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Chemotherapy in breast cancer (332588) | PAN Clinic Cologne - BookingHealth
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Chemotherapy in breast cancer in PAN Clinic Cologne

PAN Clinic Cologne

Cologne, Germany
Program id # 332588
Doctor photo
Prof. Dr. med. Mathias Warm
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

The Department of Mammology at the PAN Clinic Cologne offers screening programs, diagnostics and treatment of the full range of breast diseases in women. The priority focus of ​​clinical activities is the prevention and treatment of breast cancer – the most common type of oncology among women. The experienced team of the department's mammologists aims to detect pathological changes in the breast tissues as early as possible and effectively eliminate them. The department is headed by Prof. Dr. med. Mathias Warm, who, according to the famous Focus magazine, ranks among the top specialists in Germany in the field of his competence!

The availability of modern equipment for classical ultrasound scanning, 3D and 4D sonography, mammography allows the department's doctors to diagnose breast diseases with impeccable accuracy, while the access of specialists of the medical facility to advanced therapeutic methods guarantees a successful treatment outcome. The department's therapeutic options include both conservative and surgical treatments, including plastic reconstructive surgery after partial or total breast resection surgery. The department's doctors give preference to an individual approach to each patient, thanks to which they achieve excellent treatment results.

When a woman with suspected breast cancer is admitted to the department, the first stage of the therapeutic process is diagnostics that includes palpation, ultrasound scanning, mammography and fine needle aspiration biopsy. If the diagnostic results confirm cancer, the department's specialists start developing a treatment scheme. The doctors from related medical fields are often involved in treatment planning, including oncologists, radiologists, radiation therapists and surgeons. Such an approach allows taking into account all the features of a woman's condition and choosing the most effective treatment methods depending on the stage of breast cancer, the patient's general health status, her age, etc.

As a rule, it is almost impossible to avoid surgery for breast tumor resection in the course of breast cancer treatment, while the advanced stages of oncology require a radical mastectomy – total removal of breast tissues. A great advantage for the patients undergoing treatment in the medical facility is that a large number of surgical procedures are performed using sparing minimally invasive techniques, thanks to which women recover in the shortest possible time and do not experience severe pain. If the patient is indicated mastectomy, the doctors also offer her to undergo reconstructive plastic surgery, which will help restore an attractive aesthetic appearance and get rid of complexes. The department's surgeons perform breast reconstruction using both silicone implants and autologous tissues.

However, surgery alone is not enough to cure breast cancer. After surgery, the patients usually undergo radiation therapy to completely destroy the remaining cancer cells and thus prevent recurrence. The specialists use in their clinical practice only modern radiation therapy methods that ensure excellent results. Chemotherapy is also an integral part of breast cancer treatment. Depending on the particular clinical case, chemotherapy can be adjuvant (after surgery) or neoadjuvant (prior to surgery). The department's team of mammalogists uses the very latest chemotherapy drugs with minimal side effects. In some cases, chemotherapy is provided as palliative treatment to alleviate symptoms and slow down tumor growth. The department's therapeutic offer also includes antihormone therapy and antibody therapy.

Since cancer treatment is a difficult process for the patient, women are recommended to undergo a special rehabilitation program to restore the body's vitality and improve work capacity after the basic course of treatment for breast cancer. In addition, the women who have suffered breast cancer have to undergo regular diagnostic examinations (ultrasound and mammography) in order to prevent or detect recurrence at the early stage.

The department's main clinical focuses include:

  • Diagnostics
    • Classical ultrasound examinations
    • 3D and 4D sonography
    • Mammography
    • Fine needle aspiration biopsy
  • Treatment
    • Conservative treatment
      • Chemotherapy
      • Radiation therapy
      • Antihormone therapy
      • Antibody therapy
    • Surgery
      • Classical open surgery
      • Minimally invasive surgery
      • Plastic reconstructive breast surgery using silicone implants and autologous tissues of the patient
  • Other medical services

Curriculum vitae

​Higher Education and Professional Career

  • 1986 - 1992 Study of Human Medicine at the Faculty of Medicine, Ernst Moritz Arndt University of Greifswald.
  • 1992 - 1994 Internship in the Department of Gynecology at the Hospital Stralsund.
  • 1994 - 1997 Assistant Physician, Department of Gynecology at the Hospital Stralsund.
  • 1996 Doctoral thesis defense.
  • 1998 Board certification in Gynecology and Obstetrics.
  • 1997 - 2000 Senior Physician in the Department of Gynecology at the Municipal Hospital in Wolfsburg.
  • 2002 Optional advanced training: "Special Gynecologic Surgery".
  • 2003 Qualified Lecturer of the Course on Breast Ultrasound Diagnostics.
  • 2003 DEGUM II Certificate in Breast Sonography.
  • 2003 Head of the Breast Center at the University Hospital Cologne.
  • 2004 Deputy Head of the Department of Obstetrics and Gynecology at the University Hospital Cologne.
  • 2005 Authorized person with the right to conduct advanced training/retraining within an optional program of advanced training in Special Gynecologic Surgery.
  • 2006 Seminar Leader in the German Society of Ultrasound in Medicine (DEGUM), additional qualification: tumor drug therapy; specialization: gynecologic oncology.
  • 2009 Professional Auditor of the Breast Centers in North Rhine-Westphalia.
  • 2009 Habilitation, Faculty of Medicine, University of Cologne. Subject: "Individual clinical concepts of therapy for patients with breast cancer based on predicting the response to neoadjuvant chemotherapy".
  • Since 2010 Chief Physician of the Breast Center Holweide, Hospital Cologne-Holweide.
  • 2011 DEGUM III Certificate in Breast Sonography.
  • 2016 Extraordinary Professor at the University of Cologne.

Memberships in Professional Societies

  • German Society for Gynecology and Obstetrics (DGGG).
  • Working Group on Aesthetic, Plastic and Reconstructive Surgery in Gynecology (AWO-Gyn).
  • Working Group on Breast Sonography of the German Society of Ultrasound in Medicine (DEGUM).
  • Professional Association of Gynecologists.
  • Lower Rhine-Westphalian Society for Gynecology and Obstetrics.
  • LebensWert.
  • North-Eastern German Society of Gynaecologic Oncology (NOGGO), Board Member.
  • German Society of Senology.
  • German Cancer Society.
  • Working Group on Gynecological Oncology (AGO).
  • German Society for Plastic and Reconstructive Surgery.
  • GenoGyn Rheinland.
  • FRANKA, women who have survived cancer.
  • Breast Cancer Organization Brustkrebs Deutschland, Advisory Board Member.
  • Scientific Advisory Board Member of the Governing College "Assessment of Mortality within the framework of the German Mammography Screening Program" at the Federal Office for Radiation Protection.

Photo of the doctor: (c) PAN Klinik

About hospital

The PAN Clinic Cologne is a multidisciplinary medical facility that combines advanced medicine, excellent quality of patient care and a high level of comfort. Founded in 1999, the clinic is located in the very heart of Cologne. During this time, the medical complex has gained long clinical experience, but at the same time it has preserved its primary concept of medical care – high-quality diagnostics and treatment using the achievements of modern medicine. 

Today, a huge team of doctors at the clinic admits patients in 25 medical fields, including neurosurgery, neurology, orthopedics, cardiology, gynecology, mammology, urology, endocrinology, plastic surgery, etc. It is worth noting that the clinic employs the best specialists with a wealth of experience and thorough clinical training in the best medical facilities in Germany, other countries of Europe and USA. The clinic's medical team includes many professors who are distinguished by outstanding achievements in the treatment of diseases of a particular profile and who successfully conduct research activities, participate in national and international congresses, symposia and other events.

The clinic annually provides treatment to more than 10,000 patients, and more than 3,000 interventions of varying complexity are performed in its operating rooms. The operating theaters have state-of-the-art technology and equipment for classical open surgery and minimally invasive interventions. In addition, all departments of the medical facility have advanced diagnostic equipment, so that doctors always make the correct diagnosis, which determines the success of subsequent treatment. During the therapeutic process, the specialists strive to choose the most sparing, but at the same time highly effective treatment regimen.

The quality of medical services provided in the clinic is awarded with the prestigious DIN ISO 9001 certification, and therefore patients trust their health to doctors with complete confidence and benefit from the optimal treatment of the European standard.

Photo: (с) PAN Klinik, (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the PAN Clinic Cologne live in light and cozy rooms with a modern design. A standard patient room includes a comfortable automatically adjustable bed, a bedside table, an air conditioning, a DVD player, a telephone, a TV and a nurse call system. The patient rooms also have Wi-Fi. Each patient room has an ensuite bathroom with shower and toilet. The bathroom also has a hairdryer and towels.

If desired, the patients can live in enhanced-comfort rooms. These patient rooms are distinguished by their more exclusive interiors, as well as beautiful views of the Cologne Cathedral and cityscapes. The bathrooms in these enhanced-comfort facilities include disposable slippers, a bathrobe, towels and toiletries. In addition, the patients living in enhanced-comfort rooms are offered a special menu.

Meals and Menus

The patient and his accompanying person are offered tasty and balanced three meals a day: buffet style breakfast and dinner, as well as lunch consisting of 3-4 courses. If for some reason you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

The religious services are available upon request.

Accompanying person

During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.

Hotel

During the outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.