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Treatment of breast carcinoma with metastases to lymph nodes with lumpectomy with lymphadenectomy (240257) | University Hospital Hamburg-Eppendorf - BookingHealth
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Treatment of breast carcinoma with metastases to lymph nodes with lumpectomy with lymphadenectomy in University Hospital Hamburg-Eppendorf

University Hospital Hamburg-Eppendorf

Hamburg, Germany
Program id # 240257
Doctor photo
Prof. Dr. med. Barbara Schmalfeldt
Department of Gynecology and Mammology
Specialized in: gynecology, 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 analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators blood coagulation
    • tumor markers (CEA, CA 15-3,CYFRA 21-1, NSE)
  • mammology examination:
    • breast ultrasound
    • mammography
  • MRI of the breast (on indications)
  • ultrasound examination: pelvis, abdomen
  • preoperative care 
  • lumpectomy with lymphadenectomy
  • histologically examination of the remote tissues
  • testing for ER and PR
  • the HER2 status
  • Oncotype DX test (on indications, additional cost 4000 €)
  • Mammaprint test (on indications, additional cost 3000 €)
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations
     

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, the Department of Gynecology and Mammology at the University Hospital Hamburg-Eppendorf ranks among the top German departments specializing in breast cancer treatment!

The department offers the full range of diagnostic and therapeutic services in its areas of specialization. Due to its successful clinical activities, the department has the status of a supraregional Competence Center for Surgical and Conservative Gynecologic Oncology, as well as of the leading Breast Cancer Center. All therapeutic measures meet the modern standards of both national and international specialized societies. The department is headed by Prof. Dr. med. Barbara Schmalfeldt.

The department's competent team of doctors and nurses provides treatment of all gynecologic diseases at the highest level of university medicine. The treatment is provided both on an inpatient and outpatient basis. If surgical treatment is necessary, the preference is always given to organ-sparing and minimally invasive interventions. The department also has an advanced robotic da Vinci surgical system. The department's surgeons annually perform about 1,300 inpatient and more than 1,150 outpatient interventions.

The department's therapeutic options include the treatment of all female genital diseases, including pathological changes in the mammary glands, hemorrhages (also in uterine myomas), diseases of the uterus, ovaries, external genital organs, pelvic organ prolapse and urinary incontinence.

The department has unique experience and qualifications in the field of gynecologic oncopathologies. The department's doctors managed to achieve the most outstanding results in the field of ovarian and breast cancer treatment. The interdisciplinary consultations serve to develop an optimal treatment regimen for each patient and adapt it to the specific clinical indications. An integral part of cancer therapy is psycho-oncological care.

Breast cancer treatment is carried out in strict accordance with the guidelines of the German Cancer Society and the German Society of Senology. The department's doctors have many effective treatment methods for this pathology, including organ-sparing operations. In especially difficult and neglected cases, when it is not possible to preserve the patient’s own breast, the doctors offer reconstructive plastic surgery (breast reconstruction using implants, nipple reconstruction, etc.). Breast reconstruction can be carried out directly during the tumor removal or in the form of the subsequent secondary intervention.

The service range of the department includes:

  • Gynecology
    • Diagnostics and treatment of malignant diseases of the external genital organs in women, ovarian, uterine and cervical cancers
    • Diagnostics and treatment of blood clotting disorders and benign uterine neoplasms (myomas)
    • Diagnostics and treatment of urogynecologic problems
      • Pelvic prolapse
      • Urinary incontinence
    • Diagnostics and treatment of hormonal disorders due to the gynecologic problems
      • Menopause
      • Menstrual disorders
      • Infertility
    • Diagnostics, conservative and surgical treatment of endometriosis
    • Therapy within the clinical trials
    • Minimally invasive surgery (da Vinci)
  • Mammalogy
    • Organ-sparing breast interventions
    • Oncoplastic breast surgery
    • Removal of the mammary glands with their immediate reconstruction
    • Secondary breast reconstruction
    • All types of reconstructive surgery using implants
    • Preventive removal of the mammary gland with its immediate reconstruction in hereditary breast cancer
    • Breast reduction
    • Second opinion in difficult clinical cases
  • Diagnostics and treatment of other diseases of the female genital organs, breast cancer

Curriculum vitae

Higher Education and Professional Career

  • 1984 - 1986 Medical studies, University of Regensburg.
  • 1986 - 1991 Medical studies, Technical University of Munich.
  • 1991 Thesis defense, Technical University of Munich. Subject: "Pressure parameters in the right and left chambers of the heart in the presence of tachyarrhythmias".
  • 06.1991 - 12.1991 Internship, Department of Internal Medicine I, University Hospital Rechts der Isar Munich.
  • 01.1992 - 04.1997 Residency, Department of Gynecology and Obstetrics, University Hospital Rechts der Isar Munich.
  • 1997 Board certification in Gynecology and Obstetrics.
  • 1997 - 2001 Senior Physician, Department of Gynecology and Obstetrics, University Hospital Rechts der Isar Munich.
  • 16.02.2000 Habilitation and Venia legendi in Gynecology and Obstetrics, Technical University of Munich. Subject: "Factors promoting invasion and proliferation during the progression of malignant ovarian tumors".
  • 2003 - 2015 C3 Professor for Gynecological Oncology, Technical University of Munich.
  • 2001 - 2015 Consultant and Deputy Head Physician, Department of Gynecology and Obstetrics, University Hospital Rechts der Isar Munich.
  • 2009 - 2015 Head of the Center for Gynecologic Oncology, University Hospital Rechts der Isar Munich.
  • 2013 - 2015 Executive Director, Roman-Herzog Cancer Center, University Hospital Rechts der Isar Munich.
  • Since 01.07.2015 Head Physician, Department of Gynecology and Mammology, University Hospital Hamburg-Eppendorf.

Additional Qualifications

  • 2001 Optional advanced training in Special Gynecological Surgery.
  • 2002 Optional advanced training in Special Obstetric Services and Prenatal Medicine.
  • 2007 Specialization in Gynecologic Oncology.
  • 2012 Additional qualification in Specialized Genetic Counseling.
  • 2012 Certification in Minimally Invasive Surgery, Gynecologic Endoscopy Working Group.

Clinical Interests

  • Conservative and surgical treatment of benign and malignant diseases of the uterus, ovaries, vulva, and mammary glands.
  • Minimally invasive surgery.
  • Treatment of hereditary breast and ovarian cancer.

Research Interests

  • Phase III trials for the development of new drugs in the field of gynecological oncology and breast cancer. 
  • Identification of biomarkers for targeted therapy in gynecological cancers.

Positions in Scientific Societies

  • 2001 - 2015 Head of the Project Group "Malignant ovarian tumors" at the Cancer Center Munich.
  • 2003 - 2008 Spokesperson and Board Member of the Commission (OVAR) of the Working Group on Gynecological Oncology.
  • Since 2012 Deputy Chairman of the Working Group on Gynecological Oncology.

Prizes, Awards, and Honors

  • 1987 - 1991 Scholarship of the German Academic Scholarship Foundation.
  • 1996 Scientific Prize from the Bavarian Society of Obstetrics and Gynecology.
  • 1997 - 2000 Grant from the German Cancer Aid (Deutsche Krebshilfe) for experimental and clinical trials on the regulation of matrix metalloproteinases (MMP-2/9) in ovarian cancer (No. 10-1197-Le).
  • 10.2009 Award from the Cancer Center Munich.
  • 2020 Teacher of the Year, University of Hamburg.

Memberships in Professional Societies

  • German Society for Gynecology and Obstetrics (DGGG), Board Member.
  • North German Society for Gynecology and Obstetrics (NGGG).
  • North Eastern German Society for Gynecological Oncology (NOGGO).
  • Bavarian Society for Obstetrics and Gynecology (BGGF).
  • German Cancer Society (DKG).
  • Society of Obstetrics of Hamburg (GGH).
  • German Gynecologic Endoscopy Working Group (AGE).
  • German Gynecological Oncology Working Group (AGO).
  • German Society for Senology (DGS).
  • European Society of Gynecological Oncology (ESGO).
  • Professional Association of Gynecologists in Germany (BVF).

Photo of the doctor: (c) Universitätsklinikum Hamburg-Eppendorf (UKE)


About hospital

According to the Focus magazine, the University Hospital Hamburg-Eppendorf is one of the top ten hospitals in Germany! 

Since its foundation in 1889, the hospital has taken a leading position in the European medical arena, which it still holds today. A highly competent medical team of more than 15,300 employees takes care of the health of patients. Approximately 2,900 of them are physicians and researchers, and more than 3,400 work as nurses and therapists. The hospital has 1,738 beds for inpatient treatment, and many diagnostic and therapeutic services are provided on an outpatient basis. A solid foundation for successful clinical practice in the medical complex is formed by a combination of research achievements with state-of-the-art equipment and the highest professionalism of doctors. In addition, the hospital has a modern and extremely comfortable infrastructure. The most important value for every employee of the University Hospital Hamburg-Eppendorf is the health and well-being of every patient.

The medical facility was the first university hospital in Europe to implement an electronic system for storing patient medical reports. As a result, all diagnostic and treatment protocols are stored electronically. In 2011, the hospital was certified as the first fully digital hospital in Europe.

The hospital represents all areas of modern medicine. The doctors of the healthcare facility have a wealth of theoretical knowledge and vast clinical experience, which allows them to easily cope with the treatment of both common and extremely rare, complex clinical cases. About 550,000 patients are treated here each year, over 450,000 of whom receive outpatient medical care.

An important part of the work of the University Hospital Hamburg-Eppendorf is research activities aimed at developing innovative diagnostic and treatment methods. The main areas of research of the hospital include neurobiology, oncology, cardiovascular research, and research on infectious and inflammatory diseases. Special attention is also given to research in molecular imaging and skeletal biology.

The hospital is distinguished by its first-class level of medical care, which is confirmed by numerous quality certificates of European and international standards: DIN EN IS0 9001 certificate, certificates of the German Cancer Society (DKG) in the treatment of breast cancer, colon cancer, gynecological cancer, prostate cancer, and other oncological diseases, certificate of the German Cardiac Society (DGK) in the treatment of acute coronary syndrome, certificate of the German Spine Society (DWG), and others.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Hamburg-Eppendorf live in comfortable single and double rooms designed in bright colors. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, a telephone, a radio and a TV. Also, there is Wi-Fi access.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, 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

During the inpatient program, an accompanying person may stay with you in a patient room or hotel of your choice.

Hospital accommodation

During the outpatient program, you may stay in a hotel at the hospital.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.

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.

  • Coiling and clipping of aneurysms of different localizations
  • Transjugular intrahepatic portosystemic shunting in patients with portal hypertension
  • Minimally invasive surgeries (da Vinci)
  • Removal and reconstruction of mammary glands
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)

These are arteriovenous malformations and angiomas, vascular aneurysms, pathologies of the mammary glands, pelvic organ prolapse, urinary incontinence, malignant tumors of various localizations (area of ​​​​special attention is treatment of intestinal cancer), pathologies of liver and pancreas, cataracts and rare ophthalmic pathologies (aphakia, aniridia ), infertility and other diseases.

  • Interventional neuroradiology
  • Mammology
  • Oncology
  • Gastroenterology
  • Surgery

Over 2,900 highly qualified physicians and researchers work at the hospital.