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)
Service
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About the department
The Department of Mammology at the University Hospital Heidelberg offers the full range of modern diagnostics and treatment of breast diseases. Of particular interest to the department's specialists is breast cancer therapy. More than 600 patients with such a diagnosis are treated here annually. The treatment is based on an individual approach, the use of advanced techniques, which often allow the doctor to avoid the radical resection. The Chief Physician of the department is Prof. Dr. med. Florian Schütz.
The service range of the department includes:
- Multimodal breast diagnostics
- Digital mammography with tomosynthesis
- Stereotactic vacuum-assisted biopsy and marking
- High-resolution breast sonography (including the color doppler sonography, color-coded elastography)
- Imaging-guided punch and vacuum biopsy
- MR mammography
- Surgical treatment methods
- Simple breast-conserving surgeries
- Complex breast-conserving operations using oncoplastic techniques (including plastic surgery with sliding skin grafts, tumor-adapted reduction interventions, mastopexy, plastic surgery using local flaps, lipofilling)
- Mastectomy (with skin preservation) with the possibility of immediate reconstruction
- Breast reconstruction using implants and special nets (various matrices)
- Breast reconstruction with pedicle and free flaps (in collaboration with the Department of Plastic Surgery)
- Nipple reconstruction
- Removal of sentinel nodes and classical axillary lymph node dissection
- Corrective interventions in breast deformities (for example, in breast asymmetry, tubular breast)
- Aesthetic breast surgery (augmentation, reduction, lifting)
- Diagnostics and treatment of patients with familiar breast cancer
- Other medical services
Curriculum vitae
Professional Career
- 1999 - 2001 Intern, Department of Gynecology, University Hospital Heidelberg.
- 2001 - 2003 Assistant Physician, Department of Gynecology, University Hospital Heidelberg.
- 2004 Acting Head of the Department of Oncology, University Hospital Heidelberg.
- December 2004 Examination for the title of Medical Specialist in Gynecology and Obstetrics.
- January 2005 Senior Physician, Department of Gynecology, University Hospital Heidelberg.
- May 2008 Deputy Head of the Department of Gynecology and Obstetrics, Salem gGmbH Clinic in collaboration with the University Hospital Heidelberg.
- March 2009 Specialization in Gynecological Oncology.
- January 2010 Specialization in Special Obstetrics and Perinatal Medicine.
- April 2010 Venia Legendi,Medical Faculty at the Heidelberg University.
- October 2010 Schmidt Matthiesen Prize of the Working group on Gynecologic Oncology, Award der mamazone – Women against Cancer.
- January 2011 Head of the Department of Mammology, University Hospital Heidelberg.
Responsibilities and Appointments
- 2000 - 2008 Representative of Heidelberger Curriculum Medicinale.
- 2001 - 2004 Assistant Spokesperson for the Department of Gynecology at the University Hospital Heidelberg.
- 2004 - 2008 Representative of the Department of Gynecology at the University Hospital Heidelberg for cooperation with the National Cancer Center Heidelberg.
- 2005 - 2008 Representative of the Department of Gynecology at the University Hospital Heidelberg, Public Relations.
- 2007 - 2008 Head of the course on breast sonography, Department of Gynecology at the University Hospital Heidelberg.
- Since 2004, Representative of the Quality Management Commission (QMB) at the Department of Gynecology, University Hospital Heidelberg.
- Since 2007, Registered Surgeon as part of the Mammography Screening Program.
- 2007 and 2009 Congress Secretary "Days of Oncology in Heidelberg – Gynecology and Senology".
Research Focuses
- Since 1999, Diagnostics and treatment of bone marrow metastases in breast cancer patients.
- Since 2001, Hormone replacement therapy in breast cancer patients.
- Since 2001, Immunological function of the bone marrow in breast cancer patients.
- Since 2003, Cellular immunotherapy using bone marrow autologous memory T-cells in breast cancer patients.
- Since 2007, Role of regulatory T-cells in metastatic breast cancer and adjuvant therapy.
- Since 2008, Immunological factors in HER2-positive breast cancer.
- Since 2010, Inactivation of antigen-specific regulatory T-cells to (re)induce an immune response.
- Since 2011, Genetic features of antigen-specific immune reactions in breast cancer.
Memberships
- 1998 Marburger Bund und Hartmann Bund.
- 2002 German Society of Gynecology and Obstetrics.
- 2002 German Cancer Society.
- 2003 Working Group on Gynecological Oncology (AGO).
- 2003 Working Group on Reconstructive Surgery in Gynecology.
- 204 Founding Member and Secretary of the German-Arab Society of Gynecology and Obstetrics.
- 2004 Founding Member and Secretary of the Commission for Translational Research in Gynecologic Oncology (AGO).
- 2004 American Society of Clinical Oncology.
- 2007 German Society of Senology.
- 2007 Founding Member and Secretary of the German-Ukrainian Society of Gynecology and Obstetrics.
- 2008 Member of the Commission of the Association of Gynecologic Oncology (AGO).
- 2008 Member of the PONS-Stiftung Foundation.
- 2008 Working Group "Certified Breast Centers" of the German Society of Senology.
- 2009 Scientific Advisory Board "mamazone e.V.".
- 2009 Professional Association of Gynecologists.
- 2009 Board Member of the German Society of Osteoncology.
- 2010 Board Member of the Fund for Financial Support of the Department of Mammology at the University Hospital Heidelberg.
- 2010 Mamazone e.V.
- 2010 Chairman of the Working Group on Gynecologic Immunology (DGGG e.V.).
Photo: (с) depositphotos
About hospital
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany!
The hospital is one of the most advanced and reputable medical institutions not only in Germany but throughout Europe. There are more than 43 specialized departments and 13 medical institutes which cover all fields of modern medicine. A distinctive feature of the hospital is the presence of unique therapeutic methods for the treatment of complex and rare clinical cases.
Due to successful clinical practice, the hospital has been holding leading positions in the international medical arena for many years. The basis for this popularity is the combination of the very latest technologies, competent specialists, and active research activities, which allows introducing of revolutionary diagnostic and treatment methods, which save lives.
In addition to the outstanding medical achievements, it is worth noting a particularly friendly and pleasant atmosphere, and respectful attitude towards the patient. Both doctors and nursing staff make every effort to meet all the needs and wishes of the patient, pay due attention to each clinical case, and have personal communication with the patient, which contributes to a positive treatment result.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Heidelberg live in comfortable single and double rooms designed in bright colors. Each room is equipped with an ensuite bathroom with a shower and toilet. The patient rooms are quite spacious, they have a table with chairs for receiving visitors. Roomy wardrobes are provided for storing personal belongings. It is possible to connect to the Internet. In addition, the hospital offers enhanced-comfort rooms with a safe, refrigerator, and upholstered furniture. Patients have 24-hour access to the services of medical personnel.
Meals and Menus
The patient and his accompanying person have a daily choice of three menus. If you for some reason do not eat all the products, 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:
Religion
The religious services are available upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with you in a room or hotel of your choice.
Hotel
During the outpatient program, you may live in a hotel of your choice. The 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.
- Endovascular treatment of liver pathologies with LigaSureTM, Ultracision® and Habib®-Sealer devices
- Correction of chest deformities in children (Nass operation)
- Minimally invasive direct coronary artery bypass grafting
- Replacement of ascending aorta (David procedure)
- Operations using the da Vinci robotic system
These are primary lung tumors and metastases in the lungs, benign and malignant liver pathologies, thyroid pathologies, gastroesophageal reflux disease, heart rhythm disturbances and heart failure, infertility, fibromyalgia, damages and pathologies of large joints, polyneuropathy and other diseases.
- Thoracic surgery
- Cardiac surgery
- Urology
- Orthopedics and traumatology
- Obstetrics and gynecology
The hospital's team consists of more than 13,000 highly qualified employees