This check-up takes into account the last NCCN, ASCO, EMSO guidelines, but it also takes into account innovating aspect of molecular biology. This check-up specially values the dialogue with the doctor specializing on oncology. The doctor will discuss the patient to determine his/her family medico-surgical history, personal medico-surgical history and to be aware of his/her socio-professional environment, his/her way of life and his/her dietetic habits. The clinical exam, the evaluation of the results of biological check-up will allow the specialist to determine the risk factors and the specific domain to investigate. The low dose PET/CT exam without injection of contrast product is offered in some clinics as a complementary technique for cancer screening. Thus we can find it in suggestions from John Hopkins or the Mayo Clinic, but PET exams is mostly widely used for screening in the Asian world. Such a check-up is only appropriate if there is final consultation with the specialist to review the results of all performed exams. The oncologist will give hygiene of life advises and will discuss with the patient about the targeted regular check-ups to perform.
Stages of the check-up
To optimize the time at disposal of the patient, it’s suggested to perform a progressive medical investigation:
- Appointment schedule – Program organisation – Basic biological check-up
- Initial oncology consultation – Radiology exam planning – Onco-genetic planning – complementary consultation planning
- Final oncology consultation – Results review.
- Complementary investigations and additionnal consultations depending on the specificity of identified abnormal results.
Basic biological check-up ( Men, Woman )
- Complete blood count
- VS, CRP, Electrophoresis, Prot. Tot, Ferritin, Phosphate
- Protein C-reactive, Interleukin 6, HbA1c, CRP us
- Ionogram (Na, K, Ca tot, P)
- Hepatic tests (Phosphatase Alkaline, Bilirubin Tot, gammaGT, ALAT, ASAT,LDH)
- Thyroid tests (TSH, T3, T4)
- Creatinine, Glycaemia, folic acid, Ferritin,
- Bone markers (PA tot, PA bone, XLaps, Crosslinks)
- Tumour markers (ACE, CA 19.9, beta2 microglobulin, chromogranin, Thyroglobulin, Calcitonin)
- Septin9, Vit B12 et HoloTC, Folates
- Search Toxin Clostridium in stools, blood in stools
- Urine Screening Routine, Tryptase urine
- PSA total and free, PCA3
- alphaFP, beta HCG
- CA-125, CA 15.3
- AlphaFoetoProtein and Beta HCG
- CA 19-9, CA 72.4
- Calcitonin, CEA, Chromogramin, Thyroglobulin
- Beta2Microglobulin, Thymidin-kinase
- NSE, Protein S-100, TPA/TPS
Radiology and Nuclear medicine planning ( Men, Woman )
- >50 years & smoking : PET/CT scan and Pulmonary CT low-dose
- >40 years & CA in family history: PET/CT scan with CT low-dose
Prostate MRI IRM
- Mammography
- Breast US
- Breast CA in family history: Breast MRI
Specialized consultation planning ( Men, Woman )
- Dermatology consultation
- >50 years : Gastro enterology consultation / Colonoscopy
- Urology consultation
- Gynecology consultation & Vaginal US & Smear
Final consultation ( Men, Woman )
- Review of results
- Planning and details of future control
Price : CHF 2’950.00 incl 2 oncology consultation and laboratory analysis (genetics non included)