Chemotherapy in breast cancer
Rambam Health Care Campus Haifa
Haifa, Israel
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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).<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemotherapy <\/strong>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.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the course of chemotherapy<\/strong>, 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.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>TSH-basal<\/li>\n\t\t<li>tumor markers<\/li>\n\t\t<li>inflammation indicators<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>MRI scan of the breast<\/li>\n\t<li>mammography<\/li>\n\t<li>breast sonography <\/li>\n\t<li>testing for ER and PR<\/li>\n\t<li>HER2 status<\/li>\n\t<li>Oncotype DX test (if indicated, additional cost is 4000 €)<\/li>\n\t<li>Mammaprint test (if indicated, additional cost is 3000 €)<\/li>\n\t<li>consultations of related specialists<\/li>\n\t<li>1 curse of chemotherapy <\/li>\n\t<li>nursing services<\/li>\n\t<li>explanation of individual treatment plan<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>, 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).<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemotherapy <\/strong>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.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the course of chemotherapy<\/strong>, 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.<\/p>\n<\/div>","is_ambulant":"1","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ffffa82697b5.jpg","city":"Haifa","clinic_site":"https:\/\/www.rambam.org.il\/EnglishSite\/Pages\/default.aspx","department_recommend":"0","country":"Israel","country_id":"11","clinic_name":"Rambam Health Care Campus Haifa","cinic_name":"Rambam Health Care Campus Haifa","department_id":"3083","duration":"6","direction":"Mammalogy","min_duration":0,"clinic_id":"1379","paketPrice":"0.00","paket":"<ul>\n <li> Interpreter up to 8 hours<\/li>\n <li>Translation of up to 5 pages<\/li>\n <li>Visa support<\/li>\n\n<\/ul>","title":"Chemotherapy in breast cancer","price":{"val":7841.48,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"16","distance":"12","airport_title":"Haifa"},{"id":"5","distance":"116","airport_title":"Tel Aviv"},{"id":"46","distance":"429","airport_title":"Eilat"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
549039
Dr. med. Aviad Hoffman
Department of Mammology
Specialized in: mammology 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 Rambam Health Care Campus Haifa offers the prevention, diagnostics and treatment of the full range of breast diseases using the very latest medical technologies. The department specializes in the treatment of breast cancer and postoperative microsurgical reconstruction. The patients can benefit from a multidisciplinary team of doctors, which consists of surgeons, plastic surgeons, oncologists, radiologists, etc. Thus, the department provides the most accurate diagnostics and comprehensive approach to treatment, which helps the doctors to achieve the best therapeutic results. The Chief Physician of the department is Dr. med. Aviad Hoffman.
The initial consultation and clinical examination are carried out by a team of surgeons specializing in breast cancer. The experienced radiologists are responsible for imaging diagnostics using advanced technologies, including digital mammography, ultrasound scanning and MRI. In addition, CT- or MRI-guided biopsy can also be performed, if necessary.
The obtained diagnostic results are discussed at weekly tumor boards. Should the surgical treatment be indicated, the department's surgeons can use the whole range of techniques, including organ-preserving operations using oncoplastic techniques, sentinel lymph node biopsy, axillary lymph node dissection, etc. If necessary, Margin Probe technology can be used during a lumpectomy, which allows the doctors to preserve healthy breast tissue and completely remove tumor cells. Also, with the appropriate indications, the doctors can use other innovative technologie, such as partial intraoperative breast irradiation.
The department is one of the leading Breast Reconstruction Centers. It performs surgeries for immediate and delayed breast reconstruction weekly. As a rule, microsurgical interventions are performed using the patient's own tissues and allow the doctors to abandon silicone implants.
The department actively cooperates with the Israel Cancer Association and is engaged in the further improvement of treatment methods by carrying out a large number of clinical trials.
The department's range of medical services includes:
- Diagnostics
- Digital mammography
- Ultrasound examinations
- Computed tomography
- Magnetic resonance imaging
- Ultrasound- and MRI-guided biopsy
- Conservative treatment methods
- Chemotherapy, hormonal and immunotherapy
- Radiation therapy, including intraoperative irradiation
- Surgical treatment techniques
- Organ-preserving operations
- Lumpectomy using Margin Probe technology
- Sentinel lymph node removal, axillary lymph node dissection
- Reconstruction using the patient's own tissues
- Flap surgery
- Other microsurgical techniques
- Additional services
- Second opinion on all issues concerning breast diseases
- Interdisciplinary tumor boards
- Supportive therapy
- Psycho-oncological care
- Other therapeutic methods
Curriculum vitae
Dr. med. Aviad Hoffman is the Head of the Department of Mammology at the Rambam Health Care Campus Haifa. He is also in charge of the Peritoneal Surface Malignancies Program.
Dr. Hoffman received his doctorate from the Ruth and Bruce Rappaport Faculty of Medicine in 2000. This was followed by an internship and residency in General Surgery at the Sheba Medical Center, Israel. As part of his residency, the doctor participated in the PGY3 program at the Department of General Surgery, Mount Sinai Hospital in New York. This was followed by a one-year internship in Surgery at the Surgical Oncology Research Laboratory, Department of Surgery, Columbia University Medical Center in New York. After completing his residency, Dr. Hoffman had a three-year internship at MD Anderson Cancer Center, Texas, USA where the first two years were dedicated to liposarcoma research followed by a one-year clinical fellowship in Surgical Oncology. From 2013 to 2018, Dr. Hoffman was an Attending Surgeon in the Department of Surgery at the Sheba Medical Center. He specializes in the treatment of peritoneal surface malignancies and breast cancer.
Photo of the doctor: (c) Rambam Health Care Campus Haifa
About hospital
The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million locals, as well as the members of the Israel Defense Forces, UN Peacekeeping Forces and the United States Sixth Fleet. The medical center houses 61 inpatient departments, 73 specialized departments, 10 medical institutes and 25 laboratories. It is also the clinical and academic base of the Technion – Israel Institute of Technology.
The medical center includes the Ruth Rappaport Children's Hospital. It is a multidisciplinary medical facility specializing in the diagnostics and treatment of various pathologies, including extremely rare ones, in children of all age groups.
The total number of employees in the medical facility is 4,000 (715 doctors and 1,407 nurses). Many doctors are world-famous in the field of their clinical specialty and participate in advanced research projects in order to offer new treatment methods not only to their patients, but also to the world community.
The medical center is a leader in the field of medical care in emergency cases with a large number of victims. In addition, the hospital is certified in accordance with the strict standards of the Joint Commission International (JCI).
During the long-term and successful clinical practice, the medical center has formed a clear vision of optimal medical support and system of values. These suggest that the primary focus is always on the patient with his individual needs and wishes, while the medical services are professional, high-quality and safe. In addition, the specialists of the hospital apply the most effective and innovative treatment methods, as well as create a favorable environment, which contributes to the improvement of physical and emotional health and well-being of the patient. The key role in the daily work of the hospital is also played by a tolerant attitude towards all patients.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Rambam Health Care Campus Haifa live in comfortable rooms designed in light colors. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, an armchair and chairs for receiving visitors, a TV, a telephone. Each room is equipped with an ensuite bathroom with shower and toilet.
Meals and Menus
The patients of the hospital are offered tasty and balanced three meals a day: breakfast, lunch and dinner. The menu also includes dietary and vegetarian dishes.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV