Editing Novel Therapies and Diagnostic Methods (Greater Poland Cancer Centre)

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[[Glossary|Click here for a Glossary of terms used in this page]]

=== Screening: Breast cancer prevention and screening ===

'''Primary purpose:''' Early detection and prevention of breast cancer in women aged 50-69.

'''Contact information:'''  [https://wco.pl/co_i_jak_leczymy/badania-profilaktyczne/ Click here to access].

=== Diagnostics ===

{| class="wikitable"
! Radiology !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Machine || CT scanners || yes || 
|- 
| Machine || MRI (specify the strength and field of the techniques) || yes || 
|- 
| Machine || Mammography (please specify analogic mammography or digital) || yes || 
|- 
| Machine || Digitalised imaging (RIS) || yes || 
|- 
| Machine || Ultrasound || yes || 
|- 
| Machine || Gamma Camera || yes || 
|- 
| Technique || MRI-guided biopsy || yes || 
|- 
| Technique || Stereostatic biopsy || yes || 
|- 
| Technique || Ultrasound guided biopsy || yes || 
|- 
| Technique || EBUS-TBNA || yes || 
|- 
| Technique || Endoscopic Retrograde Cholangiopancreatography (ERCP) || yes || 
|- 
| Technique || Intraductal ultrasound diagnosis of biliary tract strictures (IDUS) || yes || 
|- 
| Technique || CT guided biopsis || yes || 
|- 
| Technique || E/S Fine-needle biopsy || yes || 
|- 
| Technique || Vacuum-assisted breast biopsy (VABB) || yes || 
|- 
| Technique || Angiography || yes || 
|- 
! Nuclear Medicine !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Machine || Pet Scan || yes || 
|- 
| Machine || PET CT || yes || 
|- 
| Facility || Radionuclide treatment facilities || yes || 
|- 
| Machine || SPECT || yes || 
|- 
| Machine || SPECT CT || yes || 
|- 
| Technique || Sentinel node scintigraphy || yes || 
|- 
| Technique || Bone scintigraphy || yes || 
|- 
! Pathology !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Facility || Cytology laboratory || yes || 
|- 
| Facility || Histopathology laboratory || yes || 
|- 
| Technique || FISH (Fluorescence In Situ Hybridization) || yes || 
|- 
| Technique || PCR (Polymerase Chain Reaction) || yes || 
|- 
| Technique || Cytometry || yes || 
|- 
| Technique || Liquid biopsy || yes || 
|- 
| Technique || Immunofluorescence techniques || yes || 
|- 
| Technique || Histochemistry || yes || 
|- 
| Technique || Techniques for molecular pathology || yes || 
|- 
| Technique || Cytogenetics || yes || 
|- 
! Pathology: Molecular Tests !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Technique || PGR || yes || 
|- 
| Technique || KI-67 || yes || 
|- 
| Technique || PDL1 || yes || 
|- 
| Technique || ER || yes || 
|- 
| Technique || KRAS || yes || 
|- 
| Technique || BRAF || yes || 
|- 
| Technique || EGFR || yes || 
|- 
| Technique || ALK || yes || 
|- 
| Technique || HER2 status || yes || 
|- 
! Others !!  !!  !!  
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Technique || Bronchoscopy || yes || 
|- 
| Technique || Colposcopy || yes || 
|- 
| Technique || Colonoscopy || yes || 
|- 
| Technique || Vulvoscopy || yes || 
|- 
| Technique || Hysteroscopy || yes || 
|}

=== Treatment ===

{| class="wikitable"
! Surgical Oncology !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Specialist || Breast surgery || yes || 1941
|- 
| Specialist || Urological surgery || yes || 73
|- 
| Specialist || Digestive surgery || yes || 2227
|- 
| Specialist || Gynaecological surgery || yes || 1447
|- 
| Specialist || Head and neck surgery || yes || 2205
|- 
| Specialist || Soft tissue surgery || yes || 1315
|- 
| Specialist || Oncoplastic surgery || yes || 443
|- 
| Specialist || ENT surgery || yes || 
|- 
| Technique || Isolated Limb Hyperthermic Perfusion || yes || 
|- 
| Technique || Robotic surgery || yes || 326
|- 
! Radiotherapy !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Machine || Linear accelerators || yes || 
|- 
| Machine || Linear accelerators with IMRT/VMAT || yes || 
|- 
| Machine || Linear accelerators with IGRT || yes || 
|- 
| Machine || Linear accelerators with SBRT/SRS || yes || 
|- 
| Facility || Proton/carbon facilities || yes || 
|- 
| Machine || Dedicated SRS units || yes || 
|- 
| Machine || Brachytherapy unit || yes || 
|- 
| Machine || Intrabeam || yes || 
|- 
| Technique || Intraperitoneal chemo-hyperthermia (HIPEC) || yes || 
|- 
| Technique || Stereotactic radiotherapy || yes || 
|- 
| Technique || Thermal ablation (with radiofrequency or microwave) || yes || 
|- 
| Technique || Intraoperative Radiotherapy (IORT) || yes || 17
|- 
| Technique || Total Body Irradiation (TBI) || yes || 19
|- 
| Technique || 3D conformal radiotherapy || yes || 779
|- 
| Technique || Radiosurgery || yes || 
|- 
| Technique || Proton therapy || yes || 
|- 
| Technique || Adaptive radiotherapy || yes || 
|- 
| Technique || Conventional simulation || yes || 
|- 
| Technique || Virtual simulation for treatment planning || yes || 
|- 
| Technique || CT planning || yes || 
|- 
| Technique || IMRT radiotherapy planning system || yes || 1372
|- 
| Technique || Magnetic resonance for radiotherapy treatment planning || yes || 
|- 
| Technique || PET CT treatment planning || yes || 
|- 
| Machine || CyberKnife || yes || 422
|- 
| Machine || TomoTherapy Machines || yes || 1240
|- 
! Hemato-Oncology / Bone Marrow Transplants !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Facility || Cellular therapy unit with GMP (Good Manufacturing Practice) || yes || 
|- 
! Specialists !!  !!  !!  
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Specialist || Medical oncologist || yes || 
|- 
| Specialist || Nurse with a specialization/certification in oncology || yes || 
|- 
| Specialist || Physician specialised in pain treatment || yes || 
|- 
| Specialist || Neurologist || yes || 
|- 
| Specialist || Lung physician || yes || 
|- 
| Specialist || Radiotherapist || yes || 
|- 
| Specialist || Psychologist or Psychotherapist || yes || 
|- 
| Specialist || Psychiatrist || yes || 
|- 
| Specialist || Social worker || yes || 
|- 
| Specialist || Spiritual care || yes || 
|- 
| Specialist || Physiotherapist || yes || 
|- 
| Specialist || Dietitian || yes || 
|- 
! Others !!  !!  !! 
|- 
| '''Type''' || '''Name''' || '''Number''' || '''Uses per year'''
|- 
| Machine || Endoprosthesis || yes || 
|- 
| Technique || Interventional Endoscopy || yes || 
|- 
| Technique || D-J stent || yes || 
|- 
| Facility || Clinical Trial Center || yes || 
|}

=== Prevention ===

{| class="wikitable"
! Screening and Others !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Lung cancer screening program || yes || 
|-
| Facility || Breast cancer screening program || yes || 
|-
| Facility || Cervical cancer screening program || yes || 
|-
| Facility || Colorectal cancer screening program || yes || 
|}

=== Quality of Life ===

{| class="wikitable"
! Quality of Life !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Phone/mail contact service || yes || 
|-
| Facility || Survivorship program || yes || 
|-
| Facility || Acupunture unit || yes || 
|}

=== Palliative Care ===

{| class="wikitable"
! Palliative Care !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Hospice unit (in the hospital structure or affiliated) || yes || 
|-
| Facility || Home palliative care availability || yes || 
|}


<span style="display:none">Lobular</span>
<span style="display:none">Breast</span>
<span style="display:none">Nipple</span>
<span style="display:none">Areola</span>
<span style="display:none">Ductal</span>
<span style="display:none">hasCancerType::C50: Breast cancer</span>
<span style="display:none">hasCancerType::C00-D48: All neoplasms</span>
<span style="display:none">hasCancerType::C00-C97: All cancer types</span>
<span style="display:none">hasCancerType::C00-C14: Mouth/throat cancers</span>
<span style="display:none">hasCancerType::C15-C26: Digestive system cancers</span>
<span style="display:none">hasCancerType::C30-C39: Lung/chest cancers</span>
<span style="display:none">hasCancerType::C40-C41: Bone cancers</span>
<span style="display:none">hasCancerType::C43-C44: Skin cancers/melanoma</span>
<span style="display:none">hasCancerType::C45-C49: Soft tissue cancer</span>
<span style="display:none">hasCancerType::C51-C58: Female genitalia cancers</span>
<span style="display:none">hasCancerType::C60-C63: Male genitalia cancer</span>
<span style="display:none">hasCancerType::C64-C68: Urinary system cancers</span>
<span style="display:none">hasCancerType::C69-C72: Eye and brain cancer</span>
<span style="display:none">hasCancerType::C73-C75: Thyroid and other gland cancers</span>
<span style="display:none">hasCancerType::C76-C80: Cancers of unknown or unspecified areas</span>
<span style="display:none">hasCancerType::C81-C96: Cancers of the blood and immune system</span>
<span style="display:none">hasCancerType::C97-C97: Cancers in multiple locations from the start</span>
<span style="display:none">hasCancerType::D00-D09: Early-stage cancers not yet spread</span>
<span style="display:none">hasCancerType::D10-D36: Benign tumour</span>
<span style="display:none">hasCancerType::D37-D48: Growths of uncertain nature</span>
<span style="display:none">hasCancerType::unknown</span>
<span style="display:none">isScreening</span>