We have
put together the following questions and answers as
a guide - but it is just a guide so if you do have any
questions regarding the One-Stop clinic, or any other
service provided at London Bridge Hospital, please ask.
Click here to ask a Question >>
I have been referred to the One-stop clinic
at London Bridge Hospital by my GP - does this mean
I have a serious problem?Your GP has referred you to the clinic so that a specialist can further
investigate your breast concern.
Any different or unusual change in the breast should always be investigated,
because even though most breast lumps are benign (non-cancerous), they still
need to be checked carefully to rule out the possibility of cancer. Also, if
there is a problem, the earlier the treatment is given, the more likely it
is to be successful.
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How quickly can I be seen?
The One-stop clinic is held every Thursday afternoon and evening. However,
same day appointments are often possible and clinics are held at other times
during the week. Call GP Liaison for further advice and clinic times. Their
number is
020 7815 3686 or
020 7815 3657.
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What tests will I have?
Mammography
This is an x-ray technique for examining the breast. It is especially useful
for detecting early changes in the breast which have not yet caused a lump.
It is usually used for women over the age of 35, as in younger women the
breast tissue is more dense and this can make it difficult to detect any
changes on the mammogram. Some women find mammography uncomfortable because
pressure is put on the breasts, but this only lasts a few seconds and is not
harmful to the breasts.
Ultrasound scan
A special gel is spread onto the breasts and a small
device, which emits sound waves, is passed over the area. The echoes are
converted into a picture of the breast tissue by a computer. This test is
painless and takes just a few minutes.
Fine needle cytology (biopsy)
Using a very fine needle, the consultant takes a small sample of cells from
the breast lump and reviews them under a microscope for any signs of cancer.
This technique is also used to drain benign cysts.A
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If I have to have a biopsy, does this hurt?
Some patients do find this test uncomfortable, or a little painful, and your consultant will try to ensure you are comfortable as possible and it only takes a few minutes to perform the test.
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I have a breast lump, what are the chances of it being cancer?
Seven out of eight breast lumps are benign and are not cancers. Common
causes of benign breast lumps are cysts (sacs of fluid which build up in the
breast tissue) or fibroadenomas (solid tumours made up of fibrous and
glandular tissue). Benign breast lumps are easily treated by your
consultant.
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When will I get any test results?
The One-Stop Clinic results are normally available during your appointment
and they will be explained to you. In the general breast clinics the results
may take a day or two - your consultant will be able to advise you when to
expect results.
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Who will I see?
The team providing One-Stop service is experts in the field of breast care.
The consultants are drawn from the leading breast cancer unit at Guy's
Hospital. We've kept the team small so you will be assured of seeing a named
consultant.
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What will you tell my GP?
A letter setting your breast problem and the results of your consultation
will sent to your GP within a few days of your appointment. This will also
include the results of any tests. You will be informed of the results of
your tests either before or at the same time as your GP.
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I am shy and embarrassed about this problem and feel anxious about the appointment?
We understand how anxious and embarrassed some women feel about these
problems and our fully trained staff are there to make you feel as
comfortable as possible. We encourage any patient who is concerned about
coming into hospital - whether it's for an outpatient appointment or
inpatient say - to discuss their fears with one of the nursing team or their
consultant.
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What happens next?
Most breast problems can be dealt with completely at the One-Stop clinic, no
further appointments or tests are required. The final results from a core
needle biopsy however take 4-5 days to come through and it will be necessary
to come the clinic on a second occasion to discuss these results.
In general breast clinics it is often necessary to attend for a 2nd or 3rd
occasion for tests and for a final check, although we do try and keep these
visits to a minimum. Some of the results are easily explained over the phone
if you feel you would prefer this.
Some breast problems require surgery and investigations or treatment.
Operations can usually be scheduled within 7-10 days of your visit to clinic
and will be carried out as either an inpatient or in the day surgery unit at
London Bridge Hospital.
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How much does it cost?
If you are paying for the consultation yourself it costs £180 to see the
Consultant at the first visit. Further appointments cost £95. Mammograms and
Ultrasounds cost between £100 - £200. There are a wide variety of costs for
other services including needle biopsies. An estimate of these can be
obtained prior to procedure if you so wish. If you are using private medical
insurance you must check with your insurance company before embarking on any
treatment, however in most cases your medical insurance will cover all costs
of seeing the Consultant and any investigations that are recommended.
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How do I get further information on the clinic?
Information about breast care is provided on this site. Alternatively, you can contact GP Liaison on 020 7815 3686 for further assistance.
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How do I make an appointment?
Contact GP Liaison on
020 7234 2373 Monday and Friday between 8.30am and 5.30pm. You will need a referral from your GP.
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Where can I go for information on London Bridge Hospital?
The marketing department will be happy to receive any enquiries about the
Hospital, its specialties and other services provided. Click on the toolbar
to your left or call 020 7815 2900 during office hours for further advice.
Alternatively, why not take a look at the Website
www.londonbridgehospital.com
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