Head and neck cancer is a group of cancers arising in the mouth, tongue, lips, throat (pharynx), voice box (larynx), nose and sinuses, salivary glands and thyroid. Pakistan has one of the highest rates of oral cancer in the world, driven by gutka, paan, naswar, chaalia and smoking. Most present late — not because they are hidden, but because an ulcer, lump or voice change was ignored for months.
Dr. Sajid Iqbal provides assessment, biopsy, staging and surgical treatment for head and neck cancers, working with oncology colleagues for radiotherapy and chemotherapy. The aim is a fast, clear answer: most lumps and ulcers are benign, and those that are not are treated far more easily at an early stage.
Full examination of the mouth, throat and neck, with flexible nasolaryngoscopy to see the back of the nose, throat and larynx in clinic. A neck lump is assessed with ultrasound and FNAC (fine-needle aspiration — a quick needle sample under local anaesthetic) and a mouth or throat lesion with a biopsy, under local or short general anaesthesia. CT, MRI or PET-CT stages the disease once a diagnosis is confirmed. Results are explained to you and your family in plain language, with a written plan.
Surgery is the main treatment for most early oral and salivary cancers and many laryngeal and neck cancers. Dr. Sajid performs excision of oral cavity tumours, neck dissection (removal of lymph nodes), laryngeal surgery including endoscopic (through-the-mouth) procedures for early vocal cord cancer, parotidectomy and submandibular gland excision with facial nerve preservation, and thyroidectomy. Reconstruction is planned with plastic surgery colleagues where tissue needs replacing. Procedures are performed at [Hospital] with ICU support available.
Examination and nasolaryngoscopy at the first visit. If a lesion is seen, biopsy or FNAC is arranged immediately.
Histology in [5–7] days; CT/MRI/PET as required. A written diagnosis and stage are explained to you and your family.
Discussed with oncology colleagues. Surgery, radiotherapy, chemotherapy or a combination — with realistic expectations on function, speech and swallowing.
Surgery at [Hospital]; radiotherapy/chemotherapy at [Oncology centre]. Nutrition, dental and speech support throughout.
Structured surveillance for 5 years — frequent in the first two years — with cessation support to prevent recurrence.
Consultation: PKR [FEE]. FNAC and biopsy: PKR [RANGE]. Surgery is quoted in writing after staging; the clinic can advise on [charity / hospital welfare / Sehat card] support where applicable.
Ready to get it sorted? Book a consultation with Dr. Sajid Iqbal at Horizon Hospital, Johar Town, Lahore — call 0321 4496160 or WhatsApp.
No. In children and young adults most neck lumps are reactive lymph nodes or infections. In adults over 40 — especially tobacco users — a painless, enlarging lump needs ultrasound and FNAC within days, not months. Either way, it should be examined.
Any red-flag symptom (non-healing ulcer, neck lump, hoarseness over 3 weeks, blood in saliva) is seen within [X] working days. Call or WhatsApp and say it is urgent.
No. This is a common and harmful myth. A biopsy is the only way to confirm a diagnosis and plan treatment; delaying it is what allows a cancer to spread.
Early-stage cancers are treated with function-preserving techniques, including endoscopic laser surgery for early vocal cord cancer. The later a cancer presents, the more function is at risk — which is why early assessment matters so much. You will be told honestly what to expect before any treatment.
Stop the habit and book an assessment this week. White or red patches (leukoplakia/erythroplakia) are pre-cancerous in a proportion of cases and are easily examined and, if needed, biopsied in clinic.
Same-week appointments at Horizon Hospital, Johar Town, Lahore.
Timings: Mon – Thu 9pm – 10pm
Consultation Fee: PKR 4000
Dr. Sajid Iqbal, MBBS, MS-ENT, is a consultant ENT surgeon with 20+ years of experience treating patients in Lahore. Read his profile →
Clinic in Johar Town, Lahore, Mon – Thu 9pm-10pm