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Breast Cancer Centre
Mediclinic City Hospital’s breast cancer centre is the first truly specialised unit for the treatment of breast cancer in the UAE.

What makes our breast cancer centre different?
At the heart of any reputable breast cancer unit is the multidisciplinary team formed by specialists from all the different areas involved in breast cancer detection and treatment.

Every member of the team is trained in the treatment of breast disease, primarily breast cancer. When it comes to treating cancer we know that doctors who specialise in one particular cancer and see many patients a year, achieve much better results than doctors who only treat a few cases a year.

Only because of this specialist-approach can the team offer what is called multi-modality therapy, since more than one mode of treatment is normally needed when it comes to breast cancer. A multidisciplinary team offering multi-modality therapy is now universally accepted as the gold standard of care for treating breast disease and now for the first time it is available in Dubai.

The patient is at the heart of everything that we do at Mediclinic City Hospital’s breast cancer centre and we believe that our patients should experience nothing less than an exceptional level of medical care.

Triple assessment
Triple assessment is the terminology used to describe the routine that breast cancer specialists use when they are making a diagnosis of breast cancer. The Triple Assessment, as the name implies, has three parts: clinical examination, diagnostic imaging (mammography and breast ultrasound) and pathology.

The multidisciplinary meeting/Tumor board
Every patient diagnosed with breast cancer and treated at Mediclinic City Hospital is discussed by the multidisciplinary team at a meeting. The team then gives a consensus decision and plan of treatment to the patient Because all the advice we provide is based on real and scientific evidence and studies, it should be exactly the same treatment and advice that will be offered in any leading breast cancer centre in the world. In accordance to the breast centre is collaboration closely with its colleague centre in Switzerland as part of Mediclinic international. The Centres are running international tumor boards regularly.

Treatment decision and procedure
Only once the team has made a decision the treating physician, usually the breast surgeon consults with the patient and provides her with all the medical facts, enabling her to make an informed decision about her preferred treatment pathway.

Equipment
  • 2 mammogram machine with tomosynthesis (with ability to perform contrast enhanced spectral mammography as well as perform stereotaxy)
  • 3 ultrasound
  • 2 Mammotome stereotactic vacuum units for mammogram and ultrasound
  • 3 TESLA MRI with breast coil
  • Faxitron machine( surgical specimen Xray)
  • Neoprobe( radiotracer identification for sentinel lymph node identification during surgery)

Scope of service
The breast centre is part of Mediclinic’s comprehensive cancer centre and provides diagnostic, imaging and treatment service for patients from the start to the completion of their journey. Beside the existing international collaboration with the Swiss platform of Mediclinic, the breast centre targets to achieve international certification in 2017. The service provided in detail:
  • Breast cancer diagnostic imaging and treatment
  • Digital mammogram and tomosynthesis
  • Breast ultrasound and elastography
  • 3 TESLA MRI
  • PET- CT
  • Mammographic and ultrasound guided core biopsies
  • Breast surgery (including plastic reconstruction)
  • Sentinel lymph nodes operations (radioactivity tracer)
  • Medication therapies (biological modulators, hormonal therapy and chemo therapy)
  • Radio oncology
  • Psychological counselling
  • Counselling breast care nurse
  • Breast cancer support group
  • Additional services: dietician counselling, physiotherapy etc)
OUR BREAST CANCER TEAM

Breast Radiologists

Dr. Alexandra Economacos
MBBCh, DA(SA), FC.RAD.D.SA

Dr. Alex’s expertise is in the interpretation of film and digital mammography, breast ultrasound, breast MRI and all interventional breast procedures that are very helpful in obviating the need for unnecessary surgical intervention. Dr. Alex performs sonographic aspirations or breast core biopsies, for palpable or sonographically visualised breast masses, stereotactic vacuum-assisted biopsies using a Mammotome for impalpable lesions, sonographic and mammographic hook wire placements pre –breast surgery, and tumour marker localisations. These procedures assist in the early diagnosis of breast cancer and aid in the continued follow-up of patients as they undergo the necessary treatments to survive the disease.

Dr. Aikaterini Vakali
MD (Radiology), Fellowship (Breast & Musculoskeletal Radiology)

Dr. Vakali trained as a doctor at the Aristotle University of Thessaloniki including a scholarship year at the Bristol University Medical School, UK. She continued her studies in radiology at the AHEPA University Hospital in Thessaloniki, during which time she also worked at the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland where she gained her Fellowship in Breast and Musculoskeletal Radiology.

She is a founding member of the Hellenic Society for Early Diagnosis and Therapy of Breast Cancer and a member of the European Association of Radiology, among others.

Dr. Tagreed Toma
Dr. Toma is a highly experienced general radiologist with a special interest in breast diagnostic imaging techniques. Prior to joining Mediclinic, she was a consultant radiologist at Southend NHS Trust in the UK, a 600-bed associate teaching hospital with Bart’s and Queen Mary’s Medical Schools in London.

Her practice includes reading mammograms, biopsy of breast lesions, guide wire insertion and lymph node sampling under ultrasound guidance, stereotactic guide wire insertion and lymph node sampling, vacuum extraction of benign breast lesions and hydro-marker insertion. She also has experience in breast imaging with radioactive material.

Dr. Mahira Yunus
MBBS, MCPS, FCPS, FRCR

Dr. Yunus is a highly experienced radiologist with special interest in breast imaging and is experienced in breast ultrasound, mammography and MRI with CAD stream analysis. She is also trained in ultrasound guided FNA, trucut biopsies of breast lesions and axillary lymph nodes and mammographic guided pre-operative needle localisation of non-palpable breast lumps.

She is a fellow of the Royal College of Radiologists, London (FRCR) with CCST certification, and a fellow and member of the College of Physicians and Surgeons, Pakistan (FCPS and MCPS) in Diagnostic Radiology.

Breast Surgeons

Dr. Annett Al-Hamadi
Fachaerztin fuer Chirurgie (German Board certified), European Board certified in breast surgery(EBS)

Dr. Annett is a consultant in general surgery with a special interest in breast surgery. She has more then 18 years of experience in the field of general surgery and breast surgery. Dr. Annett has trained and worked in Germany till 2006, then moved to the UAE. In 2012 she completed a fellowship in the Brustzentrum Zuerich, Switzerland, which broadened her skills and knowledge in this field of practice.

Since 2008 she has been working in Mediclinic City Hospital with main focus on the breast center patients. Dr. Annett performs all breast cancer surgeries independently and has performed more then 50 breast cancer surgeries in the last year.

She is a member of the EUSOMA, german breast cancer society and the german surgeons society. She takes part in scientific research locally and is actively involved in the national surgical and oncology conference.

Dr. Millicent Bello
Dr. Bello is a highly experienced general and breast/oncoplastic surgeon who has practised for most of her career in the UK. Prior to joining Mediclinic, she worked at Noble’s Hospital on the Isle of Man, UK, where she was responsible for developing the landscape of breast care delivery on the island. She is a specialist in breast surgery and breast reconstruction, as well as a fully accredited general surgeon.

She has contributed to several publications and is a member of the General Medical Council and the British Medical Association.
Special interests
 
 
  • Breast diseases
  • Oncoplastic breast reconstruction
  • Management of familiar breast cancer

 

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