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Θεραπευτήριο Metropolitan Θεραπευτήριο Metropolitan
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Temos

 

  • SURGICAL ONCOLOGY
    & BREAST RECONSTRUCTION CLINIC
  • SURGICAL ONCOLOGY
    & BREAST RECONSTRUCTION CLINIC
  • Νοσοκομείο
  • Services
  • Clinics & Special Departments
  • Surgical Oncology & Breast Reconstruction Clinic
  • TeamTeam

SURGICAL ONCOLOGY AND BREAST RECONSTRUCTION CLINIC

I welcome you to Metropolitan General’s Surgical Oncology and Breast Reconstruction Clinic. A new, pioneering Clinic that combines the high skills of the medical and nursing staff in dealing with breast diseases, with the latest surgical techniques and the use of innovative technology in the field of medical devices.

I am very proud to head, as primus inter pares, an amazing team. For in the Breast Clinic, we not only advocate teamwork; we apply it. Both medical and nursing staff coordinates their powers and expertise to ensure the best for our patient. Our team comprises general surgeons, radiologists-radiodiagnosticians, pathologists, oncologists, radiotherapists, plastic surgeons, psychologists, physiotherapists, nutrition and exercise counselors, and alternative therapists, all of whom are highly trained in Breast Diseases. As a team, we opt to offer a holistic approach to dealing with women with breast cancer. Our common goal is to give each woman the health, beauty, strength and confidence she had prior to her disease. We all work together with knowledge, dedication, respect and affection towards our patients.

As a female doctor, I deeply understand the anxiety and insecurity a woman feels when thinking about breast cancer; a sense of anxiety felt not only about herself, but also about her family, and her emotional and professional environment. I do believe in the uniqueness and peculiarity of each woman. That is why I consider it necessary to build a relationship of respect and trust with each patient individually. Doctors and patients join hands down the path of healing and recovery, creating a relationship of life.

Metropolitan General’s Surgical Oncology and Breast Reconstruction Clinic was established to embrace all women.

Natasa Pazaiti, MD, PhD, FEBS,
Chief of the Clinic

Staff

Staff

Chief:
Natasa Pazaiti, MD, PhD, FEBS, General Surgeon, Specialized in Oncology and Breast Reconstruction Surgery

Assistants:
Sofia Balamoti, MD, Obstetrician-Gynecological Surgeon

Associates:
Katerina Trigka, Anesthesiologist
Spyros Georgopoulos, MD, Plastic Surgeon
Konstantinos Papaioannou, MD, MSc, Plastic Surgeon
Maria Papadaki, Psychologist

PROCEDURES PERFORMED AT THE BREAST CLINIC

PROCEDURES PERFORMED AT THE BREAST CLINIC

Minimally Invasive Breast Biopsies

  • FNA-Fine Needle Aspiration: A considerably reliable testing for the determination of malignant masses. It is both painless and bloodless, and performed with a fine needle, as in blood sampling, and under ultrasound guidance. It lasts only five minutes. The specimen obtained is examined by a specialized cytologist, and the biopsy results are delivered within three days at the latest.
  • Core Biopsy: A very reliable method. This simple and painless procedure is performed by highly experienced physicians, who are thoroughly familiar with the biopsy technique. To ensure accuracy, this examination is always performed with ultrasound guidance.
  • Stereotactic Mammotome-assisted biopsy of microcalcifications: When the microcalcifications found in the mammography form a small cluster, away from the skin and the nipple, the biopsy is performed with the Mammotome stereotactic device. It is a core needle that has a longitudinal groove at its end. The needle enters the skin under local anesthesia and, following stereotaxia, it is advanced to the lesion site. It then rotates by 360o degrees, aspirating cylindrical tissue sections around the breast area affected by microcalcifications. Mammotome-assisted biopsy is painless; it lasts only 30 minutes and does not require surgery.

Surgical Procedures

Hook-wire excision and biopsy of microcalcifications: If the cluster of microcalcifications occupies a large area, found near the skin or under the nipple, the biopsy is surgically performed under general anesthesia. Prior to the surgery, a thin hook-wire (a guide-wire shaped like a hook) is placed under mammographic guidance at the site where the microcalcifications are located; this helps surgeons locate the part of the breast to be removed. If the biopsy is positive for malignancy and the surgical margins are clear, further surgical intervention may be avoided, while the biopsy itself can work therapeutically.

  • Surgical treatment of breast cancer: The basic treatment of breast cancer is surgery. The surgical procedure is limited and modified according to the qualitative characteristics of the tumor, its molecular profile, and its spreading to other tissues, but also personalized according to the unique characteristics of each patient (such as age, family medical history) and her desires. The surgical procedures performed are:
  • Lumpectomy: excision of tumor measuring >_ 1 cm
  • Quadrantectomy: excision of a large part (up to ¼ of the breast) which includes the tumor.
  • Total (simple) mastectomy: removal of the entire breast. It includes the skin and the nipple.
  • Subcutaneous mastectomy with/without nipple sparing: the mass parenchyma is removed, while the skin is maintained intact. If the tumor is > 2 cm far apart from the nipple, then the nipple is spared.
  • Axillary lymph node dissection: removal of the axillary lymph nodes of the armpit when they are clinically infiltrated.
  • Sentinel node biopsy: It is a minimally invasive method for localizing even a small metastasis in the armpit, and allows cancer staging without requiring axillary lymph node dissection. Surgical removal of all lymph nodes of the armpit is performed only when metastasis is detected. If no metastasis is present, axillary lymph node dissection is not required, the surgical procedure is simpler, and the recovery and quality of life of the patients are much better.
  • Oncoplastic and reconstructive breast surgery: Oncoplasty is the integration of cosmetic surgery into breast oncology surgery. With oncoplasty, breast cancer treatment and good aesthetic results are achieved at the same time. As the diagnosis of breast cancer is delivered at an early stage, the most common surgical treatment is wide tumor resection. In this way, mastectomy is avoided; however, the reconstruction of the remaining breast is necessary to restore its shape and volume without any deficiencies or deformities. Oncoplasty often includes the correction of the asymmetry created in the contralateral breast, as a result of breast reduction or mastopexy. When mastectomy is opted for as the surgical treatment, immediate breast reconstruction is offered. Reconstructive breast surgery, deploying the most sophisticated techniques, enables full breast reconstruction either by foreign materials (i.e. expanders, silicone implants, special mesh use) or by autologous tissues (i.e. tissues from the patient's body, skin-muscle flaps from the abdomen, back, thighs).

Pioneering post-radiotherapy fat graft breast reconstruction

It is well known that when mastectomy is followed by radiation therapy, breast reconstruction is difficult. The irradiated tissues lose their expansion and elasticity, often resulting in failed tissue expansion surgeries and placement of silicone implants. In the past, reconstruction was often performed using skin-muscle flaps mainly from the woman's back. In our Clinic, we apply a new post-radiotherapy breast reconstruction technique which spares the dorsal muscle, i.e. the gradual transfer of fat from various parts of the body (abdomen, thighs) to the breast. The adipocytes (fat cells) contain stem cells that rejuvenate and enrich the tissues into which they are transplanted. In this way, the irradiated tissues regain their elasticity and firmness, and become able to accommodate a tissue expander. In many cases, on condition that the size of the healthy contralateral breast is not large, reconstruction is directly achieved by placing a silicone implant. Over the recent years, this technique has been applied at the Paris Breast Center by Kriishna Clough’s team. Following special training, we have brought this technique to Greece and apply it with great success to our patients. We are the only Clinic in Greece that offers women all the possibilities of surgical treatment and breast reconstruction in the most modern way.

SERVICES OFFERED BY THE CLINIC

SERVICES OFFERED BY THE CLINIC

  • Preventative breast control
  • Diagnostic approaches to benign or malignant breast diseases
  • Monitoring female patients with breast cancer
  • Monitoring female patients with hereditary breast cancer
  • Surgical breast operations following the most modern techniques
  • Correction of congenital breast disorders (amastia, asymmetry, gigantomastia)
  • Post-mastectomy breast rehabilitation
  • Rehabilitation of nipple-areola system
  • Complete gynecological control by specialized gynecologists
  • Endometrial monitoring on female breast cancer patients receiving hormonal therapy
    • Within the context of breast cancer oncological patient monitoring (follow-up) we provide regular gynecological controls by means of clinical examination and transvaginal ultrasonography to control endometrium thickness. At the same time you have the opportunity as a patient of our Clinic to undergo the Pap test, the most basic pre-symptomatic uterine cervix cancer control. A colposcopy procedure may ensue, if judged to be necessary.
    • Furthermore, following the monitoring of women suffering from hereditary breast or ovarian cancer you have the opportunity to undergo a full semi-annual breast/ovarian control in only one appointment.
    • This way, complete and comprehensive monitoring of all our patients is guaranteed, dictated by the up-to-date international scientific protocols by oncological societies fighting breast cancer.
DIAGNOSTIC APPROACH AND THERAPY OF GYNECOLOGICAL DISEASES

DIAGNOSTIC APPROACH AND THERAPY OF GYNECOLOGICAL DISEASES

  • Benign gynecological diseases, pharmaceutical and surgical treatment of such disorders (uterine leiomyomas, ovarian cysts, endometriosis, adenomyosis, dysmenorrhea, pelvic inflammations and chronic pelvic pain)
  • Preventative controls (Pap test)
  • Colposcopy
  • Post-operative monitoring and follow-ups to patients suffering from malignant breast, uterine and ovarian diseases
  • Management and surgical treatment for cancers in the endometrium, the cervix or the vulva
  • Reproductive-age hormonal disorders (menorrhagias, menstrual disturbances, hemorrhages, menstrual disruptions, amenorrhea, polycystic ovaries, acme)
  • Menopausal hormonal management (replacement therapies, osteoporosis, flushes, drop in libido)
  • Pediatric and adolescent gynecology (developmental disorders, premature or delayed puberty)
  • Urological gynecology (urine leakage, uterine proptosis)
  • Subfertility examination
  • Pregnancy monitoring

 

Contact number: +30 210 650 2901

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SEE ALSO

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