Centre for treatment of breast diseases in Berlin is engaged primarily in treatment of breast cancer.
The centre oncologists, gynaecologists, surgeons, radiologists and doctors specialized in radiation therapy.This cooperation allows physicians to consider each situation comprehensively and to maximize the effectiveness of diagnosis and treatment of breast cancer.The use of minimally invasive diagnostic methods provides a very accurate diagnostic results and guidelines for right treatment.Strong interest and attention of experts concentrates in addition to treatment also on aesthetic appearance what also confirms high standards of medical services.
Breast Centre offers following services:
- Breast imaging methods (mammograms, mammosonography, MRI)
- Minimally invasive diagnostic techniques (stereotactic vacuum assisted breast biopsy)
- Consultation in complex, controversial cases with professionals
- Plastic-reconstructive surgery (aesthetic and plastic surgery of the breast)
- Breast surgery: radical and organ-saving surgery
- Sentinel lymph nodes biopsy
- Hormone therapy
- Radiation therapy
- Modern methods of chemotherapy and antibody- based therapy
- Surgical and drug therapy in case of cancer recurrence and breast metastases in cooperation with nuclear medicine specialists, surgeons, orthopaedists and oncologists
- Physiotherapy
- Professional psychological support and assistance
- Treatment of ductal and lobular carcinomas
During the oncology conference experts consider all aspects of the disease and choose the most optimal treatment for a particular patient.
In case of lobular carcinoma the surgery focuses on the breast saving. (According to statistics, more than 70% of resections performed at the Breast Centre are organ – saving.)
The highest level of medical services provided at the Breast Centre, guarantees the highest quality of diagnosis and treatment in Germany.
Preoperative diagnosis of lymph nodes (sentinel lymph nodes) ensures the life quality in case of malignant breast tumours.
Resection (removal) of axillary lymph nodes is a mandatory treatment for breast cancer.Removing lymph nodes can lead to a number of unpleasant consequences like loss of sensitivity and pain in the shoulder. It can also limit the mobility of the shoulder joint or appearance of oedema.
Approximately 50-60% of all patients show that the resection of axillary lymph nodes was unnecessary, because they were not damaged by a malignant process. It is known that tumour cells of malignant mammary node can spread to other lymph nodes through lymph ducts. In the lymph nodes begins the secondary cancer (metastases). If lymph nodes close to the malignant lymph node do not contain cancer cells, the remaining axillary lymph nodes are also free of metastases and therefore the removal is not necessary.
Marking the lymph nodes for greater reliability is carried out in two ways: by using scintigraphy (using weakly radioactive substance) and the injection of a contrast.
To identify the sentinel nodes, you must first determine exactly pathways of lymphatic fluid.During the breast surgery lymphoscintigraphy is made: a small amount of radioactive substance is injected into the tumour to see how it moves along the lymphatic ducts and stops at the sentinel nodes.The path of the liquid is recorded by a gamma camera and signals that the lymph nodes are marked.
Marked lymph nodes are removed directly during the surgery and examined under a microscope. If cancer cells have been localized the resection of damaged lymph nodes occurs. If the sentinel nodes do not contain cancer cells, lymph node resection is not performed.
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