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Breast Surgery

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.

The multidisciplinary meeting

Every case of breast cancer treated at Mediclinic City Hospital is discussed by the multidisciplinary team at a meeting which takes place behind the scenes. The team then gives a consensus decision and plan of action to the patient: because all the advice we give is based on real and scientific evidence and studies, this should be exactly the same treatment and advice that you will be offered in any leading breast cancer centre in the world.

Triple assessment

Triple asessment is the name given to 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, imaging (mammography and ultrasound) and pathology.

Once a problem has been identified in the breast on clinical examination and/or imaging, a biopsy or tissue sampling is done with a hollow needle. The needle cuts and takes a core of tissue out of the lump as it passes through it. This is termed a core biopsy and, performed under local anaesthetic, is done with ultrasound or mammographically. The core biopsy is an accurate way of removing tissue samples from the breast, as the radiologist can visualise exactly where the needle is placed. The procedure is minimally invasive and allows the pathologist to receive an adequate amount of tissue to make an accurate diagnosis.

Only once the team has discussed all aspects of the triple assessment, is a plan put together regarding the management of your treatment. The breast surgeon consults with you and provides you with all the facts, enabling you to make an informed decision about your preferred treatment pathway.

Our breast cancer team

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. Yasser Khattab - MBBCh, MSc, FRCSI, FESSH, EBOPRS

Dr. Yasser Khattab has trained and worked since 1994 as a Specialist Plastic Surgeon in Egypt, the Kingdom of Saudi Arabia and most recently in Ireland. He is a Plastic, Reconstructive and Aesthetic Surgery Specialist, who has extensive experience treating people in need of corrective breast surgery including congenital deformities, reduction, augmentation, lift and reconstruction after cancer surgery. He is a Fellow of The Royal College Of Surgery Ireland and he is European Board Certified in Plastic Surgery (EBOPRAS Fellowship).

Dr. Fadi Mikael - MBBS , MD, Hemato-Oncology AFS (France) Diploma in Medical Oncology (France) Diploma in Pain Mgmt (France)

Dr. Fadi has vast experience in the field of Medical Oncology and Hematology in hospitals and departments in Ukraine, France and for the past several years , the UAE. He has been given the title Ancient Interne des Hopitaux de Paris, after being trained in most leading cancer centres in France.

Dr. Fadi Mikhael was born in Lebanon and graduated from College des Freres, a French school in 1987.He achieved the MBBS qualification in France in 1997 and pursued specialisation in Medical Oncology and Hematology at the National Cancer Centre of France. In 1999 he joined the French University Rene Descartes- Paris V and completed the Fellowship program in Medical Oncology and has been granted the Diploma in Medical Oncology from University Rene Descartes. In 2008 after specializing in Palliative Care in Oncology he was granted a Diploma in Pain Management.

Dr. Fadi recently conducted a study about adjuvant chemotherapy for high risk breast cancer in young women in UAE. He is a member of the National Breast Cancer Committee in the Emirate of Dubai, an active member of the Lebanese Council of physicians and a member of the European-Hematology-Association EHA. He is fluent in English, French, Russian and Arabic.

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