One stop breast clinic
About our one stop breast clinic
Our one stop clinic serves a number of purposes: you may simply wish to discuss a history of breast disease in your family and get a check-up, or you might have discovered a lump or be experiencing changes in your breast and want a specialist’s opinion. Whatever your individual clinical needs, you’re right to seek professional diagnosis.
Many people who attend this clinic will find that there’s nothing wrong; in fact, many breast lumps and changes do not require treatment of any kind.
If cancer is suspected, however, because early diagnosis greatly increases the chance of successful treatment and outcome, our one stop breast clinic is designed to identify the best possible approach to treatment, which can be planned and actioned quickly.
Your GP can refer you to our breast clinic, which takes place on Thursday evenings in our onsite Breast Clinic. We aim to provide appointments within two to three working days.
At your clinic appointment you will be seen by a consultant breast surgeon who will review your medical history and examine you in the presence of a nurse. In addition to a clinical examination, further tests may be carried out to help obtain an accurate diagnosis. If necessary, you may also be seen by a specialist breast oncologist. These tests may take up to an hour and can include one or more of the following:
This is a technique for taking breast X-rays to show the detailed structure of breast tissue. It may show early cancers of the breast that are too small to feel.
This is a painless examination of the breast using sound waves instead of X-rays.
This procedure is carried out under a local anaesthetic and involves a small incision being made in the breast so that some tissue can be removed and examined.
Needle biopsy (fine needle aspiration)
This involves passing a thin needle into the breast to withdraw tissue for analysis. We aim to make a diagnosis during your first visit, but a further visit may be required.
Treatment of cysts
If a cyst is present, it is usually possible to drain it in the clinic with excellent results. If a benign (non-cancerous) lump is found, it can be removed under a general anaesthetic and an appointment can be arranged for you to return to the hospital for this surgery before you leave the clinic.
Our clinic team
Our clinic is led by a multidisciplinary team of consultants, nurses and a counsellor. You will be seen by a consultant who specialises in the diagnosis and treatment of breast disease, who will be supported by a team of clinicians across a range of services, including consultant oncologists, radiologists and pathologists. Our consultant breast surgeons are:
Our specialist breast oncologists are:
All decisions and patient treatment pathways are discussed by our multidisciplinary team of experts, who will identify the most appropriate course of treatment to meet your clinical needs in accordance with the latest South East Scotland Cancer Network (SCAN) guidelines.
With on-site rapid access to comprehensive diagnostic, pathology and treatment facilities, your consultant can refer you quickly and simply, should further investigation, surgery or treatment be required.
Although we do not offer radiotherapy on-site, if this is identified as the best treatment option for you, or as a possible adjunct to another treatment, your Spire consultant will arrange for your radiotherapy treatment to be carried out at the Western General Hospital in Edinburgh.
A number of your diagnostic results will be available immediately and your consultant will talk through test findings with you and advise you on the next steps.
If tests confirm a diagnosis of breast cancer your consultant will discuss treatment options with our multi-disciplinary team of breast care specialists. If required, you may also be referred for further opinion and care to a consultant oncologist. Subsequent treatment may include one or a combination programme of surgery, chemotherapy, radiotherapy and/or hormone therapy. Appointments for onward referrals, diagnostics or treatment can be made before you leave the clinic.