Bedford offers a full range of diagnostic and therapeutic facilities for symptomatic breast disease. Breast cancer patients are managed by a multi-disciplinary team including surgeons, radiologists and oncologists supported by a full range of support staff.
• One Stop Breast Clinic
• Breast Biopsy
• Management of screen detected and symptomatic breast Cancers
• Breast Reconstruction
• Management of Gynaecomastia
• Family History Clinic
Breast screening for the 50-70 age group in the North Bedford region is run from the Luton Regional Screening Centre. This is a joint venture covering Bedfordshire, North Herts and part of Bucks and our own breast radiologists take a full part in the screening programme ensuring good communication between the screening service and ourselves. If an abnormality is detected the screening centre notifies the patient, GP and the Breast unit at Bedford hospital (by fax).
The hospital will then send an urgent appointment to the patient to discuss the results from breast screening and advise them about their management.
This will ensure that the patient gets a rapid appointment.
Conditions that require hospital referral include: All patients with a discrete mass (aspiration of masses by general practitioners is not encouraged, because bruising can follow aspiration of a solid mass, making subsequent assessment difficult)
• Nipple discharge in patients aged over 50, and blood
stained, persistent and troublesome nipple discharge in younger
• Mastalgia that interferes with patient's lifestyle or sleep and which has failed to respond to reassurance, simple measures such as an adequate supporting brand and common drugs
• Nipple retraction or distortion, change in skin contour, or nipple eczema
• Asymmetrical nodularity that persists at review after menstruation.
Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.
Patients who can be managed initially, by their GP include:
• Young patients with tender, lumpy breasts and older
patients with symmetrical nodularity, provided that they have no
• Patients with minor/moderate degrees of breast pain who do not have a discrete palpable lesion
• Patients aged under 50 who have nipple discharge that is from more than one duct or is
intermittent and is neither bloodstained or troublesome.
Last updated: 07/03/2013
Update due: 07/03/2014