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Oncology and Nutrition preventive check-up

This check-up takes into account the last NCCN, ASCO, EMSO guidelines, but it also takes into account innovating aspect of molecular biology.

In November 2007 a capital publication of a report by international experts was published jointly by the Global Research Fund against Cancer (FMRC, or WCRF these abbreviations in English) and the American Institute for Cancer Research AICR). This report provides a current assessment of the relationship between nutrition, body composition, physical activity and different types of cancer. It may well include among the many known associations: the protective effect of exercise on colon cancer, the negative association of body fat and breast cancer in postmenopausal women or high salt intake and the risk of stomach cancer.

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. 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.

A nutritional check-up will be achieved and will include a detailed evaluation of its socio-professional environment, lifestyle and dietary habits.

The corporal balance analysis DXA without injection of contrast product, non-invasive, and with very low radio exposition allows a very precise body regional and total measure of the bone, fat and lean mass. This technology is widely used in the elite sportive realm to specify the impact of nutrition and training on the sportsman/woman. It also allows to follow precisely its evolution in time.

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.

After the first consultation with the oncologist, some additional exams can be added.

Stages of the check-up

To optimize the time at disposal of the patient, it’s suggested to perform a progressive medical investigation:

  1. Appointment schedule – Program organisation
  2. Biocheckup blood and urine analysis
  3. Initial oncology consultation – Radiology exam planning – Onco-genetic planning – complementary consultation planning
  4. Initial consultation with the internist providing of biological check-up
  5. Evaluation of alimentary habits, the way of life (including physical activity and quality of sleep), the level of stress, and the biological age (based on the cardiac variability and coherence).
  6. Final consultation with internist-nutritionist with recommendations
  7. Final oncology consultation– Results reviews
  8. * Complementary investigations and additionnal consultations depending on the specificity of identified abnormal results.

*Radiology and Nuclear medicine planning

  • >50 years & smoking : PET/CT scan and Pulmonary CT low-dose
  • >40 years & CA in family history: PET/CT scan with CT low-dose
  • Man: Prostate MRI IRM
  • Woman: Mammography, Breast US, Breast CA in family history: Breast MRI

*Specialized consultation planning

  • Dermatology consultation
  • >50 years : Gastro enterology consultation / Colonoscopy
  • Man: Urology consultation
  • Woman: Gynaecology consultation & Vaginal US & Smear

 

Price :

CHF 5’250.00 incl points 1 to 7 of check-up stages.

 

Radiology exams :

PET/CT scan : CHF 4’300.00
Pelvic MRI: CHF 2’500.00
Mammary MRI: CHF 1’500.00
Mammary US + Mammography: CHF 850.00
Prostate US: CHF 650.00

Additionnal consultations :

Urology consultation : CHF 650.00
Gynecology consultation (incl US and PAP) : CHF 650.00
Gastroenterology consultation + Colonoscopy and Biopsy : CHF 2’500.00
Dermatology consultation: CHF 650.00

Biocheckup blood and urine analysis

The biocheckup is a precocious diagnosis program focusing on the physiopathological imbalance associated with society illnesses. The precocious diagnosis of the metabolism imbalance at an early stage, before the appearance of an illness, pushes you to take adapted measures that can have a reversible effect on the development of the illness.

Blood count

  • Red cells
  • White cells
  • Platelets
  • MCV (Mean Corpular Volume)
  • MCHC (Mean Corpular Hemoglobin Concentration)
  • MCH (Mean Corpular Hemoglobin)
  • Hemoglobin
  • Hematocrite
  • Trombocyte
  • White cells repartition:
  • Segmented and non segmented Neutrophiles
  • Eosinophiles
  • Basophiles
  • Monocytes
  • Lymphocytes

Cardiovascular and inflammatory risk
Lipids and inflammation

  • Cholesterol total
  • Cholesterol HDL
  • Cholesterol LOL
  • Triglycerides
  • Ultra-sensitive CRP
  • Plasmatic atherogenicity
  • Ratio cholesterol/HDL

Fatty acid profile/span

  • 17 fatty acid
  • Omega 6/-3
  • Rate omega 3

Lipoproteins atherogenicity/emerging markers

  • Apolipoprotrein A 1
  • Apolipoproteine B
  • Ratio Apo B/ Apo A 1
  • Lipoprotein (a)
  • Oxydated LOL
  • Homocystein
  • Folic acid
  • Vitamin B12

Liver and pancreatic health

  • ALAT
  • ASAT
  • GAMMA GT
  • Alcaline Phostphatase
  • Total Billirubine
  • LDH
  • Pancreatic amylase

Oxidative stress &nutrition
Vitamins and antioxidants

  • Vitamin A (retinol)
  • E (alpha-tocopherol
  • E (gamma-tocopherol)
  • E alpha-/gamma-tocopherol
  • Beta-carotene
  • Alpha-carotene
  • Lycopene
  • Lutein+Zeaxanthin
  • Beta-cryptoxanthin
  • Total Cholesterol
  • E/Cholesterol

Trace elements and enzymes

  • Glutathion perox.
  • Superoxyde dismut.
  • Copper
  • Zinc
  • Selenium
  • Ferritin
  • Urates

Diabetic risk
Insulino-resistance

  • Fasting glucose
  • Fasting insulin
  • HOMA index

Nutrition & metabolism
Fatigue, stress, sports industrial alimentation
Magnesium status

  • Erythrocyte magnesium

Sever nutritional problems
Nutrition and inflammation

  • Ultra sensitive CRP
  • Orosomucoid
  • Prealbumin
  • Albumin

Nutrition, metabolism, sports
Iron metabolism

  • Iron
  • Ferritin
  • Transferrin
  • Soluble receptor TFE

Endocrinal status
Stress, obesity
Cortisol screening and rhythm

  • Cortisol

Thyroid

  • TSH
  • Free T4
  • Free T3
  • TG, TPO

Bone health

  • Bone PAL
  • 25-OH vitamin D
  • Calcium
  • Phosphate
  • Albumin
  • CTX crosslaps

Women hormonal check

  • FSH
  • LH
  • Estradiol
  • Progesteron
  • Prolactin

Men hormonal check

  • Total Testosterone
  • SHBG
  • DHEAS
  • Delta-4 androstenedione

Heavy metals
Trace of toxic elements in urine

  • Aluminium
  • Arsenic
  • Bore
  • Cadmium
  • Chrome
  • Cobalt
  • Copper
  • Lead
  • Magnesium
  • Manganese
  • Mercury
  • Molybdenum
  • Nickel
  • Palladium
  • Platinum
  • Selenium
  • Thallium
  • Tin
  • Titan
  • Uranium
  • Vanadium
  • Zinc

Trace of toxic elements in blood

  • Aluminium
  • Arsenic
  • Lead
  • Mercury
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