Harley Street Breast Care Led by Mr Debashis Ghosh · Consultant Breast & Oncoplastic Surgeon

Breast lump assessment — seen this week

Found a lump? Get a definite answer this week.

Most breast lumps are benign — cysts, fibroadenomas and normal glandular changes are far more common than cancer. But no statistic settles the mind like a proper assessment. Mr Ghosh offers consultant examination with same-visit imaging in central London.

GMC-registered consultant (No. 4657664) Dual European Board certified — FEBS Breast Surgery & Surgical Oncology Formerly Clinical Director of Breast Services, NCL Cancer Alliance (NHS England) Bupa · AXA · Aviva · Vitality · WPA · Cigna — self-pay welcome

From worry to answer

A clear, kind, methodical process — designed to get you to certainty in the fewest possible steps.

Tell us what you've foundWhere it is, when you noticed it, how it has changed
ExaminationCareful clinical assessment by a consultant breast surgeon
Same-visit imagingUltrasound and/or mammogram, with biopsy only if genuinely needed
A definite answerBenign findings explained and, where appropriate, simply monitored

Why patients choose Mr Ghosh

Most lumps are not cancer

Cysts, fibroadenomas and hormonal nodularity account for the great majority of new lumps. Assessment exists to prove which is which.

Gentle, unhurried consultations

Time to examine properly, explain clearly and answer every question — including the ones you're afraid to ask.

If it does need treatment

You are already under the care of a surgeon who personally delivers the full range of breast cancer and reconstructive surgery.

When should a breast lump be checked?

Any new lump, thickening or asymmetry that persists beyond a menstrual cycle should be assessed — as should any lump in a woman past the menopause, any lump in the armpit, and any lump accompanied by skin dimpling, nipple change or discharge. Men with a new breast lump should also be assessed. The purpose of early review is not alarm; it is that early answers give you the most options and the least worry.

What happens at your appointment

Mr Ghosh takes a full history and examines both breasts and armpits. Imaging — ultrasound for most younger patients, mammography with ultrasound for older patients — is arranged the same visit. If anything needs sampling, an image-guided core biopsy can usually be taken there and then. Benign findings are explained on the spot; biopsy results are discussed personally within days.

Common benign causes of a breast lump

  • Breast cysts — fluid-filled, often tender, frequently resolved by simple aspiration in clinic
  • Fibroadenomas — smooth, mobile lumps common in younger women
  • Fibrocystic change and hormonal nodularity
  • Fat necrosis after injury, and benign lipomas

Frequently asked questions

How likely is it that my lump is cancer?

Most new breast lumps assessed in clinic are benign, particularly in younger women. But likelihood is not certainty — imaging and, where needed, biopsy provide the definite answer.

Will I need a biopsy?

Only if examination and imaging can't confirm a lump is benign. Many lumps are conclusively diagnosed on ultrasound alone; cysts can often be drained at the same visit.

Can I be seen without a GP referral?

Yes — you can book directly for a private assessment. Insured patients should check whether their policy requires a GP referral.

I found a lump in my armpit — is that the same clinic?

Yes. Armpit (axillary) lumps are assessed in exactly the same way, with examination and same-visit imaging.

Stop wondering. Book an assessment.

A consultant examination and same-visit imaging can usually be arranged within days.

Book a consultation