Private Breast Consultations and Testing

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Specialist Consultant Breast Surgeon

Mr Seni Mylvaganam is MUMS Specialist Consultant Breast Surgeon.  He specialises in the surgical assessment and management of male and female breast symptoms and benign disease, breast cancer and breast reconstruction.

Seni offers consultations at MUMS with no waiting times and no need for a referral from your NHS GP. Consultations are affordable, unrushed and comprehensive. 

Mr Seni Mylvaganam aims to provide every patient with the highest quality assessment, advice, and treatment, whether this is regarding benign breast symptoms, breast cancer care or cosmetic considerations. His patients remain at the heart of his work, and he states that "understanding their needs is essential to offering the best treatment tailored to each individual."

Consulting with Mr Seni at MUMS is easy to access.

We offer:

• Consultation with breast surgeon for women aged over 40
• Breast Reassurance clinic for women aged under 40
• Genetic Breast Cancer Testing
• Breast USS with Consultant Breast Radiologist

Breast Surgeon Consultations for women and men

For women and men who have felt a lump or a change in the appearance of their breast. It might be that a nipple looks inverted, or you have breast pain or a discharge from the nipple. Mr Seni will examine you, take a history, and discuss rapid access to diagnostics such as Mammogram, MRI, Ultrasound or Biopsy. He may suggest aspiration of a lump. We offer speedy diagnostics, fast results and follow up.  The aim of this is to give peace of mind quickly or early diagnosis.  Mr Seni offers breast consultations on Tuesdays. We have ample parking and great reviews on Doctify.

You can book online or send an enquiry or call us on 0121 704 2669 to book a consultation. If Tuesdays are not convenient for you – Mr Seni is always happy to be flexible – especially if you are worried and prefer not to wait. MUMS ethos is to offer patients support, advice and a truly personal service as we understand that breast problems can cause anxiety, often unnecessarily.

Breast consultations can also be undertaken for second opinions on breast cancer or benign breast condition treatment. 

Consultations are comprehensive and holistic and all diagnostic investigations and be organised rapidly. Mr Seni offers a personalised and bespoke service to get you the answers you need.

If any tumour markers/blood tests are initiated during your consultation with Mr Seni – you will need a follow up face to face appointment to have the results interpreted.

Follow up appointments with Mr Seni cost £150.

Breast Reassurance Clinic for women and men aged 40 and under

For women and men aged 40 and under with breast symptoms or concerns regarding their breast health -for  this group of women and men, it is much more likely that any breast symptoms are benign and following expert assessment may be managed primarily with reassurance. You will be seen by an expert breast surgeon (Mr Seni Mylvaganam) who will undertake a history of the concerns and then perform a breast and armpit examination to complete the clinical assessment. Based on this Mr Mylvaganam will discuss with you any further assessments that may be required, which could include an ultrasound which identifies an area of uncertainty – which can be undertaken by MUMS Consultant Breast Radiologist – Dr Aisha Khan – often on the same day of the consultation.

It is likely a core biopsy would be recommended to confirm any diagnosis. The aim of a breast reassurance clinic is to provide women and men with fast direct access to an expert breast specialist to evaluate their symptoms and provide a prompt, clear, detailed explanation, and diagnosis for each woman or man. 

MUMS follows UK practice as described by NICE for the assessment of breast symptoms to ensure the highest standards of patient care and safety.  To adhere to this all patients must have a clinical consultation and assessment by a Breast Consultant and then if required an ultrasound can then be authorised and provided. 

Ultrasound scan of your breast

An ultrasound scan uses sound waves to give a picture of breast tissue. Ultrasound gel will be applied to your skin and a probe is passed over your breast to produce a picture on a screen. This is the same technique used during pregnancy to look at a baby in the womb.

Core Biopsy

If you need to have a core biopsy, then MUMS offer this service. Our Consultant Radiologist will perform this under ultrasound guided assistance. The Breast Surgeon will decide if this diagnostic test is required. This procedure will involve the Radiologist inserting a needle into your breast to take a tissue sample. Local anaesthetic is used to numb the area.

We are a breast consultant led private clinic that specialise in breast ultrasound scanning, aspirating, biopsies etc.

Breast Ultrasound 

Breast Ultrasound Scans/Breast Biopsies/Breast Lump Aspirations - are only available after an initial consultation with MUMS Consultant Breast Surgeon Mr Seni Mylvaganam – to ensure this is the most appropriate diagnostic for you.

Ultrasound Scan Breast 

• Unilateral ( single breast) £185
• Bilateral (both breasts) £225

This scan looks at the areas where women have felt a lump/lumps and this scan is targeted to the area of concern. This scan would look at the whole breast for reassurance to exclude any concerning lesions. This does not require any preparation and is not painful unless the breasts are very sensitive.

Ultrasound Axilla (armpit)

• Unilateral (single armpit) £185
• Bilateral (both armpits) £225

This scan looks at the lymph nodes in one or both armpits to see if there are any abnormalities. This scan is performed if there is a lump/lumps in the area or if there is a suspected cancer in the same breast.

Ultrasound Scan and Fine Needle Aspiration (FNA)

• Fine Needle Aspiration £300
• Laboratory pathology analysis £220

This can be performed if there is a cyst that needs aspirating or if there is a lump that needs investigation in one of the breasts. It is performed under local anaesthetic. This is not a very painful procedure and has very few complications. If the sample is sent to the laboratory for assessment the results will take 14 days to report a result.

MUMS Consultant radiologist will use a fine needle under ultrasound guided assistance. The sample – often referred to as cytology is sent to our partner laboratory for pathology analysis.

MUMS Consultant Radiologist will make you feel comfortable. You will be asked to lie down whilst the ultrasound scan and the sample taking is performed. The needle will be inserted into your breast to enable the consultant radiologist to obtain a sample of breast fluid which contains cells that our pathologist will analyse and report to us.

Ultrasound Scan and Core Biopsy

• Core biopsy £350
• Laboratory pathology analysis £220

A core biopsy of the breast is a test which involves taking a small sample of tissue from an abnormal area in the breast. If the abnormality can be easily felt, the core biopsy will be performed by Dr Aisha Khan without ultrasound scan guidance.  If the abnormality is not easily felt, Dr Aisha Khan will use an ultrasound scan to guide her to the abnormality. The biopsy itself does not take very long to perform and usually the whole process is finished in 15 to 20 minutes.
After cleaning the skin, the area is numbed using a local anaesthetic, which may sting briefly. A small cut may be made in the skin to assist in placing the biopsy needle close to the abnormality. The needle is attached to a small device which quickly fires the needle into the abnormality taking a narrow tubular core of tissue. The device makes a loud clicking noise (we will let you hear the noise first, so it does not take you by surprise). This process may be repeated several times to ensure an adequate sample is obtained. You may feel a slight discomfort and a sensation of pressure for a short time.

The tissue sample will then be sent to our partner laboratory and analysed by an experienced pathologist who will be able to make a diagnosis by studying the sample under a microscope. You will be able to go home after the procedure and return to normal activities the next day.

Breast Cancer Risks and Genetic Screening

Breast surgery consultations are required to detect breast cancer and the risk of breast cancer. We offer two different gene tests at our clinic. These tests include a 12 Panel Genetic tests that includes BRCA and AnteBC Test.

The two tests provide different information. As a result, they can be used together. Upon arranging a consultation with our breast surgery consultant, you will be guided through which tests are recommended for you. To provide greater insight into the two tests we offer, we have provided a wealth of information below.

Genomic medicine (the use of a person’s individual DNA to inform about disease risk and how to treat) is increasingly playing a central part in how we view and treat breast cancer.  It can enable us to identify individuals at a higher risk of developing breast cancer so a person can know their risk but also what to do with that information to reduce their risk. Learn more about our Breast Cancer gene testing here.

Contact Us Today to:

• Book a consultation with Mr Seni
• Book a consultation and genetic breast cancer testing

Irrespective of whether you wish to detect your risk of breast cancer or require a breast surgeon consultation here at MUMS, we are here to meet your needs and avoid NHS waiting times.

More about Mr Seni

As a member of the Association of Breast Surgery Clinical Practice and Standards Committee, Seni initially qualified as a doctor in 2003 at the Royal Free and University College London Medical School before completing his bachelor’s degree in Pharmacology at University College London. After completing his medical degree, he completed his specialist training with the National Oncoplastic Breast fellowship. The fellowship is restricted by competition to select breast and plastic surgeons each year.

After completing his specialist registrar training, he was appointed as Consultant Oncoplastic Breast Surgeon at the Royal Wolverhampton Hospitals NHS Trust. He also holds the role of professional clinical advisor in surgery to the NHS Breast screening programme. He is a member of the Association of Breast Surgery Clinical Practice and Standards Committee, part of the Board responsible for UK national breast surgery practice standards.