Head of the Clinic: Primarius Ass. Prof. Jasmina Alidžanović, specialist in internal medicine, oncologist

Head nurse: Lejla Balvanović, MSc. graduated nurse

Telephone: 35 303 481

Secretary: Amra Ovčina

Telephone: 35 303 389

e-mail: info@ukctuzla.ba

HEALTH CARE SERVICES:

• Diagnosing, planning and application of therapy for malignant diseases and solid tumors
• Implementation of chemotherapy
• The application of “targeted therapy” combined with or without chemotherapy
• The application of immunotherapy
• Radiotherapy treatment

ORGANIZATIONAL STRUCTURE

• Department for medical oncology
• Department for radiotherapy
• Department for teletherapy

OUTPATIENT CLINIC

• Outpatient oncology
• Admission
• Specialist consultation (oncology and radiotherapy)
• Oncology consilium

Oncology consilium:

Oncology consilium consists of a multidisciplinary team involving a range of health professionals ( a surgeon of a certain specialty, a pathologist, a medical oncologist, a radiation oncologist, a clinical pharmacologist, etc.), who evaluate patient’s medical records and makes clinical decision on cancer treatment modalities.

Oncology consilium working hours:

Monday to Thursday: 12 noon- 2 p.m.

Friday: 9:30 a.m.- 12 noon

THE CLINIC STAFF

Number of employees: 52

Doctors specialists: 7

Doctors subspecialists: 4

Doctors residents: 6

Secondary doctors: 2

Nurses/ technicians with High Health School- 5 (3 have master’s degree in nursing)

Nurses/ technicians with nursing school- 19

Radiological engineers- 10 ( 2 have master’s degree in medical radiology)

Non medical workers: 3

The Clinic for Oncology and Radiotherapy has 24 hospital beds (the department for oncology 14 beds and the department for radiotherapy 10 bed)

Admission works 24 hours

Outpatient oncology and specialist consultation for oncology work every working day 7:30 a.m.- 4 p.m.

Specialist consultation for radiotherapy works every working day 8 a.m.- 2 p.m.

DEPARTMENT FOR MEDICAL ONCOLOGY

Chief of the department: Primarius Dr. Dijana Koprić, specialist in internal medicine, oncologist

Nurse in charge: Nada Isić, graduated nurse

Telephone: 35 303 363

• The department for oncology has 14 hospital beds
• Conservative chemotherapy, targeted therapy with biological drugs and immunotherapy are carried out according to novel methods for cancer treatment
• Diagnostic services: biochemical, microbiological, immunological, CT/ MRI diagnostics (to monitor response to therapy), pleural and abdominal puncture
• 24- hour monitoring and the continuous critical care of patients
• Oncology patients and their family health education occurs across the continuum of care. A psychologist is engaged once a week.

TARGETED THERAPY AND IMMUNOTHERAPY IN CANCER TREATMENT

The Clinic for Oncology and Radiotherapy offers targeted therapy in the treatment of malignant diseases. Targeted therapy is a type of precision cancer treatment that works in different ways from standard chemotherapy. Monoclonal antibody therapy in the neoadjuvant treatment of breast cancer reduced the rate of breast cancer mortality by 30% and the rate of breast cancer recurrence by 50%.

HER2-positive breast cancer represents an aggressive subtype of the disease and the use of this therapy has revolutionized the treatment and survival of patients. It is the first drug to change the outcome of patients with HER2- positive breast cancer. Based on our experience the long term use of this drug, alone or in combination, improves the prognosis of patients. Diagnosing cancer at its earliest stages often provides the best chance for cure. In metastatic diseases, in combination with chemotherapy prolongs the time of diseases progression and overall survival. During the last four years immunotherapy has been used in the treatment of malignant diseases, which, especially in the treatment of metastatic melanoma has given very good results regarding a response to therapy and prolonging survival in patients with metastatic melanoma.

In the last ten years, in addition to standard cytostatic therapy, new biological drugs have been in use at the Clinic, and that has greatly extended the overall survival of patients.

The Clinic for Oncology, Hematology and Radiology has recorded excellent results with the use of new drugs, which, owing to their specific, targeted mechanism of action, have proven to be effective therapy in cancer treatment.

DEPARTMENT FOR RADIOTHRAPY

Chief of the department: Primarius Ass. Prof. Hasan Osmić, specialist in radiotherapy, oncologist

Radiological engineer in charge: Muhamed Topčagić, MSc.

Telephone: 35 303 483

• The department for radiotherapy has 10 hospital beds.

• The facility of the department is built according to modern standards and protocols for general radiation protection and safety.

• The department is equipped with a Philips Brilliance radiotherapy planning simulator, two Elekta Synergy digital linear accelerators with dual, photonic and electronic modes of operation, a Flexitron brachytherapy device with 40 channels, a computer system for 3D radiotherapy planning CMS, a computer the Impac Mosaiq communication and data storage system, a set of dosimetry equipment that includes appropriate phantoms and ionization chambers.

• The department provides irradiation services for oncology patients based on previous diagnostic and pathohistological examinations, 3D planning of conformal radiotherapy, teleradiotherapy of malignant tumors of all localization, and counseling and monitoring of patients after radiotherapy.

• Health professional from the department regularly participate in the education and training programs for radiation health professionals organized by the European Society for Radiation Oncology (ESRO) and the International Atomic Energy Agency (IAEA).

• The department offers its health services to the patients from the Federation of Bosnia and Herzegovina. Annually, a thousand patients approximately receive cancer treatment at the department.

RADIOTHERAPY SERVICES

The department for radiotherapy with the state- of – the- art equipment offers conformal planning and delivery of radiotherapy treatment, which compared to conventional radiotherapy enables maximum irradiation of the tumor with maximum protection of the surrounding at- risk organs. The method leads to better results in the treatment and at the same time reduces the side effects of radiation in patients.

The department follows strict radiation protection regulations with the main focus on the safety and protection of patients, employees and the environment. All radiation protection measures and quality assurance tests of radiotherapy equipment prescribed by the Law on Radiation Protection are carried out.