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Breast cancer diagnosis (81009) | University Hospital Duesseldorf - BookingHealth
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Breast cancer diagnosis in University Hospital Duesseldorf

University Hospital Duesseldorf

Duesseldorf, Germany
Program id # 81009
Doctor photo
Prof. Dr. med. Tanja Fehm
Department of Adult and Pediatric Gynecology, Obstetrics and Mammology
Specialized in: adult and pediatric gynecology, obstetrics, mammology

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 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 pla

Required documents

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

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About the department

According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology at the University Hospital Duesseldorf ranks among the top German departments specializing in breast cancer treatment!

The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.

The department is headed by Prof. Dr. med. Tanja Fehm. She is a highly qualified world-class specialist and, for more than 23 years, has been providing effective treatment for gynecological diseases, breast pathologies, as well as managing pregnancy and childbirth. Prof. Tanja Fehm has unique professional skills in treating female genital cancers, which she has gained not only at German hospitals but also abroad, in particular in the USA, England, and India. The professor is the author of more than 400 publications and the winner of numerous scientific awards. At the same time, she tirelessly masters the innovations of modern medicine, striving to provide her patients with the most advanced treatment.

For her outstanding achievements in the treatment of oncological diseases of the female genital organs and mammary gland, the department is certified by the German Cancer Society and also has a ClarCert DIN EN ISO 9001: 20015 certificate, which indicates the highest standards of medical care.

The process of cancer treatment begins with a comprehensive examination, which allows to determine the type of disease, its stage, precise localization, etc. Then the diagnostic results are discussed at an interdisciplinary tumor board, within which a customized treatment plan is developed. In many cases, doctors manage to avoid extensive and traumatic surgical interventions, since the surgeons of the department are fluent in minimally invasive techniques, by using which the tumor is removed through several small incisions. In addition, if desired, the patients of the departments can take part in clinical trials of innovative drugs that are not yet available for most patients. A necessary aspect of therapy is the help of qualified psychologists.

Another priority of clinical activities is mammology. The specialists in this field provide a comprehensive counseling, diagnostics and treatment of all benign and malignant breast diseases. Breast cancer treatment is carried out in interdisciplinary collaboration with all the necessary experts from the related fields. If possible, sparing treatments are used, but in the progressive stages, surgeons still have to resort to radical surgical interventions. In such cases, patients are offered modern reconstructive and cosmetic procedures for breast reconstruction.

The department also provides high-quality prenatal diagnostics, professional management of pregnancy, including high-risk pregnancy, as well as first-class obstetric services and postnatal care for both mother and baby. In case of the development of any complications in either mother or child, for example, premature birth, birth defects in the infant, emergency conditions, a specially trained team of specialists will provide the necessary medical care. The future mothers are offered four cozy delivery rooms equipped with modern delivery beds, delivery chairs, exercise balls and baths for water childbirth. The department also offers various methods of anesthesia, for example, acupuncture, homeopathy and aromatherapy before and during childbirth, epidural anesthesia.

The main clinical focuses of the department include:

Adult gynecology
  • Diagnosis and treatment of gynecologic cancers
    • Cervical cancer
    • Uterine cancer
    • Vulvar cancer
    • Ovarian cancer
    • Metastases
  • Diagnosis and treatment of precancerous conditions (for example, cervical dysplasia)
  • Diagnosis and treatment of uterine fibroids
  • Diagnosis and treatment of endometriosis
  • Diagnosis and treatment of urinary incontinence
  • Diagnosis and treatment of pelvic organ prolapse
  • Diagnosis and treatment of infectious, inflammatory gynecological diseases
  • Diagnosis and treatment of infertility
  • Psycho-oncological care
  • Social services and self-help groups
Pediatric gynecology
  • Ovarian cysts
  • Recurrent genital infections (for example, accompanied by itching and discharge)
  • Pathological changes in the genital lips (for example, lichen sclerosus)
  • Labial fusion
  • Circulatory disorders
  • Premature puberty
  • Delayed puberty
  • Disorders of sexual differentiation
  • Help in suspected sexual abuse
Mammology (diagnostics and treatment of breast cancer, benign diseases)
  • Diagnostics
    • Mammography
    • Ultrasound mammography
    • Elastography
    • 3D sonography
    • Dopplerography
    • Magnetic resonance imaging
    • Ultrasound- or MRI-guided biopsy
  • Therapy
    • Surgical treatment
    • Radiotherapy (including intraoperative radiotherapy)
    • Clinical trials
    • Chemotherapy
  • Follow-up care and monitoring
Obstetrics
  • Prenatal diagnostics
    • Comprehensive prenatal ultrasound diagnostics (DEGUM II)
    • 3D/4D ultrasound examinations
    • Invasive diagnostics (for example, amniotic fluid test)
    • Genetic testing and counseling
    • Management of high-risk pregnancy (for example, in gestosis, diabetes mellitus, autoimmune diseases, multiple pregnancies)
    • Examination of the fallopian tube patency (in fertility treatment)
  • Delivery (also water birth)
  • Pain relief before and during childbirth (acupuncture, homeopathy, aromatherapy, epidural anesthesia)
  • Postpartum care for both mother and baby
  • Courses for expectant mothers, newborn care courses

Other medical services

 

Curriculum vitae

  • ​1990 - 1997 Study of Human Medicine at the Friedrich-Alexander University Erlangen.
  • 1998 Doctoral Degree.
  • 1998 - 1999 Intern, Department of Gynecology, University Hospital Erlangen.
  • 1999 - 2001 Research Fellow at the Cancer Immunobiology Center, UT Southwestern Medical School, Dallas, Texas, USA.
  • 2001 Appointed as an Associate Professor at the Cancer Immunobiology Center, UT Southwestern Medical School, Dallas, Texas, USA.
  • 2002 Assistant Physician, Department of Gynecology, University Hospital Erlangen.
  • 2002 - 2005 Training for a Medical Specialist, Department of Gynecology, University Hospital Tuebingen.
  • 2005 Habilitation in Gynecologic Oncology.
  • 2005 Appointed as a Senior Physician, Clinical Manager at the Section of Translational Gynecology at the Department of Gynecology, University Hospital Tuebingen.
  • 2006 Visiting Professor, Prof. Dr. med. G. Sledge, Breast Cancer Research Center, University of Indianapolis, Indiana, USA.
  • 2006 Additional qualification in the field of "drug therapy for tumors".
  • 2007 Visiting Professor, Prof. Dr. M. Cristofanilli, Breast Cancer Center, Houston, USA.
  • 2009 - 2012 Leading Senior Physician, Gynecologic Oncology.
  • 2009 Additional qualification in Palliative Care.
  • 2010 Specialization in Gynecologic Oncology.
  • 2011 Executive Board Member of the Comprehensive Cancer Center Tuebingen.
  • 2012 Visiting Professor at the Gynecology Center, University College, London Hospital, London, England (Prof. Widschwendter), as well as at the Galaxy Care Laparoscopy Institute, Pune, India (Dr. Puntambekar).
  • 2012 Specialization in Special Obstetrics and Perinatal Medicine.
  • 2012 Invitation to the position of W3 Professor in Gynecology and Obstetrics, Department of Gynecology, University Hospital of Würzburg, as well as an invitation to the position of W3 Professor in Gynecology and Obstetrics, Department of Gynecology, University Hospital Duesseldorf.
  • 2012 Elected as a Representative of the Association of Gynecologic Oncology (AGO e.V.).
  • 2013 Head of the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology at the University Hospital Duesseldorf.

Memberships

  • Representative of the Association of Gynecologic Oncology (AGO).
  • Representative of the Translational Research Section of the Association of Gynecologic Oncology (AGO).
  • Member of the Research Group on the Study of the Ovaries and Breast (Studienleitgruppe Ovar und Mamma).
  • Active Member of the Mammology Section at the Association of Gynecologic Oncology (AGO).
  • Member of the Research Committee of the German Society of Gynaecology and Obstetrics (DGGG).
  • Editorial Board Member of Onkologie and Senologie Journals.
  • Curator of the German Society of Gynaecology and Obstetrics (DGGG).
  • Advisory Board Member of the Comprehensive Cancer Center Tuebingen.

Awards

  • 2002 Poster Prize (Posterpreis) of the German Cancer Society.
  • 2002 and 2004 Merit Award of the American Society of Clinical Oncology (ASCO).
  • 2005 Teaching Award in Gynecologic Oncology.
  • 2006 2nd Scientific Prize of the Society of Senology.
  • 2009 Annual Scientific Busenfreund Prize of the Mammazone Association e.V.
  • 2011 Poster Prize (Posterpreis) in Senology.

Photo of the doctor: (c) Universitätsklinikum Düsseldorf 

Sources:

PRIMO MEDICO

Deutsche Akademie der Naturforscher Leopoldina – Nationale Akademie der Wissenschaften

Vaidam.com - For Medical Travellers

PubMed, National Library of Medicine


About hospital

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals!

The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is one of the largest and most prestigious medical institutions in Germany and Europe.

Modern, safe and sparing diagnostic and therapeutic methods guarantee effective treatment of various diseases and their consequences. All therapeutic processes are based on an interdisciplinary approach, which provides comprehensive medical care and optimal treatment result. Obviously, one of the key roles in the successful clinical practice of the medical institution is played by a highly qualified medical personnel, which consists of the best world-class doctors. The hospital also has a special advantage due to the structured equipment with the innovative medical technologies.

The hospital presents almost all fields of modern medicine. Special attention should be given to such focuses as oncology and hematology, stem cell transplantation, neurosurgery and neurology, urology, obstetrics and gynecology, hepatology, kidney transplantation, vascular surgery, cardiac surgery, pediatric surgery, pediatric oncology, etc.

In addition to the outstanding quality of medical services, the hospital guarantees each patient an attentive care, friendly atmosphere, as well as sensitive and respectful attitude.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Duesseldorf live in comfortable single, double and triple rooms. The patient rooms are made in bright colors and modern design. The room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe, a telephone, a multimedia device (TV, radio, Internet access), a table and chairs for receiving visitors. To use the phone and multimedia device, the patient should have a special chip card, which can be purchased at the reception. In the pediatric departments multimedia device can be used for free.

Meals and Menus

The patients of the hospital are offered a varied, tasty and healthy diet. Every day there are three menus to choose from for adults and four menus to choose from for children, while it is possible to develop an individual menu. When pre-ordering, the international patients may have dishes of various cuisines of the world, for example, Asian and African cuisine. If a patient needs a diet in accordance with the clinical indications, he will be provided with a special diet menu, including drinks.

Every day, the nurses inform the kitchen workers about the patient wishes using an electronic data processing system. Immediately before serving food, there are printed special cards, which indicate for which patient this or that dish is intended.

Also, the hospital houses a cafeteria with a rich selection of delicious, healthy dishes, snacks and drinks.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Christian priests are available for the patients at any time. Representatives of other religions may be requested at any time.

Accompanying person

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

Hotel

You may stay at the hotel during the outpatient program. Our employees will support you for selecting 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, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Dermatosurgery
  • Skull base surgery
  • Gastric bypass and bandage
  • Removal of lung metastases
  • Interventions on the spine

These are skin cancer (including melanoma), head and neck tumors, pathological changes in the chest (including funnel chest), obesity, liver diseases, HIV and other infectious diseases, varicose veins, aortic aneurysm, carotid artery stenosis, joint diseases and other pathologies.

  • Dermatology
  • Oncology
  • Otorhinolaryngology
  • Endocrinology and diabetology
  • Orthopedics and traumatology

Over 800 highly qualified physicians work at the hospital.