Unità Senologica Aziendale ULSS1 Belluno - Belluno, Italy General Information New breast cancer cases treated per year 178 Breast multidisciplinarity team members 10 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses Clinical Director: Paolo D'Andrea, MD The Unità Senologica Aziendale (USA) ULSS1 is located at San Martino Hospital in Belluno and is staffed with dedicated doctors with long experience in the management of breast diseases since 2000. Our clinic aims are early detection and treatment of all breast diseases and to offer a tailored therapy to every woman affected by breast cancer at every stage of the disease. Diagnostic tests (Digital Mammography, Ultrasound and Magnetic Resonance) and interventional diagnostic procedures (FNAC, CB, VABB) are offered in a network of diagnostic centres. Therapeutic approach is guaranteed by an integrated and comprehensive management of patients. Our Unit offers a multidisciplinary approach in collaboration with radiologists, pathologists, nuclear medicine physicians, oncologists, radiotherapists, breast surgeons, plastic surgeons, psychologists and physiatrists. The team discusses all patients every week. Specialized surgical procedures are performed, including sentinel lymph node biopsy, oncoplastic surgery and breast reconstruction. Unità Senologica Aziendale ULSS1 Belluno Viale Europa 22 32100 Belluno, Italy Phone: +39 0437514179 Fax: +39 0437516229 E-mail: [email protected] 1/6 Unità Senologica Aziendale ULSS1 Belluno Available services Radiology Breast Surgery Reconstructive/Plastic Surgery Pathology Medical Oncology Radiotherapy Nuclear Medicine Rehabilitation Genetic Counselling Data Management Psycho-oncology Breast Nurses Social Workers Nutritional Counselling Survivorship Groups Sexual Health Counselling Supportive and Palliative Care Integrative Medicine Radiology Dedicated Radiologists 3 Mammograms per year 14000 Available imaging equipment Mammography Breast radiographers Screening program Ultrasound Magnetic Resonance Imaging (MRI) Verification for Clinical Research Core Biopsy (Tru-cut) Vacuum assisted biopsy Available work-up imaging equipment Ultrasound-guided biopsy Fine-needle aspiration biopsy (FNAB, cytology) Computer Tomography Axillary US/US-guided FNAB Stereotactic Biopsy (Mammography guided) non-palpable breast lesions on specimen Available breast tissue sampling equipment Ultrasound Core Biopsy Magnetic Resonance Imaging (MRI) PET/CT scan Vacuum assisted biopsy MRI-guided biopsy Primary technique for localizing non-palpable lesions Core Biopsy Vacuum assisted biopsy Hook-wire (or needle localization) Charcoal marking/tattooing ROLL: radio-guided occult lesion localization Breast Surgery New operated cases per year (benign and malignant) 350 Dedicated Breast Surgeons 2 Surgeons with more than 50 surgeries per year 2 Breast Surgery beds 8 Breast Nurse specialists 1 Primary technique for staging the axilla Axillary lymph node dissection Sentinel lymph node biopsy: Blue dye technique Outpatient surgery Radio-tracer technique Intra-operative evaluation of sentinel node Blue dye + Radio-tracer Reconstruction performed by Breast Surgeons Clinical Research Axillary sampling 2/6 Unità Senologica Aziendale ULSS1 Belluno Reconstructive/Plastic Surgery Reconstructive/Plastic surgeons Immediate Reconstruction available 1 Type of breast reconstructive surgery 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 Available studies Other special studies available 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 2 Outpatient systemic therapy Clinical Research 3/6 Unità Senologica Aziendale ULSS1 Belluno Radiotherapy Dedicated Radiation Oncologists Clinical Research Available techniques after breast-conserving surgery (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) 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 Postoperative cases Genetic Counselling Breast Nurse Service Psycho-oncology Further Services and Facilities Nuclear Medicine Lymphoscintigraphy Bone scan Positron Emission Tomography (PET) PET/CT scan Rehabilitation Prosthesis service Genetic Counselling Specialist Providing Genetic Counselling/Risk assessment service: Dedicated Clinical Geneticist Medical Oncologist Breast Surgeon General Surgeon Gynaecologist Physiotherapy Genetic Testing available Lymph-oedema treatment Surveillance program for high-risk women Data Management Database used for clinical information Data manager available 4/6 Unità Senologica Aziendale ULSS1 Belluno Contact details Clinical Director Paolo D'Andrea, MD Head of Radiodiagnostic Department [email protected] +39 0437516290 Bianca Maria Masinielli, MD Staff Radiologist - Belluno [email protected] Manuela De Gerone, MD Staff Radiologist - Pieve di Cadore [email protected] Elisa Bordin, MD Staff Radiologist - Belluno [email protected] Miriam De Dea, MD Staff Radiologist - Agordo [email protected] Giovanni Marcantoni, MD Staff radiologist - Cortina d'Ampezzo [email protected] Laura Renon, MD Staff Surgeon [email protected] +39 0437516271 Stefano Valletta, MD Staff Surgeon [email protected] +39 0435341268 Stefano Valletta, MD Staff Surgeon [email protected] +39 0435341268 Laura Renon, MD Staff Surgeon [email protected] +39 0437516271 Giorgio Berna, MD Consultant [email protected] +39 0422322883 Radiology Breast Surgery Reconstructive Surgery Pathology Paolo Iuzzolino, MD Head of Pathology Department [email protected] +390437516147 Ettore Macrì, MD Breast Pathologist +390437516147 [email protected] Medical Oncology Fausto Tuccia, MD Head of Oncology Department [email protected] +390437516178 Donatella Da Corte Zandatina, MD Staff Oncologist [email protected] +39 0437516178 Tiziana Iannone, MD Radiotherapist [email protected] +39 0437516236 Filippo De Renzi, MD Staff Radiotherapist [email protected] +39 0437516236 Radiotherapy 5/6 Unità Senologica Aziendale ULSS1 Belluno How to reach us Unità Senologica Aziendale ULSS1 Belluno Viale Europa 22 32100 Belluno, Italy Phone: +39 0437514179 Fax: +39 0437516229 E-mail: [email protected] By train: Belluno Hospital is 10 minutes walk from the railway station. Trains coming from Padua stop in Belluno. www.trenitalia.it By bus or sub-way/underground: The urban line R links the Hospital to the railway station. www.dolomitibus.it By car: From Cadore SS 51 Alemagna From Agordo SR 203 – 204 From Feltre SS 50 From Venezia A27 exit at Belluno (Pian di Vedoia) Last modified: 29 October 2014 6/6
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