Genetic liability

to oncological disease

  • Service

The program applies to diagnostic check-up for women.
The specialists’ consultations, manipulations and diagnostics investigations as well as analyses sampling within this program shall be provided in the clinics according to their schedule. The services are performed under supervising breast specialist’s and gynecologist's prescriptions. The breast specialist and gynecologist determine services to be provided from the list below, their number and proceeding in view of the Patient’s condition.

This program includes the services provided only in the EMC under acting license:


  • Breast specialist consultation
  • Standard digital mammography/3 exp.
  • Breast ultrasound
  • Breast specialist follow-up consultation
  • Gynecologist Consultation
  • Transvaginal ultrasound
  • Cytologic cervical smear (Pap Smear)
  • Gynecologist FOLLOW-UP Consultation
  • BRCA1 C61>G
  • BRCA1 C300>T
  • BRCA1 2080delAA
  • BRCA2 6174delT
  • BRCA2 9318 delAAAA
  • BRCA2 S1099X
  • BRCA2 1528del AAAA
  • Venopuncture/adults


The maximal number of services provided within the program is only one.
The services not included in the Program or exceeding the prospected number are to be paid separately.


The price of the program amounts to 1340,8 c.m.u.*
* 1 c.m.u. = 1 EUR at the CB RF exchange rate.

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My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the ( read more )

My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed. Is it really so that this surgery is only possible for young and relatively healthy persons? ( hide )

It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible, but there is a 100% risk of suture line disruption and ( read more )

It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible, but there is a 100% risk of suture line disruption and inflammation, let alone the postoperative pneumonia, venous thrombosis, etc. There is another option such as vaginal hysterectomy which is more acceptable and relatively safe in obese patients. It is not a «treatment standard», however, as it allows not obtaining pelvic washings, but still there is a possibility of complete cure. Anesthesia remains a problem - both general and spinal. Radiation therapy without surgery is another acceptable treatment option besides vaginal hysterectomy. A chance of complete cure is still exists, but the survival rate is on average lower than in surgical treatment ( hide )

19.03.2016

An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have ( read more )

An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you. ( hide )

Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days. This surgery must be as delicate to preserve healthy ovarian ( read more )

Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days. This surgery must be as delicate to preserve healthy ovarian tissue (considering your reproductive plans) as radical at the same time to remove the mass together with the capsule. At the preoperative stage an expert level ultrasound with Doppler is required, as well as blood tests for Ca-125 and НЕ-4 tumor markers. The decision concerning the necessity of FEGDS and colonoscopy is taken based on the results of these tests. ( hide )

05.09.2015

I have a transplanted kidney and I was recently found to have severe cervical dysplasia. The biopsy results are not yet back, but the physician says I must have my uterus and cervix removed. My question is: Can I have the operation in your clinic?

For severe cervical dysplasia, usually cervical conization is sufficient. If you have no plans for reproduction, or you already have children, then theoretically you can discuss having a laparoscopic removal of the uterus and cervix, but these decisions should not be made through correspondence. If you have a referral for an operation in the city where you live, and have the ( read more )

For severe cervical dysplasia, usually cervical conization is sufficient. If you have no plans for reproduction, or you already have children, then theoretically you can discuss having a laparoscopic removal of the uterus and cervix, but these decisions should not be made through correspondence. If you have a referral for an operation in the city where you live, and have the opportunity to come to Moscow, come for a free consultation using "Second Opinion" promotion. If necessary, we can quickly provide operative treatment at a discount. ( hide )

20.06.2015
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Susan

All staff in Gynecology are wonderful! Especially nurse Olga. Doctor Panfilovata thank you!

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