Multidisciplinary Tumor Board
Specialists review your case together to help shape a cancer plan.
Diagnosis, stage, imaging, pathology, and treatment options are reviewed jointly by physicians from different specialties.
Who is in the meeting?
The core team is present for every review. When needed, additional experts from the same or other disciplines may join.
General surgery & organ specialists
Assesses whether surgery is needed and which surgical options fit.
Details
Resectability, timing, open / laparoscopic / robotic approach, and postoperative planning are discussed together. Organ specialists (stomach, bowel, liver, pancreas, etc.) join according to the case.
Medical oncology
Plans drug and systemic treatment options.
Details
Evaluates chemotherapy, targeted drugs, and immunotherapy — whether needed, in what order, and how they combine with surgery or radiation.
Radiation oncology
Defines the place and timing of radiotherapy.
Details
Reviews whether radiation should be alone, before or after surgery, or with systemic therapy, and interprets clinical data for dose and field planning.
Radiology
Interprets CT, MRI, and other imaging in a shared language.
Details
Size, spread, relationship to nearby organs, and treatment response are assessed on imaging — critical for staging and surgical planning.
Pathology
Confirms tissue diagnosis and tumor features.
Details
Microscopic review of biopsy or operative specimens defines tumor type, extent, and selected molecular features that drive treatment choice.
Nuclear medicine
Evaluates metabolic imaging such as PET-CT.
Details
Helps with disease extent, active foci, and treatment response — especially for staging and restaging.
Gastroenterology
Contributes endoscopy and GI diagnostic pathways.
Details
For GI cancers: endoscopic findings, biopsy, stents, and preoperative assessment.
Interventional radiology
Assesses image-guided minimally invasive options.
Details
Needle biopsy, drainage, ablation, or endovascular therapies — as alternatives or adjuncts to surgery.
When a board helps
For information only — not a guarantee of outcome. Common situations — tap a heading for detail.
Whole-picture diagnosis and staging
We look beyond a single finding — clinic, imaging, and pathology together — to clarify stage and diagnosis.
Imaging and pathology read side by side
Reports are discussed in the same sitting rather than in isolation, so mismatches can be spotted earlier.
Surgery, systemic therapy, and radiotherapy sequencing
Whether surgery, drugs, or radiation should come first is decided jointly.
After a new cancer diagnosis
A good time to clarify the roadmap before treatment starts.
When diagnosis or stage is unclear
Conflicting findings or uncertain stage may benefit from a joint review.
When sequencing treatment before surgery
Neoadjuvant therapy needs and surgical timing can be discussed.
Which conditions are reviewed?
Example list; suitability depends on clinical need.
- Colorectal cancers
- Gastric and esophageal cancers
- Pancreas and biliary cancers
- Liver tumors
- Breast cancer
- Lung tumors
- Thyroid and endocrine tumors
- Gynecologic cancers
- Urologic cancers
- Melanoma and other skin tumors
- Sarcomas
- Peritoneal surface malignancies
- Rare or complex tumors
How does the process work?
Clear timeline from request to follow-up plan.
Request and brief history
Name, contact details, and a short clinical summary are collected. Emergencies follow a separate clinical path.
Secure document sharing
We arrange safe transfer of reports and imaging with you. File upload is not always required upfront.
Specialist pre-review
Imaging, pathology, and clinical notes are reviewed by the relevant specialties beforehand.
Multidisciplinary meeting
The case is discussed at the board; specialties reach a joint assessment.
Sharing recommendations
Results are explained clearly to the patient and/or referring physician.
Treatment and follow-up plan
The roadmap is finalized in clinic and surveillance is discussed.
Suitability and meeting timing depend on clinical need.
Documents that help
Bring what you have; we guide you on anything missing.
Pathology reports
Core document describing tumor type and features.
Slides / blocks (if needed)
May be requested for second pathology review or extra tests.
CT, MRI, PET-CT images
The images themselves matter for staging and surgical planning.
Imaging reports
Radiology interpretations underpin the board discussion.
Endoscopy / operative reports
Details of prior procedures influence treatment choice.
Blood tests and tumor markers
Inform overall status and disease activity.
Summary of prior treatments
Chemotherapy, radiation, or surgery history is critical.
Current medication list
Important for interactions and surgical risk.
Medical history and comorbidities
Heart disease, diabetes, kidney issues, and similar conditions shape the plan.
Patient pathways: Safe second-opinion process · Documents for a second opinion · New diagnosis — what happens next?
Would you like to request a tumor board review?
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Florence Nightingale International Patient Center
For international appointment requests, surgical evaluations, second opinions and tumor-board review inquiries, please contact the Florence Nightingale International Patient Center.
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