Download Athens Euroclinic - Breast Centres Network

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Image-guided radiation therapy wikipedia , lookup

Brachytherapy wikipedia , lookup

Medical imaging wikipedia , lookup

Mammography wikipedia , lookup

Transcript
Athens Euroclinic - Athens, Greece
General Information
New breast cancer cases treated per year
164
Breast multidisciplinarity team members
13
Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
nurses
Clinical Director: Fiorita Poulakaki, MD, PhD
The Athens Euroclinic Breast Center is a model center of excellence that was established to offer
comprehensive and quality healthcare services to women in the area of prevention, diagnosis and treatment of
breast conditions. Staffed by specialized scientists from all related medical specialties and equipped with
state-of-the-art diagnostic and imaging devices, it ensures very efficient diagnosis and treatment of benign and
malignant breast lesions. The Breast Center’s internationally acclaimed medical team has comprehensive
scientific training and a proven track record in breast conditions. The team is made up of breast imaging
specialists, breast surgeons, medical oncologists, a plastic surgeon, a psychologist and trained nurses, who
join forces to offer comprehensive and quality healthcare to women. The Athens Euroclinic Breast Center has
all the necessary tools to care for contemporary women, meeting their needs for early and proper diagnosis
and acknowledging their right to be fully briefed on the surgical procedure they will undergo prior to entering
the operating theater. The Breast Center brings them into contact with a team of scientists with ample
technical know-how,
Athens Euroclinic
9 Athanasiadou st., Parodos Soutsou,
11521 Athens, Greece
Phone: +302106416624
Fax: +302106416634
E-mail: [email protected]
Web-site: www.euroclinic.gr
1/6
Athens Euroclinic
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
3
Mammograms per year
5000
Breast radiographers
Screening program
Available imaging equipment
Mammography
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
Vacuum assisted biopsy
SHEER WAVE ELASTPGRAPHY,
TOMOSYNTHESIS
Ultrasound-guided biopsy
Available work-up imaging
equipment
Computer Tomography
Core Biopsy
Ultrasound
Vacuum assisted biopsy
Fine-needle aspiration biopsy
(FNAB, cytology)
Magnetic Resonance Imaging (MRI)
MRI-guided biopsy
Core Biopsy
PET/CT scan
Primary technique for localizing
non-palpable lesions
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) 150
Dedicated Breast Surgeons
3
Surgeons with more than 50 surgeries per year
1
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
2/6
Athens Euroclinic
Reconstructive/Plastic Surgery
Reconstructive/Plastic surgeons
Immediate Reconstruction available
2
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
Lipofilling of the breast
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
3
Outpatient systemic therapy
Clinical Research
3/6
Athens Euroclinic
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
Gynecologist
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
4/6
Athens Euroclinic
Contact details
Clinical Director
Fiorita Poulakaki, MD, PhD
Head of Breast Surgery Department [email protected]
+306944530710
Head of Breast Radiology Dpt.
[email protected]
+306946460688
Head of Breast Surgery Dpt.
[email protected]
+306944530710
Director of Plastic Surgery Dpt.
[email protected]
+306944201199
Referal Pathologist for Breast
Disease
[email protected]
+306947902431
Head of Oncology Dpt.
[email protected]
+306945399966
Radiology
Petros Malakasis
Breast Surgery
Fiorita Poulakaki, MD, PhD
Reconstructive Surgery
George Kapralos
Pathology
Petroula Arapantoni
Medical Oncology
Dimitrios Pectasides, PhD
Radiotherapy
Eleni Tsipnidou
Consultant Radiotherapist
+306973040755
5/6
Athens Euroclinic
How to reach us
Athens Euroclinic
9 Athanasiadou st., Parodos Soutsou,
11521 Athens, Greece
Phone: +302106416624
Fax: +302106416634
E-mail: [email protected]
Web-site: www.euroclinic.gr
From airport:
Through Attiki Odos,E94/?6 and ?64 it is 34,1 Km
By train:
Central Railway and after by bus M2, M3, B5
By bus or sub-way/underground:
Bus: M2,M3, B5 Subway:2 minutes walking distance from Ampelokipi subway station
By car:
Through Kifisias Avenue or Alexandas Avenue
Last modified: 20 July 2016
6/6