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Multidisciplinary oncological concilium

Treatment of oncological diseases requires the complex approach. The choice of treatment methods depends on the accuracy of the diagnosis and initial data received (in which body part the tumor is located, which are its dimensions, to which organs it is adjacent, how it behaves over time and how the patient feels).

The oncological concilium of doctors or the multidisciplinary oncological commission at Dobrobut oncological clinic center will help to confirm the diagnosis and also to determine the relevant treatment approach.

The commission consists of the practitioners from various fields who study the patient’s profile together with the consulting oncologist, take into account his or her health state and concurrent diseases, assess the risks and prognosis for the course of the disease and then choose the most effective treatment approach. The concilium decides if the surgical treatment is necessary that often allows to avoid a morbid procedure which can seriously affect health state and quality of life of a patient.

The multidisciplinary medical concilium at Dobrobut oncological clinic center is the team of doctors who have vast experience in diagnostics and treatment of complicated and rare cases of oncological diseases. The multidisciplinary medical concilium at Dobrobut oncological clinic center consists of the specialists practicing all the methods of treatment and diagnostics of oncological diseases. These are radiologists of Dobrobut expert medical center, oncologists, chemical therapists, radiation therapists, surgeons, surgeons-oncologists, gynecologists-oncologists, mammologists, ENT specialists, orthopedic oncologists, plastic surgeons, dermatologists and many other specialists.

Multifunctional development of Dobrobut clinic chain allows to engage such specialized doctors in the multidisciplinary concilium as anesthesiologists, cardiologists, cardiac surgeons, vascular surgeons, endocrinologists for correction of a patient’s comorbidity and complications of the specialized treatment.

The composition of the commission is unique because it consists not only of the specialists of Dobrobut clinic chain, but also of other oncological health care facilities of Kyiv. In decision-making, doctors apply international protocols and effective world practice of evidence-based medicine.

Dobrobut oncological clinic center successfully provides treatment

of oncological diseases in the following localizations:

  • gastrointestinal tract
  • mammary gland
  • endocrine organs
  • thyroid, adrenal capsules
  • gynecologic surgeries
  • cervix and corpus of uterus, ovaries, vulva
  • urinary bladder
  • prostate, kidneys, testicles, penis
  • ENT organs
  • skin
  • lungs and airways
  • liver, pancreas, bile ducts

Strong partnership with CSD Health Care medical laboratory, the leader of pathomorphological studies in Ukraine, is of paramount importance for the multidisciplinary oncological concilium work. Participation of cytologists, pathologists, biologists and geneticists allows to interpret morphological and molecular studies correctly. Participation of a medical geneticist allows to consult patient's relatives to detect family types of cancer, genetic predisposition of emerging of oncological diseases or the relatives.

Multidisciplinary conciliums are rare in many European countries, but they have become the gold standard at Dobrobut clinic chain. Every oncology patient of Dobrobut oncological center passes the multidisciplinary commission, and the medical oncological concilium also allows everyone who wants it to get an alternative opinion, even if the person is not a Dobrobut patient.

Many patients who are in therapy at other facilities use our “Second opinion” service. It happens when a patient is doubtful of the correctness of the diagnosis and the prescriptions of the consulting physician. The commission of our specialists conducts an in-depth study of the results of tests, radiological and instrumental examinations performed in other clinics and makes a joint advisory decision. After that, a patient can decide to receive the treatment in our clinic or to discuss the recommended approach with his or her consulting physician.

The multidisciplinary oncological concilium allows to use time effectively because time wasting can cost the patient’s life, and also to avoid a medical error. Consulting oncologist, medical manager and patient support service of Dobrobut clinic chain supervise the patient at each stage of the specialized treatment. It allows to control patient’s state, timeliness of checkup examinations and diagnostic examinations aimed at assessing of the dynamics of treatment.

The multidisciplinary oncological concilium can be organized before each stage of specialized treatment, and also if changes in the patient’s treatment approach are required.

Consultations of oncologists

Consultations of oncologists Dobrobut oncological clinic center provides consultations of experienced oncologists, highly specialized doctors included. We can provide consultations by gynecologist-oncologist, oncosurgeon, oncologist-mammologist, oncologist-otorhinolaryngologist, oncologist-traumatologist, oncologist-urologist and other specialists. A general practitioner gives a referral for a consultation in case of a suspected oncological disease revealed during the diagnostic process, or diagnostic examination results require clarifications by a specialist.

During a visit an oncologist will perform a check-up of the patient, study the results of previous diagnostic examinations, gather information about complaints and prescribe additional diagnostic techniques if necessary.

The main task of oncologists of Dobrobut oncological clinic center is the complete recovery of a patient and maximal preserving of productivity and quality of life. When choosing a treatment approach, our oncologists base themselves upon the joint opinion of the multidisciplinary oncological commission of Dobrobut clinic chain which every oncology patient should pass.

Bibliography

  1. Аль-Шукри С.Х., Комяков Б.К., Горелов А.И., Прохожев А.Ю. "Радикальная цистэктомия при раке мочевого пузыря". "Актуальные вопросы лечения онкоурологических заболеваний". Матер. 2-й Всероссийской науч. конф. с участием стран СНГ 21-22 ноября, Обнинск 1997, стр. 8-9
  2. Chang S.S., Cole E., Cookson M.S. et al. Preservation of the anterior vaginal wall during female radical cystectomy with orthotopic urinary diversion: technigue and results. / J. Urol. – 2002. – Vol. 168. – P. 14421445.
  3. Федоров С.П. «К оценке способов резекции желудка» Новый хирургический архив 1924, 1, - С. 125-130
  4. Бойко В.В., Малоштан А.В., Тищенко А.М., Скорый Д.И., Козлова Т.В., Малоштан А.А., Гусак И.В. Заживление раневой поверхности печени после ее резекции // Анн. хир. гепатол. – 2012, № 2. – С. 20-25
  5. Бордуновский В.Н., Бондаревский И.Я., Ионин В.П. Использование новых технологий при резекции печени // Вестн. хирургии. – 2010, № 5. – С. 88-90.
  6. Belghiti J., Regimbeau J.M. et al. Resection of hepatocellular carcinoma: a European experience on 328 cases // Hepato – gastroenterology. 2002. Vol. 9 P. 41-46.
  7. Velazquez EF, Soskin A, Bock A, et al.Positive resection margins in partial penectomies: sites of involvement and proposal of local routes of spread of penile squamous cell carcinoma. Am J Surg Pathol. Published online, March, 2004.

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Multidisciplinary oncological concilium

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Doctors Multidisciplinary oncological concilium:
13experience (y.)
Zadorozhna Kristina Olehivna
Oncologist; Surgeon
8experience (y.)
Kovalenko Iryna Andriivna
Oncologist
25experience (y.)
Kukushkina Mariia Mykolaivna
Oncodermatology
39experience (y.)
Dekhtiar Tetiana Volodymyrivna
Oncologist
20experience (y.)
Stakhovskyi Oleksandr Eduardovych
Oncologist; Urologist
16experience (y.)
Selivanova Tetiana Anatoliivna
Dermatovenereologist; Oncodermatology; Pediatric dermatovenereologist
31experience (y.)
Cheshuk Valeriy Evgenevich
Oncologist
21experience (y.)
Hryn Natalia Viktorivna
Otolaryngologist; Oncologist
22experience (y.)
Kopchak Kostiantyn Volodymyrovych
Oncologist; Surgeon
26experience (y.)
Osypenko Pavlo Volodymyrovych
Radiologist
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