Enquiry form
Enquiries
General enquiries:
+44 (0)207 935 4444
Book a consultation:
+44 (0)207 616 7693
Self-pay enquiry:
+44 (0)203 219 3315

Breast services at The London Clinic 

The London Clinic provides a full breast care service for women who are worried about their breast health or who have developed breast cancer.

Male breast cancer is rare, but we can provide breast cancer treatment for men too.

The breast cancer surgeons and consultants at The London Clinic are leaders in their field of medicine and have in-depth knowledge of all the latest developments in treatment available.

At The London Clinic we know how important it is to detect breast cancer as early as possible.

We are able to provide accurate diagnosis, staging and molecular typing of breast tumours, immediately following biopsy.

Breast screening services

INVESTIGATIONS AND TESTS 

These can be done for routine screening or to diagnose changes in the breast. The London Clinic uses the latest digital mammograms. Low energy X-rays are passed through your breast and images relayed to a computer screen for an expert radiologist to read and report.

Mammogram

 These scans can be better for assessing the breasts of women under 35 years of age. Ultrasound can also be used to look for any evidence of cancer in the lymph nodes in the armpit. Ultrasound is also used in conjunction with a mammogram.

Ultrasound scan

The London Clinic has a state-of-the-art imaging department with two MRI scanners and experts to perform the tests and interpret the results.

3T MRI scanner

If an abnormality is seen, a biopsy will be done under local anaesthetic. Our experts may use ultrasound control for increased accuracy and precision. Small cylinders of tissue are sent for expert analysis in our pathology laboratories. This takes a few days and an appointment will be made to discuss the results.

Breast biopsy

The London Clinic offers special molecular tests that look at the activity of certain genes within the tumour. This can help predict how likely the cancer is to grow and spread, so that the best post-surgical treatment can be planned. The tests can be done on biopsies, but are often performed on sections from the tumour after it has been removed.

Breast cancer typing

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

OTHER TREATMENTS WE OFFER:

Genetic screening

This service is for women who have a strong family history of breast cancer or ovarian cancer and are suspected of carrying a mutation in one of the breast cancer genes, BRCA1 and BRCA2.  We provide care and counselling and the support necessary to discuss various treatment options to reduce that increased risk as well as genetic testing for family members. 

Genetic screening 

Chemotherapy for triple negative breast cancer treatment

The specialists at The London Clinic will design a personalised programme of treatment. This will involve a combination of surgery to remove the tumour, targeted radiotherapy and a tailored course of chemotherapy to kill any remaining cancer cells and decrease the risk of the cancer spreading or recurring.

 Triple negative breast cancer 

The Breast services team

The London Clinic breast team is a dedicated, patient focused team, committed to delivering the highest standards of quality care. Every member of the team is very experienced and highly skilled.

Breast Car​e Clinical Nurse Specialists

Cancer is not easy to deal with and different people find that they may need help in different ways. Our breast care clinical nurse specialists are available to support patients through this journey.

They are also there to support patients in making the progression back to their everyday lives. 

The London Clinic has two breast care clinical nurse specialists who provide patients and their families with individualised information, care and support before, during and after the various stages of their treatment. 

Each patient is given a named person in the breast care nurse team who they can contact at any time. Patients are encouraged to keep in touch between long-term follow up appointments if there is anything at all they are worried about.

Here are just some of the ways that our breast care clinical nurse specialists support their patients:

  • Advice and someone to listen at the time of diagnosis
  • Guiding patients through often complex surgical treatment-related decisions about breast reconstruction
  • Post-operative care
  • Potential follow-on treatment like chemotherapy, radiotherapy and hormonal therapy
  • Advice on potential side effects of all aspects of breast cancer treatment
  • Personal bra and prosthesis fitting service
  • Nurse-led lymphoedema assessment service

Patients are encouraged to keep in touch between long-term follow up appointments if there is anything at all they are worried about.