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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

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 the breast. This surgery may remove just the breast tissue, or the breasts together with some of the lymph nodes in the armpit. Your expert surgeon will discuss the most appropriate options for you and offer potential reconstruction techniques.

Mastectomy 

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

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 

Main switchboard: +44 (0) 207 935 4444

Treatment enquiries: +44 (0) 207 616 7693Consultant appointments: +44 (0) 207 616 7693 Prices for self funding patients: +44 (0) 203 219 3315Physiotherapy appointments: +44 (0) 207 616 7651X-ray and scan appointments: +44 (0) 207 616 7653Invoice and payment enquiries: +44 (0) 207 616 7708

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