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The London Breast Clinic
Home > Patient Information > What To Expect > Initial Consultation

Initial Consultation

Whether you have referred yourself, or been referred because of concern about a breast lump, pain, discharge, or your genetic background, the consultant breast surgeon will discuss the nature of your problem and any other relevant information, such as your general medical history and family history.

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Whether you have referred yourself, or been referred because of concern about a breast lump, pain, discharge, or your genetic background, the consultant breast surgeon will discuss the nature of your problem and any other relevant information, such as your general medical history and family history.  A thorough breast examination will follow.  The breast care nurse can be present during this examination.

The consultant will then discuss your care, and may request further diagnostic investigations, such as mammography and/or ultrasound.  Normally these investigations will have been booked when you made your initial appointment.  If they are required, you will be given the relevant forms to present to the onsite X-Ray and Imaging Unit. 

If an abnormality is found, either during physical examination, mammography or ultrasound, fine needle aspiration cytology (FNAC) or sometimes core biopsy is performed to draw off some cells or tissue for investigation by the cytologist or histopathologist. 

If a follow-up consultation is required to discuss the results of your investigations, you will be shown to the administration office, where this appointment can be booked with a medical secretary.  Appointments for any other recommended diagnostic tests can also be made at this time.  The follow -up appointment will be offered as soon as the results of your tests will be available between 24-72 hours, depending on the test.

The consultant breast surgeon will then write to your GP and any other referring doctor, with copies to you (if requested) and other relevant specialists, summarising your consultation and the planned investigations.  Letters are also sent after all subsequent consultations or when the results of investigations become available. 

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