MEDICAL CHAMBERS T: + 44 (0) T: + 44 (0) F: + 44 (0) F: + 44 (0) E:

(1)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk AT

T: + 44 (0)20 7563 1234

F: + 44 (0)20 7563 1212

E: info@108harleystreet.co.uk

www.108harleystreet.co.uk

THE LONDON BREAST CLINIC

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk AT

T: + 44 (0)20 7563 1234

F: + 44 (0)20 7563 1212

E: info@108harleystreet.co.uk

www.108harleystreet.co.uk

THE LONDON BREAST CLINIC

M E D I C A L

CHAMBERS 108 HARLEY STREET LONDON WIG 7ET

(2)

T H E L O N D O N

B R E A S T C L I N I C

AT

THE LONDON BREAST CLINIC

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212

E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk AT

ABOUT US

Founded in 1991, The London Breast Clinic provides the highest professional standards of dedicated breast care within a friendly and reassuring

environment. We provide a full range of integrated breast care services for both benign and malignant disease, including screening, surgery, radiotherapy, chemotherapy, reconstruction and after care.

All treatment programmes are individually tailored to suit your needs with members of our experienced specialist breast care team working closely together to ensure ultimate peace of mind and minimum delays.

M E D I C A L

CHAMBERS

108 HARLEY STREET LONDON WIG 7ET

(3)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N B R E A S T C L I N I C AT

OUR APPROACH

AT

People visit The London Breast Clinic, at 108, Harley Street, for a variety of reasons, most commonly they have been referred by a medical practitioner because a lump, discharge, or other abnormality has been noticed. Discovering a breast lump is frightening, yet 90% are benign.

The London Breast Clinic is dedicated to minimising patient anxiety. Our caring, highly experienced, multi-disciplinary professional team is available every weekday, so appointments can be usually be offered within 24 hours sometimes even the same day.

This multi-disciplinary team comprising consultant surgeons, radiologists, pathologists, oncologists, nurses and other experienced health professionals, offers the best possible assessment of benign and malignant breast disease in the shortest possible time all on one site.

The Breast Clinics held daily in our relaxed and friendly premises, are

designed to lead to a rapid yet accurate diagnosis. Following expert physical examination the onsite X-Ray and Imaging Centre offers facilities for full fi eld digital mammography, general x-ray, ultrasound imaging, as well as fi ne needle aspiration cytology and core biopsy. MRI scanning can be undertaken at partner facilities with reporting by The London Breast Clinic team members. Once diagnosis has been confi rmed appropriate treatment can be

recommended. This appropriate treatment is discussed and agreed with the patient, it can be either surgical intervention or the ongoing management of the condition. Such treatment may include surgery to remove diseased tissue, breast reconstruction, radiotherapy and/or chemotherapy which as appropriate will be carried out at our partner hospitals, while other treatments will be provided at the clinic.

M E D I C A L

CHAMBERS

(4)

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk AT

FACILITIES AND SERVICES

We provide a comprehensive Rapid Diagnostic Breast Care Service:

• Consultant Breast Surgeon led specialist multi-disciplinary team • Symptomatic clinics

• Breast screening • Genetic / Family history

• On-site full ﬁ eld digital mammography • On-site breast ultrasound

• Aspiration cytology (FNAC - ﬁ nal needle aspiration cytology) • Core Biopsy

• Vacuum Biopsy • Rapid results

• Specialist Breast Care Nurse • Fast Access to Surgery

Breast Screening and Assessment of Screening Abnormalities Adhering to the high standards of the National Breast Screening Programme, our screening is tailored to each patients speciﬁ c needs. A complete team with the necessary surgical, radiological and pathological expertise and equipment assesses all conditions. Breast screening incorporates clinical assessment and examination by an experienced Consultant Breast Surgeon, plus mammography, ultrasound imaging and MRI scanning , if indicated. Fine Needle Aspiration Cytology (FNAC) or Core Biopsy, can also be undertaken by the consultant breast surgeon for assessment by breast specialist cytologists and histopathologists, who are members of the multi-disciplinary team. Localisation and surgical excision is also available if necessary.

Assessment of Screening Abnormalities

A complete team with the necessary radiological, surgical and pathological facilities to assess all conditions.

Lump Assessment

Our Clinic is structured for the rapid assessment of lumps by clinical assessment, imaging including mammography and/or ultrasound as appropriate with cytology (FNAC) or core biopsy as indicated and MRI. Mastalgia (Breast Pain)

We have consultants with particular interest and expertise in mastalgia and its treatment.

Familial Breast Cancer

Advice regarding genetic predisposition to breast malignancy and the appropriate investigations is available from a consultant geneticist with expertise in familial breast cancer.

M E D I C A L

CHAMBERS

(5)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N B R E A S T C L I N I C AT AT Cosmetic Surgery

A complete range of cosmetic procedures include mastopexy (breast

uplifting), augmentation (enlargement), reduction, nipple reconstruction and correction of congenital deformities.

Reconstructive Surgery

Operations to restore the shape of the breast following mastectomy, matching to the remaining breast as closely as possible. This can be done either as an immediate reconstruction at the same time as the mastectomy operation or at a later date.

Oncology

The treatment of tumours by drugs, hormones and radiotherapy by Clinical Oncologists.

Radiotherapy

The use of high-energy x-ray beams to treat the breast tissue. It is usually undertaken at associated hospitals under the supervision of our Clinical Oncologists after surgery by the Consultant Breast Surgeon.

Breast Care Advice and Counselling

All our practice nurses have undergone specialist breast care training. To ensure continuity of care and a full understanding of your situation, they are available for pre and post operative information, advice and support, for both out-patients and in-patients on all aspects of breast care, including: general health; self examination; breast screening; breast reconstruction; breast prosthesis information and ﬁ tting; hormone replacement therapy, with reference to the breast.

FACILITIES AND SERVICES

M E D I C A L

CHAMBERS

(6)

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk 108 X-RAY AND IMAGING FACILITIES AND SERVICES 108 X-Ray and Imaging

The unit offers rapid diagnostic breast imaging both full ﬁ eld digital

mammography and ultrasound. The different ways of examining the breast are outlined below.

Mammography

Full fi eld digital mammography is a diagnostic, low dose x-ray examination, using dedicated equipment, for examining the breast. It is usually offered to women over 35 and is used routinely in screening programmes. It is also the fi rst investigation for symptomatic purposes, including for those with a family history of breast cancer or on hormone replacement therapy. In order to perform a mammogram, the breast is compressed between two perspex x-ray plates, some women fi nd this uncomfortable, and a very small number may fi nd it painful. Mammography is carried out by a radiographer and the image of the breast is then reviewed by a consultant breast radiologist, who will produce a report for the consultant breast surgeon.

Breast Ultrasound

Ultrasound is used where there is an abnormality in a part of the breast and will differentiate solid lesions from cystic ones. Increasingly this technique is used in conjunction with mammography, as both techniques give complementary information. In patients under 35, ultrasound is the usual diagnostic investigation used in conjunction with clinical examination as a screening technique. It uses high frequency sound waves to produce pictures of internal tissues and organs. A special gel is spread onto the breasts and a traducer, a small hand held microphone, which emits sound waves, is passed over the area. The echoes are converted into an image of the breast tissue, which is then reviewed by a consultant radiologist, who will produce a report for the consultant breast surgeon. Ultrasound scans are painless. Ultrasound can also be used by a consultant radiologist to guide the needle to the area of abnormality to have cells taken for ﬁ ne needle aspiration cytology.

Core Biopsy

In order to establish a tissue diagnosis, a slightly thicker needle than for FNAC is inserted into the breast, to remove a small tissue sample for histological examination. Local anaesthetic is used to make the area numb before the biopsy is taken. A small cut is then made in the breast and the core biopsy needle inserted to take samples. It can be performed clinically, by feeling the position of the lump, or if the area is very small or cannot be felt, this test can be performed using ultrasound or x-ray guidance (Stereotactic core biopsy). The tissue is sent away for examination (histopathology) and the results are usually available within 48 - 72 hours. In certain circumstances it renders surgical excision unnecessary if the lesion is conﬁ rmed as benign. It may be carried out by either a consultant breast surgeon or consultant radiologist.

108 X-RAY AND IMAGING FACILITIES

AND SERVICES

M E D I C A L

CHAMBERS

(7)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N B R E A S T C L I N I C AT Localisation

Should surgery, for an impalpable abnormality, be required, guidance is provided, for the consultant breast surgeon, using either wire placement or ultrasound guided skin marking, whichever is most appropriate.

Vacuum Biopsy

A system using minimally invasive techniques whereby some benign breast lumps can be removed under local anaesthetic using either mammography or ultrasound guidance. This is done in the unit avoiding formal admission to hospital and surgery under general anaesthetic with an overnight stay.

108 X-RAY AND IMAGING FACILITIES

AND SERVICES

M E D I C A L

CHAMBERS

(8)

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk QUALITY ASSURANCE

Quality control is very important to us all at 108 X-ray and Imaging. We adhere to a number of quality control measures, which include:

• Comprehensive quality control procedures applied daily to all x-ray equipment.

• Modern, dedicated mammography equipment maintained in accordance with the strict standards applied by the UK National Breast Screening Programme.

• Compliance with professional guidelines for specialist training and research activities, including recognised external quality assessment schemes, for our team of nationally recognised consultant radiologists. • Regular audit and discussions held by our multi-disciplinary teams reﬂ ecting the best practice within NHS National Breast Screening Programme guidelines.

• Audit is also undertaken by an external Radiation Protection Centre.

QUALITY ASSURANCE

M E D I C A L

CHAMBERS

(9)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N B R E A S T C L I N I C AT

THE ONE STOP DAY SURGERY CENTRE

Our Day Surgery Centre at 108 Harley Street is designed is to provide one stop treatment, where appropriate, in a comfortable and friendly setting. The centre offers same day consultations and minor operations under local anaesthetic whilst avoiding the formal admission procedure required at larger private facilities. The emphasis on patient care whilst keeping administration to a minimum also ensures that charges are lower than larger facilities.

Consultants using the Day Surgery Centre are experts in their particular ﬁ elds, and the surgery itself is staffed by trained theatre personnel and experienced nurses.

The operating theatre and breast clinic treatment rooms have the latest state-of-the-art equipment where the following procedures can be carried out:

• Breast Cyst Aspiration • Breast Abscess Drainage

• Fine Needle Aspiration Cytology • Core Biopsy

• Nipple Biopsy

• Nipple Discharge Analysis • Cytological Assessment

• Surgical excision of lesions under local anaesthetic where appropriate • Vacuum Biopsy of lesion where appropriate

DAY SURGERY CENTRE

M E D I C A L

CHAMBERS

(10)

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

Our multi-disciplinary team comprising consultant surgeons, radiologists, pathologists, oncologists, nurses and other experienced health professionals, offers the best possible assessment of benign and malignant breast disease in the shortest possible time all on one site.

THE TEAM I CONSULTANTS

CONSULTANT BREAST SURGEON Mr O J A Gilmore MS FRCS FRCS (ED)

Jerry Gilmore qualiﬁ ed at St Bartholomews Hospital in London, obtaining the Begley Prize from the Royal College of Surgeons of England.

In 1975, he was awarded the Moynihan Prize by the Association of Surgeons of Great Britain, and the Hamilton Bailey Prize by the International College of Surgeons. In 1976, he was awarded a Master of Surgery Degree by the University of London and appointed Hunterian Professor by the Royal College of Surgeons of England. Appointed Consultant Surgeon to St Bartholomews Hospital, where he established the Breast Unit in 1981. Appointed Surgical Assessor to the National Breast Screening Programme in 1988.

He established The London Breast Clinic at 108 Harley Street in 1991 in order to offer private patients the multidisciplinary approach used in the NHS Breast Screening Programme.

CONSULTANT BREAST AND RECONSTRUCTION SURGEON (ONCOPLASTIC SURGEON)

Miss Fiona MacNeill MD FRCS

Fiona MacNeill qualiﬁ ed from St Bartholomew’s Hospital, London in 1983. She was appointed as a Consultant in 1996, ﬁ rstly at Colchester and more recently at The Royal Marsden Hospital London. Fiona joined The London Breast Clinic in 1996. She is currently the breast tutor at The Royal College of Surgeons of England and her main areas of interest are oncoplastic reconstructive surgery and sentinel lymph node training. In 2006 her educational and training achievements were recognised with the Silver Scalpel award. Fiona lectures nationally and internationally and is a member of a number of national and department of health committees.

T H E

L O N D O N

B R E A S T

C L I N I C

A T

T:

+ 44 (0)20 7563 1234

F:

+ 44 (0)20 7563 1212

E:

info@108harleystreet.co.uk

W:

www.108harleystreet.co.uk

Our multi-disciplinary team comprising consultant surgeons,

radiologists, pathologists, oncologists, nurses and other

experienced health professionals, offers the best possible

assessment of benign and malignant breast disease in the

shortest possible time all on one site.

THE TEAM

I CONSULTANTS

CONSULTANT BREAST SURGEON

Mr O J A Gilmore

MS FRCS FRCS (ED)

Jerry Gilmore qualiﬁ ed at St Bartholomews Hospital in

London, obtaining the Begley Prize from the Royal College

of Surgeons of England.

In 1975, he was awarded the Moynihan Prize by the

Association of Surgeons of Great Britain, and the

Hamilton Bailey Prize by the International College of

Surgeons. In 1976, he was awarded a Master of Surgery

Degree by the University of London and appointed

Hunterian Professor by the Royal College of Surgeons

of England. Appointed Consultant Surgeon to St

Bartholomews Hospital, where he established the Breast

Unit in 1981. Appointed Surgical Assessor to the National

Breast Screening Programme in 1988.

He established The London Breast Clinic at 108 Harley

Street in 1991 in order to offer private patients the

multidisciplinary approach used in the NHS Breast

Screening Programme.

CONSULTANT BREAST AND RECONSTRUCTION

SURGEON (ONCOPLASTIC SURGEON)

Miss Fiona MacNeill

MD FRCS

Fiona MacNeill qualiﬁ ed from St Bartholomew’s Hospital,

London in 1983. She was appointed as a Consultant

in 1996, ﬁ rstly at Colchester and more recently at The

Royal Marsden Hospital London. Fiona joined The London

Breast Clinic in 1996. She is currently the breast tutor at

The Royal College of Surgeons of England and her main

areas of interest are oncoplastic reconstructive surgery

and sentinel lymph node training. In 2006 her educational

and training achievements were recognised with the Silver

Scalpel award. Fiona lectures nationally and internationally

and is a member of a number of national and department

of health committees.

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

Our multi-disciplinary team comprising consultant surgeons, radiologists, pathologists, oncologists, nurses and other experienced health professionals, offers the best possible assessment of benign and malignant breast disease in the shortest possible time all on one site.

THE TEAM I CONSULTANTS

CONSULTANT BREAST SURGEON Mr O J A Gilmore MS FRCS FRCS (ED)

Jerry Gilmore qualiﬁ ed at St Bartholomews Hospital in London, obtaining the Begley Prize from the Royal College of Surgeons of England.

In 1975, he was awarded the Moynihan Prize by the Association of Surgeons of Great Britain, and the Hamilton Bailey Prize by the International College of Surgeons. In 1976, he was awarded a Master of Surgery Degree by the University of London and appointed Hunterian Professor by the Royal College of Surgeons of England. Appointed Consultant Surgeon to St Bartholomews Hospital, where he established the Breast Unit in 1981. Appointed Surgical Assessor to the National Breast Screening Programme in 1988.

He established The London Breast Clinic at 108 Harley Street in 1991 in order to offer private patients the multidisciplinary approach used in the NHS Breast Screening Programme.

CONSULTANT BREAST AND RECONSTRUCTION SURGEON (ONCOPLASTIC SURGEON)

Miss Fiona MacNeill MD FRCS

Fiona MacNeill qualiﬁ ed from St Bartholomew’s Hospital, London in 1983. She was appointed as a Consultant in 1996, ﬁ rstly at Colchester and more recently at The Royal Marsden Hospital London. Fiona joined The London Breast Clinic in 1996. She is currently the breast tutor at The Royal College of Surgeons of England and her main areas of interest are oncoplastic reconstructive surgery and sentinel lymph node training. In 2006 her educational and training achievements were recognised with the Silver Scalpel award. Fiona lectures nationally and internationally and is a member of a number of national and department of health committees.

M E D I C A L

CHAMBERS

THE TEAM I CONSULTANTS

CONSULTANT BREAST SURGEON Mr Simon Marsh MA MD FRCS

Simon Marsh trained at Trinity College Cambridge and the Clinical School, Addenbrookes Hospital. He was one of the few students to be awarded the William Harvey Studentship in consecutive years. His MD thesis, from the University of Cambridge focused on the role of growth factors in breast cancer. He is Senior Consultant Surgeon in the Colchester Breast Unit in Essex and has been a member of The London Breast Clinic since 1999. In 2006 he halved his workload within the NHS to dedicate more time to The London Breast Clinic. He retains an active interest in cancer research and is an Honorary Senior Lecturer to the Department of Biomedical Sciences in the University of Essex.

CONSULTANT BREAST SURGEON Mr Richard Sainsbury MD FRCS

Richard Sainsbury qualiﬁ ed in 1977 from University of Newcastle Upon Tyne Medical School.

Richard is Consultant Breast Surgeon at Southampton University Hospitals NHS Trust and IOW NHS Primary Care Trust having taken up the post in the summer of 2007. He moved from Royal Free and University College Medical School London where he had been Senior Lecturer

and Honorary Consultant Surgeon and Head of Breast Services at UCH since 2000, having been previously been a Consultant Surgeon in Huddersﬁ eld for 12 years. He has retained his ongoing research programme at UCH concerning the mechanisms of breast cancer,he is also actively involved in advising government bodies on the optimisation of breast services. He has written several books and many scientiﬁ c papers on breast cancer. He joined the team in 2001.

(11)

THE TEAM

I CONSULTANTS

CONSULTANT BREAST SURGEON Mr Simon Marsh MA MD FRCS

CONSULTANT BREAST SURGEON Mr Richard Sainsbury MD FRCS

and Honorary Consultant Surgeon and Head of Breast Services at UCH since 2000, having been previously been a Consultant Surgeon in Huddersﬁ eld for 12 years. He has retained his ongoing research programme at UCH concerning the mechanisms of breast cancer,he is also actively involved in advising government bodies on the optimisation of breast services. He has written several books and many scientiﬁ c papers on breast cancer. He

joined the team in 2001.T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212

E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N B R E A S T C L I N I C AT

THE TEAM

I CONSULTANTS

CONSULTANT BREAST SURGEON Mr Simon Marsh MA MD FRCS

CONSULTANT BREAST SURGEON Mr Richard Sainsbury MD FRCS

and Honorary Consultant Surgeon and Head of Breast Services at UCH since 2000, having been previously been a Consultant Surgeon in Huddersﬁ eld for 12 years. He has retained his ongoing research programme at UCH concerning the mechanisms of breast cancer,he is also actively involved in advising government bodies on the optimisation of breast services. He has written several books and many scientiﬁ c papers on breast cancer. He joined the team in 2001.

M E D I C A L

CHAMBERS

THE TEAM

I CONSULTANTS

CONSULTANT BREAST SURGEON Miss Tena Walters MS FRCS

Tena Walters qualiﬁ ed from the Medical College of St Bartholomew’s Hospital in 1983.

She was appointed Lecturer in Anatomy, and subsequently lecturer in Surgery on the Professorial Surgical Unit at Barts where she completed an MS thesis studying smooth muscle cell proliferation. She has worked in Breast Test Wales and in the Royal National Hospital of Wales, the Heath Cardiff.

In 1996 she was appointed as a Consultant in Breast and Colorectal Surgery at Queen Mary’s Hospital Sidcup and became Lead Clinician of the Breast Unit in 1998 and Lead Clinician in Oncology in 2002. In the same year she was nominated for the Hospital Doctor of the year award and gained proxime accessit in the oncology category.

Her special interests include family history of breast disease, the effects of HRT on breast tissue and the management of breast pain as well as the early diagnosis and management of breast cancer.

(12)

THE TEAM I CONSULTANTS

She joined the London Breast Clinic team in 1996. T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

THE TEAM I CONSULTANTS

She joined the London Breast Clinic team in 1996.

M E D I C A L

CHAMBERS

CONSULTANT BREAST SURGEON

Mr Giles Davies MB BS BSc. MD FRCS(Gen.Surg.)

Mr Giles Davies was educated at Harrow School and St Georges Hospital where he was awarded the William Brown and

Devitt-Pendlebury Exhibition and graduated in 1997. He trained at the Royal Marden Hospital and was awarded his MD thesis for investigating the role of COX-2 inhibitors in the prevention of breast cancer which was published and presented internationally. He trained in oncoplastic breast surgery via an international fellowship at the Royal Adelaide Hospital in Australia and since 2008 has worked as full time Consultant Oncoplastic Breast Surgeon at Kingston Hospital NHS Trust.and also closely with the Royal Marsden Hospital. Mr Davies specialises in Oncoplastic breast surgery.

“Excellent care from Mr Giles Davies as well as biopsy doctor and nurses.”

CONSULTANT BREAST SURGEON

Professor Philip J Drew BSc MBBS MD(Hons) MS FRCS (Eng) FRCS (Glasg) FRCS (Ed) FRCS (Gen)

Professor Drew qualified at St Mary’s Hospital, part of Imperial College, London, in 1990.

In addition to the basic MBBS degrees he holds two higher medical degrees with both a Master of Surgery and Doctor of Medicine with Honours. He has published several books and over 100 scientific articles with his main interests being in the molecular biology of breast cancer, reconstructive breast surgery and gynaecomastia. He is regularly invited to lecture nationally and internationally.

He is an examiner for the Royal College of Surgeons of England, Imperial College and several other Universities at home and aboard.

He is co-director of the Advanced Management of Breast Disease Course of the RCS England and a member of council of both the Association of Breast Surgery and the Society of Academic and Research Surgeons.

(13)

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

Dr Nick Perry MB FRCS FRCR

Nick Perry qualiﬁ ed at St Bartholomews Hospital in London where he is now Director of Breast Screening. He is Chairman of many European screening committees, and an advisor to the German and Irish National Breast Screening Programmes.

Dr Mike Michell MB DMRD FRCR

Mike Michell is a Consultant Radiologist at Kings College Hospital, London where he qualiﬁ ed in 1978. He is also a Consultant Radiologist for the National Breast Screening Training Centre, Chairman of Regional Radiological Quality Assurance committees and a member of the European Group for Breast Cancer Screening.

Dr Nigel Barrett MBBS MRCP FRCR

Nigel Barrett qualiﬁ ed at Charing Cross Hospital in London and was appointed Consultant Radiologist there in 1990. He has been Clinical Director of the West London Breast Screening Unit since 1990.

Dr Felicity Muncey MBBS MRCP FRCR

Dr Felicity Muncey qualiﬁ ed at Kings College Hospital, London in 1980 and has been a Consultant Radiologist since 1989, working within the National Health Service Breast Screening programme. Since then she has continued and developed her sub-speciality interest in all aspects of breast imaging, including MRI and biopsy techniques. She currently works in the Breast Imaging Department at St Bartholomews Hospital and in the Ultrasound Department at the Hammersmith Hospital. Her other skills include general and gynaecological ultrasound, including ovarian cancer cancer screening.

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

M E D I C A L

CHAMBERS

THE

LONDON

BREAST

CLINIC

AT

T:

+ 44 (0)20 7563 1234

F:

+ 44 (0)20 7563 1212

E:

info@108harleystreet.co.uk

W:

www.108harleystreet.co.uk

THE TEAM

I RADIOLOGISTS

Dr Andrea Schneidau MBBS FRCR

Andrea Schneidau qualiﬁ ed at the Middlesex Hospital

in 1975. She was appointed Consultant Radiologist to

the Elizabeth Garrett Anderson Hospital UCLH (University

College London Hospitals) Trust in 1987, before joining

the Breast Screening Programme at St George’s Hospital,

London in 2000. She is also Consultant Breast Radiologist

at the Portland Hospital for Women and Children.

Dr William Teh MBBS FRCR

Dr William Teh has been a member of the team since

2002. He is Director of Radiology at 108 X-Ray and

Imaging. Dr William Teh qualiﬁ ed from University of Bristol

in 1988 and undertook Radiology training at Barts and

The London NHS Hospitals. Subspeciality Breast imaging

training undertaken at Nottingham Breast Insitute in

1997.

He was appointed Consultant Radiologist at Northwick

Park Hospital in 1998 and Director of Screening at the

North of London Breast Screening Service in 1999.

Research interest and specialises in ultrasound and biopsy

techniques including image guided vacuum excision of

benign lesions. Acknowledged expert in Breast MRI and

MRI guided vacuum biopsies of the breast.

Dr Neil Edmonds MRCS FRCR

Neil Edmonds qualiﬁ ed from Shefﬁ eld University

Medical School and was appointed as Consultant to

Greenwich Area Health Authority in 1980. He is now

Lead Consultant in Breast Imaging at Queen Elizabeth

Hospital. His special interest is in breast imaging and

interventional procedures. He has been involved in the

planning and inception of local services for the National

Breast Screening Programme for 15 years.

He joined The London Breast Clinic team in 2006.

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

(14)

T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

THE TEAM

I RADIOLOGISTS

Dr Andrea Schneidau MBBS FRCR

Andrea Schneidau qualiﬁ ed at the Middlesex Hospital in 1975. She was appointed Consultant Radiologist to the Elizabeth Garrett Anderson Hospital UCLH (University College London Hospitals) Trust in 1987, before joining the Breast Screening Programme at St George’s Hospital, London in 2000. She is also Consultant Breast Radiologist at the Portland Hospital for Women and Children.

Dr William Teh MBBS FRCR

Dr William Teh has been a member of the team since 2002. He is Director of Radiology at 108 X-Ray and

Imaging. Dr William Teh qualiﬁ ed from University of Bristol in 1988 and undertook Radiology training at Barts and The London NHS Hospitals. Subspeciality Breast imaging training undertaken at Nottingham Breast Insitute in 1997.

He was appointed Consultant Radiologist at Northwick Park Hospital in 1998 and Director of Screening at the North of London Breast Screening Service in 1999. Research interest and specialises in ultrasound and biopsy techniques including image guided vacuum excision of benign lesions. Acknowledged expert in Breast MRI and MRI guided vacuum biopsies of the breast.

Dr Neil Edmonds MRCS FRCR

Neil Edmonds qualiﬁ ed from Shefﬁ eld University Medical School and was appointed as Consultant to Greenwich Area Health Authority in 1980. He is now Lead Consultant in Breast Imaging at Queen Elizabeth Hospital. His special interest is in breast imaging and interventional procedures. He has been involved in the planning and inception of local services for the National Breast Screening Programme for 15 years.

He joined The London Breast Clinic team in 2006. M E D I C A L

CHAMBERS

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

THE TEAM

I RADIOLOGISTS

RADIOLOGISTS

Dr Felicity Muncey qualiﬁ ed at Kings College Hospital, London in 1980 and has been a Consultant Radiologist since 1989, working within the National Health Service Breast Screening programme. Since then she has continued and developed her sub-speciality interest in all aspects of breast imaging, including MRI and biopsy techniques. She currently works in the Breast Imaging Department at St Bartholomews Hospital and in the Ultrasound Department at the Hammersmith Hospital. Her other skills include general and gynaecological ultrasound, including ovarian cancer cancer screening. T H E L O N D O N B R E A S T C L I N I C AT T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

THE TEAM

I RADIOLOGISTS

Dr Andrea Schneidau MBBS FRCR

Andrea Schneidau qualiﬁ ed at the Middlesex Hospital in 1975. She was appointed Consultant Radiologist to the Elizabeth Garrett Anderson Hospital UCLH (University College London Hospitals) Trust in 1987, before joining the Breast Screening Programme at St George’s Hospital, London in 2000. She is also Consultant Breast Radiologist at the Portland Hospital for Women and Children.

Dr William Teh MBBS FRCR

Dr William Teh has been a member of the team since 2002. He is Director of Radiology at 108 X-Ray and

Imaging. Dr William Teh qualiﬁ ed from University of Bristol in 1988 and undertook Radiology training at Barts and The London NHS Hospitals. Subspeciality Breast imaging training undertaken at Nottingham Breast Insitute in 1997.

He was appointed Consultant Radiologist at Northwick Park Hospital in 1998 and Director of Screening at the North of London Breast Screening Service in 1999. Research interest and specialises in ultrasound and biopsy techniques including image guided vacuum excision of benign lesions. Acknowledged expert in Breast MRI and MRI guided vacuum biopsies of the breast.

Dr Neil Edmonds MRCS FRCR

Neil Edmonds qualiﬁ ed from Shefﬁ eld University Medical School and was appointed as Consultant to Greenwich Area Health Authority in 1980. He is now Lead Consultant in Breast Imaging at Queen Elizabeth Hospital. His special interest is in breast imaging and interventional procedures. He has been involved in the planning and inception of local services for the National Breast Screening Programme for 15 years.

He joined The London Breast Clinic team in 2006.

THE

LONDON

BREAST

CLINIC

AT

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212

E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk

THE TEAM

I RADIOLOGISTS

Dr Andrea Schneidau

MBBS FRCR

Andrea Schneidau qualiﬁ ed at the Middlesex Hospital

in 1975. She was appointed Consultant Radiologist to

the Elizabeth Garrett Anderson Hospital UCLH (University

College London Hospitals) Trust in 1987, before joining

the Breast Screening Programme at St George’s Hospital,

London in 2000. She is also Consultant Breast Radiologist

at the Portland Hospital for Women and Children.

Dr William Teh

MBBS FRCR

Dr William Teh has been a member of the team since

2002. He is Director of Radiology at 108 X-Ray and

Imaging. Dr William Teh qualiﬁ ed from University of Bristol

in 1988 and undertook Radiology training at Barts and

The London NHS Hospitals. Subspeciality Breast imaging

training undertaken at Nottingham Breast Insitute in

1997.

He was appointed Consultant Radiologist at Northwick

Park Hospital in 1998 and Director of Screening at the

North of London Breast Screening Service in 1999.

Research interest and specialises in ultrasound and biopsy

techniques including image guided vacuum excision of

benign lesions. Acknowledged expert in Breast MRI and

MRI guided vacuum biopsies of the breast.

Dr Neil Edmonds

MRCS FRCR

Neil Edmonds qualiﬁ ed from Shefﬁ eld University

Medical School and was appointed as Consultant to

Greenwich Area Health Authority in 1980. He is now

Lead Consultant in Breast Imaging at Queen Elizabeth

Hospital. His special interest is in breast imaging and

interventional procedures. He has been involved in the

planning and inception of local services for the National

Breast Screening Programme for 15 years.

(15)

THE TEAM

I PLASTIC SURGEONS

CONSULTANT PLASTIC SURGEON

Mr Mark Gittos FRACS (Plast)

Mark Gittos qualiﬁ ed from Auckland Medical School in 1984, where he won the Carrick Robertson Prize in Surgery. During his plastic surgery speciality training he was also awarded the Davis and Geck Prize for Surgical Research. In 1996 he was appointed as Specialist Consultant to the prestigious St Andrews Centre for Plastic Surgery and Burns in Chelmsford.

Since then Mr Gittos has been at the forefront of the advancement of post mastectomy reconstruction using skin and nipple sparing surgical techniques and has authored a number of scientiﬁ c papers on this subject. He joined The London Breast Clinic in 2001.

Mr Paul Harris BSc MD FRCS (Plast)

Mr Harris is a Consultant Plastic, Surgeon at The Royal Marsden Hospital in London, where he specialises in reconstructive surgery following ablative cancer excision, in particular head & neck reconstruction and breast reconstruction

He graduated from Charing Cross and Westminster Medical School in 1991 to embark upon his surgical career. After four years of training in general surgery at a number of London teaching hospitals, he became a fellow of the Royal College of Surgeons of England (FRCS). He then undertook eight years of training in Plastic Surgery in London as well as periods spent at specialist centres in Australia and Belgium. In 2002, he gained the Specialist fellowship in Plastic Surgery (FRCS Plast) and was entered on the GMC Specialist Register for Plastic Surgery in 2004.

T:

+ 44 (0)20 7563 1234

F:

+ 44 (0)20 7563 1212

E:

info@108harleystreet.co.uk

W:

www.108harleystreet.co.uk

THE

LONDON

BREAST

CLINIC

AT

THE TEAM

I PLASTIC SURGEONS

CONSULTANT PLASTIC SURGEON

Mr Mark Gittos

FRACS (Plast)

Mark Gittos qualiﬁ ed from Auckland Medical School

in 1984, where he won the Carrick Robertson Prize in

Surgery. During his plastic surgery speciality training he

was also awarded the Davis and Geck Prize for Surgical

Research. In 1996 he was appointed as Specialist

Consultant to the prestigious St Andrews Centre for

Plastic Surgery and Burns in Chelmsford.

Since then Mr Gittos has been at the forefront of the

advancement of post mastectomy reconstruction using

skin and nipple sparing surgical techniques and has

authored a number of scientiﬁ c papers on this subject. He

joined The London Breast Clinic in 2001.

CONSULTANT PLASTIC SURGEON

Mr Paul Harris

BSc MD FRCS (Plast)

Mr Harris is a Consultant Plastic, Surgeon at The Royal

Marsden Hospital in London, where he specialises in

reconstructive surgery following ablative cancer excision,

in particular head & neck reconstruction and breast

reconstruction

He graduated from Charing Cross and Westminster

Medical School in 1991 to embark upon his surgical

career. After four years of training in general surgery at a

number of London teaching hospitals, he became a fellow

of the Royal College of Surgeons of England (FRCS). He

then undertook eight years of training in Plastic Surgery

in London as well as periods spent at specialist centres in

Australia and Belgium. In 2002, he gained the Specialist

fellowship in Plastic Surgery (FRCS Plast) and was entered

on the GMC Specialist Register for Plastic Surgery in 2004.

THE TEAM

I PLASTIC SURGEONS

CONSULTANT PLASTIC SURGEON Mr Mark Gittos FRACS (Plast)

CONSULTANT PLASTIC SURGEON Mr Paul Harris BSc MD FRCS (Plast)

THE TEAM I PLASTIC SURGEONS

CONSULTANT PLASTIC SURGEON Mr Mark Gittos FRACS (Plast)

CONSULTANT PLASTIC SURGEON Mr Paul Harris BSc MD FRCS (Plast)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N S K I N C L I N I C AT AT

THE TEAM

I CONSULTANTS

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N S K I N C L I N I C AT

THE TEAM

I CONSULTANTS

CONSULTANT SURGEON

Miss Tena Walters MS FRCS

Tena Walters has been a London Breast Clinic Consultant since 1997. She now works full time in the independent sector having previously been Lead Clinician in the Breast Unit at Queen Marys Hospital, Sidcup. She was proxima asset in the Oncology award in the Hospital Doctor of the Year 2002. The performance of her Breast Unit at Queen Mary Hospital resulted in the award of NHS Champion in 2004 Evening Standard Awards.

THE TEAM

I CONSULTANTS

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N S K I N C L I N I C AT

THE TEAM

I CONSULTANTS

CONSULTANT SURGEON Miss Tena Walters MS FRCS

CONSULTANT PLASTIC SURGEON Mr Mark Gittos FRACS (Plast)

CONSULTANT PLASTIC SURGEON Mr Stuart E James MS FRCS(Plast)

Mr James is a Consultant Plastic Surgeon at The Royal Marsden Hospital. He joined the London Breast Clinic in 2009. His specialist interests are in autologous breast reconstruction using the DIEP flap, fat transfer and aesthetic surgery of the breast and face.

He graduated from University College and the Middlesex Medical School in 1994, gained an FRCS in 1998 and undertook his specialist plastic surgical training in London. He was awarded the Arris and Gale Lectureship and the College Medal by The Royal College of Surgeons of England in 2003 for his research into wound healing.

In 2006 he spent a year as Fellow to the MD Anderson Cancer Center in Houston, Texas to focus on microsurgical reconstructive surgery and subsequently completed his Plastic Surgery training at the Chelsea and Westminster Hospital Craniofacial Unit. He is entered on the GMC Specialist Register for Plastic Surgery, and is a member of BAAPS. Mr James has recently been awarded the Master of Surgery (MS) degree by University College London.

THE TEAM

I CONSULTANTS

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 E: info@108harleystreet.co.uk W: www.108harleystreet.co.uk T H E L O N D O N S K I N C L I N I C AT

THE TEAM

I CONSULTANTS

Miss Tena Walters MS FRCS

Mr Mark Gittos FRACS (Plast)

T: + 44 (0)20 7563 1234 F: + 44 (0)20 7563 1212 T H E L O N D O N S K I N C L I N I C AT

THE TEAM

I CONSULTANTS

AT

CONSULTANT PLASTIC SURGEON Mr Mark Gittos FRACS (Plast)

Mark Gittos qualified from Auckland Medical School in 1984, where he won the Carrick Robertson Prize in Surgery. During his plastic surgery speciality training he was also awarded the Davis and Geck Prize for Surgical Research. In 1996 he was appointed as Specialist Consultant to the prestigious

St Andrews Centre for Plastic Surgery and Burns in Chelmsford. Since then Mr Gittos has been at the forefront of the

advancement of post mastectomy reconstruction using skin and nipple sparing surgical techniques and has authored a number of scientific papers on this subject. He joined The London Breast Clinic in 2001.

CONSULTANT PLASTIC SURGEON Mr Paul Harris BSc MD FRCS (Plast)

Mr Harris is a Consultant Plastic, Surgeon at The Royal Marsden Hospital in London, where he specialises in reconstructive surgery following ablative cancer excision, in particular head & neck reconstruction and breast reconstruction.

He graduated from Charing Cross and Westminster Medical School in 1991 to embark upon his surgical career. After four years of training in general surgery at a number of London teaching hospitals, he became a fellow of the Royal College of Surgeons of England (FRCS). He then undertook eight years of training in Plastic Surgery in London as well as periods spent at specialist centres in Australia and Belgium. In 2002, he gained the Specialist fellowship in Plastic Surgery (FRCS Plast) and was entered on the GMC Specialist Register for Plastic Surgery in 2004. CONSULTANT PLASTIC SURGEON

Mr Stuart E James MS FRCS (Plast)

Mr James is a Consultant Plastic Surgeon at The Royal Marsden Hospital. He joined the London Breast Clinic in 2009. His specialist interests are in autologous breast reconstruction using the DIEP flap, fat transfer and aesthetic surgery of the breast and face. He graduated from University College and the Middlesex Medical School in 1994, gained an FRCS in 1998 and undertook his specialist plastic surgical training in London. He was awarded the Arris and Gale Lectureship and the College Medal by The Royal College of Surgeons of England in 2003 for his research into wound healing.

In 2006 he spent a year as Fellow to the MD Anderson Cancer Center in Houston, Texas to focus on microsurgical reconstructive surgery and subsequently completed his Plastic Surgery training at the Chelsea and Westminster Hospital Craniofacial Unit. He is entered on the GMC Specialist Register for Plastic Surgery, and is a member of BAAPS. Mr James has recently been awarded the Master of Surgery (MS) degree by University College London.

M E D I C A L

CHAMBERS