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Hospital Neuwerk Maria von den Aposteln Moenchengladbach

Moenchengladbach, Germany


Breast cancer diagnosis (program ID: 228403)


Ralf Dürselen

Head Physician
Dr. med.

Ralf Dürselen

Department of Gynecology and Obstetrics

Specialized in: gynecology, obstetrics
Publications keyboard_arrow_down

http://www.ncbi.nlm.nih.gov/pubmed/?term=Duerselen+R.

About the department keyboard_arrow_down

The Department of Gynecology and Obstetrics at the Hospital Neuwerk “Maria von den Aposteln”, headed by Dr. med. Ralf Dürselen, is one of the leading departments in the treatment of gynecological diseases. The Department offers an extensive experience of doctors, state-of-the-art equipment and a wide range of medical services in diagnosis and therapy.

A wide spectrum of the therapeutic services of the Department under the direction of Dr. med. Ralf Dürselen covers a variety of gynecological focuses. In the field of cancer treatment, the Department is one of the leading ones in the region.

The following medical services are offered to the patients: 

Urogynecology 

Pelvic floor dysfunction, especially urinary incontinence, impairs the quality of live quite considerably, that’s why the Department focuses on the treatment of urinary incontinence and pelvic floor diseases.  As part of the recently certified Center for Urinary Incontinence and Pelvic Floor Diseases, the Department offers the full range of medical care for urogynecological diseases.  

Firstly, there is an extensive consultation with the doctor in the Department, where the patient gets a detailed report on the results of his tests, including recommendations for drug therapy. 

Surgery for the prolapse of uterus/vagina  

The Department has a wide experience in the treatment of all forms of this pathology. Here are performed both vaginal and abdominal operations, including reconstructive surgery due to the type of disease. All surgical methods are provided after counseling with the patient. 

Minimally invasive surgery of uterus and ovaries. Diagnosis and treatment 

Minimally invasive surgery is an operational process with a small puncture in the tissue.

The employees of the Department of Gynecology and Obstetrics have a long and rich experience in the use of this method. Thus, the following interventions are carried out by means of this method:

  • Diagnostic and surgical laparoscopy 
  • Test for tubal patency 
  • Hysterectomy with the use of laparoscopic method  
  • Partial hysterectomy with the use of laparoscopic method  
  • Removal of muscle knots of the uterine wall 
  • Diagnostic and surgical hysterectomy 
  • And many others

Gynecological oncology 

The spectrum of medical services of the Department in the field of malignancies covers a comprehensive tumor surgery: for cervical cancer, ovarian cancer, vaginal cancer, vulvar cancer and breast cancer. 
It is also possible to perform tumor surgery in cooperation with the Department of Visceral Surgery. 

Treatment of breast benign and malignant diseases 
The employees of the Department offer patients advanced diagnosis and treatment of all breast diseases: 

  • Breast Center Niederrhein 
  • US guided high-speed puncture
  • Planning of the whole breast surgery with the use of 3D / 4D US
  • Comprehensive breast surgery 
  • Counseling on tumor condition, interdisciplinary therapy planning during the pre-and postoperative periods.  

For the diagnosis of breast cancer, the Department maintains a close cooperation with the Department of Radiology. There are provided the following kinds of diagnosis: 

  • Mammography 
  • Breast MRI and magnetic resonance imaging
  • Preoperative marking of nonpalpable formations in breast 

Surgical and diagnostic hysteroscopy (examination and treatment of uterus by means of endoscope)

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 blood test
    • inflammation markers (CRP, ESR)
    • blood coagulation analysis (aPTT, PT, INR)
    • tumor markers (CEA, CA 15-3, CYFRA 21-1, NSE)
  • mammology examination:
    • breasts ultrasound
    • mammography
  • ultrasound of pelvic organs and abdomen
  • MRI of the breasts (if indicated clinically, additional cost is 1200€)
  • FNA biopsy with histological study (if indicated clinically, additional cost is 2000€)
  • HER2 status
  • breast cancer index (BCI)
  • estrogen and progesteron receptors analysis (ER, PR)
  • Oncotype DX test (if indicated clinically, additional cost is 4000 €)
  • Mammaprint test (if indicated clinically, additional cost is 3000 €)
  • nursing services
  • consultation of related specialists
  • treatment by chief physician and all leading experts
  • explanation of individual treatment plan
     
Type of program :
Expected duration of the program:

The program includes:

info_outline Total costs: {price-surcharge} help

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