Micrographic surgery for dermatofibrosarcoma in University Hospital Rechts der Isar Munich
University Hospital Rechts der Isar Munich
Munich, Germany
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Program id #
402015
Prof. Dr. med. Tilo Biedermann
Department of Adult and Pediatric Dermatology, Allergology, Phlebology, Andrology
Specialized in: adult and pediatric dermatology, allergology, phlebology, andrology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- tumor markers
- inflammation indicators (CRP, ESR)
- indicators of blood coagulation
- skin ultrasound
- skin microscopy
- nursing services
- preoperative care
- resection of tumor
- histologically and immunohistochemically examination of the remote tissues
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- Biopsy results (if available)
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About the department
The Department of Adult and Pediatric Dermatology, Allergology, Phlebology, Andrology at the University Hospital Rechts der Isar Munich offers all the options of modern medicine for the prevention, diagnostics and treatment of skin diseases, allergic reactions, venous diseases and andrological diseases in men. The department also admits children and adolescents with skin diseases. The competence of the department's medical team includes phototherapy, modern laser treatment methods, surgical treatment of pathological skin changes using the very latest techniques. The specialists of the medical facility have rich experience in the treatment of skin cancers – the department is certified by the German Cancer Society (DKG). In addition, aesthetic dermatology services are available here, including treatment of wrinkles with Botox and filler injections, anti-aging procedures, treatment of age spots, removal of unwanted facial and body hair. The team of the department's doctors works for the benefit of their patients, providing them with effective treatment according to the individual needs and wishes. The Head of the department is Prof. Dr. med. Tilo Biedermann.
The department has more than 74 beds, two state-of-the-art operating rooms and one treatment room with innovative systems for skin diseases. The department provides medical care to about 30,000 outpatients and about 4,600 annually. The department's experienced surgeons perform more than 3,000 surgical procedures every year. All these figures are a confirmation of the impeccable reputation of the medical facility.
The treatment of certain diseases requires a comprehensive and especially competent approach, therefore, the department has specialized centers: Skin Cancer Center (certified by the German Cancer Society), in which patients are offered the very latest methods of surgical and drug therapy, as well as follow-up monitoring; Certified Allergy Center; Center of Excellence for Inflammatory Skin Diseases in Adults and Children.
The department's dermatologists successfully use innovative laser technologies and phototherapy methods to eliminate skin pathologies. The department has ruby laser, CO2 laser, Nd:YAG laser, Nd:YAG laser and diode laser. The above mentioned laser technologies make it possible to successfully remove benign skin neoplasms (warts, xanthelasmas), hemangiomas, spider veins, age spots, as well as scar revision, etc. The most commonly used techniques in the field of phototherapy are PUVA therapy, UVB 311nm therapy and photodynamic therapy.
The department's therapeutic options are not limited to conservative methods. There are well-equipped operating rooms where surgeons perform a variety of interventions of varying degrees of complexity. A large number of operations are micrographically controlled surgery for malignant skin tumors (basal cell carcinoma, squamous cell carcinoma, Merkel cell carcinoma) and benign neoplasms (melanocytic nevi, fibromas, lipomas, cysts), operations for inverse acne, hyperhidrosis, rhinophyma and other pathologies of the skin and its appendages.
Another important area of the department's clinical activities is the diagnostics and treatment of allergic diseases. The specialists regularly deal with such clinical cases as anaphylactic shock, allergic skin reactions, allergic rhinitis, conjunctivitis and bronchial asthma, atopic eczema, contact allergies, occupational dermatoses, drug allergies, food allergies and other types of allergic reactions. The doctors of the medical facility carry out the necessary set of diagnostic examinations to determine the exact type of allergy and select the optimal treatment tactics to eliminate it.
A team of specialists in the field of phlebology is responsible for diagnosing the venous system and treating pathological venous changes. Color-coded Doppler sonography and duplex ultrasound, as well as photoplethysmography are usually used during the diagnostics. Depending on the stage of the pathology, conservative or surgical treatment is conducted. The department's doctors most often admit patients with varicose veins, spider veins, trophic ulcers, deep vein thrombosis and other diseases.
The department also admits men with andrological diseases: hypogonadism, infertility, erectile dysfunction, age-related changes. At the stage of diagnostics, doctors carry out various laboratory tests and ultrasound scans of the scrotum. As a rule, the treatment is based on conservative therapeutic methods.
The department's specialization includes:
- Dermatology
- Diagnostics and treatment of skin diseases
- Skin cancers (in cooperation with other departments and the Cancer Center of the hospital)
- Benign tumors of the skin and mucous membranes
- Skin defects
- Acne and suppurative hidradenitis
- Inflammatory skin diseases
- Infectious skin diseases
- Sexually transmitted infections
- HIV
- Genital warts
- Genital herpes
- Syphilis
- Gonorrhea
- Chlamydia
- Mycoplasma
- Chronic wounds
- Autoimmune diseases with skin lesions
- Collagenosis (systemic scleroderma, systemic lupus erythematosus, dermatomyositis)
- Bullous autoimmune dermatoses (pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, IgA dermatosis)
- Vasculitis
- Granulomatous skin lesions (for example, sarcoidosis)
- Behcet's disease
- Proctological diseases with skin lesions
- Residual hemorrhoidal skin marks
- Haemorrhoids
- Anal fistulas and pilonidal sinus
- Anal and perianal thrombosis
- Warts
- Skin diseases in children (atopic eczema, food allergies, anaphylaxis, psoriasis, etc.)
- Diagnostics and treatment of skin diseases
- Allergology
- Diagnostics and treatment of allergic diseases
- Anaphylactic shock
- Drug allergies (for example, analgesics, sleeping pills, contrast agents, antibiotics, anesthetics)
- Insect venom allergy
- Food allergies, pseudo-allergies, and histamine intolerance
- Contact allergies
- Occupational allergies and hand eczema
- Eczema, including atopic eczema
- Allergic rhinitis, conjunctivitis (hay fever) and bronchial asthma
- Mastocytosis
- Hives
- Diagnostics and treatment of allergic diseases
- Phlebology
- Varicose veins
- Spider veins (microsclerotherapy and laser therapy)
- Leg ulcers
- Superficial and deep vein thrombosis
- Andrology
- Male infertility
- Endocrine testicular dysfunction (hypogonadism)
- Erectile dysfunction
- Male contraception
- Age-related problems in men
- Other diagnostic and therapeutic options, other diseases
The department's therapeutic range of services includes:
- Drug therapy, including local treatment with ointments and creams
- Phototherapy for various skin diseases (UVB-311nm, UVA1 and all types of PUVA therapy)
- Laser therapy
- Cosmetic procedures for skin rejuvenation
- Dermatosurgery
- Micrographically controlled removal of skin tumors (basal cell carcinoma, squamous cell carcinoma), Merkel cell carcinoma, angiosarcoma
- Resection of melanocytic neoplasms (malignant melanoma, malignant lentigo)
- Removal of sentinel lymph nodes in melanoma, squamous cell carcinoma and Merkel cell carcinoma
- Treatment of wounds with local flaps or skin grafts
- Vermilionectomy for lip inflammation
- Surgical removal of benign changes in the skin and subcutaneous adipose tissue (melanocytic nevi, fibromas, lipomas, cysts)
- Interventions on the nail plate
- Multistage resection of congenital nevi
- Vein surgery
- Interventions for lower limb ulcers
- Surgical treatment of acne
- Surgical treatment of axillary hyperhidrosis
- Surgical treatment of rhinophyma
- Aesthetic interventions (blepharoplasty, scar revision)
- Percutaneous needle fasciotomy for Dupuytren's contracture
- Radiation therapy (for example, Dupuytren's contracture, Ledderhose disease, basal cell carcinoma)
- Other medical services
Curriculum vitae
University Education and Professional Career
- Study of Medicine at the Ludwig Maximilian University of Munich.
- Internship, Department of Dermatology, University Hospital of Ludwig Maximilian University of Munich.
- Thesis defense, Doctor of Medicine, Ludwig Maximilian University of Munich.
- Board certification in Dermatology and Venereology, Bavarian State Medical Association.
- Research Fellow, German Research Foundation, Vienna, Austria.
- Specialization in Allergology, Bavarian State Medical Association.
- Habilitation and Venia Legendi in the Department of Immunology and Dermatology, Department of Dermatology, University Hospital Vienna.
- Managing Senior Physician, Department of Dermatology at the University Hospital Tuebingen, Head of the Research Group for Allergology and Dermatology, Head of the Laboratory for Allergology and Special Dermatology.
- C3 Professor (for life) in Dermatology and Venereology, Eberhard and Eberhard Karl University of Tuebingen.
- Specialization in Dermatohistology, Regional Medical Association of South Wuerttemberg.
- Qualification in Laboratory Medicine, Regional Medical Association of South Wuerttemberg.
- Qualification in Tumor Drug Therapy, Regional Medical Association of South Wuerttemberg.
- W3 Professor in the Department and Head of the Department of Adult and Pediatric Dermatology, Allergology, Phlebology, Andrology at the University Hospital Rechts der Isar Munich.
Research Focuses
- Dermatology and immunology, including cancers caused by immunological and allergic disorders.
Scientific Awards and Scholarships
- Scholarship Abroad, German Academic Exchange Service.
- Scholarship of the European Society for Dermatological Research.
- Research Fellow of the German Research Foundation.
- 2005 Research Award in Immunomodulation.
- Award for Translational Research in Dermatology.
- Alfred Marchionini Research Prize.
Other Activities
- 2011 - 2012 President of the European Society for Dermatological Research.
- 2014 President, International Mast Cell and Basophil Meeting.
- Coordinator of the Priority Program 1394 of the German Research Foundation (Mast cells are health promoters and modulators of disease), in cooperation with Prof. Maurer, Berlin (until 2017).
- 2016 President of the Meeting of the European Society for Dermatological Research, Munich.
- Since 2017 Secretary General of the German Dermatological Society.
Photo of the doctor: (c) Klinikum rechts der Isar der Technischen Universität München
About hospital
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields.
The hospital annually admits more than 65,000 inpatients for diagnostics and treatment, and about 250,000 outpatients receive effective medical care. The hospital also performs more than 40,000 surgical procedures every year, and about 2,100 babies are born here annually. One of the most significant achievements of the medical facility can be called the first transplantation of both arms above the elbow performed in 2008. The surgery that lasted 15 hours, and in which 40 doctors of various medical specialties took part, became a real sensation in the scientific world. Thanks to a unique surgical procedure, the doctors managed to give the patient new hands.
In addition, the employees of the hospital are actively involved in research activities, in which they study various diseases, as well as develop new therapeutic options for their treatment. It should be noted that the research institutes of the hospital are among the most reputable research organizations in the world. A striking example can be considered the Roman Herzog Comprehensive Cancer Center, whose specialists cooperate closely with the Comprehensive Cancer Center Munich in order to find new treatment methods for cancers.
The university hospital has a strict quality management system to maintain a high level of patient care. Since 2011, the hospital has been certified in accordance with DIN EN ISO 9001:2015 at the national and international level. The medical facility was also recertified by TÜV Rheinland in 2020.
The hospital annually provides medical services not only to German citizens, but also to thousands of patients from different countries of the world. This indicates that the hospital has an excellent reputation in the international medical arena and takes on the most complex clinical cases where other medical centers are unable to help the patient.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Rechts der Isar Munich live in comfortable single and double rooms with modern design. An accompanying person may stay with the patient in the single room. All patient rooms have an ensuite bathroom with shower and toilet. The furnishings of a standard patient room include an automatically adjustable bed, a bedside table for personal belongings, a table and chairs for receiving visitors, a wardrobe, a telephone and a TV. The patient rooms also have Wi-Fi.
The hospital also has enhanced-comfort rooms, corresponding to the level of a high-end hotel. Such patient rooms have additional amenities: a safe, a mini fridge and upholstered furniture.
Meals and Menus
The patients of the hospital are offered a balanced and healthy three meals a day: breakfast, lunch and dinner. The patients have a choice of three different menus for lunch – a classic full menu, as well as a dietary and vegetarian one. When cooking meals, the chefs comply with the current recommendations of the German Society for Nutritional Medicine (DGEM) and the German Nutrition Society (DGE).
If for some reason you do not eat all the foods, you will be offered an individual menu. The hospital also houses a cafeteria with a large assortment of hot and cold drinks, snacks and desserts.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers 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.
- CAR T-cell therapy
- Autologous and allogeneic bone marrow transplantation
- Transcatheter aortic valve implantation (TAVI)
- Radical and organ-preserving interventions for kidney cancer
- Iridoplasty and iridotomy with Nd-YAG laser
These are acute and chronic leukemias, solid malignant tumors, heart failure, cardiac arrhythmias, heart valves stenosis and insufficiency, vasculitis, benign prostatic hyperplasia, pathologies of retina and vitreous body, Guillain-Barré syndrome, myasthenia gravis and other pathologies.
- Hematology and oncology
- Cardiology
- Nephrology
- Urology
- Ophthalmology
Over 877 highly qualified physicians work at the hospital.
