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SYNERGY AMONG BREAST UNITS

Home > Breast Units > Directory > Bulgaria > Hospital Sv. Georgi

Hospital Sv. Georgi

Plovdiv, Bulgaria

available Social Workers

available Nutritional Counselling

available Survivorship Groups

available Sexual Health Counselling

available Supportive and Palliative Care

available Integrative Medicine

Radiology

availableDedicated Radiologists2

Mammograms per year1000

availableBreast radiographers

availableScreening program

availableVerification for non-palpable breast lesions on specimen

availableAxillary US/US-guided FNAB

not availableClinical Research

Available imaging equipment

  • availableMammography
  • availableUltrasound
  • availableMagnetic Resonance Imaging (MRI)

Available work-up imaging equipment

  • availableComputer Tomography
  • availableUltrasound
  • availableMagnetic Resonance Imaging (MRI)
  • availablePET/CT scan

Primary technique for localizing non-palpable lesions

  • availableHook-wire (or needle localization)
  • not availableCharcoal marking/tattooing
  • not availableROLL: radio-guided occult lesion localization

Available breast tissue sampling equipment

  • availableStereotactic Biopsy (Mammography guided)
    • availableCore Biopsy (Tru-cut)
    • not availableVacuum assisted biopsy
  • availableUltrasound-guided biopsy
    • availableFine-needle aspiration biopsy (FNAB, cytology)
    • availableCore Biopsy
    • not availableVacuum assisted biopsy
  • not availableMRI-guided biopsy
    • not availableCore Biopsy
    • not availableVacuum assisted biopsy

Breast Surgery

availableNew operated cases per year (benign and malignant)  451

availableDedicated Breast Surgeons  4

availableSurgeons with more than 50 surgeries per year  1

availableBreast Surgery beds  10

availableBreast Nurse specialists  2

not availableOutpatient surgery

not availableIntra-operative evaluation of sentinel node

not availableReconstruction performed by Breast Surgeons

not availableClinical Research

Primary technique for staging the axilla

  • availableAxillary lymph node dissection
  • not availableSentinel lymph node biopsy:
    • not availableBlue dye technique
    • not availableRadio-tracer technique
    • not availableBlue dye + Radio-tracer
  • not availableAxillary sampling

Reconstructive/Plastic Surgery

availableReconstructive/Plastic surgeons  1

not availableImmediate Reconstruction available

Type of breast reconstructive surgery available

  • not availableRemodelling after breast-conserving surgery
  • availableReconstruction after mastectomy:
    • availableTwo-stage reconstruction (tissue expander followed by implant)
    • not availableOne-stage reconstruction
    • not availableAutogenous tissue flap
      • not availableLatissimus dorsi flap
      • not availableTransverse rectus abdominis (TRAM)
      • not availableFree-flaps (free TRAM, DIEP, SIEA, gluteal, etc.)
  • availableSurgery on the contralateral breast for symmetry

Pathology

availableDedicated Breast Pathologists  2

Available studies

  • availableCytology
  • availableHaematoxylin & eosin section (H&E)
    • availableSurgical specimen
    • availableSentinel node
    • availableCore biopsy
  • availableFrozen section (FS)
    • availableSurgical specimen
    • not availableSentinel node
  • availableImmunohistochemistry stain (IHC)
    • availableEstrogen receptors
    • availableProgesterone receptors
    • availableHER-2
    • availableKi-67

Other special studies available

  • availableFluorescence in-situ Hybridization for HER-2 gene (FISH)
  • not availableOncotype Dx (21-gene assay)
  • not availableMammaPrint (70-gene microarray)
  • not availablePrediction Analysis of Microarray 50-gene set (PAM 50)

Parameters included in the final pathology report

  • availablePathology stage (pT and pN)
  • availableTumour size (invasive component in mm)
  • availableHistologic type
  • availableTumor grade
  • availableER/PR receptor status
  • availableHER-2/neu receptor status
  • availablePeritumoural/Lymphovascular invasion
  • availableMargin status

Medical Oncology

availableDedicated Breast Medical Oncologists  2

availableOutpatient systemic therapy

not availableClinical Research

Radiotherapy

availableDedicated Radiation Oncologists

not availableClinical Research

Available techniques after breast-conserving surgery (including experimental)

  • not availableWhole-Breast RT (WBRT)
  • availablePartial breast irradiation (PBI):
    • availableExternal beam PBI
    • not availableInterstitial brachytherapy
    • not availableTargeted brachytherapy (MammoSite, SAVI applicator, other devices)
    • availableIntra-operative RT (IORT)

Multidisciplinary Meeting (MDM) / Tumour Board (TB)

Regular MDM/TB for case management discussion

  • availableTwice a week
  • not availableWeekly
  • not availableEvery two weeks
  • not availableOther Schedule

Cases discussed at MDM/TB

  • available Preoperative cases
  • available Postoperative cases

Specialties/services participating in MDM/TB

  • availableRadiology
  • availableBreast Surgery
  • not availableReconstructive/Plastic Surgery
  • availablePathology
  • availableMedical Oncology
  • availableRadiotherapy
  • not availableGenetic Counselling
  • not availableBreast Nurse Service
  • not availablePsycho-oncology

Further Services and Facilities

Nuclear Medicine

  • not availableLymphoscintigraphy
  • not availableBone scan
  • not availablePositron Emission Tomography (PET)
  • availablePET/CT scan

Rehabilitation

  • availableProsthesis service
  • availablePhysiotherapy
  • availableLymph-oedema treatment

Genetic Counselling

  • availableSpecialist Providing Genetic Counselling/Risk assessment service:
    • availableDedicated Clinical Geneticist
    • not availableMedical Oncologist
    • not availableBreast Surgeon
    • not availableGeneral Surgeon
    • not availableGynaecologist
  • availableGenetic Testing available
  • availableSurveillance program for high-risk women

Data Management

  • availableDatabase used for clinical information
  • availableData manager available

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