Specialties
Soft Tissue Sarcoma Diagnostic Service
Soft Tissue Sarcoma Diagnostic Service
Consultant Colorectal and General Surgeon in London
Soft tissue lesions — including lipomas, desmoid tumours, sarcomas, and other mesenchymal growths — require accurate diagnosis to guide appropriate management. A soft tissue sarcoma is a rare, malignant tumour that arises in muscles, fat, blood vessels, or connective tissue. Early and precise diagnosis is critical for optimal outcomes.
Mr Nikhil Pawa offers a comprehensive soft tissue diagnostic sarcoma service, including clinical assessment, advanced imaging, core needle biopsy, and multidisciplinary team (MDT) review. Benign lesions are managed conservatively or excised; complex or malignant cases are referred promptly to a specialist sarcoma centre for definitive treatment.
Benefits of the Soft Tissue Diagnostic Sarcoma Service
01
Rapid, Accurate Diagnosis
Same‑week clinical assessment, imaging (MRI/ultrasound), and image‑guided core biopsy ensure a precise diagnosis within days, not weeks.
02
Differentiates Benign from Malignant
Expert radiology and histopathology distinguish harmless lipomas from potentially aggressive sarcomas — avoiding unnecessary surgery or dangerous delays.
03
Multidisciplinary Team (MDT) Review
All suspicious lesions are discussed at a specialist sarcoma MDT, including radiologists, pathologists, and sarcoma surgeons, to create the optimal management plan.
04
Minimally Invasive Biopsy Techniques
Core needle biopsy (under ultrasound or CT guidance) is performed with minimal discomfort, low risk of seeding, and high diagnostic yield.
05
Clear Referral Pathways for Malignancy
If a sarcoma or complex malignancy is confirmed, Mr Pawa arranges prompt referral to a UK specialist sarcoma centre for definitive surgical and oncological management.
06
Comprehensive Management of Benign Lesions
Symptomatic lipomas, desmoids, or other benign tumours can be excised using minimally invasive techniques with excellent cosmetic results.
07
Patient‑Centred Communication
We explain every step — from imaging results to biopsy findings and MDT recommendations — ensuring you feel informed, supported, and in control.
08
Performed by a Global Expert
Mr. Nikhil Pawa brings over 20 years of experience in soft tissue lesion diagnosis and excision, working closely with London’s leading sarcoma networks.
Our Process
Specialist Consultation
Your journey begins with a thorough consultation with Mr Nikhil Pawa, where your lump’s size, depth, mobility, growth rate, and any associated symptoms (pain, neurology) are carefully assessed.
Advanced Imaging
We arrange same‑week ultrasound to characterise the lesion (solid, cystic, vascular) and an MRI of the relevant anatomical region to define exact margins, relationship to deep fascia, and any suspicious features (size >5cm, deep location, infiltrative margins).
Image‑Guided Core Needle Biopsy
If the lesion is suspicious (deep, large, or with concerning MRI features), a core needle biopsy under ultrasound or CT guidance is performed by an experienced musculoskeletal radiologist. Tissue is sent for histopathology and, if needed, molecular testing.
MDT Review & Personalised Plan
Biopsy results are reviewed at a specialist sarcoma multidisciplinary team meeting. Benign lesions may be discharged or excised locally. Malignant or complex cases are referred to a tertiary sarcoma centre for definitive management. You receive a clear written plan within days.
Locations
FAQs
A soft tissue sarcoma is a rare (less than 1% of adult cancers) malignant tumour that develops in connective tissues such as muscle, fat, nerves, blood vessels, or deep skin tissues.
Lumps that are deep, fixed, growing rapidly, larger than 5cm, painful, or recurring after previous excision should be evaluated urgently. A consultation with Mr Pawa can quickly distinguish benign from malignant.
A triad of clinical examination, MRI (to assess depth and relationship to fascia), and core needle biopsy (to obtain tissue diagnosis) is the gold standard. Blood tests and CT chest may be added for staging.
Mr Pawa will refer you directly to a specialist sarcoma multidisciplinary team at a designated UK sarcoma centre (e.g., Royal National Orthopaedic Hospital or University College London Hospital). These centres provide definitive surgery, radiation, and medical oncology.
No. Simple lipomas or epidermoid cysts that are asymptomatic, small, and superficial can be observed. If they are painful, enlarging, or cosmetically bothersome, they can be excised electively under local or general anaesthetic.
With Mr Pawa’s private service, you can expect consultation, imaging, biopsy, and MDT results within 10–14 days — compared to several months via the standard NHS pathway.
Soft Tissue Sarcoma Diagnostic Service in London
Rapid, Accurate Diagnosis & Clear Referral Pathways.