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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