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Pancreatic Cancer Surveillance Programs

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Global Pancreatic Cancer Surveillance Program Resources    

 

Approximately 10% of pancreatic cancers are due to a hereditary etiology. Presently, only those individuals with a higher lifetime risk of developing a pancreatic adenocarcinoma are candidates for pancreatic cancer surveillance.

 

Who May be a Candidate for Pancreatic Cancer Surveillance?

  • Individuals with a known hereditary syndrome associated with an increased risk of developing pancreatic cancer

  • Individuals with multiple family members who have been diagnosed with pancreatic cancer    

 

Surveillance recommendations are available through the American College of Gastroenterology (ACG) guidelines, National Comprehensive Cancer Network (NCCN) guidelines, and the American Gastroenterology Association (AGA) clinical practice update. All of these guidelines suggest that patients be cared for at expert centers that provide a comprehensive multidisciplinary pancreatic cancer surveillance program.

 

Most of these centers participate in consortiums that encourage the collection of

surveillance data in a standardized manner to support research efforts aimed at improving pancreatic cancer surveillance.

 

CGA members actively participate in the two major international surveillance consortiums: CAPS (International Cancer of the Pancreas Screening) consortium and Pancreatic Cancer Early Detection (PRECEDE) Consortium.

The list below provides you with contact information:

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For additional information or questions, please contact CGA at

info@cgaigc.com

California

City of Hope

Full Name/Specialty: Gregory Idos, MD, MS / Gastroenterology

                                      James Lin, MD / Gastroenterology

Clinic/Center/Program Name: City of Hope

Address: 1500 E. Duarte Road, Duarte, CA 91010

Phone for Program/Appointments: (626) 218-2570

Program Websiteshttps://www.cityofhope.org/patients/departments-and-services/department-of-medicine/gastroenterology/gastroenterology-team

CAPS and/or PRECEDE Members: PRECEDE Member

 

Stanford Health Care / Stanford University School of Medicine

Full Name/Specialty: Walter Park, MD / Gastroenterology

Clinic/Center/Program Name: Stanford Benign Pancreas Program

Address: 300 Pasteur Drive, Stanford, CA 94305

Phone for Program/Appointments: (650) 736-5555

Program Websiteshttps://stanfordhealthcare.org/medical-clinics/benign-pancreas-program.html

                                   https://www.pcrg.stanford.edu

Physician Face Page: https://stanfordhealthcare.org/doctors/p/walter-park.html

CAPS and/or PRECEDE Members: No

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University of California San Francisco

         Clinic 1

Full Names/Specialties: Sun-Chuan Dai, MD / Gastroenterology

                                           Mustafa Arain, MD / Gastroenterology

Clinic/Center/Program Name: Gastroenterology at Mount Zion

Address: 1701 Divisadero Street, Suite 120, San Francisco, CA 94115

Phone for Program/Appointments: (415) 502-4444

Program Websitehttps://www.ucsfhealth.org/clinics/gastroenterology-at-mount-zion

Physician Face Page: https://www.ucsfhealth.org/providers/dr-sun-chuan-dai

                                       https://www.ucsfhealth.org/providers/dr-mustafa-arain​

CAPS and/or PRECEDE Members: No

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         Clinic 2

Full Names/Specialties: Sun-Chuan Dai, MD / Gastroenterology

                                           Mustafa Arain, MD / Gastroenterology

Clinic/Center/Program Name: Pancreas Center at Baker Precision Cancer Medicine Building

Address: 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158

Phone for Program/Appointments: (415) 353-9888

Program Websitehttps://www.ucsfhealth.org/clinics/pancreas-center

Physician Face Page: https://www.ucsfhealth.org/providers/dr-sun-chuan-dai

                                       https://www.ucsfhealth.org/providers/dr-mustafa-arain​

CAPS and/or PRECEDE Members: No

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Colorado

University of Colorado Hospital 

Full Name/Specialty: Cheryl Meguid, DNP / Surgical Oncology

Clinic/Center/Program Name: High Risk Pancreas Cancer Screening Clinic

Address: 1665 Aurora Ct, Aurora, CO 80045

Phone for Program/Appointments: (720) 848-3378

Program Websiteshttps://medschool.cuanschutz.edu/surgery/multidisciplinary-clinics/pancreas-and-biliary-cancer/pancreas-surveillance-clinic

Physician Face Page: https://www.cudoctors.com/Find_A_Doctor/Profile/21144

CAPS and/or PRECEDE Members: CAPS Member

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Florida

Moffitt Cancer Center

Full Name/Specialty: Jason Klapman, MD, FASGE / Gastroenterology

Clinic/Center/Program Name: Gastrointestinal Oncology

Address: 12902 USF Magnolia Drive, Tampam FL 33612

Phone for Program/Appointments: (813) 745-3980

Program Websitehttps://moffitt.org/for-healthcare-providers/clinical-programs-and-services/gastrointestinal-oncology-program/

Physician Face Page: https://moffitt.org/providers/jason-klapman/

CAPS and/or PRECEDE Members: PRECEDE Member

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Illinois

Northwestern Medicine

Full Name/Specialty: Rajesh N. Keswani, MD, MS / Gastroenterology

Clinic/Center/Program Name: Digestive Health Center

Address: 676 N. St. Clair, Suite 1400, Chicago, IL 60611

Phone for Program/Appointments: (312) 695-5620

Program Websitehttps://www.nm.org/conditions-and-care-areas/gastroenterology/digestive-health-center/pancreatobiliary-program

Physician Face Page: https://www.nm.org/doctors/1275529463/rajesh-n-keswani-md

CAPS and/or PRECEDE Members: No

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Rush University Medical Center

Full Name/Specialty: Faraz Bishehsari, MD, PhD / Gastroenterology

Clinic/Center/Program Name: High-Risk Clinic for Gastrointestinal Cancers

Address: 1725 W. Harrison Street, Suite 206, Chicago, IL 60612

Phone for Program/Appointments: (312) 942-5861

Program Websitehttps://www.rush.edu/locations/high-risk-gi-cancer-clinic

CAPS and/or PRECEDE Members: No

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University of Chicago Medicine

Full Name/Specialty: Sonia Kupfer, MD / Gastroenterology

Clinic/Center/Program Name: Gastrointestinal Cancer Risk and Prevention Clinic

Address: 5841 S Maryland Avenue, Chicago, IL 60637

Phone for Program/Appointments: (773) 702-8222

Program Websitehttps://www.uchicagomedicine.org/cancer/types-treatments/gastrointestinal-cancers/gi-cancer-risk

CAPS and/or PRECEDE Members: PRECEDE Member

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Advocate Christ Medical Center

Full Name/Specialty: Mark Mesleh, MD / Surgery

                                      Cristina Ruiz, MS, CGC / Genetics

                                      Deb Oleskowicz, CGC / Genetics

                                      Tarek Almouradi, MD / Gastroenterology

                                      Imad Elkhatib, MD / Gastroenterology

                                      Rogelio Silva, MD / Gastroenterology

                                      Kamran Ayab, MD / Gastroenterology

Clinic/Center/Program Name: Pancreatic Cancer Surveillance Program

Address: 4440 W. 95th Street, Oak Lawn, IL 60453

Phone for Program/Appointments: (708) 684-3373

Program Websitehttps://www.advocatehealth.com/health-services/cancer-institute/cancers-we-treat/liver-pancreatic-cancer/

CAPS and/or PRECEDE Members: No

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Kentucky

University of Kentucky

Full Name/Specialty: Tamara Carey, NP-C / Gastrointestinal Surgical Oncology

Clinic/Center/Program Name: Markey Cancer Center / GI Malignancies / GI High Risk Surgical Oncology Clinic

Address: 800 Rose Street, Lexington, KY 40536

Phone for Program/Appointments: (859) 323-6213

Program Websitehttps://ukhealthcare.uky.edu/services/surgical-oncology

Physician Face Page: https://ukhealthcare.uky.edu/advanced-practice-providers/tamara-carey

CAPS and/or PRECEDE Members: No

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Massachusetts

Dana-Farber Cancer Institute

Full Name/Specialty: Huma Q. Rana, MD / Clinical Geneticist

                                      Aya Abu-El-Haija, MD, MPH / Clinical Geneticist

                                      Mersedeh Rohanizadegan, MD, MPH / Clinical Geneticist

                                      Matthew Yurgelun, MD / GI Oncologist

                                      Sigurdis Haraldsdottir, MD, PhD / GI Oncologist

                                      Kimberly Perez, MD / GI Oncologist

                                      Leah Biller, MD / GI Oncologist

                                      Ramona Lim, MD / Gastroenterologist

                                      Sahar Nissim, MD, PhD / Gastroenterologist

                                      Judy Garber, MD, MPH / Breast Oncologist

                                      Junne Kamihara, MD, PhD / Pediatric Oncologist

Clinic/Center/Program Name: Center for Cancer Genetics and Prevention

Address: 450 Brookline Avenue, Boston, MA 02215

Phone for Appointments: (617) 632-2178

Phone for Administrative Questions: (617) 632-6164

Program Websitehttps://www.dana-farber.org/cancer-genetics-and-prevention/

CAPS and/or PRECEDE Members: CAPS Member

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Beth Israel Deaconess Medical Center

Full Name/Specialty: Katharine Germansky, MD / Gastroenterology

Clinic/Center/Program Name: BIDMC's Cancer Genetic and Prevention Program

Address: 330 Brookline Avenue, Boston, MA 02215

Phone for Program/Appointments: (617) 667-1905

Program Websitehttps://www.bidmc.org/centers-and-departments/cancer-center/cancer-center-programs-and-services/cancer-genetics-and-prevention-program

Physician Face Page: https://findadoc.bidmc.org/Details/2358?FreeText:Last+name=germansky

CAPS and/or PRECEDE Members: No

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Massachusetts General Hospital

Full Name/Specialty: Daniel Chung, MD / Gastroenterology

Clinic/Center/Program Name: Gastrointestinal Cancer Genetics Clinic

Address: 55 Fruit Street, Boston, MA 02114

Phone for Program/Appointments: (617) 724-1971

Program Websitehttps://www.massgeneral.org/cancer-center/treatments-and-services/cancer-genetics/gastrointestinal

Physician Face Page: https://www.massgeneral.org/doctors/16378/daniel-chung

CAPS and/or PRECEDE Members: PRECEDE Member

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Michigan

University of Michigan / Rogel Cancer Center

Full Name/Specialty: Elena Stoffel, MD, MPH / Gastroenterology

                                      Richard Kwon, MD / Gastroenterology

Clinic/Center/Program Name: Gastroenterology Genetics Clinic, Rogel Cancer Center

Address: 1500 E. Medical Center Drive, Ann Arbor, MI 48109

Phone for Program/Appointments: (734) 647-8902

CAPS and/or PRECEDE Members: CAPS Member, PRECEDE Member

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Minnesota

Mayo Clinic

Full Name/Specialty: Shounak Majumder, MD / Gastroenterology

Clinic/Center/Program Name: High-Risk Pancreas Clinic / Early Detection Research Program

Address: 200 First Street SW, Rochester, MN 55905

Phone for Program/Appointments: (507) 284-2875

Program WebsiteUnder Development

Physician Face Page: https://www.mayoclinic.org/biographies/majumder-shounak-m-d/bio-20343690

CAPS and/or PRECEDE Members: No

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Missouri

Barnes-Jewish Hospital, Washington University School of Medicine and The Alvin J. Siteman Comprehensive Cancer Center

Clinic/Center/Program Name: Multidisciplinary Pancreatic Cancer Program at Washington University School of Medicine and The Alvin J. Siteman Comprehensive Cancer Center

Address: Multiple - See Website; St. Louis, MO

Phone for Program/Appointments: (800) 600-3606

Program Websitesiteman.wustl.edu 

CAPS and/or PRECEDE Members: CAPS Member

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Washington University

Full Name/Specialty: Koushik Das, MD / Gastroenterology (Interventional Endoscopy)

Clinic/Center/Program Name: Interventional Endoscopy

Address: Campus Box 8124, 660 South Euclid Avenue, St. Louis, MO 63110

Phone for Program/Appointments: (314) 747-9843

Program Websitehttps://gastro.wustl.edu/patient-care/interventional-endoscopy/

CAPS and/or PRECEDE Members: CAPS Member

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New York

Columbia University Irving Medical Center

Full Name/Specialty: Fay Kastrinos, MD, MPH / Gastroenterology, Genetics

                                      Joel Gabre, MD / Gastroenterology, Genetics

                                      Sheila Rustgi, MD / Gastroenterology, Genetics

                                      Anil Rustgi, MD / Gastroenterology, Genetics

Clinic/Center/Program Name: Muzzi Mirza Pancreatic Cancer Prevention and Genetics Program

Address: 161 Fort Washington Ave, Suite 682, New York, NY 10032

Phone for Program/Appointments: (212) 305-9337

Program Websitehttps://columbiasurgery.org/pancreas/muzzi-mirza-pancreatic-cancer-prevention-and-genetics-program

CAPS and/or PRECEDE Members: CAPS Member, PRECEDE Member

 

Icahn School of Medicine at Mount Sinai

Full Name/Specialty: Aimee L. Lucas, MD, MS / Gastroenterology

Clinic/Center/Program Name: Gastroenterology Faculty Practice

Address: 5 East 98th Street, 11th Floor, New York, NY 10029

Phone for Program/Appointments: (212) 241-4299

Physician Face Page: https://www.mountsinai.org/profiles/aimee-lucas

CAPS and/or PRECEDE Members: PRECEDE Member

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Memorial Sloan Kettering Cancer Center

Full Name/Specialty: Robert C. Kurtz, MD / Gastroenterology

                                      Mengmeng Du, ScD / Epidemiology

Clinic/Center/Program Name: Memorial Sloan Kettering Cancer Center Pancreatic Tumor Registry

Address: 1275 York Avenue, New York, NY 10065

Phone for Program/Appointments: (212) 639-7620

Program Websitehttps://www.mskcc.org/cancer-care/types/pancreatic/clinical-trials/familial-pancreatic-tumor-registry

Physician Face Pages: https://www.mskcc.org/cancer-care/doctors/robert-kurtz

                                         https://www.mskcc.org/profile/margaret-du

CAPS and/or PRECEDE Members: No

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NYU Langone Health, Perlmutter Cancer Center

Full Name/Specialty: Diane Simeone, MD / Surgery

                                      Jessica Everett, MS, CGC / Genetics

                                      Tamas Gonda, MD / Gastroenterology

                                      Lauren Khanna, MD / Gastroenterology

                                      Seth Gross, MD / Gastroenterology

Clinic/Center/Program Name: Pancreatic Cancer Early Detection and Prevention Center

Address: 160 E. 34th Street, New York, NY 10016

Phone for Program/Appointments: (212) 731-6150

Program Websitehttps://nyulangone.org/locations/pancreatic-cancer-center/pancreatic-cancer-early-detection-prevention-center

CAPS and/or PRECEDE Members: PRECEDE Member (Coordinating Center)

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University of Rochester Medical Center / Strong Memorial Hospital

Full Name/Specialty: Vivek Kaul, MD / Gastroenterology and Hepatology

Clinic/Center/Program Name: Division of Gastroenterology

Address: 601 Elmwood Avenue, Box 646, Rochester, NY 14642

Phone for Program/Appointments: (585) 275-4711

Physician Face Page: https://www.urmc.rochester.edu/people/27160497-vivek-kaul​

CAPS and/or PRECEDE Members: PRECEDE Member

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Ohio

Cleveland Clinic

Full Name/Specialty: Margaret O'Malley / Coordinator

Clinic/Center/Program Name: Cleveland Clinic / Stanford R. Weiss, MD Center for Hereditary Colorectal Neoplasia

Address: 9500 Euclid Avenue, Desk A30, Cleveland, OH 44195

Phone for Program/Appointments: (216) 444-6470

Program Websitehttps://my.clevelandclinic.org/departments/digestive/depts/hereditary-colorectal-neoplasia

CAPS and/or PRECEDE Members: PRECEDE Member

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The Ohio State University Wexner Medical Center

Full Name/Specialty: Phil Hart, MD / Gastroenterology

                                      Peter Stanich, MD / Gastroenterology

                                      Heather Hampel, MS, LGC / GI Genetics

                                      Rachel Pearlman, MS, LGC / GI Genetics

Clinic/Center/Program Name: High-Risk Pancreatic Cancer Program

Address: 2050 Kenny Road, Columbus, OH 43221

Phone for Program/Appointments: (614) 293-6255

Program Websiteshttps://medicine.osu.edu/departments/internal-medicine/genetics

                                   https://cancer.osu.edu/for-patients-and-caregivers/learn-about-cancers-and-treatments/innovation-at-the-james/genetic-counseling

Physician Face Page: https://wexnermedical.osu.edu/find-a-doctor/philip-hart-md-53113

CAPS and/or PRECEDE Members: PRECEDE Member

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Oregon

Oregon Health & Science University

Full Name/Specialty: Brett Sheppard, MD, FACS / GI Surgery

Clinic/Center/Program Name: Pancreatic Cancer High Risk Clinic at Center for Digestive Health

Address: 3485 S Bond Avenue, Building 2, 8th Floor, Portland, OR 97239

Phone for Program/Appointments: (503) 494-4373

Program Websitehttps://www.ohsu.edu/brenden-colson-center-pancreatic-care/pancreatic-cancer-high-risk-clinic

CAPS and/or PRECEDE Members: PRECEDE Member

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Pennsylvania

University of Pennsylvania

Full Name/Specialty: Bryson Katona, MD, PhD / Gastroenterology

                                      Kirk Wangensteen, MD, PhD / Gastroenterology

                                      Dana Farengo Clark, MS, CGC / Cancer Genetic Counseling

                                      Jessica Ebrahimzadeh, MS, CGC / Cancer Genetic Counseling

                                      Jessica Long, MS, CGC / Cancer Genetic Counseling

                                      Danielle McKenna, MS, CGC / Cancer Genetic Counseling

                                      Jacquelyn Powers, MS, CGC / Cancer Genetic Counseling

Clinic/Center/Program Name: Gastrointestinal Cancer Genetics Program

Address: 3400 Civic Center Boulevard, Philadelphia, PA 19104

Phone for Program/Appointments: (215) 349-8222

Program Websitehttps://www.pennmedicine.org/cancer/navigating-cancer-care/programs-and-centers/gastrointestinal-cancer-genetics-and-risk-evaluation-program/pancreatic-cancer-risk-management

CAPS and/or PRECEDE Members: CAPS Member, PRECEDE Member

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University of Pittsburgh Medical Center

Full Name/Specialty: Randall Brand, MD / Gastroenterology

Clinic/Center/Program Name: UPMC Hereditary GI Tumor Program

Address: 5200 Centre Avenue, Suite 409, Pittsburgh, PA 15232

Phone for Program/Appointments: (412) 623-3105

Physician Face Pagehttps://profiles.dom.pitt.edu/faculty_info.aspx/Brand5626

CAPS and/or PRECEDE Members: CAPS Member, PRECEDE Member

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Texas

Memorial Hermann Hospital; Texas Medical Center, The University of Texas Health Science Center at Houston (UTHealth)

Full Name/Specialty: Nirav Thosani, MD, MHA / Gastroenterology + Multidisciplinary Team

Clinic/Center/Program Name: Ertan Digestive Disease Center / High-Risk Pancreatic Cancer Screening Program

Address: 6400 Fannin, Ste 14, Houston, TX 77030

Phone for Program/Appointments: (713) 704-3450

Physician Face Pagehttp://www.memorialhermann.org/doctors/gastroenterologists/dr-nirav-thosani-md-646417/
https://www.utphysicians.com/provider/nirav-c-thosani/

CAPS and/or PRECEDE Members: No

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Utah

Huntsman Cancer Institute

Full Name/Specialty: Cathryn Koptiuch, MS, LCGC / Cancer Genetic Counseling

Clinic/Center/Program Name: Gastrointestinal Cancer Prevention Program

Address: 2000 Circle of Hope, Salt Lake City, UT 84112

Phone for Program/Appointments: (801)587-9555

Program Websitehttps://healthcare.utah.edu/huntsmancancerinstitute/screening-prevention/family-history.php

CAPS and/or PRECEDE Members: PRECEDE Member

Washington

Seattle Cancer Care Alliance

Full Name/Specialty: Teresa Brentnall, MD / Gastroenterology

Clinic/Center/Program Name: Gastrointestinal Cancer Prevention Program

Address: 1100 Fairview Avenue N, Level E, Seattle, WA 98109

Phone for Program/Appointments: (206) 606-6100

Program Websitehttps://www.seattlecca.org/diseases/gastrointestinal-diseases/prevention

Physician Face Pagehttps://www.seattlecca.org/providers/teresa-a-brentnall

CAPS and/or PRECEDE Members: PRECEDE Membe

Washington

Seattle Cancer Care Alliance

Full Name/Specialty: Teresa Brentnall, MD / Gastroenterology

Clinic/Center/Program Name: Gastrointestinal Cancer Prevention Program

Address: 1100 Fairview Avenue N, Level E, Seattle, WA 98109

Phone for Program/Appointments: (206) 606-6100

Program Websitehttps://www.seattlecca.org/diseases/gastrointestinal-diseases/prevention

Physician Face Pagehttps://www.seattlecca.org/providers/teresa-a-brentnall

CAPS and/or PRECEDE Members: PRECEDE Member

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Wisconsin

Froedtert and Medical College of Wisconsin

Full Name/Specialty: Susan Tsai, MD, MHS, FACS / Surgical Oncology

                                      Kristin Sanden, MS, CGC / Cancer Genetic Testing

Clinic/Center/Program Name: Greater Midwest Pancreatic Cancer Screening Program 

Address: 9200 W Wisconsin Avenue, Milwaukee, WI 53226

Phone for Program/Appointments: (414) 805-6330

Program Websitehttps://www.mcw.edu/departments/pancreatic-cancer/screening-clinic

Physician Face Pagehttps://www.mcw.edu/departments/pancreatic-cancer

CAPS and/or PRECEDE Members: CAPS Member

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Advocate Aurora Health

Full Name/Specialty: Michael Mullane, MD / Hematology and Medical Oncology

Clinic/Center/Program Name: Aurora Hereditary Cancer Prevention and Management Center

Address: 2900 W Oklahoma Avenue, Milwaukee, WI 53215

Phone for Program/Appointments: (414) 649-5639

Program Websitehttps://www.aurorahealthcare.org/services/cancer/genetic-testing#What-to-Expect

CAPS and/or PRECEDE Members: No

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International

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Canada

BC Cancer

Full Name/Specialty: Carol Cremin, CCGC / Cancer Genetics

Clinic/Center/Program Name: Familial Pancreatic Cancer Program- Hereditary Cancer Program

Address: 614- 750 West Broadway, Vancouver, BC, V5Z 1H5

Phone for Program/Appointments: (604) 877-6000 x 674602

Program Websitehttp://pancreascentrebc.ca/research#panel-5

Physician Face Pagehttps://www.bccrc.ca/dept/mo/people/kasmintan-intan-schrader

CAPS and/or PRECEDE Members: PRECEDE Member

 

Italy

IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University

Full Name/Specialty: Giulia Martina Cavestro, MD PhD / Gastroenterology 

                                      Marta Puzzono, MD / Gastroenterology

Clinic/Center/Program Name: Division of Experimental Oncology, Gastroenterology and Gastrointestinal Endoscopy Unit, Gastrointestinal Personalized Medicine (GASTROPERME) Program

Address: Via Olgettina 60, Milan, Italy, 20132

Email for Program/Appointments: gastroperme@hsr.it

Program Websitehttps://www.facebook.com/pg/GastroXme

Physician Face Pagehttps://twitter.com/cavestrogm

CAPS and/or PRECEDE Members: No

​

Spain

Institut Català d'Oncologia, Barcelona

Full Name/Specialty: Alex Teulé / Medical Oncology

Clinic/Center/Program Name: Genetic Counseling Unit/Hereditary Cancer Program

Address: Avinguda de la Gran Via de l'Hospitalet, 199-203, Barcelona, Spain 08908

Phone for Program/Appointments: 0034 93 260 79 57

Program Websitehttp://ico.gencat.cat/ca/professionals/serveis_i_programes/programa_de_cancer_hereditari/

Physician Face Pagehttps://www.bccrc.ca/dept/mo/people/kasmintan-intan-schrader

CAPS and/or PRECEDE Members: No

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Hospital Clínic of Barcelona

Full Name/Specialty: Leticia Moreira/ Gastroenterology

Clinic/Center/Program Name: High Risk Gastrointestinal Cancer Clinic 

Address: Villarroel 170, Barcelona/Catalonia, Spain

Email for Program/Appointments: CAR-CCR@clinic.cat

CAPS and/or PRECEDE Members: No

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All of these high-risk pancreatic cancer screening/ surveillance programs have attested to meeting

the specifications of best practice advice defined by AGA that are characteristic of a Center of Excellence.

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