Breast Unit

Oreste Gentilini

Years of experience: 15

Specialized in the treatment and scientific research of breast cancer

He’s responsible for projects studying breast-sparing surgery and preservation of the underarm lymph nodes, expert in hereditary and family risks of cancer and “risk-reducing” preventive procedures for women at high genetic risk.
He represents an international point reference for special situations like the treatment of breast cancer in pregnant women or young women.

2015 head physician at Unità Operativa di Chirurgia della Mammella dell’IRCCS Ospedale S. Raffaele (Brest Surgery Operative Unit at San Raffaele Hospital in Milan).
2015 Member of the Editorial Board of the European Journal of Surgical Oncology.
2014-2015 Member of the Scientific Review Board of the Istituto Europeo di Oncologia (European Institute of Oncology).
2014 Principal Investigator (coordinator and Manager) of the LIVE study (Live ImproVed by Exercise).
From 2014 Senior Vice-Director of the Senology Dept at Istituto Europeo di Oncologia (European Institute of Oncology).
From 2012 member of the panel of European experts of breast cancer in young women.
From 2012 member of the panel of European experts of breast cancer in pregnant women.
From 2012 Principal Investigator (Coordinator and Manager) of the multicentric international study SOUND (Sentinel node vs Observation after axillary Ultra-souND).
From 2007 Vice-Director of the Senology Dept at Istituto Europeo di Oncologia (European Institute of Oncology).
From 2001 Assistant of the Senology Dept at Istituto Europeo di Oncologia (European Institute of Oncology).
2000 Consultant at Chirurgia II (2nd Surgery Unit) of San Raffaele Hospital in Milan.
1996-1997 Research Fellow at New York Hospital-Cornell Medical Center.

MEDICAL ACTIVITIES
The main objective of the Breast Surgery Operative Unit is to treat cancer taking also care of the whole person. It operates in a multi-disciplinary way with all the different professional skills involved in breast cancer treatment.
Most operations, such as quadrectomy or biopsies of the sentinel lymph node, are performed with minimally invasive techniques in Day Surgery with a same day dismissals.
We also have advanced programs for the underarm emptying and removal of lymph nodes, for a better quality of life of our patience without threatening the healing process.
In the cases where a more extensive process is required, plastic surgery is adopted in an integrated way, using innovative techniques and materials (ADM acellular dermic matrix). For women that necessarily require mastectomy we try to respect the integrity of their body with a breast reconstruction procedure, executed in the same operation using prosthesis or expanders. We also perform nipple-sparing surgery respecting the feminine look of our patience but still observing radical oncological criteria.
We always evaluate hereditary and family risks offering the opportunity of a BRCA mutation genetic test. In case of positive result, we discuss with the patient all the different options: periodic control with breast ultrasound, mammography and NMR, prevention programs or risk-reducing surgery (preventive mastectomy and/or preventive annessiectomy).
Even women with particular situations, such as young women, can count on our experience, for whom we have a large medical competence and technologies for the preservation of fertility. We have a renowned experience for the treatment of breast cancer in pregnant women, in cooperation with our Gynecology and OB wards.
We also take care of Male breast problems (Male Breast Cancer or Gynecomastia), with the most advanced treatments.
We offer the possibility of participating at new study projects because we believe that research represents the best opportunity of defeating cancer.
Psychological support is always available for all our patients; we also support a project “Salute allo Specchio” (health in front of the mirror) for regaining self-esteem and moving back to life.
The pathway continues even after treatments are finished with periodic controls combined to advice and education on a new life style, eating habits and physical exercise.

OPERATIONS
He has personally executed over 4000 breast surgeries and is the author of over 100 international publications.