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BREAST CANCER SERVICES AT THE LONDON CLINIC 

The London Clinic offers an end-to-end pathway for the assessment, diagnosis and treatment of breast cancer. You will be cared for by a multidisciplinary team (MDT) of specialists who will work together to provide the best treatment and care. 

WHY CHOOSE THE LONDON CLINIC?

  • We can provide advanced treatments, as well as support in our award-winning cancer centre
  • We aim to detect breast cancer as early as possible, and can provide accurate diagnosis, staging and molecular typing of tumours, immediately following biopsy

  • Our world-leading surgeons and oncologists will discuss your treatment options and design a customised treatment plan
  •  Male breast cancer is rare, but we can provide breast cancer treatment for men too

Breast cancer specialists 

 

 

The London Clinic aims to provide a fully integrated care pathway for all our patients being treated for breast cancer. 

Our multidisciplinary team consists of a number of specialists including mammographers, surgeons, oncologists, radiologists, pathologists, radiographers and clinical nurse specialists. 

Other experts may include physiotherapists, dietitians and occupational therapists, and you may have access to our oncology counselling service.  

Consultation and diagnostic tests

There is usually a consultation with a breast surgeon, unless you have already had an operation, in which case you may be referred directly for radiotherapy or chemotherapy.

After the consultation you will go to the imaging department where mammography (if you are over the age of 35 years) and ultrasonography (scan) will be carried out – sometimes with MRI or 3T MRI in addition.

If a localised abnormality is detected, a biopsy under local anaesthetic may be performed – this is frequently done with ultrasound control for increased accuracy and reliability. It is known as a core-biopsy.

The small cylinders of tissue are sent for analysis to the pathologist. This takes a few days and an appointment will be made to discuss the results.

Breast Cancers

Breast cancer develops when cells in the breast begin to divide and grow abnormally. It makes up 15% of cancer cases and affects more than 60,000 women every year.  The London Clinic provides a full breast care service for women and men. 

Breast cancer Treatment

For some cancers, breast-conserving surgery can be appropriate. The lump is removed with some of the surrounding tissue in a procedure known as a wide local excision. Some of the lymph nodes in the armpit will be removed and checked for cancer cells, this is known as sentinel lymph node biopsy.

Breast conservation surgery 

Breast cancer cells grow in an uncontrolled way. This growth can be stimulated by chemical messages in the blood, which signal to specific receptors on the cancer cells. These Her2 receptors are found in all cells, they control cell growth and repair.  But they are present in particularly high numbers in 1 in 5 breast cancers, which can fuel the cancer’s growth and spread.

Her2 can be blocked by immune therapy, with a drug called Herceptin. It’s a monoclonal antibody that can block the signals, potentially slowing cancer growth and preventing recurrence.

Herceptin treatment

Mastectomy is a procedure to remove a breast and can be the most appropriate treatment for some women with breast cancer. This type of breast surgery may just remove breast tissue or may also include the removal of lymph nodes in the armpit. 

Mastectomy and lymph node removal

Breast cancer cells often contain receptors for the female hormones oestrogen and progesterone. The circulating hormones can bind to these, driving the cells to grow faster and potentially spread. Treatment to block or remove these hormones, such as the oestrogen blocker Tamoxifen may prevent the cancer returning. There are a range of drugs which carry out the role of hormone blocking therapy which will be assessed to determine which is best for you.

Hormone treatment 

Cancer cells grow in an uncontrolled way. This can be stimulated by chemical messages which signal to receptors on the cells. Medications like Herceptin can block this mechanism and reduce the abnormal growth.

Our consultants have full access to the Trilogy System with RapidArc, which performs image guided and intensity modulated radiotherapy (IG-IMRT).  They are also able to use the CyberKnife for stereotactic radiosurgery. This state-of-the-art radiotherapy equipment is on-side in The Duchess of Devonshire Wing.

Radiotherapy 

Intra-operative radiotherapy is when a very localised, high dose of radiation is given at the same time as the surgical treatment. The London Clinic is one of the few sites in the UK to offer treatment with the Carl Zeiss Intrabeam® system - a miniaturised X-ray device which is located within our on-site theatres.

Intraoperative radiotherapy (IORT) 

Our chemotherapy facilities are very well equipped and we provide the latest chemotherapy drugs and combinations to treat breast cancer.

Our 22 outpatients pods are a comfortable and convenient way to receive chemotherapy for patients who are coming in just for the day.

Chemotherapy

Breast cancer typing can identify the differences between tumours, allowing The London Clinic to offer our patients customised care.  

Breast cancer typing

Further support for your journey 

The London Clinic offers a confidential oncology counselling service; please ask your consultant or one of our nurses if you require this service. 

We also offer complementary therapies for people with cancer. Based in our Duchess of Devonshire Wing, our therapists offer aromatherapy massage, Reflexology, Indian head massage, Reiki and spiritual healing.

We can also provide Macmillan cancer information to help with practical advice and emotional support during this time.

 Counselling for cancer p​atients

Appointment enquiries: +44 (0) 20 3944 1073 Concierge service: +44 (0) 203 219 3323 Self-Pay service: +44 (0) 203 918 7301International office: +44 (0) 203 219 3266 Invoice and payment enquiries: +44 (0) 207 616 7708 General enquiries: +44 (0) 20 3918 9135

Breast services appointments: +44 (0) 207 616 7653 Diagnostics appointments: +44 (0) 207 616 7653 Endoscopy appointments: +44 (0) 207 616 7760 Eye centre appointments: +44 (0) 207 616 7768 Haematology appointments: +44 (0) 207 535 5503 Kidney services appointments: +44 (0) 207 224 5234 Liver services appointments: +44 (0) 207 616 7719 Physiotherapy appointments: +44 (0) 207 616 7651 Radiology appointments: +44 (0) 207 616 7653

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