Casualty First is now open on an appointment only basis, Monday to Friday 9 am to 5 pm. To book an appointment, click here.
We are offering Outpatient appointments. In many cases these can be conducted virtually. To make an appointment, please call: 0207 806 4060.
Do NOT visit the Hospital if you have any flu like symptoms. Please self-isolate and visit NHS 111 online. Click here for the latest information.
We hope to give you most of your results on the day of your appointment. However, sometimes we need more time to analyse the tests and you maybe asked to come back to the clinic in one week for your results.
Core Biopsy test analysis is a longer process and the results are never available on the same day.
A mammogram is a type of X-ray of the breast. The specialist mammography radiographer will ask you to undress to the waist in the mammography room. You will be asked to stand in front of the mammography machine and 2 images of each breast will be taken – one from the front and one from the side. The breast is compressed between 2 plates to flatten it and to get as much detail on the images as possible. Some people find having a mammogram uncomfortable, but the test takes only a few seconds. Our machine is a state of the art Digital Mammography Unit, enabling us to reduce both the radiation dose and the examination time for patients. It also significantly improves on comfort as the compression times are kept to an absolute minimum.
Breast Ultrasound Scan
You will be asked to undress to the waist and lay on a couch with your arm above your head. Some jelly will be put onto your b reast and the scanning probe will be moved around your breast (this is the same technique that is used to look at babies in the womb during pregnancy).
Fine Needle Aspiration Cytology (FNAC)
This test involves taking a sample of the cells from the area of the breast that we are investigating. Not everyone needs this test. FNAC is done using a fine needle and syringe. The cells are spread onto a microscope slide and sent to the laboratory to be examined. FNAC can be uncomfortable but does not usually need a local anaesthetic.
Needle Core Biopsy
Some doctors may follow up the FNAC with a Needle Core Biopsy. This procedure uses a larger needle so that more tissue can be taken from the suspicious area, which means that more detailed tests can be done on the sample. You will be given a local anaesthetic first, this will numb the area. The local anaesthetic is given under the skin with a tiny needle. You may find afterwards, that your breast aches and is bruised later. You won’t need stitches and you will be fit to go home afterwards. You will have a dressing put over the area which you should keep dry and remove after 48 hours. The nurse in the clinic will give you more information about this.
You will be seen by specialist breast consultant who will ask you some general questions about your health and your breast problem; this will include family history of any breast problems.
The consultant will examine your breasts and decide which tests you will need based on your individual assessment.
To enable the examination of your breasts, you will be asked to undress to the waist and therefore we advise you to not wear a dress to the appointment.
We aim to provide a one-stop service in the breast clinic. This can mean that your clinic appointment may take 3-4 hours.
We do our best to see you at your appointment time, but sometimes delays happen due to the tests that we do.
When you arrive at the breast clinic you should report to the reception desk where the clinic receptionist will check we have your correct address and GP details and you will be asked to register your account.
You will be asked to take a seat and complete a short health questionnaire. If you would like some help with this, please ask at reception.
The Breast Care Sister or Nurse will call you when you are due to see the doctor, and will stay with you during your consultation.
You can bring a relative or friend with you and if you wish, they can be with you when you are seen by the doctor.
You have been referred to the breast clinic because you have a breast lump or breast problem and your General Practitioner (GP) thinks that you should be seen in a specialist clinic.
There are many reasons for breast lumps and breast problems. Please remember that 9 out of 10 women with breast lumps do not have breast cancer.
You have been referred to this clinic so that we can investigate your breast problem and decide on treatment if it is necessary. Our team of nurses, specialist consultants and radiographers all work together at the Hospital to ensure you have only one visit during which all investigations can be carried out.