Breast Cancer

Services

Luton & Dunstable Hospital

Cancer Services

The Luton and Dunstable Hospital NHS Foundation Trust's Cancer Unit is part of the Mount Vernon Cancer Network.  The Network covers a geographical area from North London to mid-Bedfordshire, west to Buckinghamshire and east to Hertfordshire, providing services to a population of two million people.  The Mount Vernon Hospital Cancer Centre provides specialist care, including radiotherapy and complex chemotherapy, with the local Cancer Units and the Primary Care Trusts providing routine and on-going care, including chemotherapy.

Oncology services are provided by consultant staff from Mount Vernon, taking part in combined clinics with the Luton and Dunstable hospital staff.

To access the service please visit your GP.

The lead clinician for cancer services is Mr. Mike Pittam, Consultant Surgeon.

Multi-Disciplinary Team (MDT) meetings for all tumour sites are held on a regular basis, mostly weekly, to discuss newly diagnosed or suspected cancer patients.  Some MDT meetings participate in video-conferencing with other Network Teams to encourage wider discussion and input to the patient pathway.  The MDT Office can be contacted on either: 01582 718 268 or 01582 718 099.

BREAST Clinics

  • Symptomatic one-stop clinic in the Breast Screening Centre
  • Follow up clinic
  • Nurse-led follow up clinic
  • Symptomatic assessment clinic
  • Combined surgical/oncology clinic

Useful Numbers

Name, Telephone, Fax
Mr. Pittam 01582 497097 01582 497176
Mr. Ravichandran 01582 718009 01582 718009
Jan Chalkley/Frances Taffs [CNS] 01582 497103 bleep 168 / 462 01582 497103
Breast Screening Nurses 01582 497594
Breast Screening Centre 01582 497599

Who to Refer

Urgent referral within 2 weeks (under 2 week rule)

Refer urgently patients:

  • Of any age with a discrete, hard lump with fixation, with or without skin tethering
  • Who are female, aged 30 years and older with a discrete lump that persists after their next period, or presents after menopause
  • Who are female, aged younger than 30 years:
    • With a lump that enlarges
    • With a lump that is fixed and hard
    • In whom there are other reasons for concern such as family history
  • Of any age, with previous breast cancer who present with a further lump or suspicious symptoms
  • With unilateral eczematous skin or nipple change that does not respond to topical treatment
  • With nipple distortion of recent onset
  • With spontaneous unilateral bloody nipple discharge
  • Who are male, aged 50 years and older with a unilateral, firm subareolar mass with or without nipple distortion or associated skin changes

Non-urgent referral

Consider non-urgent referral in:

  • Women aged younger than 30 years with a lump
  • Patients with breast pain and no palpable abnormality, when initial treatment fails and/or with unexplained persistent symptoms (use of mammography in these patients is not recommended).

Investigations

In patients presenting with symptoms and/or signs suggestive of breast cancer, investigation prior to referral is not recommended

Macmillan Cancer Support Rapid Referral Guidelines

Macmillan Cancer Support Rapid Referral Guidelines

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.

Resources

Map of Medicine Patient Pathway

Map of medicine - suspected breast cancer

NICE Guidelines

Website Resources

Female Breast Cancer:

Male Breast Cancer:

Cancer Networks

Patient Information Leaflets

Patient information leaflet - Two Week Wait

Macmillan Cancer Support at the Luton & Dunstable Hospital



Last updated: 20/06/2013

Update due: 20/06/2014