Treatment of breast carcinoma with metastases to lymph nodes with lumpectomy with lymphadenectomy in Municipal Hospital Karlsruhe
Municipal Hospital Karlsruhe
Karlsruhe, Germany
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Program id #
593022
Prof. Dr. med. Andreas Müller
Department of Gynecology, Mammology and Obstetrics
Specialized in: gynecology, mammology, obstetrics The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- indicators blood coagulation
- tumor markers (CEA, CA 15-3,CYFRA 21-1, NSE)
- mammology examination:
- breast ultrasound
- mammography
- MRI of the breast (on indications)
- ultrasound examination: pelvis, abdomen
- preoperative care
- lumpectomy with lymphadenectomy
- histologically examination of the remote tissues
- testing for ER and PR
- the HER2 status
- Oncotype DX test (on indications, additional cost 4000 €)
- Mammaprint test (on indications, additional cost 3000 €)
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Gynecology, Mammology and Obstetrics at the Municipal Hospital Karlsruhe offers the full range of services in the areas of its competence. The medical facility provides diagnostics and treatment of diseases of the female reproductive system and breast pathologies. The therapeutic options are complemented by top-class obstetric services, including pregnancy management, childbirth and postnatal care for both mother and child. The department's doctors admit more than 5,000 inpatients and more than 5,000 outpatients annually. The department's specialists perform more than 3,500 surgical interventions annually, including highly complex ones. The department has been awarded prestigious quality certificates, including certificates from the German Cancer Society (DKG) in treating breast, cervical, ovarian, endometrial, vaginal and vulvar cancers. The department has a friendly atmosphere, and all conditions for maximum women's comfort are available here. Doctors are always open to dialogue with their patients and helping them. The Head Physician of the department is Prof. Dr. med. Andreas Müller.
Of particular interest to the department's doctors is gynecologic oncology. The specialization covers the treatment of malignant tumors of the vagina, vulva, cervix, endometrium and ovaries. During treatment, both standard regimens and innovative methods are used. The first-line therapy is usually surgical resection of the malignant tumor, which, depending on the clinical indications, can be supplemented with chemotherapy and/or radiation therapy. It should be noted that in many cases, doctors manage to perform laparoscopic tumor removal, contributing to a minimal risk of postoperative complications and rapid recovery after surgery. In addition, women who have cancer also receive competent psycho-oncological care.
The specialists in general gynecology treat hormonal disorders due to gynecological conditions, endometriosis, cervical dysplasia and uterine fibroids. These gynecological diseases are benign but can cause infertility and other severe problems and require appropriate treatment. First, the department's gynecologists consider drug therapy options; if diagnostic results indicate the need for interventional treatments, then a decision is made to perform a laparoscopic operation.
The department has successful experience in the treatment of vaginal and uterine prolapse and urinary incontinence. Doctors treat urinary incontinence using all modern drug treatments, conservative and surgical methods, depending on the specific clinical indications. Preference is always given to the most sparing treatment whenever possible. The surgical techniques used in the department include not only classical interventions through the vagina, but also minimally invasive reconstruction techniques using special meshes.
A key area of clinical practice is the treatment of benign and malignant breast pathologies, which is carried out in a specialized center certified by the German Cancer Society. With breast cancer suspected, a diagnostic examination is prescribed to the patient: mammography, breast sonography, biopsy, and others. Then, the clinical case will be considered at the tumor board, and the most effective treatment regimen will be developed. The range of breast cancer treatment options includes systemic therapy (chemotherapy and hormone therapy), radiation therapy, surgery, axillary lymph node dissection, and reconstructive interventions after mastectomy. After completing the course of treatment, the patient is recommended to undergo regular follow-up examinations for the prevention or early detection of breast cancer recurrence.
Obstetricians and specialists in perinatal medicine provide patients with comprehensive pregnancy management, safe childbirth and postpartum care. The department has excellent qualifications in the management of multiple pregnancies and high-risk pregnancies (Level I Perinatal Center). The course of pregnancy is controlled with modern methods of prenatal diagnostics, particularly ultrasound examinations using the latest equipment (under the requirements of the German Society for Ultrasound in Medicine DEGUM). Thus, many disorders can be detected even at the intrauterine development stage, allowing the doctors to quickly and effectively eliminate them.
About 2,300 babies are born in the department every year. A team of experienced obstetricians is available in the department around the clock. Childbirth takes place in modern delivery rooms equipped with all the necessary aids. It is also possible to give birth in water. Acupuncture, aromatherapy, homeopathy, and epidural anesthesia relieve pain. C-section is carried out using the modern sparing Misgav-Ladach technique.
The department's range of medical services includes:
- Gynecology
- Diagnostics and treatment of gynecologic cancers
- Cervical cancer
- Endometrial cancer
- Ovarian cancer
- Vulvar cancer
- Vaginal cancer
- Diagnostics and treatment of benign gynecologic diseases
- Cervical dysplasia
- Endometriosis
- Uterine fibroids
- Urinary incontinence
- Pelvic organ prolapse
- Female infertility caused by gynecological pathologies
- Diagnostics and treatment of gynecologic cancers
- Mammalogy
- Diagnostics and treatment of benign breast changes and breast cancer
- Obstetrics
- Prenatal diagnostics
- First trimester screening
- Second trimester screening
- Third trimester screening
- 3D/4D imaging
- Invasive diagnostics
- Chorionic villus biopsy
- Amniocentesis
- Cordocentesis
- Special consultations (for example, for expectant mothers with diabetes mellitus and for multiple pregnancies)
- Childbirth, including water births
- C-section using the modern sparing Misgav-Ladach technique
- Pain management during childbirth: acupuncture, aromatherapy, homeopathy, and epidural anesthesia
- Bonding
- Prenatal diagnostics
- Other diagnostic and therapeutic options
Curriculum vitae
Clinical Focuses
- Gynecologic oncology.
- Special obstetrics and perinatal medicine.
- Endocrinology and reproductive medicine.
Memberships in Professional Societies
- Medical Association of Baden-Wuerttemberg.
- Professional Association of Gynecologists.
- German Society of Ultrasound in Medicine (DEGUM).
- German Society of Endocrinology (DGE).
- German Society of Gynecology and Obstetrics (DGGG).
- German Cancer Society (DKG).
Photo of the doctor: (с) Städtisches Klinikum Karlsruhe
About hospital
The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into practice here. The hospital presents almost all areas of modern medicine, including many medical services for young patients.
A highly qualified and experienced team of more than 4,500 employees provides impeccable medical care. The medical facility has 1,571 beds for the hospitalization of its patients. The hospital admits more than 63,000 inpatients and about 186,000 outpatients annually. A large number of patients wishing to receive medical care in the hospital speak for themselves and are a confirmation of the exceptional service, as well as the effectiveness of the treatment provided.
The quality management system of the hospital's medical care is certified in accordance with the DIN EN ISO 9001 standards. Since 2016, the hospital has implemented a regular quality control in compliance with the strict standards of the Initiative Quality Medicine (IQM). In addition, almost all departments of the hospital have numerous certificates in their areas of specialization, including certificates from the German Cancer Society (DKG), the German Society for General and Visceral Surgery (DGAV), the German Cardiac Society (DGK), the German Diabetes Society (DDG), the German Society of Nephrology (DGN), the German Trauma Society (DGU), etc.
The main value of the hospital's staff is the health and satisfaction of their patients, so a respect and a humane attitude towards each patient remain priorities. The doctors and nursing staff support each patient in every possible way on their path to recovery. The specialists also strive to perform the most sparing, but at the same time the most effective and safe treatment.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Municipal Hospital Karlsruhe live in cozy patient rooms with everything necessary for a comfortable stay. Standard patient room furnishing includes an automatically adjustable bed, a bedside table, a TV, and a telephone. The patient rooms have Wi-Fi. Each patient room also has an ensuite bathroom with a shower and a toilet.
The patient rooms in the pediatric departments are specially designed for children, so that young patients feel at home. Children can live in their patient room with one of their parents. There are also special playrooms designed for children.
Meals and Menus
The patients of the hospital are offered tasty and varied three meals a day: breakfast, lunch and dinner. The menu also features dietary meals. The kitchen staff will gladly accept all the individual wishes of patients.
The hospital also has a cozy cafe where one can have a tasty snack, drink tea, coffee and soft drinks.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
The hospital has two chapels that regularly host Protestant, Catholic, and Ecumenical worship services. A patient can watch the broadcast of the worship on TV channels in his own room, if desired.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
