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Dr. Alastair Mark Thompson, MBChB, MD, BSc

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Specializes in: General Surgery and Surgical Oncology (Cancer Surgery)

The University of Edinburgh College of Medicine and Veterinary Medicine

Professional interests include: breast surgery, clinical trials, breast-conserving surgery, and more.

1919 Old Spanish Trail 6th Floor
Houston, TX 77030

(713) 798-4321

Dr. Alastair Mark Thompson, MBChB, MD, BSc is a general surgeon in Houston, TX specializing in general surgery and surgical oncology (cancer surgery). He graduated from The University of Edinburgh College of Medicine and Veterinary Medicine. Dr. Alastair Mark Thompson, MBChB, MD, BSc is affiliated with Baylor College of Medicine, St. Luke's Health and Baylor St. Luke's Medical Center - Houston, TX.

Office Locations

Address:

1919 Old Spanish Trail 6th Floor
Houston, TX 77030

Address:

1919 Old Spanish Trail 8th Floor
Houston, TX 77054

Address:

7200 Cambridge Street Floor 10
Houston, TX 77030

Some issues Dr. Alastair Mark Thompson, MBChB, MD, BSc can help you with:

Mastectomy (Breast Removal Surgery)

Mastectomy is the surgical removal of all or part of the breasts, most frequently associated with breast cancer treatment (for both male and female breast cancer patients). Breast cancer patients who receive a mastectomy typically have undergone other treatments, such as chemotherapy, radiation, and less invasive breast-conserving surgery (lumpectomy). If these treatments are unsuccessful, oncologists may eventually prescribe a mastectomy. Other conditions that may prompt a mastectomy include:

Two or more cancerous regions in the same breast
Inability to receive chemotherapy or radiation therapy
High likelihood of recurring breast cancer
Large tumor that is bigger than two inches across
Pregnancy that prohibits radiation therapy
Preexisting conditions like lupus or scleroderma

Notably, some patients may elect to undergo mastectomy without a breast cancer diagnosis. Preventative (prophylactic) mastectomy is performed on those with a high risk of breast cancer, such as having a family history of the disease or carrying the breast cancer BRCA1 or BRCA2 gene. Preventative mastectomy substantially reduces one's chances of developing breast cancer in the future, but it cannot wholly prevent it.

Surgical oncologists perform several types of mastectomies, depending upon the severity of the breast cancer (including factors such as its location and spread), as well as the patients' own aesthetic and personal choices. The six main types of mastectomy include:

Total mastectomy, where the surgical oncologist removes an entire breast, including parts like the pectoral chest muscle, skin, and nipple.
Radical mastectomy, where the surgical oncologist removes the entire breast, underarm lymph nodes, pectoral chest muscles, and outer skin and nipple. One of the most invasive forms of mastectomy, radical mastectomy is infrequently performed.
Modified radical mastectomy, where the surgical oncologist completes a total mastectomy and also removes the underarm lymph nodes. This procedure is slightly less invasive than radical mastectomy.
Skin-sparing mastectomy, where the surgical oncologist removes cancerous breast tissue and nipple, but leaves most of breast skin. This method is used in conjunction with breast reconstruction, as implants can be added below the skin. Skin-sparing mastectomy often requires a treatment team with a surgical oncologist and a plastic surgeon experienced in breast procedures.
Nipple-sparing mastectomy, where the surgical oncologist removes cancerous breast tissue and leaves the nipple and most of the breast skin. This method is only available to patients in the early stages of breast cancer. Similar to skin-sparing mastectomy, this procedure is frequently performed with breast reconstruction.

Any of these procedures can be done on both breasts, in which case the procedure would be known as a double mastectomy. For example, a surgical oncologist might perform a total or nipple-sparing mastectomy on both breasts. Double mastectomies are often used as a preventive surgery for those who are at risk of developing breast cancer later on in life.

Patients have one or two days of hospital stay before returning home from their mastectomy procedures. Full recovery can take several months, but some patients find they are able to resume normal activity within one month of their mastectomy. Patients are advised to limit arm and chest movements whenever possible.

After surgery, patients must also adjust to changes in their appearance. While some patients choose to receive breast reconstruction, other patients may decide to wear prosthetic breasts or will simply embrace their new chest.

Mastectomies permit patients to conquer cancer and lead healthy, thriving lives as breast cancer survivors.

In The News (see more mentions in the news)

“An ongoing, multi-center, randomized, two-arm, pivotal clinical trial - led by Principal Investigator, Dr. Alastair Thompson at Baylor College of Medicine - is evaluating the use of Perimeter...”—"Perimeter Medical Imaging AI Reports Its Proprietary Artificial Intelligence Algorithm + OCT Identified 96.8% of Positive Breast Cancer Margins in Newly Published Peer Reviewed Study", WGN 9, February 2024

“Dr. Alastair Thompson, Principal Investigator and Professor, Section Chief of Breast Surgery, and Olga Keith Wiess Chair of Surgery at Baylor College of Medicine and Co-associate Director for...”—"Perimeter Medical Imaging AI Announces Alignment with FDA on Key Elements of Ongoing Clinical Trial Evaluating AI-enabled B-Series OCT Medical Imaging Technology", News10, September 2023

“Approximately 300 patients undergoing breast conservation surgery across eight U.S. clinical sites will participate in the pivotal study led by Principal Investigator, Dr. Alastair Thompson at...”—"Perimeter Medical Imaging AI Reports 2021 Financial Results and Provides Corporate Update", Associated Press News, May 2022

breast procedures	21
cancer surgery	21
diagnostic procedures	21
doctor visit	28
excision	42
lymph node procedures	37
open surgery	21

**Age**
From 65 to 74	26
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	73
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	75

breast procedures	14
cancer surgery	14
diagnostic procedures	19
doctor visit	46
excision	33
lymph node procedures	35
open surgery	19

**Gender**
Male	0
Female	102

**Ethnicity**
Non-Hispanic White	76
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	72
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	29
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	0
Cancer	75

breast procedures	15
cancer surgery	15
diagnostic procedures	14
excision	29
lymph node procedures	28
open surgery	14

**Ethnicity**
Non-Hispanic White	22
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

Hypertension	61
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	0
Depression	36
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	75

breast procedures	25
cancer surgery	25
diagnostic procedures	23
doctor visit	47
excision	48
lymph node procedures	46
open surgery	23

**Ethnicity**
Non-Hispanic White	37
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	32
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	67
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	22
Depression	29
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	31
Dementia	0
Cancer	75

breast procedures	12
cancer surgery	12
diagnostic procedures	13
excision	25
lymph node procedures	27
open surgery	13

**Gender**
Male	0
Female	24

**Age**
From 65 to 74	12
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	71
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	75

**Ethnicity**
Non-Hispanic White	16
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	15
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	61
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	75

breast procedures	14
cancer surgery	14
diagnostic procedures	10
doctor visit	17
excision	24
lymph node procedures	20
open surgery	10

**Gender**
Male	0
Female	32

**Age**
From 65 to 74	19
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	53
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	75

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Alastair Mark Thompson, MBChB, MD, BSc for Medicare patients.

The highest averages for the top procedures that Dr. Alastair Mark Thompson, MBChB, MD, BSc treated as a general surgeon in Houston, TX were lymph node procedures, excision, breast procedures and open surgery.

breast procedures	16
cancer surgery	16
diagnostic procedures	16
doctor visit	48
excision	31
lymph node procedures	32
open surgery	16

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Alastair Mark Thompson, MBChB, MD, BSc.

**Gender**
Female	15
Male	0

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	15
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	0
Less than 65	0
65 to 74	17

Average of Total of Conditions of Medicare patients treated by Dr. Alastair Mark Thompson, MBChB, MD, BSc From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Alastair Mark Thompson, MBChB, MD, BSc treated were cancer, hypertension, high cholesterol and depression.

Hypertension	46
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	5
Depression	6
Chronic Kidney Disease	0
Asthma	0
Osteoporosis	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	5
Atrial Fibrillation	0
Cancer	52
Dementia	0

Education & Training

Dr. Alastair Mark Thompson, MBChB, MD, BSc graduated from The University of Edinburgh College of Medicine and Veterinary Medicine. He completed residency at Royal Infirmary of Edinburgh. He has a state license in Texas.

Medical School: The University of Edinburgh College of Medicine and Veterinary Medicine

Residency: Royal Infirmary of Edinburgh

Licensed In: Texas

Affiliations & Hospitals

Dr. Alastair Mark Thompson, MBChB, MD, BSc is associated with these hospitals and organizations:

Baylor College of Medicine

St. Luke's Health

Baylor St. Luke's Medical Center - Houston, TX

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General Payments

These charts describe general payments received by Dr. Alastair Mark Thompson, MBChB, MD, BSc. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
F. Hoffmann-La Roche AG	$5,271 Kadcyla $5,271
Endomagnetics Ltd	$4,073 Magtrace $379	$3,694
Celgene Corporation	$230 Abraxane $230
Pfizer Inc.	$135 $135
CONMED Corporation	$92 ABC Handpieces $92
Other	$253 BioSurgery - TISSEEL $80	Kadcyla $80	localizer $19	$75

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$3,422
Food and Beverage	$2,371
Travel and Lodging	$2,105
Consulting Fee	$1,849
Entertainment	$279
Other	$29

Research Payments

Dr. Alastair Mark Thompson, MBChB, MD, BSc has received 1 research payments totaling $4,500.

Biography

Dr. Alastair Thompson's areas of specialization are general surgery and surgical oncology (cancer surgery); he sees patients in Houston, TX. He has a special interest in sentinel lymph node biopsy (SLNB), mastectomy (breast removal surgery), and clinical trials. Dr. Thompson's education and training includes medical school at The University of Edinburgh College of Medicine and Veterinary Medicine and residency at Royal Infirmary of Edinburgh. Distinctions awarded to Dr. Thompson include: James IV Association of Surgeons Travelling Fellowship, James IV Association; King James IV Professorship in Surgery, Royal College of Surgeons of Edinburgh; and Lister Prize for Surgery, University of Edinburgh. His professional affiliations include St. Luke's Health and Baylor College of Medicine. He has an open panel in Houston, TX according to St. Luke's Health.