Difficult one cathy as the system is so different in the USA.Robs specialist was a head and neck specialist i dont think max fax would cut it but do you have an oncology consultant?The lymph glands in the neck drain from all structures above and if you get tonsil problems you nearly always get involvement with the parotid gland which is where robs secondary was.Its located just under the lower jaw bone on both sides (its the one you gat mumps in)An FNA isn't risky its just a very long fine needle placed in to the swelling and they withdraw fluid(if there is any)The fluid will show up any cancerous cells,but is not always definitive.