Guven Hospital - Ankara, Turkey General Information

New breast cancer cases treated per year

180

Breast multidisciplinarity team members

9

Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses

Clinical Director: Serdar Ozbas, MD

Ankara Guven Hospital Breast Unit was founded in October 2011. Breast care dedicated consultants on breast surgery, radiology, pathology, nuclear medicine, medical oncology, radiation oncology and plastic/reconstructive surgery work together in a multidisciplinary setting. Our team offers the complete spectrum of diagnostic and therapeutic procedures and also aftercare facilities. One of the advantages of the Breast Unit is performing all the diagnostic procedures in a single session in most of the cases. The team has weekly multidisciplinary meetings to discuss the management of patients both pre- and postoperatively.

Guven Hospital Simsek Street, No: 29, Kavaklidere 06540 Ankara, Turkey Phone: +903124572693 Fax: +903124572886 E-mail: [email protected] Web-site: www.guven.com.tr

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Guven Hospital

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

1

Mammograms per year

1350

Breast radiographers

 

Screening program

 

Available imaging equipment Mammography

 

Vacuum assisted biopsy

Available work-up imaging equipment

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

Ultrasound-guided biopsy Fine-needle aspiration biopsy (FNAB, cytology)

Computer Tomography

 

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)  260 Dedicated Breast Surgeons

 2

Surgeons with more than 50 surgeries per year

 2

Breast Surgery beds

 5

Breast Nurse specialists

 1

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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Guven Hospital 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

 2

Outpatient systemic therapy

 

Clinical Research

 

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Guven Hospital 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  PET/CT afflied to an imaging center

Rehabilitation

Genetic Counselling Specialist Providing Genetic Counselling/Risk assessment service: Dedicated Clinical Geneticist Medical Oncologist Breast Surgeon General Surgeon Gynaecologist

Prosthesis service

Genetic Testing available

Physiotherapy

Surveillance program for high-risk women

Lymph-oedema treatment

Data Management Database used for clinical information Data manager available

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Guven Hospital

Contact details Clinical Director Serdar Ozbas, MD

Professor

[email protected]

+903124572693

Radiology Aydan Ercan, MD

Staff Radiologist

 +903124572351

Breast Surgery Serdar Ozbas, MD

Staff Surgeon, Professor

[email protected]

 +903124572693

Savas Kocak, MD

Staff Surgeon, Professor

[email protected]

 +905325173910

Reconstructive Surgery Gökhan Adanali, MD

Staff Plastic Surgeon, Associate Professor

 +903124572380

Staff Pathologist, Professor

 +903124572664

Deniz Yamaç, MD

Staff Medical Oncologist, Professor

 +903124572716

Saadet Tokluoglu

Staff Medical Oncologist

 +903124572715

Pathology Banu Bilezikci, MD

Medical Oncology

Radiotherapy Ferah Yildiz, MD

Radiation Oncologist, Professor

[email protected]

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 +905334134976

Guven Hospital

How to reach us

Guven Hospital Simsek Street, No: 29, Kavaklidere 06540 Ankara, Turkey Phone: +903124572693 Fax: +903124572886 E-mail: [email protected] Web-site: www.guven.com.tr From airport: Esenboga International Airport, located in the north-east of the city, is the main airport of Ankara. By car: You can look at the map at our international web address 'www.guveninternational.com'. Last modified: 19 January 2016

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