Mitera Hospital S.A. - Marousi, Athens, Greece
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- Shanna Thompson
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1 - Marousi, Athens, Greece General Information New breast cancer cases treated per year 194 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses Clinical Director: Alexandra Athanasiou, MD, MSc Giving great importance to the early detection and treatment of breast cancer, MITERA Hospital, member of HYGEIA Group, has established a model Breast Center according to European standards, that provides comprehensive information services, diagnosis and treatment. The Breast Center team is made of Surgeons specialized in Breast diseases, Oncologists, Radiologists, Pathologists, Plastic Surgeons, Radiotherapists and specialized Breast Nurses, who attend the weekly meetings for case discussions, in order to set diagnostic and therapeutic strategies. All diagnostic procedures are provided, using state of the art technological equipment, by highly educated Radiologists, Pathologists and Cytologists, or other specialized personnel. In our Breast Center various procedures are performed including FNA, Corebiopsy, Stereotactic biopsies as well as breast reconstruction following breast surgeries. Moreover we can provide chemotherapy administration in our One Day Chemotherapy Unit, or treat the patient with modern radiotherapy techniques, available at the and Oncology Center of our parent Hospital, Hygeia. 6, Erithrou Stavrou Str Marousi, Athens, Phone: Fax: info@mitera.gr Web-site: 1/7
2 CERTIFICATION(S) ACCREDITATION(S) ISO 9001:2008 Expiration date: 14 September 2021 Image: ISO 9001:2008 Tuv Austria Hellas 2/7
3 Available services Reconstructive/Plastic Surgery 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 Dedicated Radiologists 3 Mammograms per year 8000 Breast radiographers Screening program Verification for non-palpable breast lesions on specimen Axillary US/US-guided FNAB Available imaging equipment Mammography Ultrasound Magnetic Resonance Imaging (MRI) Available work-up imaging equipment Computer Tomography Ultrasound Magnetic Resonance Imaging (MRI) PET/CT scan Primary technique for localizing non-palpable lesions Hook-wire (or needle localization) Charcoal marking/tattooing ROLL: radio-guided occult lesion localization Available breast tissue sampling equipment Stereotactic Biopsy (Mammography guided) Core Biopsy (Tru-cut) Vacuum assisted biopsy Ultrasound-guided biopsy Fine-needle aspiration biopsy (FNAB, cytology) Core Biopsy Vacuum assisted biopsy MRI-guided biopsy Core Biopsy Vacuum assisted biopsy New operated cases per year (benign and malignant) 496 Dedicated Breast Surgeons 6 Surgeons with more than 50 surgeries per year 2 beds 20 Breast Nurse specialists 4 Outpatient surgery Intra-operative evaluation of sentinel node Reconstruction performed by Breast Surgeons Primary technique for staging the axilla Axillary lymph node dissection Sentinel lymph node biopsy: Blue dye technique Radio-tracer technique Blue dye + Radio-tracer Axillary sampling 3/7
4 Reconstructive/Plastic Surgery Reconstructive/Plastic surgeons 3 Immediate Reconstruction available 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 Dedicated Breast Pathologists 4 Available studies Cytology Haematoxylin & eosin section (H&E) Surgical specimen Sentinel node Core biopsy Frozen section (FS) Surgical specimen Sentinel node Immunohistochemistry stain (IHC) Estrogen receptors Progesterone receptors HER-2 Ki-67 Other special studies available Fluorescence in-situ Hybridization for HER-2 gene (FISH) Oncotype Dx (21-gene assay) MammaPrint (70-gene microarray) Prediction Analysis of Microarray 50-gene set (PAM 50) SISH Parameters included in the final pathology report stage (pt and pn) Tumour size (invasive component in mm) Histologic type Tumor grade ER/PR receptor status HER-2/neu receptor status Peritumoural/Lymphovascular invasion Margin status Dedicated Breast Medical Oncologists 1 Outpatient systemic therapy 4/7
5 Dedicated Radiation Oncologists 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 Twice a week Weekly Every two weeks Other Schedule Cases discussed at MDM/TB Preoperative cases Postoperative cases Specialties/services participating in MDM/TB Reconstructive/Plastic Surgery 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 Physiotherapy Lymph-oedema treatment Genetic Counselling Specialist Providing Genetic Counselling/Risk assessment service: Dedicated Clinical Geneticist Medical Oncologist Breast Surgeon General Surgeon Gynaecologist Genetic Testing available Surveillance program for high-risk women Data Management Database used for clinical information Data manager available 5/7
6 Contact details Clinical Director Alexandra Athanasiou, MD, MSc Head of Breast Imaging Dpt Alexandra Athanasiou, MD, MSc Head of Mamography Department Stamatis Merkouris, MD Breast Radiologist Ioanna Papakonstantinou, MD Breast Radiologist Christina Tsionou, MD Head of 1st Clinic Eleni Faliakou, MD Head of 2nd Clinic Vlassis Leonardos, MD Breast Surgeon Emmanouil Pavlakis, MD Breast Surgeon George Filippakis, MD Breast Surgeon Nikolaos Michalopoulos, MD, PhD Breast Surgeon Gerorge Papazoglou, MD Breast Surgeon Reconstructive Surgery Dimitris Mastorakos, MD, PhD Plastic Surgeon Thomais Economou, MD Plastic Surgeon Evagelos Belonias, MD Plastic Surgeon Savvas Papadopoulos, FCAP, MD Head of Hygeia Lab Evangelia Koukoura, MD Staff Pathologist Vasiliki Kyriakidou, MD Cytopathologist Ilias Athanasiadis, MD Director of Oncology Clinic Konstantinos Dardoufas, MD Head of Hygeia & Oncology Center /7
7 How to reach us 6, Erithrou Stavrou Str Marousi, Athens, Phone: Fax: Web-site: From airport: Mitera Hospital is at a dinstance of 30 klm from the airport. By bus or sub-way/underground: Metro Line, station 'Neratziotissa' By car: 30 min by taxi from Athens Center Last modified: 09 November /7
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