Nhs_choices Bthft Bradford Teaching HospitalsNHS Foundation Trust NHS Choices
  • Text Size

  • Language

    loading

Breast Cancer

What we do?

Bradford Teaching Hospitals NHS Foundation Trust Breast Service provides diagnostic and therapeutic care and treatment to approximately 500,000 patients within the Bradford area with a suspected disorder of the breast.

It also acts as a tertiary referral centre for the neighbouring areas of Airedale, Dewsbury, Halifax and Huddersfield for patients requiring diagnostic breast screening and breast reconstruction. Bradford Teaching Hospitals NHS Foundation Trust currently offers a wide range of breast reconstruction techniques. These include free flap reconstruction, Latissimus dorsi flaps and implant/expander reconstructions with or without the use of an acellular dermal matrix (ADM) or mesh.

Patients without breast symptoms who have concerns about a family history of breast cancer can be referred to the dedicated family history clinic service for professional advice and support. We work closely with the Department of Clinical Genetics in Leeds and refer patients on for gene testing in accordance with the most current NICE guidelines.

A team of specialist staff provides support to patients diagnosed with breast problems before, during and after treatment.

A weekly prosthetic fitting service is also available.

Close links exist with other specialist services, including: radiology, pathology, plastic surgery, oncology, clinical genetics and palliative care.

Outpatient services are provided in a dedicated diagnostic outpatient facility The Dales Suite located in the Horton Wing at St Luke's Hospital, Level 2, Area 8.

Patients requiring further assessment after attending for screening mammography will be invited to The Pennine Suite. This is a dedicated screening assessment unit located in St Luke's Hospital, Horton Wing on Level 2, Area 8.

The Team

The team is made up of a group of dedicated professionals with specific skills in managing and treating breast symptoms and disease.


The Breast Surgeon

This is a team of specially trained doctors who provide surgical treatment of breast disease. If you have a new breast problem your doctor will refer you to a breast surgeon for assessment of your symptoms. Breast Surgeons carry out operations to remove breast cancer and breast reconstruction.

Telephone contact (01274) 365844, (01274) 365734, (01274) 365063.

Mr Linforth Consultant Breast Surgeon

Mr Mo Salhab Consultant Breast Surgeon

Miss Catherine Tait Associate Breast Specialist Surgeon


Plastic Surgeon

A Breast Surgeon with specific skills in providing reconstruction of the breast after preventative breast cancer surgery and treatment of breast cancer.

Mr Nicholas Rhodes “ Consultant Plastic Surgeon

Mr Andrew Williams “ Consultant Plastic Surgeon


The Breast Radiologists

This is a doctor who is specially trained to interpret x-rays, mammograms and special scans from which a diagnosis is made, and who is an expert in carrying out diagnostic tests.

Dr Gemma Smith Consultant Radiologist and Director of Breast Screening Services

Dr Paul Burrows Consultant Radiologist

Dr Anne Marie Wason Consultant Radiologist

Dr Dalibor Grucic Consultant Radiologist

Dr Shazia Khan Consultant Radiologist


Breast Radiographer

This is a team of professionals with skills in performing breast x-ray (mammogram) and breast ultrasound using equipment to produce images/pictures, which help to diagnose breast disease.

Mrs Leah Richardson Acting Superintendent of Breast Screening Services

Mrs Sarah Alexander Deputy Superintendent of Breast Screening Services


Breast Care Nurse Specialist

This is a nurse who is an expert in the care and support of people with breast problems. The Breast Care Nurse will provide information to help you to understand your treatment and will support you during your future treatment. She will advise you on practical issues and help with problems associated with your treatment. She can talk to other members of the Multi-Disciplinary Team on your behalf if you wish, and will guide you through your continuing follow-up care.

Telephone contact (01274) 365190

Mrs Mandy Blackburn Breast Care Nurse Specialist

Mrs Kathryn Kitchen Breast Care Nurse Specialist

Mrs Sakina Iqbal Breast and Genetic Clinical Nurse Specialist

Ms Trish Cockrem Breast Care Nurse Specialist

Mrs Lorraine Newton Breast Care Nurse Specialist

Mrs Kathryn Hodgson Breast Screening Nurse Specialist Telephone (01274) 365526


The Pathologist

This is a doctor who is an expert in looking at cancer cells under a microscope and working out how they might behave to guide decisions on treatment.

Dr Pauline Carder   Consultant Histopathologist

Dr Julian Ostrowski Consultant Histopathologist

Dr Salih Bahkiet       Locum Consultant Histopathologist

Medical Oncologist

Telephone (01274) 364095

This is a doctor who specialises in delivering non-surgical treatments for Breast Cancer including chemotherapy and hormone therapy.

Dr Christopher Bradley Consultant Medical Oncologist

Dr Shazza Rehman      Consultant Medical Oncologist


Clinical Oncologist

A clinical oncologist specialises particularly in x-ray based treatment for breast cancer (radiotherapy) but may also have experience in chemotherapy and hormone therapy.

Telephone (0113) 2067822

Dr Emma Thomas Consultant Clinical Oncologist


Research Nurse

This nurse identifies patients who are eligible for research studies, provides patients and their families with information about research, co-ordinates treatment and supports patients whilst they are taking part.

Telephone (01274) 383435

Mrs Helen Robertshaw Breast Clinical Research Nurse


Feedback, compliments and complaints

Bradford NHS Teaching Hospitals breast team welcome feedback from patients and their family/carers and is committed to using this information to improve and develop patient centred services, care and treatment.

The team currently receive information on services delivered from:

· The National Cancer Patient Survey. In response to comments received in 2014-2015 The Breast Team have developed two key pieces of information for patients:

1. Specific information on the delivery of local breast cancer services and care from the initial point of diagnosis with breast cancer and referral for treatment to the point of follow up care.

2. Development of a personalised care plan following completion of treatment.

· The Breast Team welcome information provided through the NHS Friends and Family Test and feedback on current services and developments in care and treatment are displayed in The Dales Unit and Pennine Screening Department.

· The team work closely with the Patient Advice and Liaison Service and welcome feedback from this service which improves the patient experience. Please click on patient tab and follow the link on the trust website for further information.

·

Contact us

You can contact the Breast Surgeons on (01274) 365734 / 365063/365844

The Breast Care Nurse Specialists on (01274) 365190

The Pennine Screening Unit on (01274) 365521/2/3 or (01274) 365525 main reception


Referral Pathways

If you have a new breast symptom you should contact your GP immediately who will arrange for you to be seen in one of the five timetabled weekly symptomatic breast clinics held in The Dales Unit at St Luke's Hospital. This appointment will provide you with the opportunity to meet a breast surgeon who will assess and advise on your symptoms and any treatment if required.

If you have attended for a recent breast screening x-ray (mammogram) you may be invited for a further assessment appointment. An invitation letter will be sent to attend an appointment within The Pennine Breast Screening Unit at St Luke's Hospital. At this appointment you will meet with a consultant breast radiologist and breast care nurse specialist who will advise you on the reason for your second appointment and any further x-rays, ultrasound scans and tests required.


Family History

If you have a family history your GP can refer you to the family history clinic for specialist advice and assessment. During this consultation you will meet with a breast surgeon to discuss your current known family history and a clinical breast examination will be performed.

The team will then assess your risks utilising screening tools recommended by the National Institute for Clinical Excellence and will advise you of your current risk status in comparison to age matched members of the general population.

If you have a high risk of breast cancer a referral to the Regional Genetics Service based in Leeds will be requested. If you have a moderate risk the assessing surgeon will discuss your eligibility for screening breast imaging and the intervals of these assessments and will enrol you into the family history surveillance programme. If you have a low or equal risk to that of aged matched members of the public we will advise you on how to monitor for new breast symptoms and provide a summary of the family history recommendations to your GP.


First Appointment

Your visit to the breast clinic may take several hours so that all the necessary tests can be carried out. The order in which the tests are done will vary between clinics.

You may want to take a friend or relative with you for company or support. However, they won't usually be allowed in areas such as x-ray rooms.

A doctor or specialist nurse experienced in diagnosing and treating breast problems will usually see you first. You will be asked to fill in a short questionnaire including questions about any family history of breast problems, any medication you're taking, including hormone replacement therapy (HRT) or the contraceptive pill, or any previous breast surgery (including breast implants).

This will be followed by a breast examination, where the doctor or nurse will check both your breasts. The examination involves looking at and feeling both breasts when you are sitting and when you are lying down. As part of the examination, it's usual to examine the lymph nodes (glands) under your arm.

You may then need to have further tests. These will usually include one or more of the following:

· mammogram (breast x-ray)

· ultrasound scan

If an abnormality is felt in the breast or axilla (underarm) examination, or seen on the ultrasound or x-ray (mammogram) of the breast your doctor may perform one or two tests:

· fine needle aspiration (FNA) . This involves taking one or more samples of breast cells or cells from the gland under your arm known as lymph nodes using a fine needle and syringe.

· core biopsy. A core biopsy uses a larger needle to obtain a sample (sometimes several samples) of breast tissue from the area of concern. Because tissue is taken rather than cells it gives more detailed information.

· Local anaesthetic will be used before these procedures to keep you comfortable during the tests making the skin numb.

Not everyone will have an FNA or core biopsy. It depends on your symptoms or the findings from your mammogram and/or ultrasound scan.

We want to ensure you are kept fully informed throughout your visit of the reasons for any tests and investigations. Please feel free to ask questions during your visit if you are at all uncertain about any aspect of the treatment.

If you require an FNA or core biopsy you will be advised of the expected timing of these results before you leave the clinic. You will be given contact details for the breast care nursing team and you are welcome to contact them if you have any further questions or concerns.


Cancellations

If you are unable to attend your planed appointment please can you contact:

· Breast secretaries: all patients referred to The Dales Unit with a new breast symptom

Telephone (01274) 36574 / 365063 / 365844 were arrangements can be made to re-book your appointment to the next available breast clinic.

· Breast Screening Main Reception: all patients invited to a further appointment after your screening breast x-ray (mammogram).

Telephone 01274 365525 were arrangements can be made to re-book you appointment.


Medication

Click here for medication


Interpreters

The hospital provides an interpreting service.


Location

The breast symptomatic outpatient service location:

The Dales Unit

Level 2 Area 8 Hortan Wing

St Luke's Hospital

Bradford

BD5 0NA.


Breast Screening Services:

The Pennine Breast Screening Unit

Level 2 Area 8 The Hortan Wing

St Luke's Hospital,

Little Horton Lane,

Bradford

BD5 ONA


Medical and Clinical Oncology:

Outpatients West Department

Bradford Royal Infirmary

Duckworth Lane

Bradford

BD9 6RJ


Further Support

Breast Cancer Care Telephone 0808 800 6000 www.breastcancercare.org.uk

Macmillan 0808 808 00 00 www.macmillan.org.uk

Bosom Friends A local support group. Ladies meet on a Wednesday evening at The Bradford Cancer Support Centre Daisy House Farm, 44 Smith Lane, Bradford, BD9 6DA. Further information from Sue Hodgson (chair) Telephone (01274) 674381

Bradford Cancer Support Telephone (01274) 776688 www.bradfordcancersupport.org.uk

The Haven breast cancer support centre Telephone (0113) 2847829 www.thehaven.org.uk