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 CERTIFICATION(S) ACCREDITATION(S) BCCert Breast Centres Certification BCCert Breast Centres Certification has been appointed by Eusoma to develop the voluntary certification process of Breast Unit following the Eusoma guidelines "The 1/7 Centro di Senologia della Svizzera Italiana requirements of a specialist Breast Unit". Breast Center Cerification Italcert s.r.l. Marchio di qualità della Lega Svizzera contro il cancro e della Società Svizzera di Senologia SanaCert 2/7 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 1 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 3/7 Centro di Senologia della Svizzera Italiana Reconstructive/Plastic Surgery Reconstructive/Plastic surgeons Immediate Reconstruction available 1 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 4/7 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 5/7 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 Radiology Breast Surgery Thomas Gyr, MD Head of Gynecology Dpt., Lugano [email protected] +41918116158 Giorgio Caccia, MD Head of Gynecology Dpt., Mendrisio +41918113630 Daniel Wyss, MD Head of Gynecology Dpt., Locarno [email protected] +41918114747 Staff Surgeon [email protected] +41918118676 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 Laura Richetti Data Manager [email protected] +41918117694 Antonella Richetti, MD Radiotherapist [email protected] +41918119193 Maria Carla Valli, MD Radiotherapist [email protected] +41918119430 [email protected] Reconstructive Surgery Marco De Monti Pathology Medical Oncology Radiotherapy 6/7 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: 01 August 2014 7/7
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