Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia - Pavia, Italy General Information
New breast cancer cases treated per year
310
Breast multidisciplinarity team members
16
Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses
Clinical Director: Adele Sgarella, MD
A Breast Cancer Multidisciplinary Group has been working in our hospital since 2004. In april 2010 the Breast Center was established at Fondazione IRCCS Policlinico San Matteo. The multidisciplinary team includes radiologists, breast surgeons, one plastic surgeon, medical oncologists, radiation oncologists, pathologists, nuclear doctors, one psychologist, residents and breast nurses whose activity is dedicated to breast diseases. Our facility includes a Diagnostic Imaging Center (screening and diagnosis) and the Breast Center Outpatient Clinic (Surgery). Tumour board is held weekly for case discussion and scientific update. The Breast Center provides care for all stages of BC: neo- and adjuvant chemotherapy, oncoplastic and mini-invasive videoassisted surgery, breast reconstruction, radio-guided surgery (ROLL), Sentinel Node Biopsy, treatment of locally advanced and metastatic BC, rehabilitative and psychological support. We also offer a multidisciplinary approach for risk assessment including a high-risk clinic, genetic counseling, BRCA 1-2 test, surveillance program, chemoprevention trials and risk-reduction surgery for high-risk women.
Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia Viale Golgi 19 27100 Pavia, Italy Phone: +390382501755 Fax: +390382502999 E-mail:
[email protected] Web-site: www.sanmatteo.org
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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia
CERTIFICATION(S) ACCREDITATION(S)
BCCERT - Breast Centres Certification Expiration date: 17 September 2018
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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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia
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
4
Mammograms per year
11000
Available imaging equipment Mammography
Breast radiographers Screening program
Ultrasound
Magnetic Resonance Imaging (MRI)
Verification for
Clinical Research
Core Biopsy (Tru-cut) Vacuum assisted biopsy
Available work-up imaging equipment
Ultrasound-guided biopsy Fine-needle aspiration biopsy (FNAB, cytology)
Computer Tomography
Axillary US/US-guided FNAB
Stereotactic Biopsy (Mammography guided)
non-palpable breast lesions on specimen
Available breast tissue sampling equipment
Ultrasound
Core Biopsy
Magnetic Resonance Imaging (MRI)
PET/CT scan
Vacuum assisted biopsy MRI-guided biopsy
Primary technique for localizing non-palpable lesions
Core Biopsy 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) 390 Dedicated Breast Surgeons
4
Surgeons with more than 50 surgeries per year
4
Breast Surgery beds
7
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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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia 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 fat grafting
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 E-cadherin, citokeratine profile
Medical Oncology Dedicated Breast Medical Oncologists
3
Outpatient systemic therapy
Clinical Research
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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia 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 residents, data manager, medical students
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 Geneticist and high-risk clinic provided by a multidisciplinary team Genetic Testing available Surveillance program for high-risk women
Data Management Database used for clinical information Data manager available
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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia
Contact details Clinical Director Adele Sgarella, MD
Clinical Director
[email protected]
+390382502288
Giuseppe Di Giulio, MD
Director, Breast Diagnosis Unit
[email protected]
+390382501472
Grazia Sommaruga, MD
Breast Radiologist
[email protected]
+390382501368
Davide Coscia, MD
Breast Radiologist
[email protected]
Giulia Meloni, MD
Breast Radiologist
[email protected]
+390382501368
Adele Sgarella, BS, MD
Clinical Director, Breast Center
[email protected]
+390382502288
Alberta Ferrari, BS, MD
Breast Surgeon, Head of high-risk clinic
[email protected]
+393498131388
Carmen Conti, RN
Breast Nurse
[email protected]
+39382501759
Giuseppina Riboni, DM
Data Manager
[email protected]
+390382501809
Carlos Garcia-Etienne, MD
Breast Surgeon
[email protected]
+390382501809
Angelica Della Valle, MD
Breast Surgeon
[email protected]
+390382501809
Vincenza Praticò, RN
Breast Nurse
[email protected]
+39382501759
Radiology
Breast Surgery
Reconstructive Surgery Andrea Scotti Foglieni, MD
Plastic Surgeon-Reconstruction Referral
+390382502196
Alberta Ferrari, MD
Breast Surgeon
[email protected]
+393498131388
Angelica Della Valle, MD
Breast Surgeon
[email protected]
+390382501809
Adele Sgarella, MD
Breast Surgeon
[email protected]
+390382501809
Carlos Garcia-Etienne, MD
Breast Surgeon
[email protected]
+390382501809
Marco Paulli, MD
Director of Pathology Dpt.
[email protected]
Marco Lucioni, MD
Breast Pathologist
[email protected]
+390382501483
Emanuela Boveri, MD
Pathologist
[email protected]
Paolo Pedrazzoli, MD
Director of Medical Oncology Unit
[email protected]
Donatella Grasso, MD
Breast Oncologist
[email protected]
+393475468437
Elisa Ferraris, MD
Medical Oncologist
[email protected]
+390382501809
Simona Secondino, MD
Medical Oncologist
[email protected]
+390382501809
Franco Corbella
Director of Radiotherapy Unit
[email protected]
Dario Cavallini, MD
Radiation Oncologist
[email protected]
+390382503936
Luigi Squillace, MD
Radiation Oncologist
[email protected]
Pathology
Medical Oncology
Radiotherapy
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Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia Ambrogio Baio, MD
Radiation Oncologist
[email protected]
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+390382503131
Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia
How to reach us
Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia Viale Golgi 19 27100 Pavia, Italy Phone: +390382501755 Fax: +390382502999 E-mail:
[email protected] Web-site: www.sanmatteo.org From airport: From Milan Malpensa or Milan Linate airports, shuttle or taxi to Milan Central train station. Then take the train Milan-Ventimiglia stopping in Pavia. The train station in Pavia is a 10-minute walk from San Matteo Hospital; or take the bus (n. 3 or 7). By train: From Milan Central station: take the train Milan-Ventimiglia stopping in Pavia. The train station in Pavia is a 10-minute walk from San Matteo Hospital; or take the bus (n. 3 or 7). By bus or sub-way/underground: The train station in Pavia is a 10-minute walk from San Matteo Hospital; or take the bus (n. 3 or 7). By car: From Milan, take A7 highway to Genoa (toll required), exit Pavia Nord Bereguardo, follow indications for Ospedale San Matteo. From Milan, take autostrada statale dei Giovi (free of charge) towards Pavia and follow directions for Ospedale San Matteo. Last modified: 02 February 2016
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