Breast Cancer Treatment at IEO, Milan, Italy
The IEO Breast Cancer Program is aimed at providing with a multidisciplinary method, excellence in diagnostics, clinical and surgical approaches, as well as clinically oriented research, to achieve the maximum effectiveness of the service to patients. It is based upon a concrete personal approach to women with breast cancer. The personalization allows to get a treatment with the utmost probability of effectiveness and a positive and constructive relationship between patients and their care givers, conditions in which fear and doubt can be replaced by greater knowledge and regained hope.
The treatment of breast cancer is based on surgery associated with radiation therapy and pharmacological treatment according to the specific situation. An element of excellence that characterizes the IEO Breast Program is the exact biological knowledge of each individual tumor before starting treatment. Breast Cancer Treatment Program consists of:
The IEO breast surgery is the first in the world in terms of number of operations performed each year. 70% of the cases performed are quadrantectomy or partial resection, which is more sparing. When mastectomy is required, in most cases IEO guarantees the immediate reconstruction using techniques that depend on the individual situation: cooperation between breast experts and plastic-reconstructive surgeons allows us to achieve the best aesthetics after breast surgery.
When the tumor is not palpable (micro calcifications or very small nodules), localization techniques are used to avoid errors and unnecessary removal of healthy tissue: ROLL (Radioguided occult lesion localization), invented at IEO, is the most widely-used technique around the world with the best results.
Radiotherapy on the operated breast is a normal procedure in the case of quadrantectomy or partial resection for cancer. It is defined as "complementary" because it completes surgery and reduces the risk of disease recurrence.
The intraoperative radiotherapy is one of the excellence in the care of breast cancer at IEO. Thanks to the studies carried out at IEO, it can be performed in the course of a quadrantectomy intervention as a single dose that completely replaces the course of external beam radiation therapy.
Nipple-Sparing Mastectomy is a surgical technique that was developed by Institute more than 10 years ago (first interventions dating back to 2002). This action allows the removal of the mammary gland entirely preserving the outer shell (skin and nipple) and optimally preserving the integrity of the female aspect. Breast reconstruction is performed simultaneously with the mastectomy, usually with implants (expander or definitive prosthesis).
Pharmacological treatments for breast cancer
The pharmacological treatments, that is chemotherapy and/or endocrine therapy and/or the so called receptor medications, depend on the histological examination related to surgery.
Physicians at the IEO have developed and validated the most widely used and effective techniques in surgical care through integration with radiotherapy and pharmacology procedures adopted today worldwide.
Where is the treatment performed?
IEO offers a comprehensive program for the prevention, determining risk factors, early detection, as well as surgical
and medical treatment with the latest technology available. It is performed at:
IEO – Division of Senology, Milan, Italy
The Program performed by:
· Breast Surgeons
· Breast Imaging Radiologist
· Plastic Surgeon
The patient has the possibility to choose the referent surgeon.
Required Time and Plan
The average hospitalization time is of 3 nights, the discharge is expected on the 4th day in the morning. Nevertheless,
IEO suggests to stay 5 additional days in Milan in case if it will be required to make additional tests and procedures.
Standard Services For The Patient
· Facilitating the consultations
· Assistance scheduling the first visit
· Pre-arrival assistance (Flight, Visa, Accommodation…)
· Cultural Mediation Service
· Assistance with banking and business services
· Liaison between the patient and hospital staff
· Assistance during inpatient stay and after discharge
· Assistance with medical reports
· Future Appointment Scheduling
· Transportation Service (with extra charge)
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Istituto Europeo di Oncologia 2015-06-09 Articles/Press Releases