U.O.C di Radiologia - Senologia - Osp. S. Paolo - ASL BA - Bari, Italy - PDF

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- Bari, Italy General Information New breast cancer cases treated per year 300 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
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- Bari, Italy General Information New breast cancer cases treated per year 300 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses Though our group has not been defined as a proper Breast Unit yet, since 1999 we operate according to the criteria and typical collaborations of a Breast Unit, with close relations between the various operators in different departments. Therefore we think that we can be considered a real Breast Unit in practice, with at least ten years of experience. U.O.C di Radiologia - Senologia - Osp. S. Paolo - ASL BA C.da Caposcardicchio Bari, Italy Phone: Fax: Web-site: 1/6 Available services Reconstructive/Plastic Surgery 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 Dedicated Radiologists 5 Mammograms per year 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) Ductogalactography Available work-up imaging equipment Computer Tomography Ultrasound Magnetic Resonance Imaging (MRI) PET/CT scan Primary technique for localizing non-palpable lesions 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 Hook-wire (or needle localization) Charcoal marking/tattooing ROLL: radio-guided occult lesion localization New operated cases per year (benign and malignant) 467 Dedicated Breast Surgeons 2 Surgeons with more than 50 surgeries per year 2 beds 10 Breast Nurse specialists 2 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 2/6 Reconstructive/Plastic Surgery U.O.C di Radiologia - Senologia - Osp. S. Paolo - ASL BA 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 NAC Reconstruction, Lipofilling Dedicated Breast Pathologists 1 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) 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 3 Outpatient systemic therapy 3/6 Radiotherapy 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 Radiotherapy 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 Clinical biochemist Genetic Testing available Surveillance program for high-risk women Data Management Database used for clinical information Data manager available 4/6 Contact details Antonietta Ancona, MD Head of the Unit Daniele La Forgia, MD Staff Emanuela Garasto, MD Staff Fabio Felice Mangieri, MD Staff Angela Vestito, MD Staff Alessandra Gaballo, MD Staff Stefano Rinaldi Head of General Surgery Dpt Olindo Custodero Staff Surgeon Reconstructive Surgery Corrado Minervini, MD Staff Surgeon Vincenzo Perchinunno, MD Staff Surgeon Francesco Zito Director of Dpt Nicola Marzano Head of the Unit /6 How to reach us U.O.C di Radiologia - Senologia - Osp. S. Paolo - ASL BA C.da Caposcardicchio Bari, Italy Phone: Fax: Web-site: From airport: From 'Karol Wojtyla' Airport(http://www.aeroportidipuglia.it/) taxis are available in the square in front of the airport (phone number ). By train: The hospital is directly connected to Bari central railway station by metropolitan railway San Paolo (http://www.ferrovienordbarese.it/). Trains are leave every 20 min and take a maximum time of 11 min. Taxi services is available in front of Bari Central Railway Station (phone number ). By bus or sub-way/underground: Bus n 3 from Bari Central railway Station; n 33 from S. Spirito, Palese. By car: Highway A14: exit Bari Nord SS 16 bis to Foggia: exit n 5, follow indications to the hospital. Last modified: 10 December /6
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