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The London Breast Clinic
Home > Services > Second Opinion, Transfer of Care

Second opinions and or transfer of care

The multi-disciplinary team (MDT) at The London Breast Clinic are highly experienced at providing second opinions and/or transfer of care for patients (UK based and international) with both breast cancer and non-cancerous conditions.

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The multi-disciplinary team (MDT) at The London Breast Clinic are highly experienced at providing second opinions and/or transfer of care for patients (UK based and international) with both breast cancer and non-cancerous conditions. We accept this as the patient’s right to choose, and assist them with obtaining peace of mind in their decision making process. The service provides clarification of the diagnosis and treatment options. We work with the original team if requested.

Most women who request second opinions are very pleased with the care and advice they have received from the original team and often return to the care of their original team either in the NHS or privately. Some women, however, choose to remain with The London Breast Clinic MDT for their treatment.

In some cases, for whatever reason, the patient’s relationship with the original team has broken down. In these cases we can liaise with the GP to arrange a transfer of care either back to the NHS under the care of one of our consultants or to remain with the team here at The London Breast Clinic.

We are also happy to assist patients who have had their first referral and diagnosis at The London Breast Clinic with obtaining a second opinion elsewhere, if they wish.

There are many reasons for patients to request a second opinion following a cancer diagnosis: although not an exhaustive list some of the more common reasons are; 

  • Is the diagnosis correct or do I need other tests?
  • What are my treatment options?
  • Do I need a mastectomy or are there other options?
  • What type of breast reconstruction is best for me and should it be done at the time of mastectomy or at a later date
  • If I have cancer in one breast should I have both of my breasts removed – is it safer
  • Do I need all my lymph glands removing?


Patients may also request a second opinion for non-cancerous conditions, the most common reasons for this include;

  • Should I have this lump removed even if it is innocent (benign or non-cancerous)?
  • Is the diagnosis correct or do I need other tests?
  • What are my treatment options?
  • How to manage acute or chronic breast infections?
  • How to manage a possible increased risk of breast cancer?
  • Is there an abnormal gene or a family history of breast cancer?
  • Are there abnormal changes on the mammogram or on a biopsy? For example atypia, ADH, LCIS etc.(so called B3 lesions)

Second opinions can range from a detailed and in-depth consultation with a breast surgeon to a full MDT review depending on the issues and questions. If the second opinion is complex it may require more than one consultation.

When patients book a second opinion consultation (up to 30 minutes face to face in the first instance) please ask to speak to the breast care nurse so we can try and help guide you as to the questions to ask. We can also guide you and help with regards to the previous reports, documents and x-rays to bring. We can often help obtain these from the original team if required.

Breast surgeon second opinion - Cost £350

Initial Breast cancer nurse discussion: Establish the reason for the second opinion – what issues do you wish to focus on, what you need to bring.

With the surgeon: Clinical history and examination, review of written reports/documents, letters from original doctor/team, pathology reports - needle tests and blood tests, imaging reports (mammograms/ultrasound, MRI, CT bone scan etc.)

MDT review.

Review of pathology slides by our specialist breast pathologist - £275.

Review of mammograms by our specialist breast radiologist - £125.

Review of MRI by our specialist breast radiologist – £250.

Repeat or additional tests;

  • Mammogram - £220
  • Tomosynthesis Mammogram - £275
  • Extra Views - £125
  • Breast Ultrasound - £220
  • Ultrasound including Axilla - £265
  • Core Biopsy including Pathology - £1300
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