PDF - Breast Centres Network

Centro di Senologia della Svizzera Italiana - Viganello Lugano, Switzerland
General Information
New breast cancer cases treated per year
215
Breast multidisciplinarity team members
14
Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
nurses
Clinical Director: Olivia Pagani, MD
The Breast Unit of Southern Switzerland in Canton Ticino is a specific department of the Cantonal Hospital
Corporation (EOC, Ente Ospedaliero Cantonale). The breast unit started its activity in May 2005 and is called
CENTRO DI SENOLOGIA DELLA SVIZZERA ITALIANA. The main purpose of the breast unit is to integrate
activities of early detection with state of the art treatment of breast disease and to offer competent second
opinion. Outpatient clinics and treatment facilities are situated in two different locations of the canton:
Ospedale Regionale di Lugano and Ospedale Regionale di Bellinzona e Valli - San Giovanni.
Centro di Senologia della Svizzera Italiana
Ospedale Italiano
6962 Viganello - Lugano, Switzerland
Phone: +41918117696
Fax: +41918117692
E-mail: [email protected]
Web-site: www.eoc.ch
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Centro di Senologia della Svizzera Italiana
CERTIFICATION(S) ACCREDITATION(S)
BCCERT - Breast Centres Certification
Expiration date: 04 June 2017
Marchio di qualità della Lega Svizzera contro il cancro e della Società Svizzera di Senologia
Expiration date: 24 February 2018
SanaCert
This Centre has notified to be certified and, as such, been requested to upload the certification document for
further information. When the certification document/s is/are provided, it is/they are made available hereafter.
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Centro di Senologia della Svizzera Italiana
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
2
Mammograms per year
5800
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
Minimal Invasive Breast Biopsy
(MIBB)
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) 213
Dedicated Breast Surgeons
4
Surgeons with more than 50 surgeries per year
3
Breast Surgery beds
8
Breast Nurse specialists
2
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
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Centro di Senologia della Svizzera Italiana
Reconstructive/Plastic Surgery
Reconstructive/Plastic surgeons
Immediate Reconstruction available
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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
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
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Centro di Senologia della Svizzera Italiana
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
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
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Centro di Senologia della Svizzera Italiana
Contact details
Clinical Director
Olivia Pagani, MD
Clincal Director
[email protected]
+41918117696
Valerio Arcangelo Vitale
Radiologist, Lugano
[email protected]
+41918116370
Sabine Zehbe
Radiologist
[email protected]
+41918116370
Thomas Gyr, MD
Head of Gynecology Dpt., Lugano
[email protected]
+41 91 811 61 58
Claudia Canonica, MD
Head of Gynecology Dpt., Bellinzona
[email protected]
+41 91 811 90 68
Francesco Meani, MD
Staff Surgeon, Gynecology
[email protected]
+41 91 811 76 96
Francesco Salsano, MD
Head of Gynecology Dpt., Locarno
[email protected]
+41 91 811 47 40
Head of Reconstruction, Plastic and
Estethic Surgery Dpt.
[email protected]
+41 91 811 75 47
Luca Mazzucchelli
Pathologist
[email protected]
+41918160711
Tiziana Rusca
Pathologist
[email protected]
Olivia Pagani
Medical Oncologist
[email protected]
+41918118048
Vito Spataro
Medical Oncologist
[email protected]
+41918119111
Lucia Manganiello
Specialised Nurse
[email protected]
+41918119080
Simona Anelli
Specialised Nurse
[email protected]
+41918119080
Marzia Conti Beltraminelli
Medical Oncologist
[email protected]
+41918117900
Sabine Van den Bosh
Specialised Nurse
[email protected]
+41 91 811 90 80
Antonella Richetti, MD
Radiotherapist
[email protected]
+41918119193
Maria Carla Valli, MD
Radiotherapist
[email protected]
+41918119430
Radiology
Breast Surgery
Reconstructive Surgery
Yves Harder, PhD
Pathology
Medical Oncology
Radiotherapy
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Centro di Senologia della Svizzera Italiana
How to reach us
Centro di Senologia della Svizzera Italiana
Ospedale Italiano
6962 Viganello - Lugano, Switzerland
Phone: +41918117696
Fax: +41918117692
E-mail: [email protected]
Web-site: www.eoc.ch
From airport:
Airport of Lugano Agno.
LUGANO: 10 min. by taxi.
BELLINZONA: 30 min. by taxi.
By train:
Both LUGANO and BELLINZONA have a train station.
By bus or sub-way/underground:
LUGANO: bus n. 4 from the train station.
BELLINZONA: bus n. 5 from the train station.
By car:
3H from Zurich.
1.5H from Milan (Italy).
Last modified: 10 December 2015
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