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, 4:30pm - 7:30pm</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

Find a Dentist

At Thomson Dental Centre, your smile is our top priority. We understand the significance of oral health and its impact on your overall well-being. With a team of dedicated dental professionals and specialists, we are here to provide you with comprehensive and compassionate dental care.

For Adults

young woman sitting on the sofa holding out her clear aligners dental braces teeth and smiling

woman with clear aligners in her hands dental braces

Comprehensive dental services for adults

Find a Paediatric Dentist

Learn More

At Thomson Dental Centre, we love seeing children at our practice. We look forward to seeing kids’ faces light up with smiles. Our trained pediatric dentists with credible background experience will do their best to help patients feel happy and positive about their visits. We offer extensive dental services for kids of all ages – from infants and toddlers to children and teens.

For Children

little_girl_happy_sitting_cropped.png

Developing bright, healthy smiles for every child

Our Dentists

Dr Ashley Thean is a dentist at <a href="https://www.thomsonmedical.com/centres/dental-centre" target="_blank">Thomson Dental Centre</a>, with a special interest in <a href="https://www.thomsonmedical.com/dental/children-dental" target="_blank">children's dentistry</a>.Dr Thean, an alumna of the University of Melbourne, is deeply committed to the comfort and care of her patients. As she has a special interest in children's dentistry, she consistently employs a kind and gentle approach with her young patients, ensuring their experiences are positive and comforting. During her undergraduate years, she was awarded the William J. Tuckfield Prize for her outstanding performance in restorative dentistry. She further distinguished herself by making the Dean's List for High Achievement. Topping that accolade, one of Dr Thean's research papers, submitted as an undergraduate, was selected to be published in the Australian Dental Journal.Dr Thean began her career in private practice in rural Australia, where she provided dental care to a diverse range of patients across various socio-economic backgrounds. Committed to her professional development, she regularly participates in continuing education, including programmes like the 35th Australian Dental Congress in Melbourne. Dr Thean's primary goal is to ensure each of her patients has a positive dental experience.

Dr Ashley Thean

Dr Charlotte Goh is a dentist at <a href="https://www.thomsonmedical.com/centres/dental-centre" target="_blank">Thomson Dental Centre</a>.Dr Charlotte graduated from the University of Adelaide with a Bachelor of Dental Surgery. During her time in Australia, she gained valuable experience providing diverse dental services in both metropolitan and rural clinics across Australia. Additionally, she dedicated her time to the local Community Outreach Programme for the underprivileged community. She strives to provide quality care to help patients achieve a healthy and beautiful smile. Her gentle approach ensures a comfortable and reassuring patient experience.Dr Charlotte believes in the importance of good communication and trust in helping her patients attain their oral health goals. She is also committed to keeping up-to-date with the latest evidence-based developments in dentistry to ensure her patients receive the best quality of care.Outside of dentistry, Dr Charlotte enjoys a good strength training session at the gym and travelling to explore different parts of the world.

Dr Charlotte Goh

Dr Chua Chee Haow is a dentist at <a href="https://www.thomsonmedical.com/centres/dental-centre" target="_blank">Thomson Dental Centre</a>, bringing over two decades of expertise to his practice.Dr Chua earned his dental degree from the National University of Singapore in 1990. He has served as the Clinical Director and managed multiple clinics for over 20 years. Dedicated to continuing professional development, Dr Chua was awarded a Fellowship from the prestigious Royal Australasian College of Dental Surgeons (FRACDS) for demonstrating his commitment to the highest standard of care for his patients. Subsequently, he was also awarded a Fellowship with The International Congress of Oral Implantology for his in-depth knowledge of implantology and exceptional interest in the advancement of implant dentistry.Dr Chua also keeps up to date with the latest in technology in dentistry and was one of the first in Singapore to introduce computer-aided design and computer-aided manufacturing in dental ceramic restorations. Dr Chua is particularly skilled at treating nervous patients and is well-known by his patients for his caring and gentle personality.Dr Chua has a keen interest in treating bite and jaw problems, often helping patients alleviate symptoms of migraines and tension headaches with successful outcomes. He is also experienced with interceptive orthodontics for children which involves the correction of teeth position as soon as they develop. This allows the development of well-aligned and straight teeth as the child grows into adulthood.Dr Chua believes in giving back to the community. He volunteers at his alma mater, Gan Eng Seng School, and participates in medical-dental missions abroad, providing free dental services in countries like Thailand and Cambodia.In his downtime, he travels to California, USA to spend time with his three adorable nieces, Megan, Naomi, and Kenzi.

Dr Chua Chee Haow

Dr Eileen Neo is a dentist at Thomson Dental Centre, offering comprehensive dental care that includes everything from routine cleanings and fillings to more complex procedures like root canals and wisdom tooth surgery. She has a particular interest in implants and cosmetic dentistry and is committed to providing excellent ongoing care for her young patients.Dr Neo graduated from the University of Western Australia in 2000 and returned to Singapore to begin her private practice. Her gentle and caring demeanour has a calming effect on even the most nervous of patients.Dr Neo is a CEREC-certified practitioner in CAD/CAM technology for ceramic dental restorations. In 2010, she furthered her expertise by earning a Postgraduate Certificate in the Principles of Implant Dentistry from the University of Warwick. She is an active member of the Association of Women Doctors (Singapore) and the Aesthetic Dentistry Society Singapore.Beyond her professional commitments, Dr Neo is dedicated to community service, having volunteered for medical-dental missions in countries like Myanmar and China, providing essential care in underserved areas.

Dr Eileen Neo

Dr Kwok Genghao is a dentist at Thomson Dental Centre.Dr Kwok graduated with honours from the University of Queensland. He further honed his skills by serving both metropolitan and regional patients in Queensland, Australia, before returning to Singapore.Dr Kwok believes in taking a personalised approach to dentistry. He enjoys listening and tending to his patients, and he also strives to equip his patients with knowledge to be in control of their dental health. Together with his team, Dr Kwok is dedicated to create a warm and comfortable environment to ensure a pleasant experience for all patients.Outside of his professional life, Dr Kwok is actively involved in his church community and enjoys spending quality time with his family and friends. He also enjoys building relationships over sports such as volleyball, basketball, running, or a good cup of coffee.

Dr Kwok Genghao

Dr Michelle Chua is a dentist at Thomson Dental Centre. While she practices general dentistry, she also has a keen interest in Orthodontics.Dr Chua graduated from the University of Glasgow with a Bachelor of Dental Surgery degree in 2018, where she also received the Dental Elective Study Award and presented at the first "Visualisation in Science Conference" hosted by the university. She is a firm believer in the importance of staying current with emerging technologies and techniques to enhance patient care.Upon graduation, Dr Chua worked at a National Health Services practice in Scotland, where she underwent rigorous Vocational Training. She treated a diverse range of patients from various socioeconomic backgrounds and age groups.Dr Chua is committed to collaborative care, actively involving her patients in the creation of personalised treatment plans that reflect their specific needs and wants. Known for her calm and gentle personality, she consistently aims to provide a positive dental experience for her patients.Outside of her professional life, Dr Chua is an avid jogger, finding long-distance running to be the perfect way to clear her mind. Above all, she treasures spending quality time with her family and friends, particularly over a good meal.

Dr Michelle Chua

Dr Yeo Siang Khin is a dentist at Thomson Dental Centre, bringing over 20 years of clinical experience since graduating from the National University of Singapore, where she was awarded the University Bronze Medal in her final year professional examinations in the Faculty of Dentistry.Following her tenure at the University Hospital’s Dental Centre, Dr Yeo transitioned to private practice. Her scope of work in general practice spans aesthetic dentistry, children’s dentistry, periodontics, implant dentistry, and endodontics. Known for her gentle approach, Dr Yeo is particularly popular among her young patients, consistently ensuring their visits are assuring and pleasant.Dr Yeo has a special interest in root canal treatment and stays current in the field of endodontics by regularly participating in workshops and conventions. She is proficient in using the surgical microscope for diagnosing and managing complex root canal cases.Being a certified CEREC practitioner, Dr Yeo is committed to providing her patients with conservative, yet aesthetic and durable restorations using the CAD-CAM system.Additionally, Dr Yeo is a founding member of the Association of Women Doctors Singapore and actively mentors young dental undergraduates through the Faculty of Dentistry Alumni Mentorship Scheme. She is also an associate member of both the Prosthodontic Society of Singapore and the Singapore Endodontic Society.

Dr Yeo Siang Khin

Our Dental Specialists

Dr Aidan Yeo is an Oral Maxillofacial Surgeon at Thomson Specialist Dentistry.After earning his degree from the National University of Singapore, Dr Yeo served for two years as a dental officer at the National Dental Centre. He then completed a rigorous three-year residency program in Oral Maxillofacial Surgery, earning a Masters of Dental Surgery (Oral Maxillofacial Surgery) and subsequently gaining fellowship with the Royal Australasian College of Dental Surgeons.Following his advanced specialist training, Dr Yeo was admitted as a Fellow in the Academy of Medicine, Singapore, and registered as a Specialist in Oral Maxillofacial Surgery. His expertise encompasses a broad spectrum of <a href="https://www.thomsonmedical.com/blog/dental/oral-and-maxillofacial-surgery" target="_blank">oral and maxillofacial procedures</a>, with particular interests in <a href="https://www.thomsonmedical.com/dental/services/dental-implants" target="_blank">dental implantology</a> and <a href="https://www.thomsonmedical.com/blog/dental/jaw-surgery" target="_blank">orthognathic (jaw) surgery</a>. These specialisations not only enhance functional outcomes for patients but also significantly improve their appearance and quality of life.

Dr Aidan Yeo

Dr Michele Chia is an endodontist at Thomson Specialist Dentistry.Dr Chia graduated with honours from the National University of Ireland. Subsequently, she obtained her Master of Clinical Dentistry with Distinction in Endodontology from King's College London. That same year, she was admitted as a Member of the Royal College of Surgeons of Edinburgh. She is also an active member of the Society of Endodontics Singapore.Dr Chia's special interest is in Endodontics — a branch of dentistry concerned with diseases and injuries of the dental pulp and surrounding structures. She is well-versed in using microscopic endodontic and microsurgical techniques to save teeth with infected root canals, and manage persistent infections and cracked teeth.Additionally, Dr Chia has a keen interest in the management of traumatic dental injuries. During her Endodontics Postgraduate Residency Training Program, she served on the dental trauma service team at King's College Hospital — one of London's major trauma centres — where she provided emergency dental care and long-term follow-up and rehabilitation for trauma patients.

Dr Michele Chia Xin Yi

Dr Low Hwee Hiang is an orthodontist at Thomson Specialist Dentistry.Dr Low completed both her basic dental and specialist dental training in orthodontics at the National University of Singapore, earning a Bachelor of Dental Surgery (BDS) in 2004. She was conferred a Master of Dental Surgery (Orthodontics) in 2009, along with a Fellowship from the Royal College of Surgeons (Edinburgh).Dr Low is adept in enhancing the smiles of her patients, ensuring her patients' comfort throughout their orthodontic journey. She offers a wide range of treatments, including interceptive treatment and growth modification for children, as well as combined orthodontic-orthognathic surgery management for adults. She is also accredited to use orthodontic systems such as Invisalign®, Simpliclear™, K Line, and eCligner®, and has incorporated Myobrace™ therapy and PROPEL Orthodontics into her practice to enhance treatment outcomes.Prior to joining private practice, Dr Low provided orthodontic service at Khoo Teck Puat Hospital. She aims to provide holistic care and often collaborates with other medical and dental specialists to optimise treatment for her patients. Dr Low finds immense satisfaction in seeing the results of her orthodontic treatments, proudly delivering perfect smiles to her patients.Dr Low has been featured on the morning Chinese news and contributes as a reviewer for the Singapore Dental Journal. She is an active member of the Singapore Dental Association, the Association of Orthodontists (Singapore), and the World Federation of Orthodontists.Outside of work, Dr Low enjoys spending quality time with her family and nurturing her three young children.

Dr Low Hwee Hiang

Dr Low Yi Han is a periodontist at Thomson Specialist Dentistry.Dr Low obtained his Bachelor of Dental Surgery from the National University of Singapore (NUS) in 2005. Following three years of general practice that included hospital and community dentistry, he pursued further specialisation in Periodontology, obtaining a Master of Dental Surgery degree in 2011. That same year, he was awarded a Fellowship from the Royal College of Surgeons of Edinburgh, United Kingdom. In 2013, he achieved Specialist Registration with the Singapore Dental Council as a periodontist.Dr Low specialises in a comprehensive range of non-surgical and surgical periodontal therapies, as well as dental implant procedures, with a particular interest in regenerative periodontics. His expertise enables him to restore health and functionality to his patients' periodontal conditions using various treatments.Outside his clinical practice, he was involved in undergraduate teaching at NUS and has served as an adjunct lecturer at Nanyang Polytechnic for the oral health therapist program, sharing his knowledge and skills with the next generation of dental professionals.

Dr Low Yi Han

Dr Shirley Yap is a prosthodontist at Thomson Specialist Dentistry. She has been practising dentistry since 1985.Dr Yap pursued her bachelor's degree at the National University of Singapore (NUS) as a Public Service Commission (PSC) scholar and worked at Singapore General Hospital and National University Hospital (NUH). In 1988, NUH sponsored her to pursue a postgraduate degree at the Eastman Dental Hospital in London, UK.Upon her return, Dr Yap served as a Registrar at NUH and contributed to NUS as a clinical supervisor at the Department of Restorative Dentistry from 1989 to 1993. After leaving for private practice in 1993, she has volunteered for several medical-dental missions to Cambodia, Vietnam, the Philippines, China, and Mongolia to provide free dental services to underprivileged communities in orphanages and with non-governmental organisations.Dr Yap's commitment to the community extends beyond her volunteer work; she also served on the executive committee of the Association of Women Doctors (Singapore) from 2004 to 2009, contributing to the advancement of women in the medical field.

Dr Shirley Yap

Dr Teo Juin Wei is a prosthodontist. His areas of expertise include dentures, crowns, bridges, and dental implants of all complexities. He has a special interest in full mouth rehabilitation and improving functional issues related to chewing. In addition, Dr Teo provides general dental services such as scaling, fillings, and extractions.Dr Teo graduated from the National University of Singapore with a Bachelor of Dental Surgery degree in 2005. He subsequently went on to pursue his specialist training in prosthodontics and obtained a Master of Dental Surgery degree and Fellowship from the Royal College of Surgeons (Edinburgh) in 2012. He is also registered as a specialist in prosthodontics with the Singapore Dental Council.Before joining Thomson Dental Centre, Dr Teo worked at Khoo Teck Phuat Hospital and Tan Tock Seng Hospital. His academic contributions include publishing papers in international journals and serving as a reviewer for the Singapore Dental Journal.Beyond his professional endeavours, Dr Teo is dedicated to enhancing his patients' oral health and overall quality of life. He finds joy in helping patients improve their oral function, appearance, and quality of life. He believes that having good oral health and function is an integral part of our well-being, and is committed to helping patients address their concerns.Dr Teo is married and a proud father to a daughter. In his free time, he enjoys mountain biking, practicing yoga, and spending time with his family.

Dr Teo Juin Wei

Dr Toh Siew Luan is a Paediatric dentist at Thomson Specialist Dentistry.Dr Toh graduated from National University of Singapore in 1999. During her undergraduate training, she was on the Dean's list and awarded the Mummery Book Prize for best student in oral pathology in 1998. She received a scholarship from the National Dental Centre to pursue specialty training in Paediatric dentistry in Melbourne, Australia, earning a Graduate Diploma in Clinical Dentistry in 2004 and a Doctorate in Clinical Dentistry (Paediatric Dentistry) in 2006.After working many years in the Paediatric Dentistry Unit at the National Dental Centre, Dr Toh transited to private practice. She also volunteers her expertise at the AWWA School for disabled and autistic children.Since 2012, Dr Toh has been the Chairperson for the Chapter of Paediatric Dentistry, College of Dental Surgeons, and the Vice President of the Society for Paediatric Dentistry (Singapore). She is also an appointed member of the Dental Specialist Accreditation Committee in Paediatric Dentistry whose function is to assess the qualifications, experience, and training programmes of dentists who wish to qualify for registration as specialists by conducting exit assessments.Dr Toh has many years of experience in the diagnosis and treatment of tooth decay and dental trauma for children, especially those who are fearful and anxious or those who need extensive or complex treatment. She provides comprehensive preventive and therapeutic oral healthcare for her patients as well as treatment under sedation and general anaesthesia. She has a special interest in managing dental conditions of babies, medically compromised children, and children with special needs. She takes great delight in helping her young patients become confident and eager for their next dental visit.Outside of her work, she enjoys teaching preschoolers in a Sunday school. She is also a devoted mother of two children, blending her professional expertise and personal experience to enhance her practice and community contributions.

Dr Toh Siew Luan

Thomson Dental Centre

Thomson Dental Centre (Novena Specialist Center)

Thomson Specialist Dentistry

Thomson Specialist Dentistry (Novena Specialist Center)

Locations

Dental Services

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>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.<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.

Postpartum_Skin_1440x810.png

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