Acibadem Altunizade Hospital - , Turkey

General Information

New breast cancer cases treated per year 298

Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses

Our center is situated on the anatolian side of Istanbul city, in a central district called Altuinizade. We are dedicated to breast health. Our team members are the leading specialists of the Country. Our goal is to provide every woman with a high quality breast health service with high qualified professionals and devices, using the most recent techniques.

Acibadem Altunizade Hospital Tophanelioglu cad 13 34662 Istanbul, Phone: +902166494510 Fax: +902166495291 E-mail: [email protected]

1/7 Acibadem Altunizade Hospital

Available services

Radiology Nuclear Medicine Social Workers Breast Surgery Rehabilitation Nutritional Counselling Reconstructive/Plastic Surgery Genetic Counselling Survivorship Groups Pathology Data Management Sexual Health Counselling Medical Oncology Psycho-oncology Supportive and Palliative Care Radiotherapy Breast Nurses Integrative Medicine

Radiology

Dedicated Radiologists 3 Available imaging equipment Available breast tissue sampling Mammograms per year 3820 equipment Breast radiographers Mammography Stereotactic Biopsy (Mammography Screening program Ultrasound guided) Verification for Magnetic Resonance Imaging (MRI) Core Biopsy (Tru-cut)

non-palpable breast lesions Automated Breast Ultrasound Vacuum assisted biopsy on specimen System Ultrasound-guided biopsy Axillary US/US-guided Available work-up imaging Fine-needle aspiration biopsy FNAB equipment (FNAB, cytology) Clinical Research Computer Tomography Core Biopsy

Ultrasound Vacuum assisted biopsy

Magnetic Resonance Imaging (MRI) MRI-guided biopsy

PET/CT scan Core Biopsy

Automated Breast Ultrasound Vacuum assisted biopsy System

Primary technique for localizing non-palpable lesions

Hook-wire (or needle localization)

Charcoal marking/tattooing

ROLL: radio-guided occult lesion localization

Breast Surgery

New operated cases per year (benign and malignant) 183 Primary technique for staging the axilla Dedicated Breast Surgeons 1 Axillary lymph node dissection Surgeons with more than 50 surgeries per year 1 Breast Surgery beds 5 Sentinel lymph node biopsy: Blue dye technique Breast Nurse specialists 1 Outpatient surgery Radio-tracer technique Intra-operative evaluation of sentinel node Blue dye + Radio-tracer Reconstruction performed by Breast Surgeons Axillary sampling Clinical Research

2/7 Acibadem Altunizade Hospital Reconstructive/Plastic Surgery

Reconstructive/Plastic surgeons 2 Type of breast reconstructive surgery available Immediate Reconstruction 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

Dedicated Breast Pathologists 1 Other special studies available Available studies Fluorescence in-situ Hybridization for HER-2 gene (FISH)

Cytology Oncotype Dx (21-gene assay)

Haematoxylin & eosin section (H&E) MammaPrint (70-gene microarray) Surgical specimen Prediction Analysis of Microarray 50-gene set (PAM 50) Sentinel node Parameters included in the final pathology report Core biopsy Pathology stage (pT and pN) Frozen section (FS) Surgical specimen Tumour size (invasive component in mm)

Sentinel node Histologic type Tumor grade Immunohistochemistry stain (IHC) Estrogen receptors ER/PR receptor status

Progesterone receptors HER-2/neu receptor status

HER-2 Peritumoural/Lymphovascular invasion

Ki-67 Margin status

Medical Oncology

Dedicated Breast Medical Oncologists 7 Outpatient systemic therapy Clinical Research

3/7 Acibadem Altunizade Hospital Radiotherapy

Dedicated Radiation Oncologists Available techniques after breast-conserving surgery Clinical Research (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)

Tomotherapy

Multidisciplinary Meeting (MDM) / Tumour Board (TB)

Regular MDM/TB for case management discussion Specialties/services participating in MDM/TB

Twice a week Radiology

Weekly Breast Surgery

Every two weeks Reconstructive/Plastic Surgery

Other Schedule Pathology

Cases discussed at MDM/TB Medical Oncology Radiotherapy Preoperative cases Genetic Counselling Postoperative cases Breast Nurse Service

Psycho-oncology

Nutritionist, Physiotherapist

Further Services and Facilities

Nuclear Medicine Genetic Counselling

Lymphoscintigraphy Specialist Providing Genetic Counselling/Risk assessment service: Bone scan Dedicated Clinical Geneticist Positron Emission Tomography (PET) Medical Oncologist PET/CT scan Breast Surgeon

Rehabilitation General Surgeon

Prosthesis service Gynaecologist

Physiotherapy Genetic Testing available

Lymph-oedema treatment Surveillance program for high-risk women

Data Management

Database used for clinical information

Data manager available

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Contact details

Radiology

Erkin Aribal Breast Radiologist [email protected] +905332021153

Breast Surgery

Aykut Soyder Breast Surgeon [email protected] +905323412994

Reconstructive Surgery

Sukru Yazici, MD Breast Plastic Surgeon [email protected] +902166492445

Pathology

Selçuk Bilgi Breast Pathologist +905337110972

Medical Oncology

Gul Basaran Breast Oncologist [email protected] +905322635514

Alper Sonkaya, MD Consultant Oncologist [email protected] +905067050470

Mehmet Teomete, MD Consultant Oncologist [email protected] +905326616222

Aziz Yazar, MD Consultant Oncologist [email protected] +905336946115

Faysal Dane Consaltant Oncologist [email protected] 00905327950350

Süleyman Alici, MD Consultant Oncologist [email protected] 00905056860616

Basak Oyan, MD Consultant Oncologist [email protected] 00905324055096

Radiotherapy

Meriç Sengoz Radiotherapist [email protected] +905322711295

Evrim Tezcanli Radiotherapist [email protected] +905342955159

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How to reach us

Acibadem Altunizade Hospital Tophanelioglu cad 13 34662 Istanbul, Phone: +902166494510 Fax: +902166495291 E-mail: [email protected] From airport: From Atatürk Airport: Metro: Take the metro to Yenikapi. Get off in Sirinevler station. Change to direction Sogutlucesme. Take off at Altunizade stop. The hospital is five minutes walk from Metrobus stop. From Sabiha Gokcen Airport: Take the shuttle to Kadikoy. Then take the Kartal metro in Kadiköy. Get off in Ünalan station. Change to the Metrobus in direction . Get off at Altunizade stop. THe hospital is five minutes walk from Altunizade stop. By train: MARMARAY TRAIN MARMARAY ILE GELIRSENIZ: Get off at Ayrilik Çesmesi stop; Take Kadiköy/Capitol AVM minibus in front of Tepe Nautilus mall. Get off right in front of the Hospital. By bus or sub-way/underground: FROM USKUDAR: You can take the busses (2, 9, 9 A-Ç-S-T-Ü-ÜD, 11, 11 A-C-D-E-EK-ES-G-L-M-N-K-P-ÜS-ST-Y, 12 ÜS, 320 ) or take the Uskudar-Dudullu minibus and get off at Altunizade stop. THe hospital is 5 minutes walk to Tophanelioglu Caddesi. FROM KADIKOY: You can take the busses 13-14-14F-14K-14R-14Y. Get off at Altunizade stop. The hospital is five minutes walk to Tophanelioglu Caddesi.

6/7 Acibadem Altunizade Hospital By car: Altunizade Mahallesi, Yurtcan Sokagi No:1, 34662 Üsküdar/Istanbul Last modified: 06 December 2019

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