What happens at a Check4Cancer Breast Cancer Clinic?

An appointment at one of our Breast Cancer Clinics is a single, one-stop consultation where someone with any suspicious breast symptoms is assessed by a certified and specialist consultant breast surgeon, in the presence of a clinical nurse specialist. 

During the consultation, a complete history and risk assessment are done, followed by a complete examination in the presence of a nurse. This allows all concerns related to the visit to be addressed. This is followed by sending the patient to radiology, where a mammogram and ultrasound scan are performed based on the clinical needs of the patient. If the patient needs a biopsy, it is performed at the same time under ultrasound or mammogram guidance. All the results from the clinical examination and radiology are then discussed with the patient, and the consultant surgeon provides a comprehensive management plan. Any further concerns the patient has are also discussed during this consultation.

If the patient has had a biopsy, they will have another consultation within the next five days via telephone or face-to-face to discuss the biopsy results. Further investigations and management will always be discussed, and advice provided during the consultation.

How long does the first appointment last? 

A typical appointment is usually completed within two hours. 

What are the benefits of having all the investigations done at my first appointment?

We are able to provide a routine diagnosis and reassure up to 90% of patients in a single visit. This means that patients do not have to return for a second appointment and are not left with lingering anxiety or concerns.

What does the clinical breast examination involve? 

During a clinical breast examination, an initial visual check is conducted to assess the patient for any changes in breast size or shape, abnormal skin changes, swelling under the armpits, and changes in the size, colour, or shape of the nipple. A further detailed examination of both breasts is performed by the consultant surgeon, to look for any presence of abnormal lumps, infection, discharge and swellings under the armpits. 

What tests/investigations are carried out?

Based on clinical needs and requirements, all patients will typically undergo a breast ultrasound scan, and those aged 35 and above will be offered a mammogram. Those patients who need it will also have a biopsy taken under ultrasound or mammogram guidance.

What is a breast ultrasound?

A breast ultrasound is a scan which does not involve an X-ray and is very similar to scans performed during pregnancy. The scan helps us pick up normal and abnormal lumps in the breast using sound waves. 

Will I need to have a mammogram?

If you are 35 or older, we recommend a mammogram. If you have a symptomatic lump that is found during the clinical examination, a mammogram is also done in addition to the ultrasound scan as it helps us to understand the type and characteristics of the lump.

What is a needle biopsy?

A biopsy is a way of taking a sample of breast tissue using a needle under ultrasound or mammogram guidance. The tissue sample is then examined in more detail to determine the exact diagnosis.

What happens next if signs of breast cancer are detected at my appointment?

The process of triple assessment, clinical examination, ultrasound/mammogram and needle biopsy carried out at your first appointment will help us to rule out or confirm a definite diagnosis of cancer.

If a diagnosis of breast cancer is confirmed, then you will be referred for treatment, either to the NHS via your GP or, alternatively, by the private consultant breast surgeon who arranged your investigations.

How long do I have to wait for the results? 

The earliest results can be obtained in 48 hours, and a complete diagnosis will be provided within five working days.

What are the most common problems that you see? 

We observe a wide range of problems, including breast lumps, breast pain, nipple discharge, family history of breast cancer, asymmetry, breast infections and problems with breast implants. Don’t be embarrassed if you have any concerns; it is crucial to get these checked as soon as possible.

I’m a man and I’m showing suspicious symptoms of breast cancer. What happens to me if I attend a Breast Cancer Clinic? How does it differ from a woman’s appointment?

You will be assessed in exactly the same way, but a mammogram may or may not be needed. We treat all breast lumps and symptoms in all people with equal importance.

Check4Cancer’s Breast Cancer Clinic service

Our diagnostic Breast Cancer Clinics provide you with access to fast track diagnostic investigations, without need for referral from your GP, if you think you may have developed recent symptoms of breast cancer. Book an appointment today if you’re concerned.