- Reference Number: HEY-381/2016
- Departments: Breast Services
- Last Updated: 1 February 2016
Introduction
This leaflet has been produced to give you general information about your diagnosis and to provide you with information about your proposed plan of treatment following discussion with the Breast Multidisciplinary Team (MDT). Most of your questions should be answered by this leaflet. It is not intended to replace the discussion between you and your doctor, but may act as a starting point for discussion. If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team caring for you.
Your biopsy results.
Unit Number ……………………………………………………………………………
Breast Pathology ………………………………………………………… Side ………
Size ………………………………………………………………………………………
Grade ……………………………………………………………………………………
Hormone Receptor Positive Negative
HER2 Receptor Positive Negative
Name …………………………… Designation ………………
Signature ………………………… Date ………………
Treatment plan.
Name ……………………………… Designation …………………………
Signature ………………………… Date …………………………………
Post operative pathology results and treatment plan.
Surgery ……………………………………………………………………………………
……………………………………………………………………………………………
Breast Pathology ……………………………………………………… Side…………
Size ………………………………………………………………………………………
Grade ……………………………………………………………………………………
Hormone Receptor Positive Negative
HER 2 Positive Negative
Number of lymph nodes removed ……………………………………………………
Number of nodes containing cancer…………………………………………………
Radiotherapy Yes No
Chemotherapy Yes No
Hormone Therapy Yes No
Herceptin Yes No
Clinical Trial Yes No
Name …………………………………. Designation ……………………………
Signature …………………………….. Date …………………………………….
Your key points of contact.
Your Key Worker ………………………… Date ………………………
Your Oncologist ……………………………… Date …………………………
Your Surgeon ……………………………… Date …………………………
Useful contacts
The Hull and East Yorkshire Macmillan Breast Care Nursing Team
The team work Monday to Friday and messages can be left on the answer phone and will be dealt with between the hours 9am to 4pm Monday to Thursday and 9am to 12 noon on Fridays. The team will endeavour to return your call the same day (unless messages are left outside of these hours, over the weekend or on Bank Holidays when calls will be returned on the following working day).
Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact the Hull and East Yorkshire MacMillan Breast Care Nursing Team on tel no: (01482) 622013.
Breast Cancer Care
Kiln House
210 New Kings Road
London
SW6 4NZ
Telephone: 0207 3842 984
www.breastcancercare.org.uk
Breakthrough Breast Cancer
3rd Floor
246 High Holborn
London
WC1 7EX
Telephone: 0808 100 200
www.breakthrough.org.uk
Macmillan Cancer Support
89 Albert Embankment
London
SE1 7UQ
Free phone: 0808 808 2020
www.macmillan.org.uk
General Advice and Consent
Most of your questions should have been answered by this leaflet, but remember that this is only a starting point for discussion with the healthcare team.
Consent to treatment
Before any doctor, nurse or therapist examines or treats you, they must seek your consent or permission. In order to make a decision, you need to have information from health professionals about the treatment or investigation which is being offered to you. You should always ask them more questions if you do not understand or if you want more information.
The information you receive should be about your condition, the alternatives available to you, and whether it carries risks as well as the benefits. What is important is that your consent is genuine or valid. That means:
- you must be able to give your consent
- you must be given enough information to enable you to make a decision
- you must be acting under your own free will and not under the strong influence of another person
Information about you
We collect and use your information to provide you with care and treatment. As part of your care, information about you will be shared between members of a healthcare team, some of whom you may not meet. Your information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.
We may pass on relevant information to other health organisations that provide you with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your doctor, or the person caring for you.
Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You.
If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.
