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Oncology Female Check-Up
Check Up & Preventive Medicine

Oncology Female Check-Up

About This Department

 
Biruni Oncology Screening Panel

Twenty-eight checks, all of them pointed at the same question.

A bilateral mammogram, liquid-based cervical cytology, a whole abdominal ultrasound, five tumor markers and a gynecology examination. Built for women over 40 and finished in a single day in Istanbul, with a physician explaining the results before you leave.

9am to 4pm
Same-day results
1 visit
Single appointment
28 items
Cancer screening focus
Free
Pre-travel review
A focused screening panel

Everything Included in the Oncology Female Panel

Two consultations with cervical screening, five tumor markers, three imaging studies and seventeen laboratory tests, all under a single price.

Examinations and cervical screening, 3
Check-up physician consultation
Gynecology and obstetrics examination
Liquid-based cytology, manual, for cervical screening

Liquid-based cytology suspends the cells in fluid instead of smearing them onto a slide. Fewer samples come back unreadable that way, which matters a great deal when the woman being sampled has flown in for the day.

Tumor markers, 5
CA 125, ovaries
CA 15-3, breast
CEA, colon and rectum
CA 19-9, pancreas and bile duct
Alpha-fetoprotein, liver

Five numbers drawn at the same time, read together and kept as your personal baseline. What they are for, and what they cannot do, is set out further down this page in plain terms.

Imaging and screening, 3
Bilateral mammography
Complete abdominal ultrasound
Chest X-ray, single P.A. view

The abdominal scan sweeps liver, gallbladder, pancreas, spleen, kidneys, bladder, uterus and ovaries in one pass, which is why it sits directly beside the marker panel rather than anywhere else in the day.

Laboratory tests, 17
Blood count and sugar. Complete blood count, also called a hemogram, glucose, glycated hemoglobin measured by HPLC
Kidney. Blood urea nitrogen, creatinine
Liver. ALT, AST, alkaline phosphatase, total bilirubin, direct bilirubin, lactate dehydrogenase
Electrolytes and minerals. Sodium, potassium, chloride, calcium
Inflammation. CRP measured by turbidimetry
Urine. Complete urinalysis, strip and microscopy

These are the organ-function tests an oncologist wants underneath a marker panel. Liver enzymes, bilirubin and LDH in particular change how a raised marker gets interpreted.

Two of these 28 items do most of the work

The mammogram and the cervical cytology are the two tests in this panel with decades of evidence behind them. Organized breast screening lowers deaths from breast cancer, and cervical screening has cut cervical cancer rates dramatically wherever it has been run properly, largely because it catches changes years before they become a cancer at all. Everything else here plays a supporting role. The tumor markers give you a personal baseline and a set of numbers your physician reads alongside the scans. The ultrasound looks at organs no blood test can reach. Understanding that order matters, because a woman who books this expecting the marker panel to be the important part has it exactly the wrong way round.

Swipe the table sideways on a narrow screen to see the second column.

What this panel covers, and what it deliberately leaves out
Inside the panel Add at booking, or look at another package
Bilateral mammography with a gynecology examination Breast ultrasound alongside the mammogram, useful in dense breasts
Liquid-based cervical cytology An HPV test taken from the same sample
Five tumor markers and a complete abdominal ultrasound Bowel screening, from a stool test up to a colonoscopy
Chest X-ray and seventeen organ-function tests Low-dose lung CT, which is the real screening tool for smokers
Closing consultation with a written report The Executive package, if you want endoscopy and cross-sectional imaging too
This panel is designed for women over 40. Anything in the right-hand column can be discussed before you book, and the coordinator will say plainly when a different package answers your question better.
Focused by design

What This Panel Is Built to Catch

Proven screening

Breast and Cervix in One Morning

Two invitations that normally arrive months apart, and that plenty of women postpone twice before acting. Here they happen inside the same appointment, with the gynecologist who examines you also taking the sample.

Fewer repeat samples

Cytology That Travels Well

Blood, mucus or a thin spread can leave a conventional smear unreadable. Suspending the cells in fluid removes most of that problem. It spares you the one outcome nobody wants after flying in for the day, which is being asked to come back and do it again.

Markers with context

Numbers Read Beside a Scan

A raised CA 125 arriving alone in an envelope causes weeks of fear. The same figure, read next to an ultrasound of your ovaries by a physician sitting opposite you, usually causes a short conversation instead.

A starting line

A Baseline You Can Measure Against

The first mammogram and the first marker set are worth most in what they make possible later. Next year a radiologist compares images instead of guessing, and a physician watches a trend instead of a single value.

Schedule breakdown

How the Day Runs

1

Registration and Bloods, 9am

One fasting draw supplies all seventeen laboratory tests and the five markers, and the urine sample goes in at the same desk. Breakfast comes straight afterwards.

2

Ultrasound, Mammogram and Chest X-Ray

The abdominal scan is done while the fast still holds, because an empty gallbladder is far easier to read. The mammogram and the chest film follow. A radiologist reports each of them the same day.

3

Gynecology, With the Cytology Sample

The examination and the liquid-based cytology happen together, and the gynecologist already has your ultrasound images and your marker figures in front of her rather than working blind.

4

Results Explained, Around 4pm

Bloods, markers and all three imaging reports come back within the day and are explained to you face to face, with a written report to take home. Only the cytology takes longer, since the cells have to be read under a microscope, and that report is sent to you afterwards.

Before the appointment

Getting Ready

Cytology timing

Pap Smear Instructions: Please schedule your Pap smear when you are not menstruating. For 48 hours before the test, avoid sexual intercourse, vaginal medications, creams, lubricants, and douching.

Liquid-based cytology follows the same rules. This is the one item on the list where the calendar decides the outcome, so tell the coordinator where you are in your cycle while the dates are still open. Anything coating the cervix can obscure the cells and cost you a repeat.

On the mammogram day

Leave off deodorant, talcum powder and body lotion above the waist that morning. Traces of them show up on the images as small white specks that can be mistaken for something else, and the usual result is a repeat film.

A two-piece outfit is easier than a dress. If you have had a mammogram before, bring the images or the report, because comparing this year against last year is worth more than either one alone.

Fasting, 8 hours

Your usual dinner and nothing after it. That single instruction covers the glucose, the HbA1c and the abdominal ultrasound in one go.

Water as much as you like
Nothing else, black coffee included
Keep taking prescribed medicines unless a doctor has said otherwise
Eat as soon as the sample has been taken
Who it is designed for

Is This the Right Panel for You?

Good fit
Book it if any of this describes you
  • Over 40, and the mammogram has been on your list for a while
  • Breast, ovarian or bowel cancer somewhere in your family
  • A cervical smear you cannot remember the date of
  • You want a screening trip rather than a general check-up
  • Living somewhere with no organized screening program to invite you
  • Ready to start a yearly baseline you can measure against
Talk to us first
Something else will serve you better

This panel screens a woman who feels well. Where something has already been found, or already hurts, what you need is a diagnostic appointment, and that is a different conversation entirely.

  • A breast lump you can feel, or a change in the skin or nipple
  • Bleeding after intercourse, between periods, or after menopause
  • A cancer already diagnosed or already under investigation

This panel is designed for women over 40 years of age. Under 40 a mammogram is rarely the right first choice, so the Nova Vita or Integrum packages usually suit better, and the coordinator will tell you which.

Three Things Worth Understanding About Tumor Markers

Tumor markers monitor rather than diagnose. No marker on this list can tell you whether you have cancer. A woman with cancer can have entirely normal figures, and a woman with nothing wrong can have a raised one. What they give you here is a baseline plus a set of values a physician reads beside your scans on the day.

CA 125 in particular moves for benign reasons. Fibroids, endometriosis, ovarian cysts and simple ovulation all push it up, which is why no country screens for ovarian cancer with it. That is precisely why the abdominal ultrasound is in the same package, so the number never has to stand on its own.

Normal markers are not a clean bill of health. They cover a handful of organs and say nothing about the rest, and they cannot replace the mammogram, the cytology or the scan. The value of the panel comes from all twenty-eight items being read together by one physician.

Complimentary review

Tell us what you are worried about and we will tell you what covers it

Send your age, your family history and the dates you have in mind. If you have had a mammogram or a smear before, send those too. A physician reads it and says whether this panel answers your question or whether something should be added. There is no charge for that.

International logistics

Coming to Istanbul for the Day

Let your cycle pick the week

The cytology sample decides the date, so choose the week before you choose the flight. Send two or three possible windows and the coordinator picks the one that works.

Three nights is comfortable

Arrive the evening before so the fast runs overnight, spend the middle day at the hospital, and keep the third free in case the mammogram calls for extra views or an ultrasound.

Bring your old images

Passport, medication list, and above all any previous mammogram, ultrasound or smear report. Comparison is what turns a single set of images into a real assessment.

Your own language, all day

Consultations run directly in your language. The in-house team covers English, Arabic, French, Russian, Serbian, Romanian and Spanish, with others arranged when you name one at booking.

Transport, family and visas

A car meets you at the airport and runs between hotel and hospital. Two relatives may come into the examinations with you. Passports requiring a visa get an invitation letter around ten days before departure.

After you get home

Your cytology report follows once the laboratory releases it. The same WhatsApp number stays open afterwards, and a repeat marker level done locally next year can be sent back for comparison.

Before you compare

Reading a Cancer Screening Quote Properly

Cancer screening panels are the easiest kind to advertise and the hardest kind to compare, because a long list of tumor markers looks impressive and costs very little to run. The imaging is where the real difference sits. Five questions will show you what you are actually buying.

Whether a mammogram is included or the panel is markers and bloods alone
Whether the cervical sample is liquid-based or a conventional smear
Whether the ultrasound covers the whole abdomen or only part of it
Whether a gynecologist examines you or the sample is simply collected
Whether extra mammogram views are charged separately if the radiologist asks for them

No figure appears on this page. A number printed here would be wrong for most women who read it, and out of date within a season. Send the team your age and the weeks you have in mind, and you get back a line-by-line breakdown covering the panel and anything you asked about. That costs nothing.

Common questions

Frequently Asked Questions

Will this panel tell me whether I have cancer?
No screening panel can promise that, and any that claims to is overselling itself. What this one does is look for early signs in the places where looking is known to help, chiefly the breast and the cervix, and give a physician enough surrounding information to interpret what turns up. A clear result lowers the odds considerably. It never reduces them to zero, which is exactly why screening is repeated rather than done once.
My CA 125 came back high once and nobody explained it
That happens far more often than most women realize. CA 125 rises with fibroids, endometriosis, ovarian cysts, pelvic infection and even ordinary ovulation, so a single raised figure on a printout is usually meaningless on its own. Here it is drawn on the same morning as an ultrasound that looks straight at your ovaries and uterus, and both land in front of the same physician. Bring the old result with you, because the direction of travel matters.
Does the mammogram hurt?
It is uncomfortable rather than painful, and it is over in a few minutes. The compression is what produces a readable image at a low radiation dose, so it is doing something useful even while it feels unpleasant. Booking in the week after your period usually makes it easier, since breast tissue is less tender then. Tell the radiographer if you find it difficult and she will work with you.
What if the mammogram shows something?
Most findings on a first mammogram turn out to be benign, and the usual next step is simply more information. Extra views or a breast ultrasound can often be arranged while you are still in Istanbul, which is the main argument for keeping a spare day in your trip. Where a biopsy is the right answer, the physician explains why and helps you decide whether to have it here or at home.
When does the cytology result arrive?
Later than everything else. Bloods, markers and all three imaging studies report within the day, so the closing consultation covers almost the whole panel. Cervical cells have to be prepared and read under a microscope, which is slower, so that report is sent on once the laboratory releases it. If anything on it needs discussing, a gynecologist talks it through with you instead of leaving you with a document.
Is an HPV test included?
Not as standard, and it can be added when you book. The two answer different questions. Cytology looks at the cells themselves, while an HPV test looks for the virus behind almost every cervical cancer, and many national programs now use both together. If your last smear was several years ago, it is worth asking about.
How is this different from your Nova Vita or Executive packages?
This one is narrow on purpose. It spends its budget on cancer screening and skips the cardiology, the thyroid panel and the vitamin work that a general check-up carries. Nova Vita is the broader annual with a heart scan and a full metabolic picture. Executive adds endoscopy, a low-dose lung CT and a brain MRI on top. Tell us your age and your family history and we will say which of the three fits, including when the smallest one is the honest answer.
Written by the Biruni Hospital medical editorial team Reviewed by Dr Yunus Emre Yavuz, Medical Oncology
Free consultation

One message is enough to start

Give us your age, your family history and the weeks that could work around your cycle. We will confirm whether these 28 items cover what is on your mind, what is worth adding, and how the day fits into your trip. If a different package suits you better, we will say so first.