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Inpatient Treatment

Fighting cancer starts HERE and NOW!

Outpatient Center

Innovations and Scientific Research

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2 3www.cityclinic.bg Fighting cancer starts HERE and NOW!

The Cancer Center combines high-tech diagnostic facility with advanced treatment and professional care for the cancer patients from Bulgaria and Southeast Europe.

The Outpatient Center at City Clinic Cancer Center provides access to leading diagnostic and screening techniques. Patients will receive infor-mation related to their diagnosis and further management. It has the following departments:

City Clinic Cancer Center is a modern world class med-ical facility. Our mission is to implement the latest sci-entific developments in fighting cancer, using individ-ualised approach.

The following departments provide further specialised care and treatment:

Medical Oncology

Radiation Oncology

Nuclear Medicine

Diagnostic Imaging

Medical Genetics

Clinical Pathology

Gastroenterology

Ultrasound facilities Diagnostic Ultrasound

Echocardiography

Additional services provided Program for monitoring and follow

up of cancer patients

Second opinion on diagnosis and management

Outpatient Center

Specialised Exam Rooms

Laboratories:

Clinical Laboratory Medical Genetics Pathology

Diagnostic Imaging and Nuclear Medicine

Specialized Hospital Services

Our priority is the personalised care for all our pa-tients. All of the inpatients are placed in single rooms. This allows family members and friends to be close to them. We feel this is extremely import-ant as the family support is crucial for the patient coping with the disease and treatment.

The hospital has a parking lot with disability facilities, including wheelchair ramps and elevators.

The family members are educated at the Cancer Center in providing ongoing care after the patient has been discharged. This is a successful model bor-rowed from leading hospitals and implemented at CITY CLINIC Cancer Center.

The hospital is using electronic health records and electronic administration of patient’s treatment. This saves time and ensures correct and comprehensive data record for each and every patient.

The concept of building City Clinic Cancer Center has been developed along the model of the one of the world’s leader in cancer care - M. D. Anderson Cancer Center in Houston, TX, USA.

Many leading Bulgarian specialists work in the hospi-tal and our ambition is to further recruit established and well-known Bulgarian doctors from prestigious in-ternational hospitals back to Bulgaria.

City Clinic Cancer Center has introduced leading medical practices. The clinic encourages the participation of family members in the patient’s management. Relatives and friends will be educated to provide subsequent care at home. An additional Social Services Center ensures physical and emotional support to patients and their families.

Medical Oncology

Radiation Oncology

Nuclear Medicine

Diagnostic Imaging

Pathology

Medical Genetics

Gastroenterology

Obstetrics and Gynaecology

Respiratory Medicine

Surgery

ENT

Clinical Laboratory

Endocrinology

Cardiology

Urology

Orthopedics

Dermatology

Multidisciplinary approach

Medical Oncology is a very broad area of oncolo-gy, which encompasses not only the medical treat-ment, but also cancer prevention and screening. The approach to the patient case is planned at multidisci-plinary meetings due to the complexity and the broad expertise needed. Each and every patient case is dis-cussed on these Tumor Council meetings where all the specialists of City Clinic can give their personal input re-garding the current situation and the future treatment of patients. Thanks to this approach, he or she does not need to visit specialists one by one, but can have their advices and professional support in handling the disease.


Department of Medical Oncology

Prof. Assen Dudov, MD, PhD, DSc.

HEAD OF MEDICAL ONCOLOGY DEPARTMENT AND MEDICAL DIRECTORPresident of Bulgarian Cancer Scientific SocietyMember of the European Society of Medical Oncology (ESMO)Member of the American Society of Clinical Oncology (ASCO)Member of the European Organization of Research and Treatment of Cancer (EORTC)Member of the European Association of Cancer Research (EACR)Member of the American Association of Cancer Research (AACR)Founder and Editor of the Bulgarian Oncologic Scientific Association magazineMember of the Board of Editors of the international Biotechnology and Equipment magazineMember of the Board of Editors of the Oncology and Radiology magazine

The Department of Medical Oncology offers diagnos-ing, staging, treatment and follow-up for patients with all types of solid tumors. The patient management planning is conducted via Tumor Boards and Planning Conferences, where all individual cases are discussed. The department has modern infusion day-ward and in-patient facilities. The Medical Oncology department is also equipped with an outpatient unit.

The Department of Medical Oncology provides:

Diagnostic and management planning

Chemotherapy

Targeted treatment

Endocrine therapy

Centralised robotic chemotherapy compounding

The Department provides the most modern chemo, hormonal, immuno and targeted therapy. The hospital has a day-ward and inpatient chemotherapy facilities, aimed at efficient and safe chemotherapy administra-tion. The robotic chemotherapy compounding, ultra-sound vein finding, infusion pumps (devices used for automatic computer controlled intravenous infusion) are all ensuring optimal quality control of drug admin-istration.

Targeted therapy

Targeted therapy is a treatment, which utilises an-ti-cancer drugs, directed at specific molecular tumor targets. A genetic analysis is required in order to find those specific target molecules. This type of treatment reduces the side effects dramatically. It is highly effi-cient in tumours having the specific target molecules.

Chemotherapy is mostly administered intravenously through a vein in the hand or using the so-called port-a-cat systems, small devices placed under the skin, allowing the inflow of drugs without continuously traumatizing the patient’s veins. Other anticancer drugs are taken orally, and in some cases using subcutaneous injections or drugs are administered in the form of pads (wafers) with a special structure – thus the medication enters through the skin into the bloodstream. Preparation of infusion drugs is done by a robot in the Hospital Pharmacy using specialized software. This ensures speed and optimum use of anti-cancer drugs.

Infusion Center

The infusion center consists of 14 chemotherapy chairs. There is an individual access to medical gases and as-piration. An additional place for a support person is provided. Тhere is an access to TV and Wi-Fi Internet. Patients with advanced cancers or severe disabilities could use private rooms, where they can receive the same procedures as in the infusion center and have the privacy to maintain their tracheostomy, gastros-tomy, colostomy, etc. The infusion center is specially equipped with nursing desks for quick assistance by the nurses and junior physicians.The pneumatic mail delivers the blood samples and other specimens to our clinical laboratory within seconds.

Chemotherapy mostly is administered intravenously, either through a vein of the hand or using the so called port-a-cath systems. These are small devices placed under the skin and connected to a catheter implanted in a large vein. These allow the administration of drugs without continuously traumatising the patient’s veins. Other anti-cancer drugs are taken orally, as subcutane-ous injections or in the form of transdermal patches. The compounding of infusion drugs is done by a robot in the Hospital Pharmacy using specialised software. This ensures the safety for the patients and the person-nel, speed and optimum use of the drugs.


Department of Radiation OncologyRadiotherapyRadiotherapy is one of the main anticancer treatment modalities, together with chemotherapy, surgery, im-munotherapy and targeted therapy. The radiotherapy uses X-rays very similar to the ones we make pictures with. The radiotherapy X-rays are much more power-ful, they go through the skin and deliver dose deep in-to the human body at the place of the tumour. As the beams come from outside of the body - the treatment is called external beam radiotherapy. Normally several X-ray beams are needed; they enter the body under dif-ferent angles. The process of calculation of the exact an-gles and doses is called “radiotherapy planning”.

The modern radiotherapy techniques use computer based modeling of the intensity of the beams. These are calculated and delivered in such way that, when combined the doses from the different beams, the com-posite dose draws a smooth line around the tumor at the same time avoiding the normal tissues. The com-puter based modulating of the doses defines the Inten-sity Modulated Radiotherapy (IMRT). IMRT is the basis of the modern external beam radiotherapy.

Dr. Kamen Nedev, MD

CONSULTANT IN RADIATION ONCOLOGY AND BRACHYTHERAPY SPECIALISTMember of the Association of the Radiotherapists in BulgariaMember of the Bulgarian Cancer SocietyMember of the European Society of Therapeutic Radiology and Oncology (ESTRO)Member of the Advisory Board and co-author of the National Manual of Conduct in diagnosis and treatment of prostate cancer (2012)

Prof. Tatiana Hadjieva, MD, PhD, DSc.

HEAD OF RADIOLOGY DEPARTMENTChair of the Association of the Radiologists in BulgariaProf. K. Chilov Award of Sofia Medical Faculty – in overall contribution in treating patients and teaching students (2013)Deputy Editor of the Report of Practical Oncology & RadiotherapyMember of the European Association of Nuclear Medicine (EANM)Member of the European Society of Therapeutic Radiology and Oncology (ESTRO)Member of the American Society of Therapeutic Radiology and Oncology (ASTRO)Founding Member of the Balkan Union of OncologyMember of the European Society of Medical Oncology

The classic fractionated radiotherapy relies on the small differences in the radiosensitivity and abilities to repair between the normal and cancer cells. These differences have to be amplified by using relative low dose radia-tion on a daily basis over 4 to 8 weeks.

RadiosurgeryWith radiosurgery very high doses of radiation are used in one single treatment or in only few fractions. These high doses of radiation are much more effective in kill-ing the tumour, compared to the relatively low daily doses of the classic radiotherapy. Unfortunately, the same applies to the normal cells around the tumour. Therefore, these high doses are feasible only if the tu-mour could be separated well from the surrounding tis-sues and providing that the tumour does not contain a sensitive organ (e.g. an important nerve or blood ves-sel). The positioning and precision of the radiothera-py machine (linear accelerator - linac) are very import-ant as the tumor is targeted with accuracy of less than 1mm. Not only tumours could be treated with stereo-tactic radiosurgery, but also some functional disturbanc-es (usually in the brain). The principle of stereotactic radiosurgery could be applied both to tumours in the brain and to tumours elsewhere in the body.

BrachytherapyBrachytherapy is a type of radiotherapy where the source of radiation is introduced directly into the tu-mour with special applicators. In other words - the ra-diotherapy gets delivered from inside out. This allows very high doses radiation to be inserted directly into the tumor, sparing the normal tissues.

The Department of Radiation Oncology is an inte-gral component of the City Clinic Cancer Center. It is equipped with two Varian® linear accelerators, one of which with STX specifications. These are the most ad-vanced linacs in the world at the moment. The depart-ment also has a HDR (high dose rate) brachytherapy system for some specific indications.

TrueBeam® is the newest generation of linear accelerators of the company Varian® . They are designed to have very high dose rate and remarkable precision. The STX model of TrueBeam® linac is specialised for stereotactic radiosurgery. It is aimed at forming relatively small highly focused beams. The linac has very accurate system for positioning of the patient. Prior to each treatment the linear accelerator is able to verify the position of the tumor with technology similar to CT scan done in treatment position directly on the linac. These linear accelerators have build in and integrated quality control systems, ensuring that right dose is given to the right place every single time.

The City Clinic Cancer Center doctors are experts in their respective fields, many of them with practical experi-ence gained overseas. The system of quality control is modeled after the quality control systems of the avia-tion industry. Testament to that effect are the multiple international accreditations.

Regardless of the high tech nature of the Radiation On-cology, the focus of the medical personnel of the de-partment is on the patient as individual. City Clinic rec-ognises that the patients go through one of the most difficult periods of their lives with the diagnosis and treatment of cancer. There are multiple support mea-sures, aimed at making the patient journey as stress-less as possible.

Radiology TrueBeam STXBrachytherapy

9www.cityclinic.bg Fighting cancer starts HERE and NOW!8

Modern nuclear medicine requires an entirely new ap-proach, based on strict quality criteria. By using the lat-est generation of hybrid high-tech equipment, SPECT/CT and PET/CT, it ensures optimal analytical and diagnos-tic imaging. With this equipment, it is possible to ob-tain unique images combining structural and functional changes, impossible with the older generation machines.

The modern scanners at City Clinic help physicians achieve significantly shortening the examination time of patients, reducing both the needed activity of the inject-ed radiopharmaceutical and the radiation dose. The re-sult is a high quality image, which is the first step in ac-curate diagnosis and subsequent adequate therapy.

Prof. Irena Kostadinova, MD, PhD, DSc.

HEAD OF NUCLEAR MEDICINE DEPARTMENTDeputy Chair of the Bulgarian Association of RadiologyHonorary Chair of the Bulgarian Society of Nuclear MedicineProf. K. Chilov Award of Sofia Medical Faculty – in achievements in science teaching (2013)

Deparment of Nuclear Medicine Nuclear Medicine is a medical specialty dealing with diagnosis and treatment, using radionuclide com-pounds (radiopharmaceuticals), administered in the human body. Nuclear medicine uses molecular diag-nostic imaging methods in visualization, characteriza-tion and measurement of biological processes at the molecular and cellular level. These are functional im-aging methods having high sensitivity and allowing early diagnosis. This is due to the fact that metabolic changes precede the anatomical ones and can be de-tected before the structural changes appear. By using these methods, it is possible to create an image of the whole body showing the spread of the cancer cells and the degree of pathological changes.

PET/CTModern PET/CT-scanner is available at City Clinic. It com-bines the strength of PET (Positron Emission Tomography) and CT (Computed Tomography) in order to provide the most accurate diagnostic imaging. The unique technolo-gy and all the features of PET/CT allow doctors to distin-guish the cancerous from noncancerous lesions. It is also possible to determine whether cancer has spread to other internal organs - a process called “staging of the cancer”.

SPECT/CTSPECT/CT is another technology we use at City Clinic. Sin-gle photon emission computed tomography (SPECT/CT) type of scan can be of particular importance in certain clinical situations, when the interpretation of an area of interest may change depending on its location. It pro-vides the ability to merge or combine the images often allowing the nuclear medicine specialist to more accu-rately determine the site of any abnormality and wheth-er the abnormality lies in the bone or the adjacent joints.

Nuclear medicine finds its application in the visualization and monitoring of a number of benign diseases affecting the cardiovascular system, endocrine system, musculoskeletal system, lungs, kidney function, etc. The nuclear medicine is essential due to its ability to establish the diagnosis early, stage the disease accurately and assess the response to treatment. Nuclear medicine scans also allow the early detection of cancer recurrence and metastasis.

At City Clinic we believe every patient should have an access to world class high-tech diagnostic imaging. The most effective imaging techniques available today will help our patients have personalised therapy programs. This ultimately improves the cancer outcomes and reflects in the patient’s overall quality of life.

PECT/CTSPECT/CT

MAGNITEM


128-slice CT 128-slice CT

Assoc. Prof. Veselka Stoynova, MD, PhD

HEAD OF DIAGNOSTIC IMAGING DEPARTMENTNational Consultant in Diagnostic ImagingChair of the Society of RadiologyMember of the European Society of Radiology OncologyBoard Member of the Bulgarian Society of Cardio-Thoracic RadiologyMember of the European Society of Oncology Imaging (ESOI)Member of the European Society of Radiology (ESR)Member of the European Society of Cardiac Radiology (ESCR)Member of the European Society of Gastroenterology (ESGAR)

3D Mammography with tomosynthesisThe latest advance in breast imaging is digital three-di-mensional mammography, also known as the digital breast tomosynthesis (DBT). This method is now avail-able to patients of City Clinic Cancer Center. It images each breast from several different angles achieved by the X-ray machine rotating in a 30-degree arc. The re-sult is a detailed view, determining the precise location

The Department of Diagnostic Imaging is equipped with state-of-the-art technology and a team of special-ists, ensuring the highest quality and accuracy of the diagnostic process.

The department has a full range of the most modern digital imaging equipment:

Digital X-ray machine

Unique 3D digital mammography unit with tomosynthesis providing the opportunity for contrast enhanced mammography

128-slice CT

1.5T MRI scanner

1.5 Tesla MRI ScannerThe latest magnetic resonance uses magnetic field force of 1.5 T (tesla). The electromagnetic field stimu-lates some of the atoms in the human body, and using a method of complex computer calculations it converts the signals into two- and three-dimensional images, analyzed then by specialists at the Department of Di-agnostic Imaging.

Musculoskeletal systemThe MRI is often used for medical imaging of knees, ankles, shoulders, elbows and wrists. The MRI evalu-ates in detail the soft tissues, cartilages and ligaments, joints, etc. It has high sensitivity and specificity and it is able to detect even the slightest pathological chang-es. The MRI is very useful in diagnosing diseases of the spine such as a herniated intervertebral discs, spinal stenosis and tumors of the spine.

Diagnosis and staging of tumorsThe organs of the chest and the abdomen (liver, pan-creas, adrenals, kidneys, etc). could be examined in detail. The MRI is used extensively in diagnosing and staging of tumours of the male and female reproduc-tive organs and the rectum.

Department of Diagnostic Imaging

City Clinic Cancer Center offers you a complete range of diagnostic and interventional imaging services. We are continuously working to provide patients with the most up-to-date technological advances and innovative options in diagnostic testing. Using state-of-the-art equipment, a skilled team of specialists provide our patients with caring, safe and efficient imaging services that are fully coordinated with comprehensive medical care. Following this direction, we have implemented a specialised system for control and reduction of the patient`s radiation exposure. Each patient has an individual radiation “passport”, tracking the levels of received radiation. This way we ensure a reduction of the radiation risk and maintain minimum levels of radiation exposure.

of any tumor or microcalcifications (these small depos-its of calcium are frequently associated with premalig-nant and malignant breast lesions).

128-slice Computed Tomography (CT) ScanCity Clinic Cancer Center has the latest generation of a 128-slice Computed Tomography Scanner. The scanner directs a specially shaped fan of X-ray beams at the body from rapidly rotating X-ray source. Powerful com-puters process the information, producing images of “cross-sections” of the body. This state-of-the-art ma-chine is equipped with modern software, enabling fast and accurate diagnosis. The 128 slices CT Scanner al-lows a conduction of single breath, low-dose screening examinations of lungs for patients at risk (e. g. smok-ers). It allows modern imaging as virtual colonoscopy. CT is a method of choice for diagnosis and staging of cancer patients. It is also very useful as follow up imag-ing modality. This fast scanner allows also angiography of the vessels of the whole body and their three-di-mensional image reconstruction.

1.5 Tesla MRT

3D Mammography with tomosynthesis


The Department of Medical Genetics together with the Department of Clinical Pathology offers an in-tegrated process for diagnosing and selecting the proper therapeutic approach for City Clinic` patients.

The hospital facility provides services to patients who require:

genetic risk assessment,

genetic research

genetic diagnostics

genetic counseling

management of genetic diseases.

We implemented the latest methods in genotyping various solid tumors. This is done in order to refine and individualise the treatment of each patient. The personalised medicine is the main priority of the Department of Medical Genetics.

Prof. Varban Ganev, MD, PhD, DSc.

HEAD OF MEDICAL GENETICS DEPARTMENTMember of the Bulgarian National Academy of MedicineMember of the Scientific Medical Society of Human GeneticsMember of Biochemistry, Biophysics and Molecular Biology Section at the Bulgarian Union of Scientists

Department of Medical Genetics

Prof. Tsanka Boshnakova, MD, PhD, DSc.

HEAD OF CLINICAL PATHOLOGY DEPARTMENTMember of the European Lung AssociationMember of the Scientific Council of Normal and Pathological MorphologyMember of the Union of scientists, including a member of the Medical Section Management Body

The Department of Clinical Pathology is responsible for pathological studies of different specimens. It is the ba-sis of the accurate diagnosis and subsequent individ-ualising of the treatment process for the patients at City Clinic Cancer Center. These tissue and cytological specimens are normally taken during biopsy procedure or surgery. The Department of Clinical Pathology pro-cesses:

routine reporting on all pathological specimens

specimens (or biopsies) taken during surgery, could be tested immediately by a cryosection for rapid diagnosis. This frequently determines the extent of the surgery intraoperatively.

endoscopic biopsies, taken during various endoscopic procedures

cytology reporting of effusions in the abdominal and thoracic cavity, bronchoalveolar lavage, fine needle aspirations biopsies and vaginal smears. Liquid-based cytology is extensively utilised.

immunohistochemistry stainings are used routinely for cell and tissue typing.

Our pathologists use state-of-the-art technology and the most advanced diagnostic techniques available to analyze thousands of tissue samples each year. Pathol-ogists are key members of the disease management teams, collaborating with other medical specialists to customize each patient’s treatment based on his or her individual disease. Newer technologies and precision medicine have enabled improved diagnostic accura-cy that can further classify cancers and identify specif-ic genetic and epigenetic alterations that drive tumor growth. Precise histologic and cytologic classification and testing for clinically useful mutations in patients’ tumors allow us to match individual patients with the targeted therapies that are mostly likely to benefit them.

The hospital runs Multidisciplinary Clinic, including Medical and Radiation Oncologists, Radiologists and Pathologists who discuss all unusual and challeng-ing cases. This allows a combined clinical decisions to be made. The complete set of immunohistochemistry tests allows diagnosing the metastases from unknown primaries. This also allows tissue typing of poorly dif-ferentiated tumours.

Department of Clinical Pathology

PCR is only one of the latest technologies that our laboratory uses to let geneticists and pathol-ogists make a precise diagnosis of cancer find-ings in the human body as well as present in-formation on the most suitable therapy for each and every patient - the so called targeted ther-apy. The latter aims aggressively at cancer cells while patients suffer much less side effects in comparison to the standard therapy.

The laboratory offers:

DNA isolation from histological and cytological specimens. For patients with non-small cell lung cancer as an alternative method, it is possible to use the so-called liquid biopsy (isolation and genotyping circulating tumor cells from venous blood).

Personalised therapy is available for patients having:

non-small cell lung cancer – EGFR / ALK mutations

colorectal cancer – KRAS / NRAS / BRAF mutations

melanoma – BRAF mutations

The validity of the results is guaranteed by both the high-ly qualified team and by the precision, of the state-of-the-art equipment. The genome sequencing allows determin-ing of the tumor mutations and direct the therapy. It also identifies the candidates for clinical trials with novel treat-ments. Such tests give a comprehensive molecular analy-sis of all solid tumors.


The Department of Gastroenterology provides special-ized medical care in gastroenterology, hepatology and the pancreas diseases. This includes specialized consul-tations, outpatient and inpatient treatment as well as emergency medical activities, covering general and in-ternal medicine.

The Clinic of Gastroenterology treats patients with:

Gastroenterological and liver diseases

Inflammatory and functional disorders of the intestines

Abdominal pain

Diseases of the biliary-liver tree and the pancreas.

The Gastroenterology department has highly trained professionals for diagnosis, treatment and long-term follow-up of patients with IBD (inflammatory bowel dis-ease, and GI Crohn’s disease, ulcerative colitis, chronic hepatitis, caused by Hep B and C viruses, autoimmune hepatitis, primary biliary cirrhosis, and primary liver can-cer as a complication of liver cirrhosis). All physicians have specialty, qualification training and certification in the highest level of expertise in endoscopic and ultra-sonic profiles, enabling them to carry out some of the most complex gastroenterology and hepatology proce-dures.

The endoscopic department has a fully equipped team with high-tech endoscopic ultrasound and x-ray devic-es for endoscopic retrograde cholangiographic proce-dures for biliary gastroesophageal and colonic stenting with plastic and metal self-expanding stents. The team is well-experienced in management of biliary duct ob-structions /malignant and benignant/ as well as a good control of bleeding from upper gastrointestinal tract fi-nalized with endoscopic local hemostasis.

Assoc. Prof. Stoyan Handjiev, MD, PhD

HEAD OF GASTROENTEROLOGY DEPARTMENTMember of the European Federation for Ultrasound in Medicine and Biology (EFSUMB)Member of the European Association of the Study of the Liver (EASL)Member of the Bulgarian Association of Ultrasound in Medicine (BAUM)Member of the Bulgarian Society of Gastroenterology (BSGE)

Department of GastroenterologyThe Department of Gastroenterology is a separate highly technological endoscopic and ultrasound sector (both outpatient and inpatient care) where the follow-ing are performed: mini-invasive endoscopic diagnos-tic and therapeutic procedures as well as percutaneous diagnostic and therapeutic interventions under ultra-sound monitoring, solely or combined with X-ray nav-igation; biliary drainage, drainage of the liver, perito-neal and retroperitoneal fluid collections, biopsies of the liver, pancreas, peritoneal and retroperitoneal tu-mors, local radiofrequency and alcohol therapy of liver tumors, liver biopsies in diffuse hepatopathy.

In cooperation with the Department of Diagnostic Im-aging, we have developed a program of early diagno-sis and prevention of colon and stomach diseases. Pa-tients willing to participate in the prevention program undergo risk factor and family history assessment. If necessary, our specialists appoint further screening tests of the respective range (laboratory, imaging, and endoscopy).

LEADING EXPERTS TEAM UP WITH YOU AGAINST CANCER

City Clinic has gathered a team of lead-ing experts in their fields dedicated to ap-ply the latest high-tech methods in cancer treatment. Using the most effective med-ical techniques applied in Western Europe and the USA we will help patients have individual treatment programs, reflecting and improving the overall quality of their lives.

Call for more information and/or book an appointment

+359 700 13 127

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Fighting cancer starts HERE and NOW!

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INTERNATIONAL PATIENT CENTER City Clinic meets the special needs and concerns of in-ternational patients. Our International Patient Center is dedicated in assisting you before, during, and after your stay in Bulgaria. We can ensure you will be treated with uttermost care, attention and professionalism. From the time you contact us, our specially trained patient rep-resentatives ensure effective communication between you and our doctors. We offer assistance in several lan-guages including English, Arabic and Russian. Our highly qualified staff will refer each inquiry to the appropriate department and schedule the earliest appointment. We also provide support for medical visa applications, travel-ling and accommodation arrangements for you and your family members.

The Cancer Center combines the possibilities of Medical Oncology (Chemotherapy), Radiotherapy and Radiosur-gery, Nuclear Medicine and Genetics in order to provide an efficient medical care in cancer treatment. City Clinic offers to its patient’s multidisplinary medication therapy consisting of both classic anti-tumor medication and nu-merous biological, targeting medications.

CITY CLINIC PROVIDES WORLD CLASS CANCER TREATMENT

city clinic cancer center broshure - en

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