warmth, drainage)
Follow a soft diet if you experience throat discomfort
Rest with your head slightly elevated to minimize swelling
Short-Term Recovery (1-2 weeks)
Resume light activities after 48 hours, gradually increasing as comfortable
Continue to keep the incision site clean, changing dressings as instructed
Attend your scheduled follow-up appointment (typically 7-10 days after the procedure)
Begin gentle neck stretches as approved by your surgeon
Avoid swimming or immersing the incision in water until cleared by your doctor
Return to work based on your surgeon's recommendation (usually within 3-7 days)
Transition from prescription pain medication to over-the-counter options as pain decreases
Long-Term Expectations
Most patients experience minimal scarring that fades over time
Normal sensation typically returns to the area within a few weeks to months
Complete healing of the biopsy site occurs within 4-6 weeks
Follow any additional treatment recommendations based on biopsy results
Maintain regular follow-up appointments as advised by your care team
Most patients can resume all normal activities without restrictions after 2-3 weeks
Annual check-ups may be recommended depending on your diagnosis
Common Side Effects
Temporary pain or discomfort at the biopsy site
Mild bruising or swelling around the incision
Small, well-healed scar that typically fades over time
Temporary numbness or altered sensation near the biopsy site
Mild bleeding that stops with gentle pressure
Less Common Complications
Infection at the biopsy site (occurring in less than 1% of cases)
Hematoma (collection of blood under the skin)
Seroma (collection of clear fluid under the skin)
Temporary weakness in shoulder movement (if nodes near certain nerves are biopsied)
Allergic reaction to local anesthesia (rare)
When to Seek Immediate Medical Attention
Excessive bleeding that doesn't stop with pressure
Severe pain not controlled by prescribed medication
Signs of infection (increasing redness, warmth, pus, or fever)
Difficulty swallowing or breathing
Severe swelling that extends beyond the biopsy site
Persistent numbness or weakness in the neck, shoulder, or arm
From your first consultation through your complete recovery, we provide:
Thorough evaluation and explanation of your condition
Clear discussion of all treatment options, including non-surgical alternatives when appropriate
Detailed pre-operative instructions to help you prepare
Compassionate care during your hospital stay or outpatient procedure
Comprehensive follow-up care and support during recovery
Ongoing availability to address questions or concerns
We understand that facing head and neck surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.
Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.
.svg)
All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.
We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:
Less pain after surgery
Shorter hospital stays
Faster return to work and activities you enjoy
Smaller, less visible scars
Lower risk of complications
Better overall outcomes
Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.
I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.
.avif){kind=avatar}
At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.
.avif){kind=avatar}
Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!
Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.
Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.