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Treatment of Ewing Sarcoma 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

Ewing sarcoma diagnosis
2230
Chemotherapy and radiation therapy for Ewing sarcoma
25664
Surgical treatment for Ewing sarcoma
7045

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
Ewing sarcoma diagnosis
6854

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
Ewing sarcoma diagnosis
7133

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
Ewing sarcoma diagnosis
6854
Chemotherapy and radiation therapy for Ewing sarcoma
43747
Surgical treatment for Ewing sarcoma
20238

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
Ewing sarcoma diagnosis
6255
Chemotherapy and radiation therapy for Ewing sarcoma
38655
Surgical treatment for Ewing sarcoma
17766

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
Ewing sarcoma diagnosis
6743 help6143
Chemotherapy and radiation therapy for Ewing sarcoma
35941
Surgical treatment for Ewing sarcoma
17072

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
Ewing sarcoma diagnosis
7140
Chemotherapy and radiation therapy for Ewing sarcoma
46233
Surgical treatment for Ewing sarcoma
21290

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
Ewing sarcoma diagnosis
6558
Chemotherapy and radiation therapy for Ewing sarcoma
35605
Surgical treatment for Ewing sarcoma
19035

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
Ewing sarcoma diagnosis
0
Chemotherapy and radiation therapy for Ewing sarcoma
0
Surgical treatment for Ewing sarcoma
0

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
Ewing sarcoma diagnosis
7101
Chemotherapy and radiation therapy for Ewing sarcoma
46167
Surgical treatment for Ewing sarcoma
21286

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
Ewing sarcoma diagnosis
6111
Chemotherapy and radiation therapy for Ewing sarcoma
36077
Surgical treatment for Ewing sarcoma
18966

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
Ewing sarcoma diagnosis
8405
Chemotherapy and radiation therapy for Ewing sarcoma
36028
Surgical treatment for Ewing sarcoma
25423

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
Ewing sarcoma diagnosis
6839
Chemotherapy and radiation therapy for Ewing sarcoma
43413
Surgical treatment for Ewing sarcoma
20331

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
Ewing sarcoma diagnosis
6073
Chemotherapy and radiation therapy for Ewing sarcoma
35591
Surgical treatment for Ewing sarcoma
19454

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
Ewing sarcoma diagnosis
6192
Chemotherapy and radiation therapy for Ewing sarcoma
35936
Surgical treatment for Ewing sarcoma
25376

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Charité Comprehensive Cancer Center

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Ewing sarcoma diagnosis
6197
Chemotherapy and radiation therapy for Ewing sarcoma
46082
Surgical treatment for Ewing sarcoma
28574

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
Ewing sarcoma diagnosis
7159
Chemotherapy and radiation therapy for Ewing sarcoma
36063
Surgical treatment for Ewing sarcoma
21541
| from Booking Health GmbH

Content

  1. The process of Ewing sarcoma development
  2. Risk factors
  3. Where Ewing sarcoma is often found?
  4. Symptoms
  5. Diagnostics of Ewing sarcoma
  6. Stages
  7. Treatment of Ewing sarcoma
  8. How recurrent Ewing sarcomas are treated?
  9. Rehabilitation period
  10. Why treat Ewing sarcoma in Germany?
  11. Hospitals for Ewing sarcoma treatment in Germany
  12. The cost of Ewing sarcoma treatment in Germany
  13. Cancer treatment in Germany with Booking Health

 

As a type of bone cancer, Ewing sarcoma is more common in children than in adults. It accounts for up to 15% of all malignant neoplasms in childhood. The tumor is prone to early metastasizing. Metastases are found in 30% of patients at the time of confirming the diagnosis. However, radical bone cancer treatment in Germany is carried out even at the advanced stages.

The process of Ewing sarcoma development

 

Ewing sarcoma is characterized by an extremely aggressive clinical course and early metastasizing. The time period from the onset of the oncological process to the manifestation of the disease is from 5 to 7 months. Because of this, almost half of patients already have metastases at the time of diagnosis making, and many of them have metastases to different organs already before a diagnosis is made.

Risk factors

 

There is no reliably confirmed medical data on factors affecting the formation of Ewing sarcoma. In some patients, a correlation of cancer with bone injury or post-traumatic changes in the bone tissue is established.

Some experts say that tumor development is based on a hereditary predisposition, including various types of gene mutations. However, in the overwhelming majority of patients, there is no connection with predisposing factors.

Where Ewing sarcoma is often found?

 

Generally, Ewing sarcoma can appear in any bone. Various bones can be involved in the oncological process. However, common areas of tumor localization include the tibia, bones of the pelvis, shoulder blades, vertebrae, and rib bones.

Unlike other types of tumors of the skeletal system, Ewing sarcoma affects flat bones in the vast majority of cases.

Symptoms

 

The most universal symptom Ewing sarcoma patients experience is pain and swelling in the area of the tumor growth.

Pains appear spontaneously, usually when patients are physically active. These pains often do not completely go away even at rest. The more the tumor grows, the more the swelling becomes visible. If the swelling is not visible yet, it can already be felt. Sometimes the area of tumor growth may become reddish, and that part of the body stops functioning normally. It is not uncommon for doctors to initially mistake these symptoms for bone inflammation, or a physical injury.

Since Ewing sarcomas can grow in almost any bone and soft tissue, symptoms can be different in different patients. For example, if a tumor grows in the area of the spine or peripheral nerves, patients may first develop such abnormalities as loss of motor ability (paralysis). If a tumor grows in the pelvic bones, or in the chest area, or in the thigh bones, there are no distinct signs of Ewing sarcoma and it can remain undetected for a long time.

It usually takes about 6 months before patients see the doctor. By this time, the pain becomes intense, and the functioning of the affected area is impaired. Half of the patients already have metastases, which is associated with an active malignant process or probable long-term self-medication.

The formation itself can be felt already at the advanced stages.

Diagnostics of Ewing sarcoma

 

The following diagnostic procedures are used to make an accurate diagnosis and to identify the level of spreading of the oncological process:

  • Physical examination
  • X-ray examination, angiography
  • Ultrasound scan of various systems and organs
  • Computed tomography scan of the primary malignant focus
  • Histological examination of the tissue sample
  • Blood tests
  • Consultations of related specialists (if necessary)

To find metastases, X-rays and computed tomography of the lungs, as well as bone scintigraphy are performed. In some cases, positron emission tomography (PET) scans are also required. Additional studies and tests can be necessary depending on each specific case of the disease and the choice of treatment tactics.

Stages

 

Basically, both Ewing sarcoma and tumors of the same group are poorly differentiated or completely undifferentiated formations with high malignancy. There are four stages of their development.

  1. The first stage includes neoplasm less than 8 centimeters in size
  2. At the second stage, the tumor is more than 8 centimeters in size
  3. At the third stage, several tumor focuses are formed

Only at the advanced stage metastasizing to distant organs occurs. Ewing sarcoma rarely spreads to the lymphatic system; more often it spreads to the lungs.

The progression between stages takes little time, sometimes it takes only few months.

Treatment of Ewing sarcoma

 

Patients with Ewing sarcoma are treated with surgery and radiation therapy, chemotherapy, and bone marrow transplantation or with combination of these therapeutic techniques.

Experts say that chemotherapy courses are performed because Ewing sarcoma has high risks of metastasizing. Previously, when patients were only operated on or irradiated, almost all of them developed metastases. Therefore, a systemic treatment that would affect the entire body is needed in the case of Ewing sarcoma. Typically, local therapy is performed between two chemotherapy sessions.

Ewing sarcoma treatment scheme depends on the risk group the patient belongs to. There are three groups of patients:

  • People with no metastases and a tumor that can be removed
  • People with metastases in the lungs or in the axial skeleton
  • People with no possibility of tumor removal; bone marrow is involved in the malignant process

Therapy for all patients begins with several courses of polychemotherapy. For cancer with metastases that does not respond to drug therapy well, radiotherapy is given. Ewing sarcomas usually respond to radiotherapy well.

In the patients from the first and second groups surgery is carried out after the chemotherapy course. Only if complete removal is impossible, partial excision is performed. If the resection is partial, then the radiation therapy is performed after it. For inoperable patients, several more cycles of chemotherapy are recommended. If the bone marrow is appeared to be affected by cancer, an aggressive course of chemotherapy is prescribed. Extensive dosage of drugs is administered, radiotherapy and subsequent bone marrow transplant are performed.

How recurrent Ewing sarcomas are treated?

 

Although the methods of treatment for Ewing sarcoma have become better and the overall treatment success is higher, recurrence is observed in 40% of patients.

There is no standard therapy for recurrent Ewing sarcoma in medicine yet. Depending on the specific case, recurrent cancer can be treated with courses of chemotherapy with several drugs, radiation therapy, surgery, or a combination of the mentioned treatment methods.

If the treatment results show that it is impossible to eliminate the disease completely, then the preservation of the high quality of life comes to the fore. Doctors administer pain-relieving therapy and support body functions (palliative therapy). Research protocols are working on how to improve the chances of recovery for these patients.

Rehabilitation period

 

In more than half of cases of Ewing sarcoma it’s possible to achieve permanent remission and overcome the survival threshold. For patients with progressive forms of Ewing sarcoma chances of recovery are lower, but in comparison with other malignant processes they are considered pretty good.

Thanks to the use of chemotherapy along with radiotherapy and bone marrow transplant, treatment outcomes and patient survival increase significantly, notwithstanding the advanced stages of cancer.

Why treat Ewing sarcoma in Germany?

 

Ewing sarcoma is a severe medical condition that is better to treat abroad. Here are several reasons why it is worth going to Germany for the treatment of Ewing sarcoma:

  • In Germany, preference is given to operations with limb preservation. Amputation is used only in exceptional cases.
  • Medical procedures are carried out by the best German specialists. Therefore, the rehabilitation process after treatment is easier.
  • The latest methods of performing the therapeutic procedures are available in Germany.
  • It is possible to remove the tumor and metastatic sites simultaneously in order to try to cure the disease even at the advanced stage.
  • To replace the removed bones, the latest types of endoprostheses are used.

Hospitals for Ewing sarcoma treatment in Germany

 

If you need to undergo diagnostics or cancer treatment abroad, it’s important to choose the right medical institution.

Going for cancer treatment in Germany means that you will get professional medical care, accurate diagnostics, and effective therapy. Due to their extensive clinical practice, local doctors take on even the most difficult cases.

Hospitals in Germany, whether large or small, private or state, have modern equipment and experience in the implementation of up-to-date developments in medicine into clinical practice.

Here is the list of the TOP German hospitals that specialize in treatment of Ewing sarcoma:

  1. MediClin Robert Janker Clinic
  2. Medias Cancer Clinic Burghausen
  3. University Hospital Ulm
  4. HELIOS Clinic Krefeld
  5. University Hospital Freiburg
  6. University Hospital Frankfurt am Main
  7. University Hospital Heidelberg
  8. University Hospital RWTH Aachen
  9. University Hospital Würzburg

The cost of Ewing sarcoma treatment in Germany

 

Cancer treatment in Germany is performed at its best and is cost-effective. Prices in German hospitals aren’t that much different from other European countries and often even lower.

The cost of treatment of Ewing sarcoma with chemotherapy and radiation therapy starts at 32,181 EUR. The cost of treatment of Ewing sarcoma with surgical treatment starts at 16,533 EUR. The price of diagnostics apart from the cost of treatment starts at 5,714 EUR.

By leaving the request on the Booking Health website, you will get an overall cost of treatment for your diagnosis.

Cancer treatment in Germany with Booking Health

 

To undergo cancer treatment in Germany, you can negotiate directly with the clinic or use the services of a medical tourism company. Most patients choose to use the help of professionals, as independent travel arrangements are associated with many obstacles.

Patients often experience that it is difficult to choose the right hospital and the right doctor, to make the correct request to the clinic and that it is not easy to get a quick response from hospitals. Patients also can wait long before treatment actually starts, and they are generally at the risk of unnecessary financial expenses.

Booking Health selects the best clinic for you, helps you optimize your medical program, and organizes trip to Germany for you. You can completely focus on restoring your health, avoiding organizational worries and saving your time.

Leave the request on the Booking Health website to find out how to start your treatment.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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