Academic Hospital Asklepios Barmbek Hamburg
Department of Oncology, Hematology and Palliative Care (356025)
Specialized in: oncology, hematology, palliative care
About the department
The Department of Oncology, Hematology and Palliative Care at the Academic Hospital Asklepios Barmbek offers the full range of services in the relevant medical fields. The department is certified by the German Cancer Society, which confirms the outstanding quality of medical care. All modern diagnostic and therapeutic procedures are available in the department. Also, patients are provided with psychological support and palliative care services. The department is headed by Prof. Dr. med. Axel Stang, who is the owner of the prestigious Asklepios Award 2012 in the nomination "Innovations in Medicine" (the use of selective internal radiation therapy in the treatment of inoperable malignant neoplasms of the liver).
The optimal treatment of oncological diseases requires high-precision diagnostics, and therefore the department has the interdisciplinary Center for Ultrasound Diagnostics. It offers various examinations, such as contrast-enhanced ultrasound, (e.g., for tumors of unknown origin), tissue sampling for low-risk histological examination, installation of port catheters, pleural drainage, ascitic fluid drainage, radiofrequency ablation (especially for liver tumors), etc.
The department offers expertise in the diagnosis and treatment of liver cancer, liver metastases. All the necessary specialists work with the patient: oncologists, radiologists, gastroenterologists and surgeons. To achieve better treatment results, the clinical picture of each patient is discussed at interdisciplinary tumor boards, after which the doctors together develop an optimal treatment strategy.
It goes without saying that in the initial stages of cancer the chances of recovery are much higher. However, with the use of modern chemotherapy, new targeted anticancer drugs and a combination of various therapeutic methods, patients with liver cancer, bile duct cancer or liver metastases can recover even in the late stages of the pathology.
The department offers the widest range of therapeutic options for the treatment of liver cancer and metastases. In the early stages of cancer and under the condition of proper liver functioning, doctors recommend an operation to remove all malignant parts of the liver. If the surgery can pose some risks, ultrasound-guided radiofrequency ablation is performed. In the advanced stages of liver cancer, the above methods are ineffective, and therefore the patient is prescribed transarterial chemoembolization (TACE). To treat multiple metastases in the liver and other organs, the department uses tyrosine kinase inhibitors that block the growth of liver cancer cells. With a minor metastasis, palliative therapy, which effectively alleviates the symptoms, is enough for the patient. There is also offered surgical treatment of metastases.
The department treats various forms of lung cancer. In the early stages of the disease, the patient should undergo surgical intervention. Thoracic surgeons use only modern and effective surgical methods. Lung cancer treatments also include endoscopic interventions (e.g., video-assisted thoracic surgery), radiation therapy, chemotherapy, combined chemotherapy and radiation therapy, CT-guided radiofrequency ablation, etc. The treatment of liver metastases can be carried out with the help of chemotherapy, tyrosine kinase inhibitors, while isolated metastases in the liver or brain can be removed surgically.
In addition, the department deals with the treatment and diagnosis of many other types of cancer. The range of services includes high-quality diagnosis and treatment of colon cancer, pancreatic cancer, gastrointestinal tract tumors, breast, uterine, ovarian cancer, prostate cancer, kidney, bladder and testicular cancer, as well as the treatment of cancer of unknown primary. Depending on the type of cancer and the stage of the disease, each patient receives individually selected optimal treatment methods. Much attention is paid to the emotional state of patients, and therefore there is offered regular psychological counseling.
A separate focus of the department is hematology. There is offered the treatment of various forms of blood diseases, but specialists of the department mostly have to deal with such severe oncological diseases as lymphoma, leukemia and plasmacytoma. For these diseases, surgical treatment can be used very rarely. In most cases, the best method of treatment is chemotherapy, sometimes in combination with modern anticancer drugs. A special type of therapy for hematological cancer is stem cell transplantation, which is mainly used to treat relapses.
Diagnostic options of the department include:
- Contrast-enhanced ultrasound
- Computed tomography
- Magnetic resonance imaging
- Ultrasound examinations
- Interventional sonography
- And many other diagnostic methods
The spectrum of therapeutic services of the department includes:
- Open surgical procedures
- Endoscopic surgery
- Radiation therapy
- Combined chemotherapy and radiotherapy
- Radiofrequency ablation
- Transarterial chemoembolization (TACE)
- Pain therapy
- Palliative therapy
- Multimodal therapy
- Antihormone therapy
- Monoclonal antibody therapy
- Installation of port catheters
- Abdominal drainage
- And many other treatments
- Degree in biology and molecular genetics (TU Karlsruhe).
- Degree in medicine and PhD (University of Hamburg).
- Stay at the Cancer Center Houston, USA.
- Specialist in Internal Medicine, Hematology and Oncology.
- Certificate of the European Society of Medical Oncology (ESMO).
- Trainer and Stage III seminar leader of the German Society of Ultrasound in Medicine (DEGUM).
- Since 2010 Chief Physician of the Department of Hematology, Oncology and Palliative Care at AK Barmbek.
- Since 2015 Medical Director of the Asklepios Clinic Barmbek.
- 2017 Postdoctoral lecturer qualification at Semmelweis University Budapest.
Membership in Professional Societies
- Working Group for Internal Oncology of the German Cancer Society (AIO).
- Working Group for Interventional Sonography.
- German Society of Hematology and Oncology (DGHO).
- German Society of Internal Medicine (DGIM).
- German Society of Palliative Care.
- German Society of Ultrasound in Medicine (DEGUM).
- European Society of Medical Oncology (ESMO).
- Chairman of the Working Group of Therapists of Hamburg for Sonography (ASHI).
Photo of the doctor: (c) Asklepios Klinik Barmbek
Department of Oncology, Hematology and Palliative Care.
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