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Chemotherapy in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Chemotherapy in gastrointestinal carcinoid tumors
2358
Chemotherapy in neuroendocrine tumors (NETs)
2383
Treatment of appendix cancer with chemotherapy
2135

Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of Oncology and Palliative Care

According to the reputable Focus magazine, the Helios Hospital Berlin-Buch ranks among the top medical facilities in Germany! The clinic is proud of its rich history, which dates back over 100 years, as well as the status of a maximum care medical center with exceptionally high success treatment rates. The medical institution is
Chemotherapy in gastrointestinal carcinoid tumors
7801
Chemotherapy in neuroendocrine tumors (NETs)
7904
Treatment of appendix cancer with chemotherapy
7508

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectology, Hematology, Oncology and Palliative Care

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
Chemotherapy in gastrointestinal carcinoid tumors
7459
Chemotherapy in neuroendocrine tumors (NETs)
7504
Treatment of appendix cancer with chemotherapy
7217

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Hematology, Oncology, Immunology and Palliative Care

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques. The clinic has at its disposal the latest
Chemotherapy in gastrointestinal carcinoid tumors
7351
Chemotherapy in neuroendocrine tumors (NETs)
7476
Treatment of appendix cancer with chemotherapy
7269

MediClin Robert Janker Clinic

9.5/10
location_onGermany, Bonn

Department of Oncology and Palliative Care

The MediClin Robert Janker Clinic is a progressive medical facility, which has all the very latest diagnostic and treatment methods for the recovery of health of patients who suffer from cancers. The clinic was founded by renowned radiologist and surgeon Robert Janker. Today, its history has more than 80 years of successful clin
Chemotherapy in gastrointestinal carcinoid tumors
8288
Chemotherapy in neuroendocrine tumors (NETs)
8204
Treatment of appendix cancer with chemotherapy
7982

Medias Cancer Clinic Burghausen

10/10
location_onGermany, Burghausen

Department of Oncology and Surgical Oncology

The Medias Cancer Clinic Burghausen positions itself as a private highly specialised medical facility with international leadership in cancer treatment. The key areas of specialization of the clinic include regional chemotherapy, surgical oncology, hyperthermia, immunotherapy and pain therapy. The ultimate value of each emp
Chemotherapy in gastrointestinal carcinoid tumors
8672
Chemotherapy in neuroendocrine tumors (NETs)
8609
Treatment of appendix cancer with chemotherapy
8152

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Hematology, Oncology, Palliative Care, Rheumatology and Infectology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Chemotherapy in gastrointestinal carcinoid tumors
8131
Chemotherapy in neuroendocrine tumors (NETs)
8276
Treatment of appendix cancer with chemotherapy
7962

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Hematology and Oncology

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Chemotherapy in gastrointestinal carcinoid tumors
8489
Chemotherapy in neuroendocrine tumors (NETs)
8678
Treatment of appendix cancer with chemotherapy
8159

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Cancer Center

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Chemotherapy in gastrointestinal carcinoid tumors
7895
Chemotherapy in neuroendocrine tumors (NETs)
7733
Treatment of appendix cancer with chemotherapy
7666

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Hematology, Oncology, Adult and Pediatric Rheumatology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Chemotherapy in gastrointestinal carcinoid tumors
0
Chemotherapy in neuroendocrine tumors (NETs)
0
Treatment of appendix cancer with chemotherapy
0

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Chemotherapy in gastrointestinal carcinoid tumors
7443
Chemotherapy in neuroendocrine tumors (NETs)
7491
Treatment of appendix cancer with chemotherapy
7195

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Oncology and Hematology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Chemotherapy in gastrointestinal carcinoid tumors
8515
Chemotherapy in neuroendocrine tumors (NETs)
8683
Treatment of appendix cancer with chemotherapy
8311

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Oncology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Chemotherapy in gastrointestinal carcinoid tumors
9689
Chemotherapy in neuroendocrine tumors (NETs)
9649
Treatment of appendix cancer with chemotherapy
9419

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Hematology and Oncology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Chemotherapy in gastrointestinal carcinoid tumors
8133
Chemotherapy in neuroendocrine tumors (NETs)
8240
Treatment of appendix cancer with chemotherapy
7872

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Hematology and Oncology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Chemotherapy in gastrointestinal carcinoid tumors
7448
Chemotherapy in neuroendocrine tumors (NETs)
7519
Treatment of appendix cancer with chemotherapy
7191

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Hematology, Oncology and Pulmonology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Chemotherapy in gastrointestinal carcinoid tumors
7422
Chemotherapy in neuroendocrine tumors (NETs)
7407
Treatment of appendix cancer with chemotherapy
7257

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Oncology, Hematology, Rheumatology and Immunoncology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Chemotherapy in gastrointestinal carcinoid tumors
8461
Chemotherapy in neuroendocrine tumors (NETs)
8442
Treatment of appendix cancer with chemotherapy
8263
| from Booking Health GmbH

Yes, chemotherapy is used in Europe, mostly for the treatment of advanced cancer.

DiseaseCost of treatment
Neuroendocrine tumorfrom €2,383
Renal cancerfrom €3,469
T-cell lymphomafrom €6,743
You can find other prices on the Booking Health website.
The best hospitals in Germany are: 
Medias Cancer Clinic BurghausenGermany, Burghausen
University Hospital FreiburgGermany, Freiburg
University Hospital UlmGermany, Ulm
You can find other hospitals on the Booking Health website.

Chemotherapy is the type of cancer treatment in Germany, which destroys malignant cells with the help of medications. Numerous clinical trials are aimed at the assessment of efficacy of the existing chemotherapeutic agents, elaboration of new molecules and cancer treatment regimens. Treatment in Germany takes the advantage of extensive practical experience, modifications of the conventional chemotherapy protocols and comprehensive approach to cancer treatment. German physicians elaborate effective individual schemes for cancer treatment and pay additional attention to managing side effects. Cost of treatment in Germany is regulated by law and corresponds to the quality of medical services.

Content

  1. When chemotherapy is administered
  2. Types of chemotherapy
  3. How is chemotherapy performed?
  4. How do doctors choose a chemotherapeutic protocol?
  5. When is it worth looking for chemotherapy abroad?
  6. Chemotherapy in German hospitals with Booking Health

When chemotherapy is administered

 

Chemotherapy is the systemic treatment (local and regional treatments also exist, and we will discuss them later) that affect the primary tumor and metastases. Medications target tumors in the hard-to-reach regions and destroy undetectable metastatic foci, which is why indications to their administration are quite broad.

Offering chemotherapy for cancer, specialists in oncology pursue one of the following goals:

  • Curing cancer. Some tumors are extremely sensitive to cytotoxic agents and can be completely destroyed by a few chemotherapy courses. For instance, chemo is the first-line option if a patient was diagnosed with blood cancer.
  • Preparing for further therapy or consolidating its results. Chemo helps prepare a patient for surgery or radiation therapy, as it reduces tumor volume and makes it more sensitive to irradiation. After the surgery or radiation therapy course, chemo suppresses remaining cancer cells (e.g. undetectable microscopic metastases) and reduces risks of the relaple development. It has been proven that adjuvant (i.e. "post treatment") chemotherapy is connected with longer relapse-free periods and better survival.
  • Controlling cancer. In patients with advanced cancer chemo prevents further disease progression, i.e. tumor growth or metastasizing. Although not leading to cure, chemo makes the clinical course of the disease more favourable.
  • Managing cancer symptoms. Chemotherapy may also be administered for alleviating bone pain, relieving pressure of a tumor on airways or intestines, reducing intoxication, etc. Palliative chemo is administered individually, as a physician must carefully assess all the possible risks and benefits.

Due to affecting the basic mechanisms of cancer cells’ metabolism and multipurpose cytotoxic action, chemo is indicated for the treatment of different cancers. These are malignant neoplasms of lungs, breasts, stomach and intestines, bones, brain, soft tissues, etc. It can be used as monotherapy or included in complex therapeutic protocols.

Types of chemotherapy

 

There are seven possible ways of introducing chemotherapeutic agents in the body, as close to the malignant neoplasm as possible. Some of them are systemic (more conventional and investigated approach), while others are local (more novel and targeted approach):

  1. Oral. Chemotherapeutic capsules, pills or solutions can be taken orally, according to a physician’s scheme. Oral chemo is suitable for cancer patients with normal function of the gastro-intestinal system. Some of the drugs require a specific diet.
  2. Intravenous. This procedure is performed through the permanent peripheral intravenous cannula, so a nurse does not need to puncture the vein each time. Treatment session may take from several minutes to several hours. This depends on the quantity of medications, their individual tolerance, and type of cancer.
  3. Intra-arterial. This method is from the group of the targeted ones. With the help of visualizing techniques doctors find arteries that feed tumors and introduce drugs into them directly. It may be hard to reach arteries of liver, lungs, etc., and this type of chemo requires specific skills from oncology specialists.
  4. Intramuscular. This procedure is carried out as an ordinary injection. The chemotherapeutic agent is introduced in the muscle or under the skin.
  5. Intraperitoneal. In this case chemotherapy is the part of complex intervention, i.e. HIPEC. Doctors combine surgery with local introduction of the cytotoxic medications. Details of the technique will be described below.
  6. Intrathecal. When we talk about tumors of the central nervous system, the best way for targeted drug delivery is their injection into the cerebrospinal fluid (CSF). CSF participates in the exchange of substances and can deliver medication to most parts of the spinal cord and brain. Single or several injections may be enough in this case.
  7. Topical (cutaneous). Creams or ointments with high medication dosage are applied to the affected skin regions. This is the most attractive option in terms of cost of treatment, as it does not require hospital admission and is not connected with significant side effects.

Some types of treatment are inpatient (e.g. HIPEC), others require visits to a doctor’s office (e.g. intravenous chemo) or can be taken at home (e.g. oral or topical chemo). This influences overall duration and cost of treatment. Some people prefer undergoing therapy at the hospital, under constant medical supervision. Others would rather stay at home, with their beloved ones. When possible clinically, physicians ask about patients’ preferences and consider them.

How is chemotherapy performed?

 

Intravenous chemotherapy is usually performed through the peripheral intravenous cannula. This means that a nurse will not need to insert a needle in your vein before each procedure. The intravenous cannula may stay in the blood vessel for about 72 hours. It must be sterile. A nurse washes the intravenous cannula with saline before and after each procedure. The infusion may last for several hours, so you will stay in the ward, in comfortable conditions. Intravenous chemotherapy may be performed as an inpatient or day hospital procedure, in both cases you will receive close medical attention from cancer care providers.

Chemoembolization, or intra-arterial chemotherapy, is the inpatient intervention. It starts from the local anesthesia in the groin region, as a physician most often inserts the endovascular catheter into the femoral artery. The catheter is gradually moved in the direction of the target region (i.e. tumor or its metastases). Once it is in place, a physician injects a solution with a chemotherapeutic agent through it and closes the lumen of the vessel with emboli. Thus, a drug stays near the cancer cells for a long time. It does not enter the systemic circulation and does not cause side effects. Chemoembolization is indicated to patients with advanced cancer, who have distant metastases (e.g. liver ones).

HIPEC, or hyperthermic intraperitoneal chemotherapy, is carried out after the cytoreductive surgery. A surgeon opens the abdominal cavity and removes all the visible tumors and metastatic lesions. After that, a heated solution of a chemotherapeutic agent is pumped inside it through the catheters. The solution is heated to 42-43 degrees Celsius, which facilitates its penetration deep into the tissues and killing microscopic metastases. A drug circulates in the abdominal cavity for 1-1.5 hours. After that, it is washed out, and the surgical wound is sutured. Beyond all doubt, HIPEC is an inpatient procedure that is indicated to patients with advanced cancer stages. The cost of treatment with HIPEC is higher compared to usual intravenous chemotherapy, but the results are impressive.

Intrathecal chemotherapy most often includes injecting the drug directly into the CSF, in the lower part of the spinal column. The injection is performed under the local anesthesia, this is an outpatient procedure. Another, more invasive, option is injecting chemotherapeutic agents into the Ommaya reservoir. The Ommaya reservoir is a plastic device that is inserted under the scalp in order to facilitate CSF aspiration or drug delivery. Both options of intrathecal chemotherapy are aimed at treating tumors in the brain and spinal cord or preventing affection of these organs by cancer of other localizations (e.g. in acute lymphoblastic leukemia or Burkitt’s lymphoma).

How do doctors choose a chemotherapeutic protocol?

 

In German hospitals, cancer treatment schemes are often elaborated by a tumor board. Tumor board is a group of health care providers that elaborate the best possible care plan in conference. For instance, a tumor board for a patient with lung cancer includes oncologist, thoracic surgeon, radiation oncologist, pulmonologist or general practitioner, etc. Joint work of health care providers makes it possible to exclude repeated examinations, reach the best therapeutic results and reduce the overall cost of therapy.

When planning a chemotherapeutic protocol, members of a tumor board consider the following factors:

  • Diagnosis
  • Histological and immunohistochemical type of tumor
  • Expected sensitivity of a tumor to conventional chemotherapeutic drugs
  • Presence of metastases, their number and localization
  • Already performed treatment and its efficacy
  • Age and life expectancy
  • Presence of comorbidities
  • Liver and kidney function
  • Other patients’ individual factors

To assess these parameters precisely, cancer patients undergo examination. The list of necessary diagnostic tests includes blood tests, US scans, CT / MRI / PET-CT, and biopsy. Depending on the result of the discussion, the tumor board chooses one of the internationally approved protocols, local modification of the international protocol, or gives preference to targeted methods (HIPEC, chemoembolization). The scheme of treatment is adjusted to the changes in a patient’s state.

When is it worth looking for chemotherapy abroad?

 

After reading the information about chemotherapy, the procedure seems effective and simple. So, why may a cancer patient want to travel abroad instead of simply undergoing it in a local hospital?

First, novel medications may not be available in the native country. Unfortunately, oncologists of many countries still use outdated protocols of cancer treatment, as more progressive and safe ones are not approved or just more expensive. However, with spending less on the drugs for chemotherapy the final cost of therapy may become even higher, as you may need additional surgery, etc.

Second, local physicians may not be skilled enough to perform HIPEC, chemoembolization and other invasive types of chemotherapy. Availability of specific equipment and practical experience of health care providers are the cornerstones of successful implementation of modern interventions. If a surgeon performs only 1-2 such interventions annually, mistakes are possible.

Third, local hospitals may not care about your comfort and privacy. You may not want anyone to know that you have cancer. Travelling abroad is a chance to keep the diagnosis a secret. In addition, German hospitals offer comfortable wards and attentive nurses. If necessary, a psychologist will also work with you during the treatment course.

Chemotherapy in German hospitals with Booking Health

 

If you decide to undergo chemotherapy in one of the specialized German hospitals, it will be reasonable to explore the peculiarities of providing medical services to foreign patients with cancer. First of all, you will need to contact the hospital’s administration and receive the invitation for treatment. You may wait for the response for a few weeks or few months, as the priority is given to local citizens. Beyond all doubt, waiting is not the best option for a cancer patient. After that, you will need to pay for consultations, medicatios, nursing services, etc. Most hospitals have extra fees for foreigners and require medical insurance, so it is almost impossible to calculate the final cost of treatment in advance.

To receive comprehensive assistance during cancer treatment in Germany, contact Booking Health. Booking Health is the medical tourism provider that facilitates receiving medical services in the leading German hospitals. The company will guide you through all stages of treatment abroad and help with:

  • Making choice among oncological departments and hospitals based on the annual qualification profile, as different healthcare institutions may specialize in treating different cancer types
  • Preparing the chemotherapy program with an approximate price estimate, without repeating the available laboratory tests and instrumental examinations
  • Establishing communication with your future attending physician
  • Booking the appointment or the hospitalization date, without postponing start of therapy
  • Excluding additional coefficients for foreigners from the cost of therapy (saving up to 50% of the initial price)
  • Monitoring the course of medical program by Booking Health experts in oncology
  • Help in buying chemotherapeutic medicines for further courses, if necessary
  • Communication with the German hospitals after the course completion, scheduling further courses
  • Control of prices, returning unspent funds
  • Organization of additional medical examinations, consultations, etc.
  • Organizational issues: receiving visa, buying tickets and booking accommodation, transfer
  • Personal assistance of a medical coordinator and interpreter, information support

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko 




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