desktop_logo.svg

Thomson Specialists

Thomson Medical offers convenient access to comprehensive specialist outpatient and surgical care for women, children, and families through Thomson Specialists. Our team is dedicated to addressing your unique needs and providing tailored treatment options. Take control of your health today by booking an appointment at any of our Thomson Specialists clinics and embark on a journey towards improved well-being.

Bringing Comprehensive Specialist Care Closer To You

Thomson Women's Clinic

At Thomson Women’s Clinics, we are committed to providing modern and comprehensive care for women of all ages. Our experienced team of O&amp;G specialists is dedicated to creating a caring environment where your health and well-being are our top priorities. Our specialists provide specialised services on preventive measures, accurate diagnosis, and personalised treatment plans.Whether you need specialised care for women-related conditions or navigating the journey of childbirth, seeking support for family planning and fertility treatments, or requiring compassionate care through menopause, we are here for you.

Our Expertise

Specialists in Women’s Health

We understand that managing your health appointments around work and family commitments can be challenging. For your convenience, we provides women's health consultations beyond standard hours at multiple locations across Singapore.Extended Hours LocationsWhile all 12 of our women's health clinics operate during standard clinic hours, the following locations offer extended consultation times:Northeast<ul><li>Woodleigh: Thursday, 6pm - 9pm</li><li>Sengkang: Tuesday &amp; Friday, 5:30pm - 7:00pm</li><li>Punggol: Tuesday, Thursday &amp; Friday, 12pm - 8pm</li></ul>East<ul><li style="text-align: justify;">Tampines: Monday, 7pm - 9pm</li><li style="text-align: justify;">Katong: Wednesday, 10am - 8pm</li></ul>West<ul><li style="text-align: justify;">Jurong: Monday &amp; Thursday, 6pm - 9pm</li><li style="text-align: justify;">Bukit Batok: Monday, Thursday &amp; Friday, 6pm - 8:30pm</li><li style="text-align: justify;">Choa Chu Kang: Monday, 6pm - 8pm</li></ul>Thomson Medical is committed to providing accessible healthcare that fits your schedule.

Evening Clinics

Gynae Evening Clinics

Our Doctors

Locate Us

Thomson Women’s Clinic

Thomson Paediatric Centre

At Thomson Paediatric Centres, our unwavering commitment is to treat your child with the same level of care and dedication as we would our own. We provide children's healthcare services to alleviate every parent's concerns and ensure the well-being of our next generation. Our experienced team of Paediatricians is devoted to cultivating a caring environment where your child's health is our top priority.Besides General Paediatrics services, we also offer specialised services in Neonatology and Paediatric Cardiology. Our specialist doctors are experienced in areas such as Nutrition, Respiratory, Growth &amp; Development assessment, and Paediatric Urgent Care for babies to young children and adolescents. Trust us to be your partner in safeguarding your child's health and ensuring a compassionate and comprehensive approach to their medical needs.

Specialists in Children’s Health

Our Paediatricians

Please click on the below links for our Paediatricians' availabilities.
<table>
 <colgroup data-width='478'>
 <col style="width:41.0042%" />
 <col style="width:58.99580000000001%" />
 </colgroup>
 <tbody>
 <tr>
 <td>Paediatricians</td>
 <td>Clinic Location</td>
 </tr>
 <tr>
 <td>Dr Ang Ai Tin</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
 </tr>
 <tr>
 <td>Dr Eugene Han</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
 </tr>
 <tr>
 <td>Dr Grace Lim</td>
 <td><a href="https://maps.app.goo.gl/obLpwmEFumMjMzRz8" target="_blank">Thomson Specialists (Woodleigh)</a> </td>
 </tr>
 <tr>
 <td>Dr Kenneth Chua Yong Yeow</td>
 <td><a href="https://maps.app.goo.gl/Kp3TYWxzLXkfkkPYA" target="_blank">Thomson Paediatric Centre (Punggol)</a></td>
 </tr>
 <tr>
 <td>Dr Leo Deng Jin</td>
 <td><a href="https://maps.app.goo.gl/NVzfb9zvkUMvvNxN8" target="_blank">Thomson Paediatric Centre (Bukit Panjang)</a></td>
 </tr>
 <tr>
 <td>Dr Lim Yang Chern</td>
 <td><a href="https://maps.app.goo.gl/7Ex6ra4NmwHQUopS6" target="_blank">Thomson Paediatric Centre (Jurong)</a></td>
 </tr>
 <tr>
 <td>Dr Ong Ian</td>
 <td><a href="https://maps.app.goo.gl/78WJoj482r35Af7T9" target="_blank">Thomson Paediatric Centre (Parkway Parade)</a></td>
 </tr>
 <tr>
 <td>Dr Tan Kuanyang</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
 </tr>
 <tr>
 <td>Dr Yang Linqi</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
 </tr>
 </tbody>
</table>
Refer to each paediatrician's <a href="https://www.thomsonmedical.com/centres/paediatric-centre/paediatricians-consultation-hours">consultation hours</a> for their availability.

Our Paediatricians' Leave Schedule

General Information

Your Guide to Thomson Medical

Investor Relations

Latest share price, financial performance, and other materials relevant to investors.Read about our <a href="https://assets.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt5a13f1dd33c615fa/651e7a9aecf48b6d54c38b23/TMG-Investor-Relations-Policy-3Sep2020.pdf?branch=uat_release_3" target="_self">Investor Relations Policy</a>For Investor Relations matters, please email us at <a href="mailto:ir@thomsonmedical.com">ir@thomsonmedical.com</a> Thomson Medical Group Limited 101 Thomson Road #20-04/05, United Square Singapore 307591 Tel: +65 6331 0188 Fax: +65 6331 0180

Investor Relations Contact

<table><tbody><tr><td>Stock symbol</td><td>A50.SI</td></tr><tr><td>Listing</td><td>Singapore Exchange </td></tr><tr><td>Financial Year End</td><td>June 30</td></tr><tr><td>Total issued shares as at 30 June 2023</td><td>26,441,066,807 ordinary shares</td></tr><tr><td>Market capitalisation as at 30 June 2023</td><td>S$1.6 billion</td></tr></tbody></table>

Shareholder Information

Circulars & Prospectus

Corporate Presentations

Annual Reports

Sustainability Reports

Events Calendar

Investor Relations at a Glance

Trigger Finger Surgery Costs at Private Hospitals in Singapore: What to Expect

Thomson Medical - Medical Concierge Services

Check Now

Thomson Medical Concierge<ul><li>8.30am - 5.30pm</li><li>WhatsApp: <a href="https://api.whatsapp.com/send/?phone=6591472051&text=I+was+browsing+the+Thomson+Medical+website+and+would+like+to+make+an+enquiry.&type=phone_number&app_absent=0" target="_self">9147 2051</a><a href="tel:+6562501965"></a></li></ul><hr/>Need help finding the right specialist or booking for a group?Our Medical Concierge is here to help you. Simply fill in our form, and we'll check and connect you with the right specialist promptly.Notice:The range of services may vary between Thomson clinic locations. Please contact your preferred branch directly to enquire about the current availability.

CTA — Medical Concierge

Spine

orthopaedic_trigger-finger-surgery-cost_hero-image.png

<h2>What is trigger finger surgery?</h2>Trigger finger surgery is a procedure used to treat a condition where a finger or thumb gets stuck in a bent position and then suddenly pops straight. This happens when the tendon that helps bend the finger becomes irritated and can’t glide smoothly through its sheath.<h2>What are the different types of trigger finger surgery?</h2>The surgery can be done using two main methods: open release or percutaneous release. Both methods are generally performed under local anaesthesia and are considered minor procedures.&nbsp;<h3>Open release&nbsp;</h3>Open trigger finger involves making a small incision in the palm or base of the finger to release the constricted tendon sheath, allowing the tendon to move freely again.<h3>Percutaneous release</h3>Percutaneous release is a minimally invasive procedure where a needle is used to cut the tendon sheath, releasing the constricted tendon and allowing it to move freely. This technique, also known as needle fasciotomy, aims to alleviate the symptoms of trigger finger without the need for open surgery and its associated longer recovery time.Your doctor will decide the best method based on the severity of your trigger finger, the finger involved, and your medical history. Both techniques are typically performed as day surgery.<h2>Why do I need trigger finger surgery?</h2>You may be recommended for the surgery if your finger remains stuck in a bent position, locks frequently, or causes pain and stiffness that doesn’t improve with rest, splints, or steroid injections.&nbsp;Surgery is usually advised when non-surgical treatments fail, symptoms interfere with daily tasks (like gripping, typing, or writing), or the finger becomes permanently locked.&nbsp;The goal of surgery is to release the tight tendon sheath so your finger can move smoothly again, reducing pain and restoring hand function.Disclaimer: The information provided is for general knowledge only and should not be considered a substitute for professional medical advice.If you're experiencing any of these symptoms,&nbsp;<a href="https://www.thomsonmedical.com/appointment" target="_blank">request an appointment</a>&nbsp;with our specialists at Thomson Medical for an accurate diagnosis and tailored treatment plan.<h2>What is the cost of trigger finger surgery in Singapore?</h2>Costs for trigger finger surgery in Singapore vary significantly depending on whether you choose a public or private hospital.&nbsp;Trigger finger surgeries are under TOSP codes&nbsp;<a href="https://www.moh.gov.sg/managing-expenses/bills-and-fee-benchmarks/cost-financing/tosp-sb709h-bill-information" target="_blank">SB709H</a>&nbsp;for single-finger release and&nbsp;<a href="https://www.moh.gov.sg/managing-expenses/bills-and-fee-benchmarks/cost-financing/tosp-sb708h-bill-information" target="_blank">SB708H</a>&nbsp;for multiple-finger release<h3>Day surgery</h3>The information for private hospitals about the cost of trigger finger surgery is between SGD 4,333 and SGD 6,032 for day surgeries based on the SB709H fee benchmarks.&nbsp;<h3>Inpatient surgery</h3>For inpatient surgeries, the cost will range from SGD 3,225 to SGD 5,486 at private hospitals.MOH provided a breakdown of the fees for private hospitals and clinics as per SB709H - Hand, Flexor Tendon, Trigger Finger (Single), Release.Breakdown of Fees<img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt951342d5a8ab082c/688b9038d86ce1166a4b98fc/image.png?branch=production" alt="" height="auto"/>However, additional charges may arise from expenses such as pre-surgery consultations, imaging tests like X-rays or CT scans, medications, post-surgery follow-up appointments, and extended rehabilitation.This article was written in May 2025. Hence, prices for trigger finger surgery may have changed since then. For more accurate benchmarking prices, please visit the<a href="https://www.moh.gov.sg/managing-expenses/bills-and-fee-benchmarks/cost-financing/tosp-sb709h-bill-information" target="_blank">&nbsp;MOH website</a>&nbsp;for more details.<h2>Are there any subsidies for trigger finger surgery?</h2>Yes, there are several schemes in Singapore that can help offset the total costs of trigger finger surgery.These include MediSave, MediShield Life, and Integrated Shield Plans. Each offers different levels of coverage for your trigger finger surgery, depending on your eligibility and insurance arrangements.<h3>MediSave</h3><a href="https://www.thomsonmedical.com/finance/medisave-and-medishield" target="_blank">MediSave</a>&nbsp;is a national medical savings scheme that allows Singaporean citizens and permanent residents to use their savings for hospitalisation expenses.For hospitalisation, you can use up to SGD 1,130 per day for the first two days and SGD 400 per day for subsequent days for inpatient hospital charges. These charges include daily ward changes, treatment fees, investigations, and medicines.For day surgery, you can claim up to SGD 830 per day for hospital charges related to the procedure. For surgery, you can use between SGD 240 and SGD 5,290 from your MediSave, depending on the complexity of the surgery.According to the CPF website, trigger finger surgery (single) is classified under 2A on the Table of Surgical Procedures (TOSP). Hence, the withdrawal limit for trigger finger surgery is SGD 760.This article was written in May 2025. Hence, prices for trigger finger surgery may have changed since then. For more accurate benchmarking prices, please visit the<a href="https://www.cpf.gov.sg/member/healthcare-financing/using-your-medisave-savings/using-medisave-for-hospitalisation" target="_blank">&nbsp;CPF website</a>&nbsp;for more details.<h3>MediShield Life</h3><a href="https://www.thomsonmedical.com/finance/medisave-and-medishield" target="_blank">MediShield Life</a>&nbsp;is a basic health insurance plan for all Singaporeans and PRs, designed to help pay for large hospital bills and selected costly outpatient treatments.It will cover a portion of the surgical and hospitalisation costs for trigger finger surgery, and similar to MediSave, there are claim limits.For hospitalisation, the claim limits are SGD 830 per day for normal wards and SGD 5,140 for intensive care unit (ICU) wards, which include an additional SGD 800 per day for the first two inpatient days.For surgical procedures, MediShield Life also follows the TOSP, meaning that there will be a claim limit for trigger finger surgery (single) at SGD 1,920.This article was written in May 2025. Hence, prices for trigger finger surgery may have changed since then. For more accurate benchmarking prices, please visit the<a href="https://www.cpf.gov.sg/member/healthcare-financing/medishield-life/what-medishield-life-covers-you-for" target="_blank">&nbsp;CPF website</a>&nbsp;for more details.<h3>Integrated Shield Plans</h3>Integrated Shield Plans (IPs) are private insurance policies that offer additional coverage beyond what is provided by MediShield Life. They can cover a larger portion of your hospital bill, especially if you opt for private hospitals or higher-class wards.Many IPs also offer “as-charged” benefits, meaning they cover the actual bill amount, subject to policy terms and annual limits.Coverage details and claim limits vary depending on the insurer and the specific plan and additional riders purchased.If you are curious how much you can claim from your IPs for your trigger finger surgery, it is best to talk to your insurance provider directly to discuss the details of your plan. For those under Prudential, please&nbsp;<a href="https://www.thomsonmedical.com/form/prudential-concierge" target="_blank">contact us</a>&nbsp;via the Prudential medical concierge form if you have any further questions.<h2>What factors affect the cost of my trigger finger surgery?</h2>Several key factors influence the final bill for trigger finger surgery in Singapore:<ul><li>Pre-surgery expenses<ul><li>Initial consultation fees</li><li>Diagnostic imaging tests</li><li>Pre-operative assessments</li><li>Specialist referrals (when necessary)</li></ul></li><li>Surgery-related costs<ul><li>Surgical fees and anaesthesias</li><li>Medical devices and implants (when necessary)</li><li>Day surgery vs inpatient costs</li></ul></li><li>Post-surgery expenses<ul><li>Follow-up consultations</li><li>Physiotherapy sessions</li><li>Wound care supplies</li></ul></li></ul>

Dr Jerry Chen is a Senior Consultant Orthopaedic Surgeon and Medical Director at Alps Orthopaedic Centre, with over 15 years of clinical experience in orthopaedic surgery.Dr Chen specialises in Enhanced Recovery After Surgery (ERAS), hip and knee conditions, joint replacement and preservation surgery, sports injuries, minimally invasive and robotic surgery, and trauma fractures of the upper and lower limbs.Dr Chen graduated from the National University of Singapore with a Bachelor of Medicine and Bachelor of Surgery. He was subsequently accepted into the highly competitive Orthopaedic Surgery specialist training programme at SingHealth, earning the Best Resident Award. In 2018, he received his Membership of the Royal College of Surgeons (Edinburgh). He constantly seeks different learning opportunities. On his own initiative, he has completed several overseas trainings in countries such as China, Switzerland, Germany, and the United Kingdom, where he trained and worked with internationally renowned surgeons.Before entering private practice, Dr Chen was a Consultant at Singapore General Hospital (SGH). He led the Enhanced Recovery After Surgery (ERAS) workgroup for hip and knee replacement surgery and served as the lead for total hip replacement for SGH’s Value-Driven Care (VDC) workgroup. Dr Chen has performed over 500 surgeries annually and has been instrumental in improving patient outcomes, reducing the average hospitalisation stay for hip and knee replacement surgeries from 4 days to 18 hours.Dr Chen is actively involved in teaching as a Clinical Associate Professor at Duke-NUS Graduate Medical School and a core faculty member for SingHealth’s Orthopaedic Surgery residency training. He has received numerous awards, including the Inspiring Resident Educator Award in 2018. He is a recognised speaker at local and international conferences, has published over 100 scientific papers and book chapters, and has secured more than a million dollars in research grants. Dr Chen also participates in research programmes focused on improving patient treatment outcomes in areas such as keyhole shoulder surgery and foot &amp; ankle surgeries.Dr Chen is accredited to perform surgical procedures at Thomson Medical Centre.

Dr Jerry Chen

Orthopaedic Surgeons at Thomson Medical

<h2>Case Study: Private Hospital with Integrated Shield Plan</h2>Profile: A 29-year-old experiencing painful locking and stiffness in her left middle finger, which made it difficult to hold stationery and write for extended periods. Initial treatments like splinting and anti-inflammatory medication offered only temporary relief.&nbsp;After consulting a hand specialist, she was diagnosed with trigger finger and advised to undergo a percutaneous release procedure. The surgery was done under local anaesthesia at a private hospital, and she returned home the same day.<table><thead><tr><th>Estimated total bill</th><th>Insurance coverage</th><th>Final out-of-pocket expenses</th></tr></thead><tbody><tr><td>SGD 3,225 to SGD 5,486*</td><td>Since 2019, the Ministry of Health (MOH) has mandated that all new IP riders include a minimum 5% co-payment—to encourage prudent use of healthcare services and avoid overconsumption.&nbsp;</td><td>The patient would need to pay from SGD 161 to 274, which can usually be covered by MediSave.&nbsp;</td></tr></tbody></table>Please note that for the most accurate estimate of insurance coverage and out-of-pocket expenses, you should consult their insurance provider directly, as coverage details vary by plan and insurer.*This article was written in May 2025. Prices for trigger finger surgery are currently not available for private hospitals, so an estimate was included. This may have changed since then. For more accurate benchmarking prices, please visit the<a href="https://www.moh.gov.sg/managing-expenses/bills-and-fee-benchmarks/cost-financing/tosp-sb709h-bill-information" target="_blank">&nbsp;MOH website</a>&nbsp;for more details.<h2>How do I process my insurance claims?</h2>To process an insurance claim at a hospital in Singapore, you typically need to inform the hospital staff of your intent to claim, gather required documents like final bills and receipts, and submit the claim to your insurance provider through their designated channels (online portal, email, etc.).For some insurance policies, the hospital may handle the claims process directly, especially for cashless claims. Here's a more detailed breakdown:<ul><li>Understand your coverage:<ul><li>Before you schedule your treatment, meet up with your financial advisor to discuss the costs and coverage available for you should you undergo trigger finger surgery.</li></ul></li><li>Inform the hospital:<ul><li>When you are admitted to the hospital, inform the hospital staff that you wish to make an insurance claim. They may guide you through the necessary paperwork and forms.</li></ul></li><li>Gather the required documents:<ul><li>Ensure you have all the original, final bills and receipts for all treatments, including hospital stays, procedures, and medications.</li><li>If available, gather any relevant medical reports, diagnostic test results, and discharge summaries.</li><li>If you used your MediSave account for payment, you'll need a statement showing the Hospital Registration Number (HRN).</li><li>You may need to download and complete a claim form from your insurance provider's website.</li></ul></li><li>Submit the claim:<ul><li>Many insurers offer different portals for submitting claims, including online portals, mobile apps, email, or direct paper submission to your financial advisor.</li><li>If the hospital handles the claim directly, they will submit it on your behalf.</li></ul></li><li>Follow up and track progress:<ul><li>You should receive an acknowledgement of your claim submission.</li><li>Check the status of your claim through your insurer's online portal or app.</li><li>Do note that claim processing typically takes about 2 to 3 months from the date of submission (e-filing).</li><li>Some complex cases may take longer, especially if additional documents or clarifications are required.</li><li>If you don't receive updates after 3 months or have more questions, contact your insurer or the hospital for assistance.</li></ul></li></ul>At Thomson Medical, the insurance claims process is streamlined for your convenience.The hospital provides e-filing services, submitting claims directly to MediSave, MediShield Life, and Integrated Shield Plan providers on your behalf.This approach reduces paperwork and ensures claims are processed efficiently, allowing you to focus on recovery.<h2>FAQ</h2><h3 class="faq-qns">How painful is surgery for a trigger finger?</h3><div class="faq-ans">Trigger finger surgery is performed with a local anaesthetic, so you do not feel pain during the procedure, regardless of the type of surgery. Over-the-counter pain medication typically manages the pain and soreness you may experience after surgery.</div><h3 class="faq-qns">How long does recovery from trigger finger surgery take?</h3><div class="faq-ans">Full recovery from surgery usually occurs within a few weeks, but the swelling and stiffness may take up to six months to subside. In some cases, physical therapy may be helpful to loosen the stiffness in the fingers.</div><h3 class="faq-qns">Can you bend your finger after trigger finger surgery?</h3><div class="faq-ans">Your finger and hand may be sore and swollen for several days. It may be hard to move your finger at first.</div><h3 class="faq-qns">Can I fix my trigger finger without surgery?</h3><div class="faq-ans">Most trigger finger cases can be effectively managed without surgery with conservative measures. These may include modifying activity to rest the tendon, using a trigger finger splint that immobilises the finger in a straightened position, and a corticosteroid injection.</div><h3 class="faq-qns">What happens if you ignore your trigger finger?</h3><div class="faq-ans">Over time, trigger finger can interfere with hand coordination, making it difficult to perform tasks such as writing, gripping, or even eating. Loss of hand function can have a profound impact on a person's independence, especially for those relying on fine motor skills in their work.</div><h3 class="faq-qns">When can you get your hand wet after trigger finger surgery?</h3><div class="faq-ans">The dressing may be removed 2 to 3 days after surgery. You can get the hand wet in the shower or under running water in the sink. After showering, you should apply a plaster over the incision. Please do not apply any ointments or creams on the sutures.</div>Disclaimer: The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice on pricing and services,&nbsp;<a href="https://www.thomsonmedical.com/form/medical-concierge-services">contact us</a>&nbsp;at Thomson Medical today.&nbsp;

Planning for trigger finger surgery in Singapore? Discover the average costs at private hospitals and factors affecting pricing.

Orthopaedics Blog

appointmentForm

Appointment Form

thomson-logo.svg

Request Appointment

Find an Expert

Our Locations

Locate us

speak_with_us.png

contactGeneralFeedbackForm

Contact / General Feedback Form

Contact Form / General Feedback Form

Send an Enquiry

Speak with us

Doctor_Placeholder_Female.png

Doctor_Placeholder_Neutral.png

Doctor_Placeholder_Male.png

Default_Placeholder_Landscape.png

Alternate_Placeholder_Landscape.png

Default_Placeholder_Portrait.png

Alternate_Placeholder_Portrait.png

Breast lumps during pregnancy are very common. The expectant mother will experience many normal physiological changes ― an increase in breast size, more obvious sweat glands around the nipples, a darkening of the areola ― all of which will prepare her body for breastfeeding.Common non-cancerous variations to breasts include hormonal changes (fibrocystic changes), fibroadenomas, cysts, lipomas, accessory (extra) breast tissue. Pregnancy-related breast cancers make up about 3 per cent of all breast cancers.Whenever a pregnant woman feels a lump, she should see a doctor to get their opinion, keeping in mind that most times it will turn out to be nothing serious!<h2>What the doctor will do</h2>When you see the doctor, she will ask details as to how you detected the lump, how long it has been present and if you have detected any changes, so as to get an idea what the lump is likely to be.Next, the doctor will conduct a breast examination to confirm the presence of the lump, and check for any other symptoms such as skin changes or nipple discharge.Most patients will then be recommended to get an ultrasound scan ― this will give additional information as to whether this lump is benign or cancerous. If there is any concern that the lump may be cancerous, your doctor will advise you as to the pros and cons of having a biopsy, which can be done safely even during pregnancy.“If a pregnant women detects a lump, I would advise them to have a thorough consultation and a physical examination, followed by an ultrasound. If necessary, I would then perform a biopsy.”<h2>Breast cancer screening during pregnancy</h2>A screening checks for cancer even when a patient is feeling well and has absolutely no cancer signs or symptoms. For breast cancer screening, most countries, including Singapore, recommend mammogram screening from age 50 onwards. For women who are at higher risk, this may start at 40. Some specialists will recommend a supplementary ultrasound as well.If a pregnant women detects a lump, I would advise them to have a thorough consultation and a physical examination, followed by an ultrasound. If necessary, I would then perform a biopsy.<h2>Screening methods (Mammograms/Ultrasound)</h2>Ultrasound, the same technology used to monitor the baby during pregnancy, is safe and useful in detecting lumps, and to check if it’s solid or cystic. Most specialists do not use ultrasound as a screening method as the majority of such lumps it detects are not cancerous.A diagnostic ultrasound can still be performed safely on pregnant women to assess their breast lump. If a subsequent biopsy confirms a cancer, she may then need a baseline mammogram, after discussing the pros and cons with her doctor. This is because early stage breast cancer may not form a lump yet, but may attract calcium spots, which can be detected using a mammogram. An abdominal lead apron may be used to reduce the baby’s exposure to radiation.<h2>Breast cancer treatment</h2>If the biopsy shows that the lump is non-cancerous (benign), then it may be left alone.However, if the biopsy shows that it is cancerous, the breast cancer treatment protocols will be modified for the expectant woman. Staging* has to be conducted to find out if the cancer has spread to other parts of the body, but only with liver ultrasound and chest X-ray. Depending on which trimester of the pregnancy she is in, the breast surgeon, oncologist and the ob-gyn will discuss what is best for the patient and her baby.Chemotherapy may be administered from the second trimester onwards, followed by surgery after she deliver the baby. As such management of the patient’s treatment is complex, it will involve good multidisciplinary care by experienced doctors.*Staging is a way to describe where the cancer is located, how much the cancer has grown, and if or where it has spread.

Breast_Lumps_Pregnancy_1440x810.png

Although common breast changes are normal in pregnancy, finding a lump can be worrying. Learn what are the recommended next steps, and when you should worry.

Breast_Lumps_Pregnancy_400x267.png

Breast Lumps During Pregnancy: What to Expect and Do

“It all started with a persistent pain in the left breast, and I was referred by my General Practitioner for a mammogram and ultrasound. Both the mammogram and ultrasound results showed an abnormal lump, and I was further scheduled for a breast biopsy to determine if the lump was benign or malignant. Questions started to fill my mind. What is breast biopsy and how is it performed? And is it painful?”For many patients, pain is a very common symptom and is the most common complaint that brings them to see a doctor. For a small group, there happens to be an abnormal lump found that needs a biopsy. Most times, pain is not a sign of cancer, and any lumps found may not be the cause of the breast pain you experienced.Some of us may face a similar situation when a lump is detected. It is normal to have many questions. This article aims to address some of your preliminary questions while you arrange for a consult with a professional specialist. It is important to seek timely professional diagnosis and treatment.Here’s what you need to know about a breast biopsy and what to expect.<h2>What is a breast biopsy?</h2>A breast biopsy is a process where a small sample of breast tissue is removed through a special biopsy needle. The tissue samples removed from the breast lump will be further examined under a microscope. Typically, the breast biopsy is performed if there is an abnormality detected from your previous mammograms or breast ultrasounds. The goal of the biopsy is to determine what the abnormality is and the best treatment to move forward with.Although ultrasounds and mammograms are useful ways to identify breast lumps, a breast biopsy is the only way to confirm what the lump is. Breast screening is to be done, even if you are well and have no symptoms at all, and annual mammograms should start from age 40.If you experience any symptoms, please see a doctor for early diagnostic imaging tests:<ul><li>Breast lump</li><li>Changes in the colour or contour of the breast or nipple or dimpling of skin</li><li>Discharge from the nipple</li></ul>Most breast biopsies are quick and painless. Many of the breast lumps may turn out to be benign as there are a variety of conditions that can cause lumps in the breast. However, your doctor will usually want to take precautions and order breast screening tests to rule out early <a href="https://www.thomsonmedical.com/blog/breast-cancer" target="_blank">breast cancer</a>.<h2>How to prepare for a breast biopsy?</h2>Before your breast biopsy, you can prepare by informing your breast surgeon if you:<ul><li>Have any allergies</li><li>Are taking any blood-thinning medications</li><li>Have consumed aspirin in the last seven days</li><li>Not able to lie face down for more than an hour</li></ul>You will likely meet with your specialist prior to the procedure. Your doctor would be able to advise you on the procedure and give you advice such as:<ul><li>What type of breast biopsy procedure will be done?</li><li>What is the location of my biopsy?</li><li>Will a part or all of the lump be extracted?</li><li>Will it leave a scar?</li><li>How soon will I receive my results?</li><li>How soon can I resume normal activities?</li><li>What type of anaesthesia will be used?</li></ul>Make sure to wear a sports bra and loose clothing to have ease in dressing after the procedure. You may also want to have a designated driver or someone to accompany you home safely.<h2>What are the different types of breast biopsies and how are they performed?</h2>Once your breast surgeon decides that a biopsy is needed, they will determine the best type of biopsy for your situation. There are a few breast biopsy procedures to obtain samples of a patient’s breast lumps. Your breast surgeon will recommend based on the location, size, and other characteristics of the breast abnormality.Your breast surgeon will take a tissue sample either through a minimally invasive biopsy procedure or surgery. Minimally invasive procedures are ideal because they offer:<ul><li>Less pain</li><li>Less scarring</li><li>Faster recovery time</li><li>Lower risk of infection</li><li>Lower hospital costs</li><li>Able to return to usual activities quickly</li></ul><h3>Ultrasound-guided breast biopsy</h3>This procedure is performed through ultrasound guidance. An ultrasound is a method that utilises high-frequency sound waves to generate precise images.The breast surgeon will locate the lump within the patient’s breasts using the breast ultrasound device before a small incision is made for the biopsy needle to retrieve tissue samples. With an ultrasound-guided breast biopsy, the breast surgeon can identify <a href="https://www.radiologyinfo.org/en/info/breastbius" target="_self">lumps near the chest wall or under the arms</a>.It can be used in conjunction with vacuum-assisted core biopsy, core needle biopsy, or fine needle aspiration biopsy. This ultrasound-guided breast biopsy procedure is also more cost-effective than other methods like open surgical biopsy.<h3>Stereotactic biopsy</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/bltdc27a561fa0c5072/6545217008cc0104077ce311/Stereotactic_Biopsy.jpeg?branch=uat_release_3" height="auto"/>With a stereotactic biopsy, a 3D image of the breast is created from the mammogram results. The doctor uses the image to pinpoint the exact location of the suspected breast lump and guides the needle there. The patient will lay <a href="https://www.healthline.com/health/breast-biopsy-stereotactic#procedure" target="_self">facing down on a padded biopsy table</a> with one of the breasts positioned in the hole in the table. The patient’s breast will be compressed with two plates while the biopsy site is located using a targeted mammogram. The breast surgeon or radiologist will then create a small incision into the biopsy site and insert a large core needle to remove tissue samples.<h3>RI-guided core needle biopsy</h3>Instead of using an ultrasound device, a biopsy can be performed under the guidance of an MRI. This imaging device captures cross-sectional images of the breast so that the hollow needle can be guided to the site of the breast lump. This procedure can be used with core needle biopsy, vacuum-assisted core biopsy, or wire localisation.he different types of breast biopsy vary in terms of how invasive the procedure it can be. Your breast surgeon will advise on the procedure that is the best for you.<h3>Open (surgical) biopsy</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt4155c1fcecc004d3/654521990970dd001bd16e10/Open_(Surgical)_Biopsy.png?branch=uat_release_3" height="auto"/>The breast surgeon will remove part or the entire lump. If the lump is small and deep, a very thin needle and a thin wire will be placed inside the breast before the operation to help guide the breast surgeon.Generally, a surgical biopsy is performed in an operating room usually under general <a href="https://en.wikipedia.org/wiki/Anesthesia" target="_blank">anaesthesia</a>.<h3>Fine needle aspiration (FNA) cytology</h3>In this procedure, a thin needle attached to a syringe is inserted into the breast lumps. The syringe will collect the sample of fluid or cells from the lump and small tissue samples are removed. Your doctor will advise if this is suitable for you.<h3>Sentinel node biopsy</h3>This procedure removes the <a href="https://www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet" target="_self">sentinel lymph node</a> or the first node to which cancer cells are most likely to spread. The surgeon uses blue dye or a radioactive tracer to identify the node. Then, the node is removed and tested for cancer. Cancer could have spread to other lymph nodes if the sentinel node tests positive. However, if it is negative, the likelihood of cancer spreading to other lymph nodes is lower.<h3>Vacuum-assisted core biopsy</h3>This procedure is performed with an ultrasound or mammogram unit and can be seen as an upgraded form of the core needle biopsy. Like the core biopsy, a larger needle is used and allows for several tissue samples to be taken at one time.A probe or hollow tube is inserted into a cut made on the skin. Then, a vacuum-assisted device is used to pull the tissue into the needle while a rotating cutting device takes the sample. Using a suction device is beneficial because it can get more cells and fluid through the needle, which cuts down on the number of times the needle will need to be inserted to retrieve multiple samples.<h2>Benefits and risks of breast biopsy</h2>Before proceeding with breast biopsy procedures, you may want to discuss with the breast surgeon and weigh the benefits and risks to determine the suitable procedure that is right for you. Fortunately, most procedures are less invasive compared to surgical biopsy and some will leave minimal to no scarring. The biopsy results will indicate whether the breast lump is malignant or benign which would either allow you to rest easy or quickly get the treatment that you need.Although these procedures are generally safe, there are some risks involved. Possible complications that can incur from a breast biopsy include:<ul><li>Mild pain and bruising</li><li>Infection</li><li>Prolonged bleeding</li><li>Soreness at the biopsy site</li></ul>Many of these side effects are simply temporary. However, if they persist, contact your <a href="https://www.thomsonmedical.com/find-a-doctor/breast-surgeon-singapore" target="_blank">breast surgeon</a> for treatment. Generally, following the aftercare instructions will greatly reduce these risks and limit the odds of infection.<h2>FAQ</h2><h3>Why is a breast biopsy done?</h3>A breast biopsy can be done for several reasons:<ul><li>To identify any lumps in your breast</li><li>To check for the potential causes of any nipple problems such as bloody discharge</li><li>To evaluate whether the breast lump or breast mass is cancerous or non-cancerous.</li><li>To check the severity of a problem seen from the breast imaging results, such as a fluid-filled cyst or calcium deposits in breast tissue (microcalcifications)</li></ul><h3>How often are breast biopsies positive for cancer?</h3>&gt; 80% of the patients who undergo the biopsy procedure do not have cancer, while only &lt; 20% of breast biopsies are malignant. When the results are negative, the breast lump is benign.<h3>Does a breast biopsy hurt?</h3>The breast surgeon may use local anaesthesia to help numb the biopsy area during the procedure. It may be slightly uncomfortable, but most patients describe it as tolerable. Once the site is numb from the local anaesthetic, one should only feel pressure but no pain from the biopsy.Typically, only local anaesthesia is required. However, general anaesthesia may be used in severe cases, meaning the entire body is numbed.<h3>How long does it take to recover from breast biopsy?</h3>Biopsy procedures do not cause significant pain to your body. However, you may experience some bruising, tenderness, or soreness for a few days after the biopsy procedure. Patients can take non-aspirin pain relievers that contain acetaminophen and apply cold packs to help ease the pain and discomfort. However, it can take longer to recover from surgical removal procedures when compared to nonsurgical procedures.With all breast biopsy procedures, except for the surgical biopsy, you will be able to go home without a patient caregiver. You will likely have bandages and a cold pack over the biopsy site. Most patients can resume usual activities within a day after the procedure.Tell your breast surgeon if you notice the following problems after the biopsy:<ul><li>Pain that gets worse</li><li>Chills or fever</li><li>Swelling, redness, drainage, or bleeding</li></ul><h3>How soon should you expect to receive your breast biopsy results?</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt3ce74f2f0f705f43/654521d254447604077cfdc6/Breast_Biopsy.jpeg?branch=uat_release_3" height="auto"/>Once the procedure is done, the breast tissue samples are sent to the lab. A pathologist will evaluate the samples using specialised tools and then create a report to send to the breast surgeon, who will share the results with you.Generally, it takes a few days before the results are ready. However, it can take as long as two weeks before the test results are available if the lab needs more time to process your specimen.Sometimes a clear diagnosis is not possible based on the sample given. In this scenario, you may need another biopsy performed so that the breast surgeon can obtain more breast tissue for further evaluation.The results will share details about the consistency and size of the breast tissue samples, the location of the biopsy site, and whether there are cancer cells present. If it is malignant, the report will detail the type of breast cancer you have. Based on the findings, your breast surgeon will advise on the next steps for treatment.<h2>Book Your Appointment at Thomson Breast Centre</h2>Prevention is always better than cure! Our clinical team at <a href="https://www.thomsonmedical.com/breast" target="_blank">Thomson Breast Centre</a> offers different services for all <a href="https://www.thomsonmedical.com/blog/breast-screening-mammogram-ultrasound" target="_blank">breast screening</a> needs with the assurance that you will be well taken care of. It is important to detect signs of breast cancer early. The sooner it is detected, the faster the treatment can start. At Thomson Medical, our doctors will evaluate the lump and provide the appropriate tests for diagnosis.Most patients start with a specialist consultation for a personalised clinical breast assessment. We offer a wide range of biopsy procedures, from minimally invasive removal to more advanced surgical options if a biopsy is needed. Book a specialist consultation with Thomson Breast Centre and start your breast health journey today.

Breast_Biopsy_1440x810.png

Worried about a breast lump? Don't panic. A breast biopsy is a simple procedure that can help determine if the lump is benign or malignant. Learn more about the process and what to expect from this article.

Breast_Biopsy_Thumbnail_400x267.png

Everything You Need to Know About Breast Biopsy

Just as there are skin issues that arise during pregnancy, skin conditions can also develop after you give birth. Fortunately, they are largely treatable, so there is no need to fret – your postpartum skin and hair will bounce back in no time. We take a look at some of the most common conditions.<h2>Acne</h2>Caused by an inflammation in the facial oil glands, acne may be aggravated by hormonal changes. Most of the time, acne clears within a few weeks or months, but medical treatment should be sought to prevent the risk of scarring. There are many topical agents that can be safely used even when breastfeeding. In more severe cases, oral medications such as antibiotics may be required.<h2>Melasma</h2>Also known as “the mask of pregnancy”, this pigmentation condition is due to increased melanin production and is caused by a combination of genetic and hormonal factors, as well as sun exposure. It tends to affect Asian skin more, appearing as brownish patches over the cheeks, forehead, temples, nasal bridge, upper lips and jawline.It is best controlled by avoiding the sun and with regular use of sunscreen, lightening creams and topical agents, although it can persist in some cases. Other treatments include chemical peeling, intense pulsed light therapy and certain forms of laser therapy. Inform your doctor if you are breastfeeding – certain ingredients such as tretinoin and hydroquinone that can be found in some skincare products should be avoided by breastfeeding mums.<h2>Dermatitis/eczema</h2>Eczema or dermatitis is a relatively common yet noninfectious condition, so it will not spread to your baby. Often it is an aggravation of an underlying sensitive skin condition that has been present for some time. For new mothers, it can also develop as a result of excessive water contact due to frequent handwashing.Use moisturiser regularly to soothe inflamed and itchy skin. Topical steroid creams are prescribed to calm inflamed skin and are safe to use even when breastfeeding. Use a gentle soap substitute and continue to moisturise even after the skin rash has settled.<h2>Stretchmarks</h2>Affecting at least 90 percent of pregnant women, stretchmarks are a form of scarring that appear red when fresh, but most will fade to white after delivery. During pregnancy, intensive use of moisturisers may help the condition, and there are specially formulated stretchmark creams on the market that you can continue using after delivery. For more severe cases, dermatologists may prescribe tretinoin cream to use postpartum when you are not breastfeeding. Some skin-tightening laser treatments are safe options to remove stretchmarks even if you are breastfeeding, but these usually require multiple sessions.<h2>Telogen effluvium</h2>This condition results in hair fall that usually occurs about three months after delivery. Though increased hair fall can be distressing to new mothers, it is almost always a self-limiting condition, and you will usually recover within six months. If you notice increased hair fall, consult a doctor to exclude other causes of hair loss (such as low iron levels). Topical medications can be used if you are not breastfeeding.

Postpartum_Skin_1440x810.png

Postpartum skin problems like acne, melasma, and stretch marks are common but temporary. Learn how to relieve and prevent the 5 most frequent postpartum skin woes.

Postpartum_Skin_400x267.png

The 5 Most Common Postpartum Skin Issues and How to Treat Them