Following my routine mammogram, I was recalled for further investigation at Charing Cross Hospital - this involved additional mammograms and a biopsy. In Mid December I first met Paul Thiruchelvam who delivered the news that I had high grade DCIS. Although this was a shock he reassured me that this was very treatable and from that moment I felt in the best possible hands. Through my private health cover all subsequent appointments took place at King Edward VII Hospital. At the initial appointment Paul went through all the options available, which although at the time felt a little overwhelming, on reflection I really appreciate that I was given all the information to make the best decision for me. At no point did I feel pressured for my treatment to take a set path. At each appointment everything was thoroughly explained with time given for me to go home and consider future steps. Paul arranged for me to have an MRI and also for me to meet with Adil Khan who explained in detail the reconstruction process if I chose to have a mastectomy. I decided that the best option for me was to have a WLE (lumpectomy) on the left breast and bilateral therapeutic mammoplasty on the healthy right breast. Paul arranged for me to meet with Daniel Leff who was to perform the surgery on my right breast. The area removed ended up being 6cm. The operation has been a great success with clear margins achieved and no cancer found. To say I am pleased with the results is a complete understatement, not only is the health outcome the best news but the aesthetic results are far beyond what I was hoping for - with a natural shape and great symmetry. Mr Thiruchelvam is supported by such a strong team : Breast care nurses Amelia Cook and Helen Froyd - who after each consultation took time to ensure that I fully understood what had been discussed. They regularly called me to check how I was doing and were always available to answer my questions. I truly appreciate their kindness and care. Neil, the radiologist who somehow found a workaround when equipment was not performing as it should, I don't know how he did this, but I am so grateful as without his expertise my operation would have been postponed. He was supported by Fiona who was so lovely, helping to keep me calm and made the multiple mammograms bearable. Dr Matt Brown - the pain specialist who went through in detail how I could prepare for the operation and what to do after for a speedy recovery. A thorough appointment and he was so patient and kind. Michelle Wright (Paul's PA) so incredibly efficient, setting up necessary appointments and I know she worked tirelessly to chase up my biopsy results. Daniel Leff - the surgeon who worked in tandem with Paul - the surgical dream team. I feel so lucky to have had Paul as my consultant, he is kind, compassionate and so incredibly knowledgable. I would have no hesitation in recommending him and his amazing team. I am forever grateful.
Very thorough and helpful care and a truly wonderful team between Georgina Williams and Paul Thiruchelcam. The lympha procedure particularly has made a difference and I feel it has preserved my career, which could have been seriously derailed by such extensive axillary surgery and/or lymphoedema.
I was diagnosed with stage 1 breast cancer last November after a routine (my first) NHS mammogram. Even though it's so prevalent, I was completely stunned and didn't know what I could expect. The NHS moved quickly into action and shortly afterwards I met my surgeon Mr Thiruchelvam. He immediately gave me a feeling of confidence. Confidence that the tumour would be completely removed and that he would also be able to deliver the best aesthetic outcome for me. I switched to my private insurance to manage the dates and by early January I had surgery. Mr Thiruchelvam also connected me to a wonderful pain doctor, Dr Matt Brown, who managed the pain so expertly that I was able to return to work within a few days of my operation. Two weeks post op, I had a follow up meeting with Mr Thiruchelvam who gave me the good news that the operation had been a success and I was now 'cancer free'. Two months on, post intensive 5-day radio therapy, I am healing well and I am hopeful for the future. Looking back, although my diagnosis was a shock and there will need to be much careful screening going forward, I attribute my positive experience to the outstanding work of Mr Thiruchelvam and his amazingly supportive team of kind nurses, Helen and Amelia, and incredibly efficient secretary, Michelle.
From 1st consultation and all the way through my treatment plan Mr Thiruchelvam was engaging and easy to talk to and ask questions. He listened to my many questions, explained everything clearly in a caring yet professional way. I would not hesitate to recommend him to other people.
Paul was referred to me via the NHS consultant when I was diagnosed with DCIS/Radial Scar and needed a wide incision. Following our first consultation, Paul sent me off for a full body MRI scan which picked up the cancer cells and some benign cells. Following Paul's advice on what procedure and recommended specialists, I am now cancer free and the recovery process has been painless and quick. I will be forever grateful to Paul that we caught the disease early and throughout this journey, Paul's very calm manner has kept me calm too. Paul put me in touch with various consultants and they too have helped and made this journey easy.
Mr Paul Thiruchelvam was awarded the iWantGreatCare certificate of excellence in 2023 for delivering outstanding care.
- General surgery
Paul is a Consultant Breast and Reconstructive Surgeon at Imperial College NHS Trust and an Honorary Senior Lecturer in Surgery at Imperial College, London.
He graduated from Imperial College in 2000 and undertook his Surgical Training in North West Thames, during which time he rotated through the breast units at Imperial College and The Royal Marsden. He completed his surgical training as a National Oncoplastic Group (TIG) fellow at the Nottingham Breast Institute, where he undertook research mapping the anatomy of chest wall perforator flaps (LICAP & LTAPs) in partial and total breast reconstruction.
Paul has undertaken travelling fellowships to the MD Anderson, Mayo Clinic, Memorial Sloan Kettering Cancer Centers, and was awarded a Winston Churchill Memorial Fellowship in 2016, visiting the United States and Japan to observe the use of axillary reverse mapping (ARM) and Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) in primary lymphoedema prevention. Paul is actively involved in lymphedema prevention and surveillance.
As a member of the member of the expert panel on breast cancer related lymphoedema, he was involved in drafting best practice guidelines for the American Society of Breast Surgeons. He is the current Chair of oncoplastic breast surgery for the American College of Surgeons and the and serves on the oncoplastic faculty for the American Society of Breast Surgeons and teaches on Surgical Techniques for the Prevention and Management of Lymphedema for the American Society of Breast Surgeons.
Paul received his PhD in Molecular Oncology from Imperial College in 2010, under supervision from Professors Simak Ali, Laki Buluwela and Charles Coombes. He was awarded the first joint clinical research fellowship from the Royal College of Surgeons and Cancer Research:UK to fund his research. He is actively involved in clinical trials, including the multi-centre PRADA trial.
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Short link to review Mr Paul Thiruchelvam: http://iwgc.net/eftdn