Timely and Expert Management of Benign Breast Conditions

While the primary focus of breast health often centers on cancer, the vast majority of breast complaints are due to benign (non-cancerous) conditions. Dr. Khout provides expert, compassionate care and effective treatment for a full range of non-malignant issues, helping patients alleviate discomfort and achieve peace of mind.

Management of Breast Lumps and Masses

Any new lump requires prompt investigation. Dr. Khout specializes in accurately diagnosing and treating benign lumps, which may include:

• Fibroadenomas: Common, non-cancerous solid lumps that are often surgically removed if they are large, growing, or causing discomfort.
• Cysts: Fluid-filled sacs that can be easily diagnosed and often managed through simple aspiration (draining the fluid).
• Hamartomas and Lipomas: Benign fatty tumours or glandular tissue masses.

Evaluation and Treatment of Breast Pain (Mastalgia)

Breast pain is a very common complaint. A thorough assessment is provided to differentiate cyclical pain (related to the menstrual cycle) from non-cyclical pain, which may be related to musculoskeletal issues or specific benign masses. Treatment is tailored, ranging from dietary advice and pain management to targeted therapies.

Investigation of Nipple Discharge

Nipple discharge can be alarming but is often benign. Dr. Khout performs a detailed assessment, including clinical examination and imaging, to determine the cause of the discharge, particularly focusing on differentiating normal physiological discharge from discharge that requires further intervention.

The Triple Assessment: Comprehensive Diagnostics 

Accurate diagnosis is the foundation of effective treatment. Dr. Khout employs the Triple Assessment, the gold standard for evaluating breast symptoms, which ensures the most precise and timely diagnosis possible:

1. Clinical Examination: A thorough physical assessment of the breasts and lymph nodes by Dr. Khout.
2. Imaging: Utilising state-of-the-art technology, typically mammography and/or ultrasound.
3. Tissue Sampling (Biopsy): Obtaining a small sample of tissue or cells for laboratory analysis.

Advanced Biopsy Techniques

Dr. Khout performs various minimally invasive biopsy procedures, often done under local anaesthetic, to obtain a definitive diagnosis:

• Core Biopsy: Uses a slightly larger needle to remove a small cylinder of tissue for detailed analysis.
• Fine Needle Aspiration (FNA) Biopsy: Uses a very thin needle to collect a sample of cells or fluid, particularly useful for cysts.
• Vacuum Assisted Biopsy (VAB): A sophisticated technique that uses suction to collect multiple tissue samples through a single, small incision, often used for microcalcifications or small lesions.

Specialized Care for Male Breast Health

While less common, men can experience breast health concerns that require specialized attention.

Gynaecomastia (Male Breast Reduction)

Gynaecomastia is the enlargement of male breast tissue, which can cause significant emotional and psychological distress. Dr. Khout offers surgical correction to address this condition. Treatment involves removing the excess glandular tissue and, if necessary, liposuction to remove excess fat, resulting in a flatter, more contoured chest appearance. The procedure is customized to achieve a masculine chest contour that restores confidence.