Download Centro Medico Imbanaco - Breast Centres Network

Centro Medico Imbanaco - Cali, Colombia
General Information
New breast cancer cases treated per year
200
Breast multidisciplinarity team members
10
Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
nurses
Clinical Director: Marcela Urrego, MD
Centro Medico Imbanaco Breast Cancer Unit was created in 2011 with the purpose to provide specialized care
with a multidisciplinary platform of care. In developing countries the disparities in term of health access are
one of the main problems and creating this unit we had the important goal to decrease this access problems
and optimize breast cancer care in a standarized way. Centro Medico Imbanaco has all the components to
provide a multidisciplinary care and all the technologies that are available in 2014 for prevention, diagnosis,
treatment and support for breast cancer patients.
Centro Medico Imbanaco
Cra 39 · 5 a -100
Cali, Colombia
Phone: +570325582188
Fax:
E-mail: [email protected]
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Centro Medico Imbanaco
Available services
Radiology
Breast Surgery
Reconstructive/Plastic Surgery
Pathology
Medical Oncology
Radiotherapy
Nuclear Medicine
Rehabilitation
Genetic Counselling
Data Management
Psycho-oncology
Breast Nurses
Social Workers
Nutritional Counselling
Survivorship Groups
Sexual Health Counselling
Supportive and Palliative Care
Integrative Medicine
Radiology
Dedicated Radiologists
2
Mammograms per year
5000
Breast radiographers
Screening program
Available imaging equipment
Mammography
Vacuum assisted biopsy
Available work-up imaging
equipment
Axillary US/US-guided
Clinical Research
Core Biopsy (Tru-cut)
Magnetic Resonance Imaging (MRI)
non-palpable breast lesions
FNAB
Stereotactic Biopsy (Mammography
guided)
Ultrasound
Verification for
on specimen
Available breast tissue sampling
equipment
Ultrasound-guided biopsy
Fine-needle aspiration biopsy
(FNAB, cytology)
Computer Tomography
Ultrasound
Core Biopsy
Magnetic Resonance Imaging (MRI)
PET/CT scan
Vacuum assisted biopsy
MRI-guided biopsy
Primary technique for localizing
non-palpable lesions
Core Biopsy
Vacuum assisted biopsy
Hook-wire (or needle localization)
Charcoal marking/tattooing
ROLL: radio-guided occult lesion
localization
Breast Surgery
New operated cases per year (benign and malignant) 200
Dedicated Breast Surgeons
3
Surgeons with more than 50 surgeries per year
3
Breast Surgery beds
2
Breast Nurse specialists
1
Primary technique for staging the axilla
Axillary lymph node dissection
Sentinel lymph node biopsy:
Blue dye technique
Outpatient surgery
Radio-tracer technique
Intra-operative evaluation of sentinel node
Blue dye + Radio-tracer
Reconstruction performed by Breast Surgeons
Clinical Research
Axillary sampling
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Centro Medico Imbanaco
Reconstructive/Plastic Surgery
Reconstructive/Plastic surgeons
Immediate Reconstruction available
3
Type of breast reconstructive surgery available
Remodelling after breast-conserving surgery
Reconstruction after mastectomy:
Two-stage reconstruction (tissue expander followed by
implant)
One-stage reconstruction
Autogenous tissue flap
Latissimus dorsi flap
Transverse rectus abdominis (TRAM)
Free-flaps (free TRAM, DIEP, SIEA, gluteal, etc.)
Surgery on the contralateral breast for symmetry
Pathology
Dedicated Breast Pathologists
2
Available studies
Other special studies available
Fluorescence in-situ Hybridization for HER-2 gene (FISH)
Cytology
Oncotype Dx (21-gene assay)
Haematoxylin & eosin section (H&E)
MammaPrint (70-gene microarray)
Surgical specimen
Prediction Analysis of Microarray 50-gene set (PAM 50)
Sentinel node
Parameters included in the final pathology report
Core biopsy
Pathology stage (pT and pN)
Frozen section (FS)
Surgical specimen
Tumour size (invasive component in mm)
Sentinel node
Histologic type
Tumor grade
Immunohistochemistry stain (IHC)
Estrogen receptors
ER/PR receptor status
Progesterone receptors
HER-2/neu receptor status
HER-2
Peritumoural/Lymphovascular invasion
Ki-67
Margin status
Medical Oncology
Dedicated Breast Medical Oncologists
1
Outpatient systemic therapy
Clinical Research
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Centro Medico Imbanaco
Radiotherapy
Dedicated Radiation Oncologists
Clinical Research
Available techniques after breast-conserving surgery
(including experimental)
Whole-Breast RT (WBRT)
Partial breast irradiation (PBI):
External beam PBI
Interstitial brachytherapy
Targeted brachytherapy (MammoSite, SAVI applicator,
other devices)
Intra-operative RT (IORT)
Multidisciplinary Meeting (MDM) / Tumour Board (TB)
Regular MDM/TB for case management discussion
Specialties/services participating in MDM/TB
Twice a week
Radiology
Weekly
Breast Surgery
Every two weeks
Reconstructive/Plastic Surgery
Other Schedule
Pathology
Cases discussed at MDM/TB
Medical Oncology
Radiotherapy
Preoperative cases
Postoperative cases
Genetic Counselling
Breast Nurse Service
Psycho-oncology
Further Services and Facilities
Nuclear Medicine
Lymphoscintigraphy
Bone scan
Positron Emission Tomography (PET)
PET/CT scan
Rehabilitation
Prosthesis service
Genetic Counselling
Specialist Providing Genetic Counselling/Risk assessment
service:
Dedicated Clinical Geneticist
Medical Oncologist
Breast Surgeon
General Surgeon
Gynaecologist
Physiotherapy
Genetic Testing available
Lymph-oedema treatment
Surveillance program for high-risk women
Data Management
Database used for clinical information
Data manager available
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Centro Medico Imbanaco
Contact details
Clinical Director
Marcela Urrego, MD
Medical Oncology Dpt. [email protected]
+57032 5582188
Gabriel Salom, MD
Radiologist
[email protected]
+570326821000
Jairo Erazo, MD
Radiologist
[email protected]
+570326821000
Juan Carlos Bonilla, MD
Oncology Surgeon
[email protected]
+570326821000
Jhon Sanchez, MD
Oncology Surgeon
[email protected]
+570326821000
Javier Gutierrez, MD
Oncology Surgeon
[email protected]
+570326821000
Paola Kafury, MD
Plastic Surgeon
[email protected]
+570326821000
Nhora Sanchez, MD
plastic Surgeon
[email protected]
+570326821000
Anibal Ramirez, MD
Plastic Surgeon
[email protected]
+570326821000
Harold Cuello, MD
Pathologist
[email protected]
+570326821000
Consuelo Santamaria, MD
Pathologist
[email protected]
+570326821000
Hemato -Oncologist
[email protected]
+570325582188
Radiation Oncologist
[email protected]
+570326821000
Radiology
Breast Surgery
Reconstructive Surgery
Pathology
Medical Oncology
Marcela Urrego, MD
Radiotherapy
Ilse Vasquez, MD
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Centro Medico Imbanaco
How to reach us
Centro Medico Imbanaco
Cra 39 · 5 a -100
Cali, Colombia
Phone: +570325582188
Fax: E-mail: [email protected]
From airport:
30 minutes by car.
By train:
We do not have train access.
By bus or sub-way/underground:
1 hour by bus.
By car:
The longest way takes 40 minutes.
Last modified: 17 November 2014
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