Point of view of the surgeons
|
|
- Coleen Barker
- 6 years ago
- Views:
Transcription
1 NEOADJUVANT THERAPY: WHEN AND HOW? Point of view of the surgeons Dr. M. Danaei Head of Breast Unit Marienhospital Aachen Germany
2 2
3 3
4 Neoadjuvant therapy and overall survival: 4
5 Neoadjuvant therapy: concept in a specialised breast unit 5
6 6 Outpatient clinic breast unit: Suspicious lump/finding
7 1. Imaging 7
8 8 2. Biopsy sonographically controlled biopsy vacuum assisted biopsy
9 3. Histological verified breast cancer: additional imaging (MRT) 9
10 10 Clarification: BCS or MRM indicated? What about contra lateral? 4. Biopsy confirmation of all ipsi or contra lateral findings prior preoperative tumour board
11 11 Preoperative knowledge: individual risk characteristics: 1. age 2. tumour size 3. nodal status 4. grading 5. hormone receptor state 6. Her2-neu state 7. KI67 8. tumour topic 9. family incidence
12 12 5. Preoperative tumour board Tumour board in our unit
13 13 Preoperative tumour board guidelines & experience radiologist pathologist radiation oncologist surgeon patient oncologist human geneticist resident doctor
14 14 Preoperative tumour board: risk estimation invasive breast cancer low risk medium risk high risk nodal status negative hormone-receptor positive HER2-negative lymph node status positive hormone-receptor negative HER2-positive triple negative age > 50 grade 1 age < 50 age < 30 grade 2 grade 3 tumour size?
15 15 Preoperative tumour board statements on neoadjuvant/(adjuvant) CHT postoperative radiation genetic testing BET / MRM? study participation have to be made here and now!
16 16 Targets: oncological safety prevent relapses increase survival rate quality of living satisfying cosmetic result reduce disease-induced suffering & avoid complications
17 17 recommendation tumour board situation & individual needs of patient treatment concept mandatory requirement: informed consent
18 18 Neoadjuvant chemotherapy and target oriented breast surgery
19 19
20 20
21 21
22 22
23 23
24 24 Concept NACT and surgery SNB or axilla dissection (radiation of lymphatic pathways necessary?) clip marking tumour starting NACT after 3 cycles NACT tumour regress?/re-staging: sonography, MRT, biopsy response?
25 25
26 26 Neoadjuvant CHT: If it works, its amazing...
27 27 ulcerated BC: after the first cycle NACT after the seventh cycle NACT
28 28 Neoadjuvant CHT: But if not works?
29 29 Response assesment: Imaging and histo-pathological expertise (Sinn-score): 1. CR 2. PR 3. No Change partial remission
30 30 No change/progress: stop NACT, immediate surgery CR: further NACT, followed by surgery
31 Breast conserving surgery 31
32 32 Negative examples of breast conserving surgery: better results after NACT?
33 33 Negative examples of breast conserving surgery: better results after NACT?
34 BCS after NCT (3x EC, 4x TAC) 34
35 BCS after NACT 35
36 Mastectomy and Breast Reconstruction 36
37 37 Negative examples MRM better results after NACT?
38 38 Expander and prosthesis technology without radiation: good results expander and prosthesis technology, reconstruction NAC, adapting reduction surgery left expander and prosthesis technology, reconstruction NAC
39 Expander technology with radiation: good result 39
40 Radiation increases risk of capsular fibrosis and inflammation 40
41 41 Prosthesis technology & radiation: negative examples 2 months after expanderimplantation 8 years after prosthesisimplantation (outward performed)
42 42 Alternative after radiation: breast reconstruction with own tissue
43 Alternative after radiation: MRM left side, CHT, radiation, expander-/ prosthesisimplantation (outwards performed) now planning TRAM-Flap 43
44 44 Alternative after radiation: Latissimus plastic surgery
45 45 Alternative after radiation: TRAM-Flap
46 46 Alternative after radiation: TRAM & reconstructed NAC, adapting reduction surgery right side
47 47 Alternative after radiation: TRAM & reconstructed NAC
48 48 What counts in the end? oncological safety and patient satisfaction
49 No single approach is appropriate for all patients decision has to consider the combination of: clinical pathologic features of tumour patient factors such as age, co-morbidities, breast size individual patient needs necessary: patient-based decision making 49
50 Concept + quality + cooperation = good results 50
51 51 NEOADJUVANT THERAPY: WHEN AND HOW? Agree to disagree?
52 52 THANK YOU FOR YOUR ATTENTION!
National Center of Oncology - Yerevan, Armenia
- Yerevan, Armenia General Information New breast cancer cases treated per year 450 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationMaria João Cardoso, MD, PhD
Locally Advanced Breast Cancer Specific Issues in LocorregionalTreatment Surgery, MD, PhD Head Breast Surgeon Breast Unit, Champalimaud Foundation Lisbon, Portugal 1 Conflict of Interest Disclosure No
More informationANNEX 1 OBJECTIVES. At the completion of the training period, the fellow should be able to:
1 ANNEX 1 OBJECTIVES At the completion of the training period, the fellow should be able to: 1. Breast Surgery Evaluate and manage common benign and malignant breast conditions. Assess the indications
More informationClinica Medellin - Medellin, Colombia
- Medellin, Colombia General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationMamma Centrum / Zelený Pruh - Prague, Czech Republic
- Prague, Czech Republic General Information New breast cancer cases treated per year 490 Breast multidisciplinarity team members 29 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Unit - University of Heidelberg - Heidelberg, Germany
- Heidelberg, Germany General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationJessa Hospital - Hasselt, Belgium
- Hasselt, Belgium General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGroote Schuur Academic Hospital - Cape Town, South Africa
- Cape Town, South Africa General Information New breast cancer cases treated per year 400 Breast multidisciplinarity team members 7 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationAlexandrovska Hospital - Sofia, Bulgaria
- Sofia, Bulgaria General Information New breast cancer cases treated per year 190 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationSan Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy
San Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy General Information New breast cancer cases treated per year 255 Breast multidisciplinarity team members 18 Radiologists, surgeons,
More informationUniversity Clinical Center Banja Luka, Breast Center - Banja Luka, Bosnia and Herzegovina
- Banja Luka, Bosnia and Herzegovina General Information New breast cancer cases treated per year 245 Breast multidisciplinarity team members 23 Radiologists, surgeons, pathologists, medical oncologists,
More informationAdvances in Breast Surgery. Catherine Campo, D.O. Breast Surgeon Meridian Health System April 17, 2015
Advances in Breast Surgery Catherine Campo, D.O. Breast Surgeon Meridian Health System April 17, 2015 Objectives Understand the surgical treatment of breast cancer Be able to determine when a lumpectomy
More informationBarlavento Medical Centre - Portimão, Portugal
- Portimão, Portugal General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGuven Hospital - Ankara, Turkey
- Ankara, Turkey General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationHospital Universitari La Fe - Valencia, Spain
- Valencia, Spain General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationMarienhospital Aachen - Brustcentrum - Aachen, Germany
- Aachen, Germany General Information New breast cancer cases treated per year 223 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationIppocration Hospital University of Athens - Athens, Greece
- Athens, Greece General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 11 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationBreast Clinica de la Mama and Italian Hospital - La Plata, Argentina
- La Plata, Argentina General Information New breast cancer cases treated per year 382 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCork University Hospital - Cork, Ireland
- Cork, Ireland General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 25 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationBrustzentrum Marienhospital Bottrop - Bottrop, Germany
- Bottrop, Germany General Information New breast cancer cases treated per year 210 Breast multidisciplinarity team members 11 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationHOSPITAL MODELO - LA CORUÑA, Spain
- LA CORUÑA, Spain General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCivic Hospital of Sanremo ASL 1 Imperiese - Sanremo, Italy
- Sanremo, Italy General Information New breast cancer cases treated per year 188 Breast multidisciplinarity team members 10 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationWaterford Regional Hospital - Waterford City, Ireland
- Waterford City, Ireland General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationDyson Center for Cancer Care - Poughkeepsie, New York, United States of America
- Poughkeepsie, New York, United States of America General Information New breast cancer cases treated per year 323 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical
More informationBrustzentrum Universitaets Frauenklinik Tuebingen
- Tuebingen, Germany General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSurgical Oncology/Clinical Center Sarajevo - Sarajevo, Bosnia and Herzegovina
- Sarajevo, Bosnia and Herzegovina General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 24 Radiologists, surgeons, pathologists, medical oncologists,
More informationCairo Oncology Center - Giza, Egypt
- Giza, Egypt General Information New breast cancer cases treated per year 421 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationOspedale Perrino - Brindisi, Italy
- Brindisi, Italy General Information New breast cancer cases treated per year 215 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationAzienda Ospedaliera 'Santa Maria' Terni - Terni, Italy
- Terni, Italy General Information New breast cancer cases treated per year 350 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationMilitary Medical Academy Sofia - Sofia, Bulgaria
- Sofia, Bulgaria General Information New breast cancer cases treated per year 263 Breast multidisciplinarity team members 10 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationTata Memorial Hospital - Mumbai, India
- Mumbai, India General Information New breast cancer cases treated per year 4400 Breast multidisciplinarity team members 21 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAZ Sint-Lucas Brugge - Brugge, Belgium
- Brugge, Belgium General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGroupe Hospitalier Avicenne-Jean Verdier, CHU de Paris-Seine-Saint-Denis - Bobigny, France
Groupe Hospitalier Avicenne-Jean Verdier, CHU de Paris-Seine-Saint-Denis - Bobigny, France General Information New breast cancer cases treated per year 220 Breast multidisciplinarity team members 13 Radiologists,
More informationHow can surgeons help the Radiation Oncologists?
How can surgeons help the Radiation Oncologists? Lorna Weir BC Surgical Oncology fall breast cancer update Oct 24, 2009 Disclosure no conflict of interest Outline Introduction OR reports Marking of surgical
More informationProlipsis Breast Unit - Athens, Greece
- Athens, Greece General Information New breast cancer cases treated per year 160 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAthens Euroclinic - Athens, Greece
- Athens, Greece General Information New breast cancer cases treated per year 197 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAzienda Ospedaliera Sant'Anna - San Fermo della Battaglia, Italy
- San Fermo della Battaglia, Italy General Information New breast cancer cases treated per year 160 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists,
More informationWest Hertfordshire Hospital NHS Trust - Watford, United Kingdom
- Watford, United Kingdom General Information New breast cancer cases treated per year 350 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationRUTGERS CANCER INSTITUTE OF NEW JERSEY - ROBERT WOOD JOHNSON MEDICAL SCHOOL INTERDISCIPLINARY BREAST SURGERY FELLOWSHIP CORE EDUCATIONAL OBJECTIVES
RUTGERS CANCER INSTITUTE OF NEW JERSEY - ROBERT WOOD JOHNSON MEDICAL SCHOOL INTERDISCIPLINARY BREAST SURGERY FELLOWSHIP CORE EDUCATIONAL OBJECTIVES At the completion of Breast Fellowship training, the
More informationNicosia, Cyprus. Nicosia General Hospital/Bank of Cyprus Oncology Centre 1/6. General Information
- Nicosia, Cyprus General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationChris Hani Baragwanath Academic Hospital - Johannesburg, South Africa
- Johannesburg, South Africa General Information New breast cancer cases treated per year 355 Breast multidisciplinarity team members 15 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationContralateral Prophylactic Mastectomy with Immediate Reconstruction: Added Benefits, Added Risks
Contralateral Prophylactic Mastectomy with Immediate Reconstruction: Added Benefits, Added Risks Grant W. Carlson Wadley R. Glenn Professor of Surgery Divisions of Plastic Surgery & Surgical Oncology Emory
More informationTata Medical Center - Kolkata, West Bengal, India
- Kolkata, West Bengal, India General Information New breast cancer cases treated per year 1200 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationIstanbul, Turkey. Istanbul University Cerrahpasa Medical Faculty Breast Center 1/6. General Information
- Istanbul, Turkey General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationAlfa Cure Oncology Center - Cairo, Egypt
- Cairo, Egypt General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationUniversity Hospital for Tumors, University Hospital Center Sestre Milosrdnice - Zagreb, Croatia
University Hospital for Tumors, University Hospital Center Sestre Milosrdnice - Zagreb, Croatia General Information New breast cancer cases treated per year 873 Breast multidisciplinarity team members
More informationCandiolo Cancer Institute - FPO, IRCCS - Candiolo, Italy
- Candiolo, Italy General Information New breast cancer cases trea Breast multidisciplinarity tea Radiologists, surgeons, pathologists, medica The mission of the Institute for Cancer Research and Treatment
More information- Pisa, Italy. Azienda Ospedaliero-Universitaria Di Pisa - Ospedale S. Chiara 1/6. General Information
- Pisa, Italy General Information New breast cancer cases treated per year 650 Breast multidisciplinarity team members 20 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationCentro Donna, Ospedale Montecchio Maggiore - Montecchio Maggiore, Italy
- Montecchio Maggiore, Italy General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 25 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSmilow Cancer Hospital at Yale-New Haven - New Haven, United States
- New Haven, United States General Information New breast cancer cases treated per year 966 Breast multidisciplinarity team members 32 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSan Giovanni Addolorata Hospital - Rome, Italy
- Rome, Italy General Information New breast cancer cases treated per year 411 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationMETAXA CANCER HOSPITAL - PIRAEUS, Greece
- PIRAEUS, Greece General Information New breast cancer cases treated per year 225 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast cancer reconstruction surgery (immediate and delayed) across Ontario: Patient indications and appropriate surgical options
A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Breast cancer reconstruction surgery (immediate and delayed) across Ontario: Patient indications and appropriate
More informationArcispedale Santa Maria Nuova - Reggio Emilia, Italy
- Reggio Emilia, Italy General Information New breast cancer cases treated per year 500 Breast multidisciplinarity team members 20 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCase Scenario 1. 2/15/2011 The patient received IMRT 45 Gy at 1.8 Gy per fraction for 25 fractions.
Case Scenario 1 1/3/11 A 57 year old white female presents for her annual mammogram and is found to have a suspicious area of calcification, spread out over at least 4 centimeters. She is scheduled to
More informationBREAST CANCER SURGERY. Dr. John H. Donohue
Dr. John H. Donohue HISTORY References to breast surgery in ancient Egypt (ca 3000 BCE) Mastectomy described in numerous medieval texts Petit formulated organized approach in 18 th Century Improvements
More informationBasavatarakam Indo American Cancer Hospital and Research Institute - Hyderabad, Telangana, India
Basavatarakam Indo American Cancer Hospital and Research Institute - Hyderabad, Telangana, India General Information New breast cancer cases treated per year 1200 Breast multidisciplinarity team members
More informationChampalimaud Foundation/Champalimaud Clinical Center
- Lisbon, Portugal General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationKH Barmherzige Schwestern Linz - Linz, Austria
- Linz, Austria General Information New breast cancer cases treated per year 310 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationCentro Mamario del Hospital Universitario Austral - Derqui, Partido de Pilar, Argentina
- Derqui, Partido de Pilar, Argentina General Information New breast cancer cases treated per year 170 Breast multidisciplinarity team members 15 Radiologists, surgeons, pathologists, medical oncologists,
More informationSurgical Therapy: Sentinel Node Biopsy and Breast Conservation
Surgical Therapy: Sentinel Node Biopsy and Breast Conservation Stephen B. Edge, MD Professor of Surgery and Oncology Roswell Park Cancer Institute University at Buffalo Dr. Roswell Park: Tradition in Cancer
More informationSalvatore Maugeri Foundation - Pavia, Italy
- Pavia, Italy General Information New breast cancer cases treated per year 337 Breast multidisciplinarity team members 20 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAnnual Report 2015 of the Certified Breast Cancer Centres (BCCs)
Annual Report 2015 of the Certified Breast Cancer Centres (BCCs) Audit year 2014 / indicator year 2013 Content Introduction Status of the certification system: Breast Cancer Centres 2015 General information
More informationAdvances in Localized Breast Cancer
Advances in Localized Breast Cancer Melissa Camp, MD, MPH and Fariba Asrari, MD June 18, 2018 Moderated by Elissa Bantug 1 Advances in Surgery for Breast Cancer Melissa Camp, MD June 18, 2018 2 Historical
More informationIstituto Clinico S. Anna - Brescia, Italy
- Brescia, Italy General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationBrustzentrum Mittelland Kantonsspitäler Aarau/Olten - Aarau, Switzerland
- Aarau, Switzerland General Information New breast cancer cases treated per year 216 Breast multidisciplinarity team members 15 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More information- Lahore/Johar Town, Pakistan
- Lahore/Johar Town, Pakistan General Information New breast cancer cases treated per year 1000 Breast multidisciplinarity team members 21 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGuideline for the Management of Patients Suitable for Immediate Breast Reconstruction
Version History Guideline for the Management of Patients Suitable for Immediate Breast Reconstruction Version Summary of change Date Issued 2.0 Endorsed by the Governance Committee 20.02.08 2.1 Circulated
More informationAzienda Ospedaliera San Gerardo - Monza, Italy
- Monza, Italy General Information New breast cancer cases treated per year 300 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAgatha Breast Unit, Mater Dei Hospital - Msida, Malta
- Msida, Malta General Information New breast cancer cases treated per year 350 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationEvaluation of the Axilla Post Z-0011 Trial New Paradigm
Evaluation of the Axilla Post Z-0011 Trial New Paradigm Belinda Curpen, MD, FRCPC; Tetyana Dushenkovska; Mia Skarpathiotakis MD, FRCPC; Carrie Betel, MD, FRCPC; Kalesha Hack, MD, FRCPC; Lara Richmond,
More informationNIPPLE SPARING PRE-PECTORAL BREAST RECONSTRUCTION
NIPPLE SPARING PRE-PECTORAL BREAST RECONSTRUCTION 42 yo female healthy athlete Right breast mass. Past medical history: none Family history: aunt with Breast cancer Candidates for nipple-sparing mastectomy
More informationIstanbul University, Institute of Oncology, Surgical Oncology Unit - Capa, Istanbul, Turkey
Istanbul University, Institute of Oncology, Surgical Oncology Unit - Capa, Istanbul, Turkey General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 14 Radiologists,
More informationDiagnosis and Treatment of Patients with Primary and Metastatic Breast Cancer. Oncoplastic and Reconstructive Surgery
Diagnosis and Treatment of Patients with Primary and Metastatic Breast Cancer Oncoplastic and Reconstructive Surgery Plastic-reconstructive aspects after mastectomy Versions 2002 2017: Audretsch / Bauerfeind
More informationPrediction of Postoperative Tumor Size in Breast Cancer Patients by Clinical Assessment, Mammography and Ultrasonography
Prediction of Postoperative Tumor Size in Breast Cancer Patients by Clinical Assessment, Mammography and Ultrasonography Eyad Fawzi AlSaeed 1 and Mutahir A. Tunio 2* 1 Consultant Radiation Oncology, Chairman
More informationUniversity Hospital 'Tsaritza Yoanna - ISUL' - Sofia, Bulgaria
- Sofia, Bulgaria General Information New breast cancer cases treated per year 286 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Clinic ZNA Middelheim - Antwerp, Belgium
- Antwerp, Belgium General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGuy's & St. Thomas' NHS Foundation Trust - London, United Kingdom of Great Britain and Northern Ireland
- London, United Kingdom of Great Britain and Northern Ireland General Information New breast cancer cases treated per year 376 Breast multidisciplinarity team members 26 Radiologists, surgeons, pathologists,
More informationBrustzentrum Bern - Bern, Switzerland
- Bern, Switzerland General Information New breast cancer cases treated per year 313 Breast multidisciplinarity team members 23 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationHumanitas Mater Domini - Castellanza, Italy
- Castellanza, Italy General Information New breast cancer cases treated per year 225 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Surgery When Less is More and More is Less. E MacIntosh, MD June 6, 2015
Breast Surgery When Less is More and More is Less E MacIntosh, MD June 6, 2015 Presenter Disclosure Faculty: E. MacIntosh Relationships with commercial interests: None Mitigating Potential Bias Not applicable
More informationHôpitaux Iris Sud - Ixelles - Brussels, Belgium
- Brussels, Belgium General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCentro Hospitalar Barreiro-Montijo - Barreiro, Portugal
- Barreiro, Portugal General Information Image: New breast cancer cases treated per year 170 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCURRENT CONTROVERSIES IN BREAST CANCER SURGERY Less or more!?
CURRENT CONTROVERSIES IN BREAST CANCER SURGERY Less or more!? I have no Disclosures Wolfgang Gatzemeier Breast Unit Milan, Italy 17th ESO-ESMO- EONS Masterclass in Clinical Oncology 24-29 MARCH 2018 Optimal
More informationUniversity of Szeged - Dept. of Oncotherapy - Szeged, Hungary
- Szeged, Hungary General Information New breast cancer cases treated per year 350 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationRecent Advances in Breast Cancer Treatment
Recent Advances in Breast Cancer Treatment Pornchai O-charoenrat MD, PhD, FRCST, FICS Professor Chief, Division of Head-Neck & Breast Surgery Department of Surgery, Siriraj Hospital, THAILAND Recent Advances
More information'Regina Pacis' Clinic - San Cataldo, Italy
- San Cataldo, Italy General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationKhartoum Teaching Hospital - Khartoum, Sudan
- Khartoum, Sudan General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationUnità di Senologia Ospedale Valduce - Como, Italy
- Como, Italy General Information New breast cancer cases treated per year 189 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAcibadem Altunizade Hospital - Istanbul, Turkey
- Istanbul, Turkey General Information New breast cancer cases treated per year 185 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSIMPOSIO Ricostruzione mammaria ed implicazioni radioterapiche Indicazioni
SIMPOSIO Ricostruzione mammaria ed implicazioni radioterapiche Indicazioni Icro Meattini, MD Radiation Oncology Department - University of Florence Azienda Ospedaliero Universitaria Careggi Firenze Breast
More informationBreast Cancer Services in Germany
Breast Cancer Services in Germany COUNTRY DELEGATES WORKSHOP Ispra (VA) - 13 and 14 March 2013 Karen Budewig, Federal Ministry of Health, Germany Vanessa Kääb-Sanyal, Mammography-Screening-Program, Germany
More informationUniversitätsfrauenklinik Ulm - Interdisziplinäres Brustzentrum - Ulm, Germany
- Ulm, Germany General Information New breast cancer cases treated per year 380 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationGaribaldi Hospital Nesima - Catania, Italy
- Catania, Italy General Information New breast cancer cases treated per year 348 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationBreast cancer: an update
Breast cancer: an update Dr. Sanjeewa Seneviratne M.D, MRCS, Ph.D. Senior Lecturer and Honorary Consultant Surgeon Department of Surgery Faculty of Medicine, Colombo Plan The problem Screening & early
More informationA Combined Practice. Why Its Worked. Barriers to Breast Reconstruction. As a breast oncologist the patient gets seemless care
A Combined Practice A Combined Breast Oncology and Plastic Surgery Practice Why It Works Anne M. Wallace, MD, FACS Director, Comprehensive Breast Health Center Professor of Clinical Surgery, Surgical Oncology
More informationClassification System
Classification System A graduate of the Breast Oncology training program should be able to care for all aspects of disease and/or provide comprehensive management. When referring to a discipline of training
More informationBreast Surgery: Yesterday, Today and Tomorrow
Breast Surgery: Yesterday, Today and Tomorrow Baptist Hospital Gladys L. Giron, MD, FACS October 11,2014 Homestead Hospital Baptist Children s Hospital Doctors Hospital Baptist Cardiac & Vascular Institute
More informationNational Breast Cancer Audit next steps. Martin Lee
National Breast Cancer Audit next steps Martin Lee National Cancer Audits Current Bowel Cancer Head & Neck Cancer Lung cancer Oesophagogastric cancer New Prostate Cancer - undergoing procurement Breast
More information