I've found a lump in my breast - What happens next? The breast diagnostic clinic

Breast cancer diagnosis within the National Health Service (NHS) in the United Kingdom is a well-structured and patient-centered process aimed at early detection and effective management. Here's an overview of breast cancer diagnosis at NHS UK:

1. Clinical Assessment:

• The journey typically begins when a woman notices breast changes or abnormalities or is referred through the NHS breast screening program.
• A clinical assessment involves a thorough evaluation by healthcare professionals, including a clinical breast examination, discussion of symptoms, and review of medical history.

2. Imaging and Tests:

• Mammography: Women referred through the screening program may undergo mammography, which is a specialized X-ray to detect breast abnormalities.
• Ultrasound: Ultrasound imaging may be used alongside mammography to provide more detailed information about breast lumps or abnormalities.
• Biopsy: If suspicious findings are observed, a biopsy is often performed to confirm whether the abnormality is cancerous. The sample is sent to a pathology lab for analysis.

3. Multidisciplinary Team (MDT) Review:

• Results from clinical assessments, imaging, and biopsies are presented at a multidisciplinary team meeting, where experts from various medical fields collaborate to determine the best course of action.

4. Staging:

• If breast cancer is confirmed, further tests, such as CT scans or bone scans, may be conducted to assess the extent of cancer's spread (staging).

5. Treatment Planning:

• Once a diagnosis and cancer stage are established, the MDT discusses treatment options with the patient, which may include surgery, chemotherapy, radiation therapy, hormone therapy, targeted therapy, or a combination of these.

6. Support and Counseling:

• Patients are provided with psychological and emotional support, with access to counselors, support groups, and information resources to help them navigate their diagnosis and treatment.

7. Ongoing Monitoring:

• After treatment, patients receive regular follow-up care to monitor their progress and address any concerns. This includes routine check-ups, mammograms, and ongoing support as needed.

Breast cancer diagnosis at NHS UK is characterized by a commitment to early detection, evidence-based treatments, patient involvement, and comprehensive support services. The NHS strives to ensure that patients receive timely and personalized care, emphasizing not only medical treatment but also the emotional and psychological aspects of coping with a breast cancer diagnosis.

I've Found a Lump in My Breast - What Happens Next?

Initial Steps and Making an Appointment

The Breast Diagnostic Clinic

Diagnostic Tests and Procedures

• Mammogram: An X-ray of the breast that helps identify unusual areas.
• Ultrasound: Uses sound waves to create detailed images of the breast tissue.
• Biopsy: If imaging tests show any suspicious areas, a biopsy may be performed to remove a small sample of breast tissue for further analysis.

Receiving Your Results

Support and Resources