BERGEM·HEALTH
Home Treatments Breast Cancer
SPECIALITY · BREAST CANCER

Breast cancer in Türkiye — screening, oncosurgery, immediate reconstruction.

Coordinated multidisciplinary team — radiology, oncology, plastic surgery in one room.

What you get
  • Breast specialist + surgeon + oncologist + pathologist tumour board
  • Surgery and reconstruction in a single hospital stay
  • 5-year follow-up programme
4 breast centres · 5 breast specialists · same-day reconstruction option
SECOND OPINION ONLINE

Second opinion from a breast specialist — within 48 hours, free

Send your mammography, ultrasound and histology — the breast specialist returns a written conclusion on tactics.

01
Upload your discharge summary
Discharge summaries, CT/MRI discs (DICOM), histology slides if available. Up to 200 MB.
02
Coordinator reviews
Selects 2–3 professors matched to your diagnosis and stage. Sends them your records.
03
Video consultation
The professor responds online — review of histology, protocol, travel plan if needed.
What to send
  • Discharge summaries from inpatient / outpatient care
  • CT or MRI — original DICOM discs
  • Histology report (if available)
  • Slides or blocks for review (optional)
  • Current therapy list
Request a second opinion
Free. Confidential. Anna Moroz reads every request personally.
6 PROCEDURES

What we treat in breast care

From benign lesions to the full breast-cancer treatment cycle.

TREATMENT METHODS

Breast care methods

Aligned with NCCN/ESMO. The decision is made by a tumour board of 4–5 specialists.

Lumpectomy
Segmental resection with 1–2 mm margins.
2 clinics
Mastectomy + reconstruction
Skin-sparing mastectomy with immediate reconstruction.
2 clinics
DIEP flap
Reconstruction with the patient's own abdominal tissue.
1 clinics
Radiotherapy (IMRT/SBRT)
Adjuvant radiotherapy after surgery.
2 clinics
Targeted (Trastuzumab)
For HER2+ tumours. 12-month course.
2 clinics
Immunotherapy
Pembrolizumab for triple-negative breast cancer.
2 clinics
DIAGNOSTICS

Breast diagnostics

3D mammography (tomosynthesis), ultrasound, contrast MRI, image-guided biopsy.

3D mammography
Digital tomosynthesis — higher sensitivity than 2D.
15 min
Breast ultrasound
Complements mammography, especially for dense tissue.
20 min
Breast MRI 3T
With contrast — for clarification and disease extent.
1 hour
Stereotactic biopsy
Mammography-guided VAB biopsy.
1 day
BRCA test
Molecular screening of hereditary risk.
14 days
Sentinel biopsy
Sentinel lymph node biopsy intraoperatively.
intra-op
PRICE SNAPSHOT

Breast care pricing — Türkiye vs EU/USA

Final cost is determined by the medical board after reviewing documents. Prices are indicative.

Procedure Türkiye EU / USA Savings
Lumpectomy + radiotherapy $5 000 – 8 000 $20 000 – 40 000 −78%
Mastectomy $5 500 – 8 500 $22 000 – 45 000 −78%
Mastectomy + reconstruction $7 000 – 12 000 $25 000 – 50 000 −76%
DIEP-flap reconstruction $10 000 – 16 000 $35 000 – 65 000 −75%
Trastuzumab (1 cycle) $2 500 – 3 500 $8 000 – 14 000 −72%
Pembrolizumab (1 infusion) $3 500 – 5 500 $12 000 – 18 000 −70%
The information on this page is for reference only and does not constitute a medical opinion.
Request a precise quote for my case
QUESTIONS

Frequently asked about Breast Cancer

Who should get BRCA1/2 genetic testing before breast cancer treatment?
NCCN guidelines recommend BRCA testing for women diagnosed under 50, triple-negative under 60, bilateral disease, male breast cancer, or strong family history (ovarian, pancreatic, prostate). At Memorial and Liv, results return in 10-14 days and shape decisions on contralateral mastectomy, PARP inhibitors (olaparib), and risk-reducing oophorectomy. Cost ~$400-700 including counseling.
Should I choose lumpectomy or mastectomy for early-stage breast cancer?
For tumors under 5 cm with clear margins achievable, lumpectomy plus radiation gives identical survival to mastectomy (NCCN, EORTC trials). Mastectomy is preferred for multicentric disease, BRCA carriers, large tumor-to-breast ratio, or prior chest radiation. Türkiye's MDT tumor boards review every case; oncoplastic techniques preserve cosmesis even with 20-30% volume excision.
Is sentinel lymph node biopsy enough, or do I need full axillary dissection?
Sentinel node biopsy (SLNB) is standard for clinically node-negative patients. Per ACOSOG Z0011, even with 1-2 positive sentinel nodes, full axillary dissection (ALND) can be skipped if breast-conserving surgery plus whole-breast radiation is planned. ALND remains indicated for 3+ positive nodes, mastectomy with macrometastases, or post-neoadjuvant residual disease. Reduces lymphedema risk from 20% to 5%.
What is the treatment plan for HER2-positive breast cancer?
HER2+ disease (IHC 3+ or FISH-amplified) receives dual blockade: trastuzumab plus pertuzumab with chemotherapy (TCHP regimen) for 6 cycles neoadjuvantly. Residual disease post-surgery triggers switch to T-DXd (trastuzumab deruxtecan) per DESTINY-Breast05. Total HER2-directed therapy lasts one year. Memorial and Liv stock FDA/EMA-approved biosimilars; package ~$18-25k versus $80k+ in EU.
What reconstruction options exist — implant versus DIEP flap?
Implant reconstruction (2-stage with tissue expander) suits thin patients, takes 2-3 months, costs ~$6-9k. DIEP flap uses your lower abdominal tissue (no muscle sacrificed), gives natural feel, lasts lifetime, costs ~$12-16k and requires 6-8 hour microsurgery. DIEP is preferred after radiation. Memorial's plastic surgery team performs 150+ DIEPs annually with <3% flap loss.
Why would my oncologist recommend chemotherapy before surgery (neoadjuvant)?
Neoadjuvant chemo shrinks tumors to enable breast conservation, tests in-vivo drug sensitivity, and treats micrometastases early. It's standard for HER2+, triple-negative, and locally advanced disease. Pathologic complete response (pCR) predicts excellent long-term survival. Non-responders switch to T-DXd or capecitabine post-op (CREATE-X, KATHERINE trials). Total treatment timeline: 5-6 months chemo, then surgery within 4 weeks.
What are 5-year survival rates for breast cancer treated in Türkiye?
At JCI-accredited Memorial and Liv centers, stage-matched outcomes match Western benchmarks: stage I ~99%, stage II ~93%, stage III ~75%, stage IV ~30% five-year survival. Centers report to international registries and follow NCCN/ESMO protocols. MDT tumor boards (surgical, medical, radiation oncology, pathology, radiology) review every case weekly. Package cost ~$12-22k versus $40-100k in EU/US.
REQUEST

Tell me about your case — I’ll read it personally.

Fill in the short form on the consultation page — diagnosis, preferred timing, attached records. We assemble a tumour board for your case and reply within 4 hours.

Open the consultation form
  • Reply within 4 hours during business hours
  • Confidentiality guaranteed
  • Coordinator-translator inside the doctor’s office
  • Tumour board of 2–3 professors within 72 hours