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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.

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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.
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 <td>Paediatricians</td>
 <td>Clinic Location</td>
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 <td>Dr Ang Ai Tin</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
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 <td>Dr Eugene Han</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
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 <td>Dr Grace Lim</td>
 <td><a href="https://maps.app.goo.gl/obLpwmEFumMjMzRz8" target="_blank">Thomson Specialists (Woodleigh)</a> </td>
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 <td>Dr Kenneth Chua Yong Yeow</td>
 <td><a href="https://maps.app.goo.gl/Kp3TYWxzLXkfkkPYA" target="_blank">Thomson Paediatric Centre (Punggol)</a></td>
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 <td>Dr Leo Deng Jin</td>
 <td><a href="https://maps.app.goo.gl/NVzfb9zvkUMvvNxN8" target="_blank">Thomson Paediatric Centre (Bukit Panjang)</a></td>
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 <td>Dr Lim Yang Chern</td>
 <td><a href="https://maps.app.goo.gl/7Ex6ra4NmwHQUopS6" target="_blank">Thomson Paediatric Centre (Jurong)</a></td>
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 <td>Dr Ong Ian</td>
 <td><a href="https://maps.app.goo.gl/78WJoj482r35Af7T9" target="_blank">Thomson Paediatric Centre (Parkway Parade)</a></td>
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 <td>Dr Tan Kuanyang</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
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 <td>Dr Yang Linqi</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
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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

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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

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<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>

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Total Knee Replacement (TKR) is an effective option for knee pain and deformity due to Osteoarthritis, Rheumatoid or Post-Traumatic Arthritis. TKR is widely performed worldwide and can significantly improve quality of life.During TKR, the worn surface of the knee is replaced with metal and plastic components through an incision at the front of the knee.Younger patients or those with pain localized to part of the knee joint may be suitable candidates for Partial Knee Replacement (PKR).

What is Total Knee Replacmenet Surgery?

Knee replacement procedures in Singapore typically range from SGD 20,000 to SGD 45,000. Final costs depend on your insurance coverage, specific knee condition, implant selection, individual health factors, and whether you require unilateral or bilateral replacement.Thomson Medical works with numerous insurance providers including Income, Great Eastern, AIA (GoldMax), SingLife, Prudential, HSBC Life, Alliance MediNet, IHP and more.For personalized insurance coverage information, please <a href="https://www.thomsonmedical.com/form/medical-concierge-services?utm_campaign=norra" target="_blank">contact us</a> with your policy details.

What are the cost of Total Knee Replacement? Can it be covered by Insurance?

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Still experiencing knee discomfort and pain despite knee injections or keyhole surgery? Consider exploring advanced options with us.Thomson Medical offers comprehensive knee care solutions with:<ul><li>Enhanced Recovery After Surgery protocols</li><li>Senior surgeon with membership of the Royal College of Surgeons (Edinburgh)</li><li>Clinically-established techniques including Same-day discharge, Minimally-Invasive and Robotic assistance, NanoKnee technology, and Stryker Mako precision approaches</li></ul>

Dr Jerry pioneers TKR at Thomson Medical Centre

Dr Jerry TKR procedure with team

Considering a Total Knee Replacement?

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

Meet Your Knee Surgeon

Osteoarthritis: Age-related degenerative changes resulting in cartilage loss, stiffness, and joint deformity. While typically affecting patients over 50, it can occur earlier. Younger patients may benefit from Partial Knee Replacement (PKR) options.Rheumatoid Arthritis: An autoimmune condition causing joint lining inflammation (synovitis) leading to progressive joint damage. This systemic condition may affect multiple joints and organs, even in younger individuals. It belongs to the "inflammatory arthropathies" group and is managed in collaboration with a Rheumatologist.Post-Traumatic Arthritis: Develops following cartilage injury or bone fracture. Progressive cartilage deterioration can lead to degenerative changes over time.

What conditions can Knee Replacement Surgery treat?

We understand that knee replacement surgery is an important decision, which is why it is only recommended as a last resort after other treatment approaches have been explored.You may be a suitable candidate for Total Knee Replacement (TKR) or Unicompartmental Knee Replacement (UKR) if you experience:<ul><li>Severe knee pain that limits walking and stair climbing</li><li>Night pain that disrupts sleep</li><li>Stiffness or deformity in the knee</li><li>Limited success with conservative treatments including pain medications, physiotherapy exercises, and knee joint injections (steroid or hyaluronic acid)</li></ul>During your consultation, our knee surgeon conducts a comprehensive assessment including:<ul><li>Detailed medical history review</li><li>Physical examination to evaluate joint disease severity</li><li>Examination to rule out referred pain from hip or spine</li><li><a href="https://www.thomsonmedical.com/centres/mri-suite?utm_campaign=norraleads_tx" target="_blank">MRI Knee</a> to accurately assess joint damage</li><li>CT scan for patients considering robotic surgery or other specialized approaches</li></ul>We prioritize informed decision-making through thorough discussion of procedural risks, benefits, and long-term expectations. We encourage you to ask questions and voice any concerns about the orthopedic surgery. Consider bringing a family member or friend to ensure both you and your support network are well-informed and have realistic expectations.Certain conditions may require additional considerations or make knee replacement less suitable, including:<ul><li>Active infection</li><li>Loss of sensation in the knee joint</li><li>Poor quadriceps (thigh muscle) function</li><li>Severe medical conditions like arterial blockage or peripheral vascular disease</li></ul>In these cases, alternative medical knee treatments may be recommended before considering surgical intervention.We are committed to guiding you through all available options, ensuring surgery is pursued only when truly necessary and appropriate for your specific condition.

Am I suitable for a Total Knee Replacement?

Total Knee Replacement SurgeryThis procedure addresses severely damaged knee joints, typically resulting from advanced osteoarthritis or other joint conditions. During surgery, the entire joint is replaced with artificial components, generally requiring a substantial incision along the front of the knee.Unicompartmental (Partial) Knee ReplacementThis more targeted approach replaces only the damaged section of the knee while preserving healthy components. For appropriate candidates, surgeons can employ minimally invasive techniques, potentially offering benefits like faster recovery.Kneecap Replacement (Patellofemoral Arthroplasty)This specialized partial replacement focuses exclusively on the patellofemoral (kneecap) compartment of the knee. It addresses specific issues related to this particular joint component while leaving other knee structures intact.Complex or Revision Knee ReplacementThis procedure becomes necessary when artificial implants deteriorate over time or when addressing complications from previous knee replacements, such as infection. These surgeries often involve more extensive planning and specialized components.

What are the types of Total Knee Replacement?

While knee replacement procedures are among the most established and effective surgical interventions, they still carry certain risks that require proper medical monitoring and management:Blood clotsThese typically form in the leg and represent a significant concern. Your surgeon may prescribe blood-thinning medications as a preventive measure to reduce the likelihood of clot formation.InfectionThough uncommon, some patients may develop an infection either at the incision site or deeper within the surgical area. Medical teams implement strict protocols to minimize this risk.Implant problemsMost knee implants have a functional lifespan of approximately 15-20 years and naturally experience wear over time. This durability factor means some patients may eventually require revision surgery as the implant reaches the end of its effective life.Continued pain or stiffnessA small percentage of patients may experience persistent discomfort or limited range of motion even following successful knee replacement. Your medical team will work with you to address these symptoms should they occur.Your surgeon will discuss these potential complications in detail during your consultation and implement appropriate preventive measures throughout your treatment journey.

What are the risks of a Knee Replacement?

Knee replacement surgery is typically recommended only after other treatment options have been exhausted. When your orthopedic specialist suggests this procedure, they've determined that it represents the most appropriate intervention for your specific condition.Before proceeding to knee replacement, many patients explore less invasive alternatives such as therapeutic injections (including corticosteroids, hyaluronic acid, or platelet-rich plasma) and keyhole surgery (arthroscopy). These approaches may provide temporary relief or address specific issues without the need for full joint replacement in some cases.Generally, delaying a knee replacement against medical advice is not recommended. Your doctor has carefully weighed the progression of your joint deterioration against the benefits of surgical intervention when making this recommendation.However, certain risk factors might temporarily affect your candidacy for surgery. These could include uncontrolled medical conditions, active infections, or other health concerns that might complicate your procedure or recovery. In such cases, your medical team may advise postponing surgery until these issues can be properly addressed and managed, creating a safer surgical environment.Your surgeon will work with you to determine the optimal timing that balances your knee condition with your overall health status to achieve the best possible outcome.

Can I avoid or postpone a Knee Replacement?

Many families ask if their older loved ones are "too old" for knee surgery. The truth is, age by itself doesn't rule you out - what really matters is your overall health and how much the surgery could help you.Older people often have more worn-out knees, which means they might actually benefit more from surgery. We've successfully replaced knee joints for patients in their 90s, helping them enjoy pain-free movement in their later years.On the flip side, we also treat younger patients - even those in their 30s - who have badly damaged knees and get great results from partial or total knee replacements.The bottom line: knee replacement can work well for adults of any age when it's done for the right reasons. Your health and potential benefits matter more than the number of candles on your birthday cake.

Am I too old for a Total Knee Replacment?

The knee replacement procedure typically takes under an hour to complete. Once your surgery concludes, you'll transition to the Recovery area where medical staff will monitor your vital signs and initial response to the procedure for several hours. When the care team determines you're stable, you'll be transferred to the General Ward for the remainder of your hospital stay.We employ a proactive approach to your recovery. When medically appropriate, we encourage patients to stand and take their first steps shortly after surgery. This early mobilization is part of our 'Enhanced Recovery' Protocol, developed in close collaboration with our physiotherapy team. This evidence-based approach initiates your exercise program on the first day following surgery.This protocol is designed with the goal of preparing most patients for discharge by or before the third day after surgery. Each day, you'll work with specialized professionals who will guide your progression through carefully designed rehabilitation activities tailored to your specific needs.Early mobilization helps reduce complications, improves circulation, and often contributes to better overall outcomes and a more efficient recovery process. Our team will be with you every step of the way, providing support, encouragement, and professional guidance throughout these initial crucial days.

What to expect immediately after following Surgery?

Yes, you can absolutely expect to return to a normal, active lifestyle following knee replacement surgery. Most patients resume their regular daily activities within six to eight weeks after the procedure, though complete recovery—including full strength and range of motion—typically develops over a longer timeframe of six months to a year.The key to achieving optimal results lies in diligently following your personalized aftercare instructions and rehabilitation program. These protocols are specifically designed to promote healing, strengthen supporting muscles, and gradually restore function to your new knee.At Thomson Medical, we take a comprehensive approach to your recovery journey. Our team will maintain regular check-ins throughout your rehabilitation process, monitoring your progress and addressing any concerns promptly. These follow-up appointments allow us to make any necessary adjustments to your recovery plan, ensuring you achieve the best possible outcome.

Can I lead a normal life after Knee Replacement?

 Frequently Asked Questions

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Clinically-based ERAS Protocol&nbsp;We offer Enhanced Recovery After Surgery (ERAS), providing evidence-based care that typically enables:<ul><li>Reduced hospital stay from 4 days to less than 23 hours.</li><li>Optimized recovery processes</li><li>More efficient rehabilitation journey</li></ul>Experienced Care Team&nbsp;With 45 years of caring for Singapore's families, our specialists:<ul><li>Take time to understand your unique needs</li><li>Explain treatment options clearly</li><li>Provide comprehensive support throughout your care</li></ul>Complete Care Under One Roof&nbsp;Experience the convenience of having all services in one location:<ul><li>Diagnostic facilities</li><li>Comprehensive treatment options</li><li>Coordinated care team</li><li>Modern, accessible facilities including a day surgery center</li></ul>Clear Financial Planning&nbsp;We understand healthcare decisions include financial considerations. <a href="https://www.thomsonmedical.com/form/medical-concierge-services?utm_campaign=norra" target="_blank">Contact us</a> for final cost and insurance coverage. Our team provides:<ul><li>Transparent pricing information</li><li>Insurance coverage guidance</li><li>Clear cost explanations</li></ul>

Why Choose Thomson Medical for Your Knee Replacement?

Same-Day Total Knee Replacement

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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.

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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.

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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.

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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.

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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.

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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.