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Riga East University Hospital/Latvian Oncology Centre

Riga, Latvia

available Nuclear Medicine

available Rehabilitation

not available Genetic Counselling

not available Data Management

available Psycho-oncology

available Breast Nurses

available Social Workers

available Nutritional Counselling

available Survivorship Groups

not available Sexual Health Counselling

available Supportive and Palliative Care

not available Integrative Medicine

Radiology

availableDedicated Radiologists4

Mammograms per year15000

availableBreast radiographers

availableScreening program

availableVerification for non-palpable breast lesions on specimen

not 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)
  • not availablePET/CT scan
  • availableScintigraphy

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)
    • 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)  840

availableDedicated Breast Surgeons  5

availableSurgeons with more than 50 surgeries per year  5

availableBreast Surgery beds  30

availableBreast Nurse specialists  1

not availableOutpatient surgery

availableIntra-operative evaluation of sentinel node

availableReconstruction performed by Breast Surgeons

not availableClinical Research

Primary technique for staging the axilla

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

Reconstructive/Plastic Surgery

availableReconstructive/Plastic surgeons  2

availableImmediate Reconstruction available

Type of breast reconstructive surgery available

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

Pathology

availableDedicated Breast Pathologists  4

Available studies

  • availableCytology
  • availableHaematoxylin & eosin section (H&E)
    • availableSurgical specimen
    • availableSentinel node
    • availableCore biopsy
  • availableFrozen section (FS)
    • availableSurgical specimen
    • 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
  • availableDCIS Presence/ Absence in Surrounding Tissues

Medical Oncology

availableDedicated Breast Medical Oncologists  3

availableOutpatient systemic therapy

availableClinical Research

Radiotherapy

availableDedicated Radiation Oncologists

availableClinical Research

Available techniques after breast-conserving surgery (including experimental)

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

Multidisciplinary Meeting (MDM) / Tumour Board (TB)

Regular MDM/TB for case management discussion

  • not availableTwice a week
  • 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

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

Rehabilitation

  • availableProsthesis service
  • availablePhysiotherapy
  • not availableLymph-oedema treatment

Genetic Counselling

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

Data Management

  • not availableDatabase used for clinical information
  • not availableData manager available

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