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Miss Sarah Tang is a breast surgeon in London with an NHS practice at St George’s Hospital. She has expertise in treating a broad range of breast conditions and offers one stop breast clinics, surgery for breast cancer, surgery for benign breast conditions and cosmetic breast surgery.
She studied undergraduate medicine at Cambridge University and trained throughout the London and South West Thames region. She completed her surgical training and became a Fellow of the Royal College of Surgeons in 2014. Her clinical experience has been supported by formal post graduate study and she was awarded a Masters degree in oncoplastic breast surgery in 2016.
She has a particular interest in using the latest technology to localise breast lumps and lymph nodes and avoids the use of wires and radioactive injections. This improves patients’ experience of breast surgery by allowing more flexibility in scheduling surgery and by avoiding the discomfort of having wires inserted. If breast cancer treatment requires a full mastectomy, she can offer immediate reconstruction using breast implants and acellular dermal matrix.
Miss Tang offers a wide range of cosmetic breast surgery options including breast augmentation (enlargement), mastopexy (breast lift), mastopexy with auto-augmentation (breast lift and upper breast filling without implants), breast reduction and the correction of breast asymmetry.
She also manages benign breast conditions including removing benign breast lumps, treating nipple discharge and breast infections. In particular, she has extensive experience in managing breast feeding related problems as well as being able to advise on HRT related breast concerns.
Miss Tang is committed to research into breast cancer. She was the 2010 Joint British Association of Surgical Oncology (BASO) and Royal College of Surgeons (RCS) Fellow in Cancer Research for her work at the Breakthrough Breast Cancer laboratory. In 2015, she was awarded a research degree (MD Res) by the Institute of Cancer Research and the University of London. In 2016, she led the National Margins Audit to investigate variation in margin practice and margin re-excision rates in the UK and Ireland. This study involved 140 investigators in 76 breast units and collected data on 2800 women undergoing breast conserving surgery. She continues to study patient experience and the factors that increase the likelihood of re-excision.
This year she was awarded a research grant from the Association of Breast Surgery to lead the Local Recurrence After Breast conservation (LRAB) National Study. She will be studying breast cancer local recurrence rates in patients who took part in the 2016 National Margins Audit. An up-to-date understanding of local recurrence rates in the UK and Ireland is essential to drive a national consensus policy for minimum margin width in breast conserving surgery.
She has recently become the recipient of a 2022 Royal College of Surgeons pump priming grant to fund the development of a prognostic tool that can be used to estimate the likelihood of needing additional surgery to achieve margins if a patient with breast cancer choses to attempt breast conserving surgery.
She has a post graduate diploma in healthcare and biomedical education and leads on curriculum design for the breast surgery course at St George's University of London.
Miss Tang lives in South London with her family. In her spare time, she enjoys baking and playing tennis with her children. She has also recently returned to formally studying the piano and is developing her repertoire for a Diploma in Piano performance with the Associated Board of the Royal Schools of Music.
Areas of interest
Breast one stop clinics; breast assessment; breast examination; breast lumps; breast pain; nipple discharge; nipple changes; breast skin changes; breast asymmetry; breast cancer treatment; breast cancer surgery; breast reconstruction; surgery for benign breast conditions; cosmetic breast surgery; breast augmentation; breast enlargement; breast reduction; breast lift; breast tightening; correction of breast asymmetry; breast implant problems; breast feeding problems; HRT related breast issues.
- Lauren Whitcombe
Current NHS consultant posts held
St George's University Hospitals NHS Foundation Trust
The development of a prognostic model to predict the risk of margin re-excision in breast conserving surgery for breast cancer (Royal College of Surgeons Pump Priming Grant 2022)
Local Recurrence after Breast conservation (National LRAB study- awarded ABS Research Grant 2022)
National Margins Audit Lead 2016 and 2022
I live with my husband who is a vascular surgeon and our 3 boys.
I keep myself fit by cycling, playing tennis and training in taekwondo. I am about to lead a team of cyclists on a charity bike ride from the breast unit at St George's Hospital to the ACC conference centre in Liverpool, a distance of 260 miles.
I love playing the piano and passed grade 8 with distinction at the age of 14. I have recently returned to formally studying for a diploma in piano performance.
1. Royal College of Surgeons Pump Priming Grant 2022
2. Association of Breast Surgery Research Grant 2022
3. Joint RCS and BASO Fellowship into Cancer Research 2010
4. Arthritis Research Campaign Prize in Rheumatology 2001
5. Visiting Undergraduate Research Fellowship at Harvard University 1997
(Additional) Languages spoken
- Cantonese - Fluent
1. Tang SSK, Rapisarda F, Nerurkar A et al. Complete excision with narrow margins provides equivalent local control to wider excision in breast conservation for invasive cancer. BJS Open 2018. http://doi.org/10.1002/bjs5.50121
2. Gui G, Agusti A, Twelves D, Tang SSK et al. INTEND II randomized clinical trial of intraoperative duct endoscopy in pathological nipple discharge. BJS Open 2018. http://doi.org/10.1002/bjs/10990
3. Tang SSK, Kaptanis S, Haddow JB et al. Current margin practice and effect on re-excision rates following publication of the SSO-ASTRO consensus and ABS consensus guidelines: a national prospective study of 2858 women undergoing breast conserving therapy in the UK and Ireland. European Journal of Cancer 2017; 84: 315-324
4. Jauhari Y, Gannon MR, Dodwell D…Tang S, Pettengell R and Cromwell D. Addressing frailty in patients with breast cancer: A review of the literature. EJSO 2020; 46:24-32
5. Jauhari Y, Gannon MR, Dodwell D…Tang S and Cromwell D. Construction of the secondary care administrative records frailty (SCARF) index and validation on older women with operable invasive breast cancer in England and Wales: a cohort study. BMJ Open 2020;10:e035395
6. Jauhari Y, Gannon MR, Tsang C…Tang S, Pettengell R and Cromwell DA. Surgery and adjuvant radiotherapy for unilateral ductal carcinoma in situ (DCIS) in women over 70 years: A population based cohort study. EJSO 2019;45:1378-1387
7. O’Connell RL, Baker E, Trickey et al. Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study. BJS 2018; 105:1178-92
8. Tang SSK, Gui GPH. Chapter 3: Nipple discharge and the role of duct endoscopy in breast diseases. In: A companion to specialist surgical practice: Breast Surgery (5e). ISBN 978-0-7020-4959-0
11. Tang SSK, Gui GPH. Implant and implant assisted breast reconstructions. In: Salgarello M ed. Breast Reconstruction- current techniques. 2012. ISBN 978-953-307-982-0
12. Tang SSK, Gui GPH. Biomarkers in the diagnosis of primary and recurrent breast cancer. Biomarkers Med 2012; 6(5):1-19
13. Tang SSK, Gui GPH. A review of the oncologic and surgical management of breast cancer in the augmented breast: diagnostic, surgical and surveillance challenges. Annals of Surgical Oncology. 2011;18:2173-2181
14. Tang SS, Twelves DJ, Clare M Isacke, Gui GPH. Duct endoscopy in the current management of breast disease. Surgical Endoscopy. 2010;25:1712-1722
Courses offered to GPs
Breast Cancer Surgery including reconstructive options
Assessment of breast symptoms
Overview of the one-stop clinic
Overview of breast cancer management
Follow-up after breast cancer surgery
Breast cancer risk including family history
- Master of Surgery in Oncoplastic Breast Surgery University of East Anglia and the Royal College of Surgeons 2016
- Doctor of Medicine by Research MD(Res) Institute of Cancer Research, University of London 2015
- Fellow of the Royal College of Surgeons FRCS Royal College of Surgeons 2014
- Master of Arts (Medical Sciences) Cambridge University 2003
- Bachelor of Medicine and Bachelor of Surgery MBBSS King's College London 2004
Reference number 6055066
Affiliations / memberships
Association of Breast Surgery
British Association of Surgical Oncology
Royal College of Surgeons
- New Victoria Hospital
- 13:00 - 16:30
- 020 8949 9000