Mr Paul Thiruchelvam 2018-01-19 Person 5 5 0

Following a routine screening mammogram it was discovered that changes had occurred in my left breast since my first mammogram, aged 50. A vacuum biopsy was undertaken to help investigate further. About a week later I met with surgeon Paul T to discuss the results of my biopsy. To my surprise I was informed by Paul that I had Ductal Carcinoma In Situ (DCIS); high grade. His delivery of the the news was very positive and calm and both Paul and the Macmillan nurse were very supportive when discussing the next steps. Ten days later I met with Paul for a pre-op appointment to discuss surgical options. He initially informed me that I would have a standard wide local excision (lumpectomy) procedure via open incision. However, due to the position of my cancer (towards the centre of my chest) and my small breasts the procedure was going to be tricky and maybe wouldn't give me the result required. He carefully considered my individual case and thought a wide local excision plus mammoplasty would give me a better result and more natural shape. I trusted Paul to make the right choice on my behalf. A week later I had my surgery following a morning consultation and reassurance. I am very happy with the results and could not have hoped for better. Paul successfully removed my cancer with a clear margin. Quite remarkably he was able to remould my breast to mirror the other, albeit a fraction smaller. He had very little to work with and am amazed he was able to achieve such a great result. I was very fortunate to have such an amazing, charming and experienced surgeon. The surgery he performed has made me feel very positive about my future whilst maintaining my femininity in a circumstance that was thrust upon me. I shall always feel grateful and lucky that our paths crossed and I received such great treatment. The next step of my treatment is radiotherapy and I'm sure I will be greeted with the same care and professionalism I have received from the whole breast team to date.