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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 1/8 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. 2/8 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 3/8 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 4/8 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 5/8 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 6/8 Breast Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia Ambrogio Baio, MD Radiation Oncologist [email protected] 7/8 +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 8/8
