Extended breast screening programme

Extended breast screening programme is designed for women who wish to have a more detailed assessment of their breast health, hormonal balance and any potential changes in their body. The programme comprises consultations with a breast specialist, a comprehensive package of hormonal tests, and a detailed ultrasound examination of the breasts, local and regional lymph nodes, which helps to detect any potential changes at an early stage and determine the appropriate course of further healthcare.

The programme is coordinated by breast surgeon prof. habil. dr. Valerijus Ostapenko and comprises:

Consultations:

• Initial consultation with a breast surgeon;
• Follow-up consultation to discuss test results and recommendations.

Laboratory tests:

• Estradiol – the main female sex hormone, which influences changes in breast tissue;
• Progesterone – important for hormonal balance and regulation of the menstrual cycle;
• Prolactin – elevated levels may be associated with breast tenderness or nipple discharge;
• FSH (follicle-stimulating hormone) – helps to assess ovarian function and hormonal changes;
• LH (luteinising hormone) – plays a role in the functioning of the reproductive system and hormone regulation;
• TSH (thyroid-stimulating hormone) – the main indicator of thyroid function, which may influence breast health and hormonal balance;
• T3 (triiodothyronine) – one of the main thyroid hormones, involved in regulating metabolism. Thyroid dysfunction may be associated with breast tenderness, changes in hormonal balance and changes in general well-being;
• T4 (thyroxine) – the main hormone produced by the thyroid gland, essential for normal hormonal balance and bodily functions. Changes in its levels may affect the functioning of the reproductive system and the sensitivity of breast tissue;
• Cortisol – the main stress hormone, involved in the body’s response to stress and in hormone regulation. Prolonged elevated cortisol levels may affect hormonal balance, breast tenderness and a woman’s overall sense of well-being.

Examinations:

• Breast examination;
• Ultrasound examination of the breasts and regional lymph nodes;
• Ultrasound examination of the supraclavicular and subclavian lymph nodes.