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Surgical Services

Surgical Diagnostic and Treatment Options

Assessment and Diagnosis

Patients are seen for benign and malignant conditions. Symptoms may be breast pain, a lump, nipple discharge, change in the appearance of the breast or a change in a mammogram. Increasingly, concern about risk factors leads to the visit. New patients are seen after referral by their primary physician.
 

Your First Visit

During the initial visit, a complete history related to the symptoms is taken and a complete breast examination is performed. If a mammogram and/or ultrasound has been performed previously, the patient is asked to bring these to the initial visit and they will be reviewed after the visit. These tests may be arranged if necessary and not previously done.
 

Then What?

  • If a lump or thickening is found on examination, a fine needle aspiration or biopsy is performed at the initial visit. Most patients say that this is comparable to a blood test being taken. The material obtained is sent to our Cytology Department and the results come back in 2 to 4 working days.
      
  • If a change is noted in the mammogram or ultrasound, and nothing is found on examination, the patient may be referred to the Breast Imaging Department for further studies or for an ultrasound guided biopsy or stereotactic biopsy. Please see the Breast Imaging information sheet for details on these procedures.
      
  • If surgery (such as the removal of a lump for diagnosis or treatment) is required, it is done as day surgery either in the Marvelle Koffler Breast Centre under a local anaesthetic, or in the Ambulatory Surgery Centre under general anaesthesia. In both cases, the patient returns home the same day after a short period of observation. Laboratory (pathology) results will be available in 5 to 10 days.
      
  • If surgery for a tumour is required, the patient is admitted to the hospital on the morning of the surgery and stays over 1 or 2 nights, depending on the nature of the surgery. Every attempt is made to treat tumours by conservative means (lumpectomy instead of mastectomy) and this is possible in over 75 per cent of patients. Prior to admission to the hospital, the findings of the investigations, the reasons for the proposed treatment and all the treatment options are carefully discussed with the patient. Support groups, psychiatric and social work services are part of the Marvelle Koffler Breast Centre and are available to aid the patient and family in coping with issues related to diagnosis and treatment.
      

Full pathology reports after surgery are usually available in 5 to 10 days and patients return at that time to discuss the results. If breast cancer was found, referrals to medical and radiation oncologists are usually made for opinions as to the need for any further treatment.
   
Breast reconstruction following breast removal (mastectomy) is available after surgery. There are several different options of reconstruction you may want to consider. Please speak to your breast surgeon or caregiver to arrange a consultation with a reconstructive surgeon.


MKBC Surgeons

Surgeon:    Dr. Jamie Escallon, M.D., F.R.C.S.(C.), F.A.C.S.
Secretary:  Generosa Monteleone

The following surgeons run a clinic in the Marvelle Koffler Breast Centre on Wednesdays, Thursdays and Fridays:

Surgeon:    Dr. Alexandra Easson, M.D., F.R.C.S.(C)
Secretary:  Maryrose Tait

Surgeon:    Dr. Wey Leong, M.D., F.R.C.S.(C)
Secretary:  Kathleen Politakis
  
Surgeon:    Dr. Jamie Escallon, M.D., F.R.C.S.(C.), F.A.C.S.
Secretary:  Generosa Monteleone