Medical records
What to prepare for a meaningful specialist review
Complete records reduce unnecessary delay and help clinical teams understand what has already been established.
Do not send original medical material unless a receiving institution has confirmed how it should be delivered.
Essential medical information
- Full name as shown on passport
- Date of birth
- Country of residence
- Current diagnosis
- Date of diagnosis
- Relevant medical conditions
- Previous cancers
- Current medication
- Medication allergies
- Smoking history
- Family history of breast or ovarian cancer
- Genetic testing results, when available
Pathology
- Biopsy pathology report
- Surgical pathology report, when applicable
- ER result
- PR result
- HER2 result
- Ki-67, when reported
- Tumor grade
- Lymph-node pathology
- Genomic assay results, when performed
- Original pathology slides or paraffin blocks, when requested
Imaging
- Mammography
- Breast ultrasound
- Breast MRI
- CT imaging, when performed
- PET imaging, when performed
- Bone imaging, when performed
Imaging should be supplied in original DICOM format whenever possible.
Photographs of printed films or screenshots may not be adequate for review.
Previous treatment
- Operative reports
- Chemotherapy regimen and dates
- Endocrine therapy
- HER2-directed treatment
- Radiotherapy summary and treatment fields
- Previous breast implants or reconstruction records
- Hospital discharge summaries
- Complication and readmission records
Translation
Medical reports should be available in English or Korean whenever possible.
A translation should preserve the original terminology, measurements, dates and test results. Do not replace the original report with an informal summary.
Protecting medical information
Medical records contain sensitive personal information.