Brust-Zentrum AG
Zürich, Switzerland
Social Workers
Nutritional Counselling
Survivorship Groups
Sexual Health Counselling
Supportive and Palliative Care
Integrative Medicine
Radiology
Dedicated Radiologists3
Mammograms per year10000
Breast radiographers
Screening program
Verification for non-palpable breast lesions on specimen
Axillary US/US-guided FNAB
Clinical Research
Available imaging equipment
- Mammography
- Ultrasound
- Magnetic Resonance Imaging (MRI)
- Tomosynthesis
Available work-up imaging equipment
- Computer Tomography
- Ultrasound
- Magnetic Resonance Imaging (MRI)
- PET/CT scan
Primary technique for localizing non-palpable lesions
- Hook-wire (or needle localization)
- Charcoal marking/tattooing
- ROLL: radio-guided occult lesion localization
Available breast tissue sampling equipment
- Stereotactic Biopsy (Mammography guided)
- Core Biopsy (Tru-cut)
- Vacuum assisted biopsy
- Ultrasound-guided biopsy
- Fine-needle aspiration biopsy (FNAB, cytology)
- Core Biopsy
- Vacuum assisted biopsy
- MRI-guided biopsy
- Core Biopsy
- Vacuum assisted biopsy
Breast Surgery
New operated cases per year (benign and malignant)
537
Dedicated Breast Surgeons
6
Surgeons with more than 50 surgeries per year
6
Breast Surgery beds
10
Breast Nurse specialists
2
Outpatient surgery
Intra-operative evaluation of sentinel node
Reconstruction performed by Breast Surgeons
Clinical Research
Primary technique for staging the axilla
- Axillary lymph node dissection
- Sentinel lymph node biopsy:
- Blue dye technique
- Radio-tracer technique
- Blue dye + Radio-tracer
- Axillary sampling
Reconstructive/Plastic Surgery
Reconstructive/Plastic surgeons
2
Immediate Reconstruction available
Type of breast reconstructive surgery available
- Remodelling after breast-conserving surgery
- Reconstruction after mastectomy:
- Two-stage reconstruction (tissue expander followed by implant)
- One-stage reconstruction
- Autogenous tissue flap
- Latissimus dorsi flap
- Transverse rectus abdominis (TRAM)
- Free-flaps (free TRAM, DIEP, SIEA, gluteal, etc.)
- Surgery on the contralateral breast for symmetry
Pathology
This department/service is not available.
Medical Oncology
Dedicated Breast Medical Oncologists
4
Outpatient systemic therapy
Clinical Research
Radiotherapy
Dedicated Radiation Oncologists
Clinical Research
Available techniques after breast-conserving surgery (including experimental)
- Whole-Breast RT (WBRT)
- Partial breast irradiation (PBI):
- External beam PBI
- Interstitial brachytherapy
- Targeted brachytherapy (MammoSite, SAVI applicator, other devices)
- Intra-operative RT (IORT)
Multidisciplinary Meeting (MDM) / Tumour Board (TB)
Regular MDM/TB for case management discussion
- Twice a week
- Weekly
- Every two weeks
- Other Schedule
Cases discussed at MDM/TB
- Preoperative cases
- Postoperative cases
Specialties/services participating in MDM/TB
- Radiology
- Breast Surgery
- Reconstructive/Plastic Surgery
- Pathology
- Medical Oncology
- Radiotherapy
- Genetic Counselling
- Breast Nurse Service
- Psycho-oncology
Further Services and Facilities
Nuclear Medicine
- Lymphoscintigraphy
- Bone scan
- Positron Emission Tomography (PET)
- PET/CT scan
Rehabilitation
- Prosthesis service
- Physiotherapy
- Lymph-oedema treatment
Genetic Counselling
- Specialist Providing Genetic Counselling/Risk assessment service:
- Dedicated Clinical Geneticist
- Medical Oncologist
- Breast Surgeon
- General Surgeon
- Gynaecologist
- Genetic Testing available
- Surveillance program for high-risk women
Data Management
- Database used for clinical information
- Data manager available
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