Dr Perren specialises in the treatment of: • breast cancer • gynaecological cancers (including ovarian cancer, cervical cancer and endometrial cancer) As a Medical Oncologist he specialises in the use of medical treatments for cancer including cytotoxic chemotherapy, hormonal therapy, and the rapidly emerging field of targeted molecular therapies such as Herceptin (trastuzumab), Avastin (bevacizumab), Tykerb (lapatinib). He provides treatment for newly diagnosed patients, as well as for those with recurrent or metastatic disease. He also has considerable experience in the treatment of the difficult constellation of symptoms that can often accompany cancer and its treatment. Modern oncology treatments require the careful integration of the results of laboratory and radiological investigations with the latest scientific knowledge about the disease and its treatment. Historically we used the same toxic treatments for all patients with a given condition; with modern diagnostics it is becoming increasingly possible to tailor treatments to the requirements of individual patients and their diseases. Cancer treatments are however complex and in deciding the best treatment for any individual there are many choices to be made. Dr Perren's philosophy of patient care puts the patient at the centre of treatment planning. He believes in discussing all options of treatment before finally coming up with a solution that is best for the individual concerned.