The information outlined below on common breast conditions and treatments is provided as a guide only and it is not intended to be comprehensive.

Discussion with Michelle is important to answer any questions that you may have. For information about any additional conditions not featured within the site, please contact us for more information. With digital mammogram and MRI machines at all clinic locations, your treatment will be conducted in state-of-the-art facilities, ensuring the best care possible.

Breast Excision Biopsy

An operation in which abnormal breast tissue or a lump is removed (excised) through the smallest and most appropriate incision, a small amount of surrounding tissue (margins) may also be taken to ensure full clearance.

Stereotactic or Guidewire Excision Biopsy

This type of excision biopsy is indicated when patients have an abnormality that is visible on a mammogram or ultrasound but cannot be felt in clinical examination. To assist the surgeon, the site of the abnormality to be biopsied is marked by a consultant radiologist, with a guide-wire or skin marking (localisation), using either mammography or ultrasound.

Sentinel Node Biopsy

This technique has been the subject of a number of clinical trials around the world. It is used to identify whether cancer has spread to the lymph nodes. It involves injecting a small amount of radioactive material and a blue dye into the breast, which identifies the sentinel node. Michelle will then remove this lymph node at the time of surgery. If the sentinel node is clear, it usually means that the other nodes are clear and removal of further lymph nodes under the arm may not be necessary.

Axillary Node Clearance

Prior to surgery, your armpit will have been scanned to see if cancerous cells are present within the lymph nodes. If cancer is confirmed in the armpit (axilla) you will be recommended to have an axillary node clearance where all the lymph nodes are removed through the axilla. This is usually undertaken at the same time as surgery to the breast. . If the breast cancer is near the armpit, a single incision can be used. During a mastectomy, the axillary nodes will be removed through the mastectomy incision. The lymph nodes removed will be analysed under the microscope by a histopathologist.

OSNA (One Step Nucleic Acid Amplification) of the Sentinel Node

Some patients will be offered intra-operative assessment of the sentinel node to see if it contains cancer cells. If cancer is detected in the sentinel node, Michelle will proceed straight to an axillary node clearance, avoiding the need for women to have a second operation on their armpit.

About one in eight women in the UK are diagnosed with breast cancer during their lifetime. There’s a good chance of recovery if it’s detected in its early stages. Breast screening aims to find breast cancers early. It uses an X-ray test called a mammogram that can spot cancers when they are too small to see or feel.

As the likelihood of getting breast cancer increases with age, all women who are aged 50-70 and registered with a GP are automatically invited for breast cancer screening every three years.

What happens during breast screening?

Breast screening is carried out at special clinics or mobile breast screening units. The procedure is carried out by female members of staff who take mammograms.

During screening, your breasts will be X-rayed one at a time. The breast is placed on the X-ray machine and gently but firmly compressed with a clear plate. Two X-rays are taken of each breast at different angles.

Michelle operates on over 50 NHS breast screening patients per year and is fully breast screening trained.

What is a mammography?

Regular breast screening enhances the likelihood of early detection and successful treatment of breast cancer. Screening is carried out by a mammography. Treatment most commonly offered for breast cancer includes the drug Tamoxifen, chemotherapy or radiation and surgery. Screening is advised annually from 40 years, 2 yearly from 50 years. Screening is not normally advised below 40 years, unless there are risk factors such as a significant family history or previous history of breast cancer. A mammogram is a specialist X-ray of the breast. It uses low amounts of radiation and the risk to your health is small.


The mammogram can detect small changes in breast tissue, which may indicate cancers that are too small to be felt either you or your doctor.

The procedure

A mammogram is carried out by a radiographer who will position your breasts on the specially designed mammography machine. In order to obtain a good, clear picture the breast must be held tightly between two pieces of plastic. You may find the scan uncomfortable or painful as the breast tissue needs to be held firmly to ensure a good image is obtained, but this will only last a few seconds. Both front and side images of the breast are taken. After the scan, you’ll be able to go home immediately. Please do not use spray deodorant or talcum powder on the day of the mammogram, as this may affect the quality of the X-ray. For more information, and if you have any queries about the procedure, speak to your consultant. Continue taking your normal medication unless you are told otherwise.


Results will usually be sent to the doctor who referred you within two days of your mammogram.

What is an ultrasound scan?

Ultrasound uses high frequency sound waves to create pictures of the inside of the body. It can show internal organs as well as blood flow, and as a result ultrasound is used to look for any changes in organs and tissue.

Having an ultrasound

For an ultrasound scan you will be asked to lie on a table, usually facing upwards. A clear gel will be applied to the the breast or armpit, which helps the machine to make secure contact with the body. The radiologist will scan the area and obtain pictures. Ultrasound is complementary to mammography and is always the first investigation of choice for younger patients.

Discussion with Michelle is important to answer any questions that you may have. For information about any additional conditions not featured within the site, please contact us for more information.


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