Symptoms assessment

New lump, pain, nipple discharge, or skin change is assessed with examination, ultrasound, and mammography when appropriate — with same-visit biopsy where clinically appropriate. Most people start here at the one-stop clinic. If the symptom is a lump, see the breast lump guide.

Symptoms assessment

Breast cancer surgery

After diagnosis, surgery is planned with the same consultant — lumpectomy, mastectomy, oncoplastic techniques, and sentinel lymph node biopsy, with reconstruction discussed from the first consultation. Breast-conserving surgery is explained on the lumpectomy page.

Breast cancer surgery

Reconstruction

Breast shape after mastectomy can be restored with an implant or with the patient's own tissue, immediately or later. DIEP flap is the autologous option most often discussed when own-tissue reconstruction is appropriate.

Reconstruction

Non-cancerous conditions

Fibroadenomas, cysts, mastitis, and intraductal papillomas are assessed in the same practice so a benign diagnosis is confirmed rather than assumed. Fibroadenoma is the commonest solid lump we see. Specialist assessment clarifies whether treatment is needed.

Non-cancerous conditions

Adolescent breast health

Teenagers and young adults are seen from around age 12, usually with ultrasound rather than mammography, and with a parent present for under-16s. Most findings are benign; the point of the visit is a clear answer for the patient and family. Book through the same one-stop clinic.

Adolescent breast health

Common questions

Who is this page for?

Anyone looking for private breast assessment or surgery in London or Buckinghamshire — whether you have a new symptom, a confirmed diagnosis, need reconstruction, or a benign condition such as a fibroadenoma or cyst.

What is a one-stop breast clinic?

Examination, imaging (ultrasound and mammography when appropriate), and core biopsy if indicated — often in a single visit, with results discussed and a written summary.

Does private care replace my GP or NHS cancer pathway?

No. If you meet NICE NG12 urgent referral criteria, contact your GP as well. Private assessment complements NHS care; Dr Tsang-Wright also holds an NHS consultant post at Bucks Breast Unit.

Do you see teenagers and young adults?

Yes. The practice sees patients from around age 12, usually with ultrasound rather than mammography, and with a parent present for under-16s. Most findings are benign; the visit is to give a clear answer. See adolescent breast health.