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Ichilov Medical Center

Second Opinion from an Oncologist at Sourasky in 72 Hours

Review of diagnosis and treatment plan by a staff oncologist at Tel Aviv Sourasky Medical Center. This service is suitable if you have received a serious diagnosis, doubt the prescribed treatment plan, or want to verify the necessity of surgery before it begins.

The conclusion is issued on the official letterhead of the Sourasky clinic. Not by an intermediary or coordinator — the signature of the professor who conducts the consultation in the department.

How It Works

The process is designed so that you do not have to fly to Israel for just one conversation. Everything — from uploading images to the final Zoom consultation — is done remotely, in Russian, with a fixed price and fixed timeframe.

  1. Step 1. Send Images and Documents. Use the form on this page to upload CT, MRI, PET-CT (DICOM or JPG), histology, discharge summaries, and test results. We accept up to 5 files, each up to 10 MB; for more, we will send a link to a secure cloud. The coordinator will confirm completeness within one business day and clarify any missing items.
  2. Step 2. Payment of $450. An invoice is issued by the Sourasky clinic after document confirmation. Payment can be made by card or bank transfer. One payment for the selected rate — no "prepayments for review".
  3. Step 3. Professor Reviews Materials in 48–72 Hours. Your documents are received by a specialized oncologist: breast cancer → Prof. Tamar Safra, melanoma → Prof. Irina Stefansky. If necessary, the professor requests a review of the histology in the Sourasky laboratory or additional imaging descriptions from the clinic's radiologist.
  4. Step 4. Conclusion via Email + Consultation. You receive a PDF conclusion on Sourasky letterhead with a translation into Russian, clearly stating whether the diagnosis is confirmed, whether the professor agrees with the treatment plan, what changes he would make, and what additional examinations he would recommend. Optionally — a 30-minute Zoom consultation with the professor and translator.

What You Receive

  • Written Conclusion on Tel Aviv Sourasky Medical Center Letterhead. Original in English + certified translation into Russian. Signature and stamp of a specific professor, not the "international department".
  • Assessment of Current Diagnosis. Whether the professor agrees with the diagnosis; if not, what examinations are needed.
  • Assessment of the Prescribed Treatment Plan. Chemotherapy, radiation, surgery, targeted and immunotherapy — does the proposed plan comply with modern protocols, what would the Sourasky professor change.
  • Personal Recommendations. What makes sense to do in your country, and what should be done in a specialized center; which clinical trials are relevant.
  • 30-Minute Zoom Consultation (in the "second opinion + Zoom" rate and above). The professor explains the conclusion in simple terms and answers questions. The translator joins automatically.

What Cases Are Most Often Reviewed

People seek a second opinion not because they distrust their doctor — but because the decision is too serious to rely on just one opinion. Below are the areas for which Sourasky regularly conducts remote reviews.

  • Breast Cancer. Staging, feasibility of breast-conserving surgery vs mastectomy, choice between chemotherapy and hormone therapy for luminal subtypes, targeted therapy for HER2+.
  • Lung Cancer. Operability in NSCLC, review of molecular profile (EGFR, ALK, ROS1, PD-L1), selection of first-line targeted or immunotherapy.
  • Prostate Cancer. Active surveillance vs radical prostatectomy vs radiation for localized forms; tactics for biochemical recurrence.
  • Melanoma. Correctness of staging according to AJCC, necessity of sentinel lymph node biopsy, indications for adjuvant immunotherapy.
  • Colorectal Cancer. Tactics for metastatic liver involvement — resectability, order of chemotherapy and surgery; molecular testing (RAS, BRAF, MSI).
  • Lymphomas and Leukemias. Verification of subtype by histology and immunophenotype, choice of induction regimen, indications for bone marrow transplantation.
  • Brain Tumors. Review of MRI, surgery vs stereotactic radiation therapy, tactics for high-grade gliomas.
  • Pancreatic and Stomach Cancer. Resectability, necessity of neoadjuvant chemotherapy, choice of regimen for locally advanced and metastatic forms.

Professors Conducting Second Opinions

The conclusion is signed by a specific doctor — not the "oncology service". Below are four professors who most often handle remote reviews. The full list of the department is Doctors of Sourasky.

Prof. Irina Stefansky

Radiation Oncology, Radiation Therapy

Reviews cases where radiation therapy is discussed: breast cancer, prostate cancer, lung cancer, melanoma, CNS tumors. Assesses whether radiation is indicated in your situation, what regimen and equipment are appropriate, and whether the proposed doses are safe.

Prof. Chaim Gutman

Surgical Oncology

Second opinion on operability: melanoma, soft tissue sarcomas, abdominal and retroperitoneal tumors. Answers the question of whether a radical operation can realistically be performed and to what extent, whether to proceed with surgery now or first conduct systemic therapy.

Prof. David Sarid

Clinical Oncology, Systemic Therapy

Reviews systemic therapy regimens: chemotherapy, targeted drugs, immunotherapy. Focuses on lung cancer, gastrointestinal cancer, and urological oncology. Provides conclusions on compliance with international recommendations from NCCN and ESMO and the feasibility of participating in clinical trials.

Prof. Tamar Safra

Clinical Oncology, Women's Tumors

Main focus — breast cancer and gynecological oncology (ovaries, endometrium, cervix). Reviews the choice between lines of therapy, indications for targeted and immunotherapy, and participation in clinical trials.

Pricing

Prices are fixed. You pay once after the coordinator confirms that the documents are sufficient for review.

ServiceWhat’s IncludedTimeframePrice
Second Opinion Review of documents by a specialized professor, written conclusion on Sourasky letterhead with translation into Russian. 48–72 hours $450
Second Opinion + Zoom All of the above + 30-minute video consultation with the professor and translator to discuss the conclusion. 3–5 business days $650
Full Audit with Oncology Consultation Review of histology in the Sourasky laboratory, re-description of images by the clinic's radiologist, discussion of the case at a multidisciplinary consultation (surgeon + oncologist + radiation therapist), detailed conclusion and 60-minute Zoom consultation. 7–10 business days $1500

The cost does not include shipping of slides and paraffin blocks (if a physical review of histology is required) and additional examinations if you decide to come for an in-person consultation.

Frequently Asked Questions

How long does it take?

From the moment of document completeness confirmation — 48–72 hours for the "second opinion" rate, 3–5 business days for Zoom consultation, 7–10 business days for a full audit with a multidisciplinary team. In urgent situations (surgery scheduled within a week), some reviews can be expedited.

What documents do I need to send?

Minimum: the latest discharge summary from the treating oncologist with diagnosis and prescribed treatment plan, histological conclusion, CT/MRI/PET-CT images in DICOM or JPG, results of tumor markers and biochemistry for the last 3 months. If something is missing, the coordinator will provide a list.

Who will see my images and medical history?

Only staff at Tel Aviv Sourasky Medical Center: coordinator, specialized professor, and if necessary, the clinic’s pathologist or radiologist. Documents are stored in a secure hospital system and are not shared with third parties.

How does payment work?

After confirming document completeness, the clinic issues an invoice. Payment can be made by credit card (Visa/Mastercard) or international transfer to the hospital account. One payment for the selected rate, no prepayments for review.

What should I do with the conclusion on-site?

The conclusion is formatted to be shown to your treating oncologist at home: clear structure, references to international protocols NCCN and ESMO. This is an official document from a foreign state clinic — Russian, Ukrainian, Kazakh, and European doctors usually accept it without questions.

Can I come for treatment at Sourasky after this?

Yes. The cost of the second opinion is credited towards the initial in-person consultation with the same professor. The coordinator will arrange your arrival, accommodation, and examination schedule. There is no obligation to continue treatment in Israel — if you decide to stay home, the conclusion simply remains with you.

Send Documents for a Second Opinion

Upload images and documents — within one business day, the coordinator will confirm completeness and inform you of the name of the professor who will take your case. Conclusion — within 48–72 hours.

Accepted document formats: JPG, PNG, PDF, DOC, DOCX, ZIP. Up to 5 files, each up to 10 MB.

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