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Chemotherapy in breast cancer (324194) | University Hospital of Ludwig Maximilian University of Munich - BookingHealth
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Chemotherapy in breast cancer in University Hospital of Ludwig Maximilian University of Munich

University Hospital of Ludwig Maximilian University of Munich

Munich, Germany
Program id # 324194
Doctor photo
Prof. Dr. med. Nadia Harbeck
Department of Mammology
Specialized in: mammology
Specialization Curriculum vitae

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • TSH-basal
    • tumor markers
    • inflammation indicators
    • indicators of blood coagulation
  • MRI scan of the breast
  • mammography
  • breast sonography 
  • testing for ER and PR
  • HER2 status
  • Oncotype DX test (if indicated, additional cost is 4000 €)
  • Mammaprint test (if indicated, additional cost is 3000 €)
  • consultations of related specialists
  • 1 curse of chemotherapy 
  • nursing services
  • explanation of individual treatment plan

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including laboratory assessment of liver and kidney function, ultrasound scan. Based on the received results, the doctor will elaborate the chemotherapy regimen. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).

Chemotherapy is carried out as the day hospital procedure, without mandatory admission to the hospital. After the placement of a venous catheter, you will stay in a comfortable ward. An infusion system will be connected to the catheter, through which the required drug or a drug combination will be administered. All drugs are administered by intravenous drip, slowly, so the total duration of the infusion can be up to several hours. All this time, doctors and nurses will monitor your health condition closely.

After the course of chemotherapy, you will stay under medical supervision in the ward for a few more hours. If your general condition is good, your doctor will allow you to leave the hospital. You will receive the medical report with detailed recommendations regarding further treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of chemotherapy, if necessary.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

187 Booking Health patients have already received treatment in the Breast Center at the University Hospital of Ludwig Maximilian University of Munich.

99% of patients recommend this hospital and department.

You can read reviews about the quality of the Booking Health service here.

 

The Department of Mammology at the University Hospital of Ludwig Maximilian University of Munich offers all modern options for the prevention, diagnostics, and treatment of breast diseases. The medical facility provides high-precision examinations and effective treatment of the full range of benign and malignant breast diseases in women and men. The priority focus of the department's work is breast cancer treatment at its early and advanced stages. The department's doctors have many innovative drug therapies and surgical techniques that provide optimal treatment results. To restore a woman's aesthetic appeal, breast plastic surgery is also performed in cooperation with plastic surgeons. The department is certified in accordance with the standards of DIN EN ISO 9001:2008 and the German Cancer Society (DKG), which indicates the high competence of the healthcare facility and the regularly high treatment success rates.

The department's Head Physician is Prof. Dr. med. Nadia Harbeck, who regularly ranks among the best doctors in the area of her specialization in Germany. The doctor can boast of her tremendous clinical experience, high treatment success rates, and thousands of saved lives.

The key to successful treatment is accurate diagnostics, so the department has state-of-the-art equipment. The diagnostic rooms of the medical facility include modern systems for various types of ultrasound scans, digital mammography, tomosynthesis, contrast-enhanced mammography, MR mammography, image-guided biopsy procedures, and other diagnostic procedures. It is a comprehensive examination that allows doctors to accurately assess pathological changes in the breast and develop an optimal treatment regimen, considering the patient's individual clinical indications and needs.

As of today, breast cancer is one of the most common types of cancer among women. The insidiousness of this type of cancer is that in the early stages, when the chances of a complete cure are very high, the disease does not cause any symptoms. When the first symptoms manifest themselves, cancer usually reaches an advanced stage and, in many cases, spreads metastases, which greatly complicates the therapeutic process.

The department's team of breast specialists has a wide arsenal of modern treatment methods that can cure even the most complex clinical cases or provide a long-term remission of breast cancer. As a rule, the first-line treatment is a surgical resection of cancer. The department's surgeons always strive to perform breast-conserving operations without a total mastectomy. However, in the advanced stages of the oncological process, a radical mastectomy is often performed, which involves the total removal of mammary glands. In such cases, after a cure or stable remission, a woman undergoes reconstructive plastic surgery to restore the breast's attractiveness. Surgery is complemented by conservative methods of cancer treatment such as chemotherapy, radiation therapy, targeted therapy, and immunotherapy. The department's doctors cooperate closely with oncologists, radiation therapists, radiologists, and other specialists from the Comprehensive Cancer Center Munich, one of the largest and most respected centers of this kind in Germany. Each woman receives an individual treatment regimen based on her diagnostic results, the patient's age, and general health condition. An important part of breast cancer therapy is psychological support. Highly qualified psychologists work with women to help them overcome their emotional shock and cheer them up to fight the disease.

The department is often visited by women with benign breast diseases such as cysts, fibroadenomas, mastopathy, lipomas, mastitis, etc. In some cases, the specialists use only drug therapy. For example, mastopathy can usually be treated with herbal remedies and hormonal drugs. As for benign breast tumors, drug therapy is also possible for small neoplasms. For example, women with fibroadenomas up to 1 cm in size are recommended for regular examinations by breast specialists and hormonal balance correction. However, the only effective treatment is usually surgical resection of a benign neoplasm. The department's specialists perform both classical surgical interventions (usually minimally invasive) and laser procedures.

The department's therapeutic and diagnostic options include:

Diagnostics

  • Digital mammography
  • MR mammography
  • Ultrasound scans, including those with contrast enhancement
  • Galactography
  • Magnetic resonance imaging (MRI)
  • Breast biopsy (under ultrasound- or MRI-guidance)
    • Fine needle biopsy
    • Ultrasound-guided punch biopsy
    • Stereotactic breast biopsy
  • Immunohistochemistry
  • Genetic diagnostics in the presence of breast cancer cases among relatives

Treatment

  • Drug therapy
    • Chemotherapy (in the form of pills or infusions)
    • Antihormone therapy
    • Targeted therapy
    • Immunotherapy
    • Therapy to prevent osteoporosis (bisphosphonates)
    • Maintenance drug therapy
    • Alternative therapies and naturopathy methods
    • Radiation therapy: radiation therapy in combination with hyperthermia, intraoperative radiation therapy, and hypofractionated radiation therapy
    • Palliative care
    • Pain management
  • Surgical treatment
    • Breast-conserving surgery
    • Mastectomy: classical and skin-preserving techniques
    • Surgery on sentinel lymph nodes and classical removal of axillary lymph nodes
    • Breast reconstruction using the patient's own tissues or implants, or a combination of both methods
    • Prophylactic mastectomy with the immediate breast reconstruction (in genetic predisposition to breast cancer), as well as removal of the ovaries within a single surgical intervention
    • Plastic surgery for benign breast changes

Other medical services

 

Curriculum vitae

​Higher Education and Professional Career

  • 1983 - 1989 Medical studies, Ludwig Maximilian University of Munich.
  • 1990 - 2009 Department of Gynecology, University Hospital Rechts der Isar Munich, last position – Managing Senior Physician, Conservative Mammology.
  • 1993 Doctoral degree, Ludwig Maximilian University of Munich.
  • 1998 Habilitation and Venia Legendi (PD) in Gynecology and Obstetrics, Technical University of Munich.
  • 2003 Early appointment as an Extraordinary Professor, Faculty of Medicine, Technical University of Munich.
  • 2009 - 2011 Head of the Breast Center, Department of Gynecology, University Hospital Cologne.
  • Since 2011 Invitation to the position of the University Professor (Conservative Oncology), Ludwig Maximilian University of Munich, as well as the Head of the Department of Mammology at the University Hospital of Ludwig Maximilian University of Munich.

Prizes, Awards and Distinctions

  • 1983 - 1989 Bavarian Merit Scholarship for exceptionally gifted students.
  • 1993 Fellowship from the European School of Oncology.
  • 1994 Scientific Prize from the Bavarian Society of Obstetrics and Gynecology.
  • 1995 Young Investigator Award from the Society for Clinical Cytometry, USA.
  • 1997 Best Paper Award, German Society of Senology.
  • 2001 Scholar-In-Training Award for Advanced Clinical or Translational Research, American Association for Cancer Research (AACR).
  • 2001 Fellowship Merit Award for the Best Paper, American Society of Clinical Oncology (ASCO).
  • 2001 AstraZeneca Scholar Award, 24th Breast Cancer Symposium in San Antonio.
  • 2002 Schmidt Matthiesen Prize in Gynecologic Oncology.
  • 2002 - 2004 Innovators in Breast Cancer Award, Houston, USA.
  • 2012 Claudia von Schilling Prize, Hannover Medical School, Germany.
  • 2015 Medicine Management Award.
  • 2015 Patient Award, Bavarian Cancer Society.
  • 2020 ESMO Lifetime Achievement Award.
  • 2021 Best Report Award from the German Society of Senology.
  • 2021 UPO Alumni Award.

Memberships in the Professional Societies

  • Working Group on the Development of Recommendations for Breast Cancer (AGO), "Diagnostics and Treatment at the Early and Progressive Stages of Breast Cancer".
  • Commission Member on the Development of S3 Recommendations for Breast Cancer Treatment.
  • St. Gallen Consensus Member (International Expert Consensus on the Primary Therapy for Early Breast Cancer).
  • ABC Consensus Member (International Expert Consensus on the Primary Therapy for Advanced and Metastatic Breast Cancer).
  • Team Member of the Breast Cancer Treatment Project, Cancer Center Munich.
  • Scientific Director of the West German Research Group (Westdeutsche Studiengruppe).
  • Board Member of the European Organization for Research and Treatment of Cancer (EORTC).
  • Advisory Board Member of the Organization for Breast Cancer Treatment (Brustkrebs Deutschland e.V.).

Photo of the doctor: (c) LMU Klinikum

About hospital

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany!

The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of its bicentenary history and tirelessly confirms its primacy at the national and international levels. The outstanding quality of medical care is complemented by highly productive research activities, thanks to which many effective diagnostic and therapeutic methods, saving people’s lives, have been presented in medical practice.

The medical facility includes two main buildings, Grosshadern and Innenstadt. The hospital has 29 specialized departments, 53 interdisciplinary centers, 11 institutes, and many sections. More than 500,000 patients are treated here every year, which indicates the hospital's excellent reputation. A large and highly professional medical team, consisting of 1,800 doctors and 3,300 nursing staff, works for the benefit of patients. The hospital has 2,000 beds to accommodate patients.

The hospital's infrastructure deserves special attention: advanced diagnostic equipment that allows doctors to detect the slightest pathological changes in the human body, the latest operating rooms with highly efficient monitoring systems, robot-assisted surgical systems that facilitate sparing operations, and proper postoperative care.

Excellent technical resources and highly professional medical staff are undoubtedly the hospital's pride, but the medical facility also pays attention to the patient's comfort and to a humane attitude toward their life situation. When providing the necessary medical care, doctors and nursing staff always show a friendly attitude, inform patients in detail about the upcoming diagnostic and therapeutic procedures, gladly answer all questions of interest to patients, and provide moral support during the therapeutic process.

The hospital has many prestigious quality certificates, including a DIN EN ISO 9001 certificate, an IQM certificate, an endoCert certificate, certificates from the German Cancer Society (DKG) for treating various types of cancer, the German Cardiac Society (DGK), the German Society for Orthopedics and Trauma Surgery (DGOU), etc. Thus, patients can count on the best possible treatment outcome due to the use of the most effective and, at the same time, sparing therapeutic techniques.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital of Ludwig Maximilian University of Munich live in comfortable, spacious, single and double patient rooms with a modern design. Each room is equipped with an ensuite bathroom with a shower and toilet. The furnishing of a standard patient room includes a comfortable bed, the position of which can be adjusted using the remote control, a locker for storing personal belongings, a TV, and a telephone. Also, if desired, you can connect to the Internet. In addition, patients can opt for enhanced-comfort rooms, with a safe, a fridge, and upholstered furniture.

The hospital has an excellent infrastructure. The medical facility’s area houses a bank, ATMs, a hairdresser, shops with a wide range of food, drinks, newspapers, magazines, and personal hygiene items, play areas for children, and a beautiful garden for walking, etc.

Meals and Menus

The patient and his accompanying person are offered a daily choice of three menus, including a vegetarian one. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

Your accompanying person may stay with you in your room or at a hotel of your choice during the fixed program.

Hotel

You may stay at a hotel of your choice during an outpatient program. Our managers will help you to choose the best option.

The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET/CT, angiography, myelography, biopsies, and other examinations. Treatment with medications, endoscopic and robotic operations, and stereotaxic interventions are carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Allogeneic bone marrow transplantation
  • Microsurgical transplantation of head and neck tissues
  • Microsurgical resection of brain tumors with intraoperative fluorescence
  • Minimally invasive treatment of spine pathologies
  • Joint replacement with postoperative rehabilitation (fast track program)

Patients with benign and malignant neoplasms of various localizations, pathologies of arteries and veins, herniated discs, osteoporosis, congenital and acquired pathologies of the musculoskeletal system, benign and malignant pathologies of the mammary gland, and other pathologies.

  • Interventional and diagnostic neuroradiology
  • Vascular surgery
  • Cardiac surgery
  • Mammalogy
  • Gastroenterology and hepatology

Over 1,700 highly qualified doctors work at the hospital.