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Treatment of Spinal Astrocytoma

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

Spinal astrocytoma diagnosis
498
Radiotherapy for spinal astrocytoma
13800
Surgical complete or partial resection of spinal astrocytoma
8668

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Spinal Surgery

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Spinal astrocytoma diagnosis
1827
Surgical complete or partial resection of spinal astrocytoma
22618

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

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
Spinal astrocytoma diagnosis
2357
Radiotherapy for spinal astrocytoma
29568
Surgical complete or partial resection of spinal astrocytoma
34305

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

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
Spinal astrocytoma diagnosis
2003
Radiotherapy for spinal astrocytoma
29126
Surgical complete or partial resection of spinal astrocytoma
25366

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

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
Spinal astrocytoma diagnosis
1799
Radiotherapy for spinal astrocytoma
22950
Surgical complete or partial resection of spinal astrocytoma
23083

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

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
Spinal astrocytoma diagnosis
1969
Radiotherapy for spinal astrocytoma
27926
Surgical complete or partial resection of spinal astrocytoma
24069

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

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
Spinal astrocytoma diagnosis
1893
Radiotherapy for spinal astrocytoma
27573
Surgical complete or partial resection of spinal astrocytoma
24191

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Orthopedics

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
Spinal astrocytoma diagnosis
1800
Radiotherapy for spinal astrocytoma
23178
Surgical complete or partial resection of spinal astrocytoma
22738

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department for Adult and Pediatric Orthopedics, Trauma Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Spinal astrocytoma diagnosis
2169
Radiotherapy for spinal astrocytoma
23277
Surgical complete or partial resection of spinal astrocytoma
29849

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

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
Spinal astrocytoma diagnosis
2266
Spinal astrocytoma diagnosis
2221
Radiotherapy for spinal astrocytoma
23354

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Spinal astrocytoma diagnosis
1950
Radiotherapy for spinal astrocytoma
22994
Surgical complete or partial resection of spinal astrocytoma
25776

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Spinal astrocytoma diagnosis
2001
Radiotherapy for spinal astrocytoma
23291
Surgical complete or partial resection of spinal astrocytoma
25872

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Spinal astrocytoma diagnosis
1711
Radiotherapy for spinal astrocytoma
28017
Surgical complete or partial resection of spinal astrocytoma
21107

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Spinal astrocytoma diagnosis
1894
Radiotherapy for spinal astrocytoma
29572
Surgical complete or partial resection of spinal astrocytoma
25483

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Orthopedics, Trauma and Reconstructive Surgery

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
Spinal astrocytoma diagnosis
1827
Radiotherapy for spinal astrocytoma
22949
Surgical complete or partial resection of spinal astrocytoma
22787

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Spinal astrocytoma diagnosis
2036
Radiotherapy for spinal astrocytoma
29325
Surgical complete or partial resection of spinal astrocytoma
25670

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Neurosurgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Spinal astrocytoma diagnosis
1898
Radiotherapy for spinal astrocytoma
27623
Surgical complete or partial resection of spinal astrocytoma
24322
| from Booking Health GmbH

Astrocytoma is one of the most common primary spinal cord tumors. It develops in its parenchyma, that is, it is intramedullary. In most cases, this is a benign neoplasm, but malignant astrocytomas also occur. You can cure this disease abroad with minimal health risks.

Content

  1. What is spinal cord astrocytoma
  2. Surgical removal of astrocytoma
  3. Radiation therapy for astrocytoma

What is spinal cord astrocytoma

 

Astrocytoma is a glial tumor that grows from astrocytes. In adult patients, it is the second most common intramedullary tumor of the spinal cord after ependymoma. In children under 10 years of age, astrocytoma is the most common glial tumor, accounting for 90% of cases, and in adolescents this indicator is 60% of cases.

It can be of different histological types. There are tumors with separated or infiltrative growth. The tumors with separated growth are classified as grade 1. They have clear boundaries, so it is easier to totally remove such neoplasms. The tumors with infiltrative growth have the worst prognosis. They grow by destroying nearby normal tissues.

Histological types: 

  • Spinal cord piloid astrocytoma (spinal cord pilocytic astrocytoma) is more common in children. In 70% of cases, this tumor has a clear dissection plane between the tumor and the brain matter. It is among the 1st grade (G1) neoplasms. 
  • Fibrillary astrocytoma (G2) is a more aggressive tumor capable of infiltrative growth. 
  • Anaplastic astrocytoma of the spinal cord (G3) is a malignant neoplasm that often recurs after removal. 
  • Glioblastoma (G4) is the fastest growing, incurable tumor. 

Astrocytoma usually develops in the cervical or thoracic region.

Most of these neoplasms are benign. Anaplastic astrocytoma of the spinal cord and glioblastoma together account for only 10% of cases.

Surgical removal of astrocytoma 

 

Tumor resection is the best treatment option. It relieves neurological symptoms and provides better survival rates when compared to radiation therapy. Even with incomplete removal and suboptimal adjuvant (postoperative treatment), a person can live for many more years, sometimes tens of years, since spinal cord astrocytomas usually show low biological aggression and progress very slowly.

Goals of treatment: 

  • Removal of as much of the tumor as possible (ideally, total resection).
  • Preservation of the functions of the spinal cord.
  • Control of the tumor, suppression of its growth.
  • Prevention of complications and control of complications (spinal deformities, infections, etc.). 

Astrocytoma resection can be as follows: 

  • Intrafocal.
  • Extrafocal.

Whenever possible, extrafocal en-bloc resection is performed (surgical removal of the entirety of the tumor without violating its capsule). Thus, the neoplasm can be totally removed without exposing its surface. The incision is made outside the borders of the tumor. This is how the principles of ablastics are observed – cancer cells do not scatter in the wound, so the risk of recurrence is lower. However, such an operation is more traumatic. As a rule, it is necessary to completely remove the vertebra located at the level of the neoplasm.

Nonetheless, such a type of resection can rarely be performed. Doctors often resort to intrafocal resection. The neoplasm is removed in parts, but not always completely. The resection can be: 

  • Total – removal of the whole tumor. 
  • Subtotal – removal of more than 90%.
  • Partial – removal of more than 50% of the tumor tissue.

If possible, doctors try to remove the astrocytoma completely. This can often be done because in most cases spinal surgeons have to deal with benign neoplasms.

Nonetheless, total tumor resection is not always possible. Most often, it is performed for spinal cord piloid astrocytoma, which has clear boundaries. With most other astrocytomas that have an infiltrative type of growth, the tactics of the safest removal are used – the doctor resects as much of the tumor tissue as possible, while trying to cause as little neurological deficit as possible.

The best clinics abroad use high-precision preoperative and intraoperative diagnostic tests, which help to achieve the most radical removal of the tumor with minimal health risks. Neurosurgeons use:

  • Contrast-enhanced MRI or PET – for determining the boundaries of the tumor. 
  • Intraoperative neuronavigation and neuroimaging.
  • Intraoperative electrophysiological testing – the doctor continues to remove the tumor until the first signs of dysfunction of the spinal cord appear (change in the parameters of evoked potentials). 

For malignant neoplasms, fluorescent-guided navigation is used. The doctor uses a drug that accumulates in the tumor tissue and illuminates it. This allows the neurosurgeon to more effectively distinguish the tumor from the normal spinal cord in order to remove as much of the malignant astrocytoma as possible.

Radiation therapy for astrocytoma 

 

In case of benign neoplasms, which account for most of the spinal cord astrocytomas, radiation therapy is rarely used. The tactics are usually as follows:

  1. The tumor is removed, but no adjuvant radiation therapy is prescribed. 
  2. Even if the neoplasm is not totally removed, the patient is only monitored. In most cases, the pathology progresses very slowly, so there is no need for additional treatment.
  3. In the event of a relapse, the first choice treatment option is surgery. 
  4. Only after the second surgery can radiation therapy be performed – for adjuvant treatment or in case of repeated relapse. 

Irradiation is used mainly for malignant types of astrocytoma. Radiotherapy is always conducted after surgery. In addition, the method can be used instead of surgery, if surgical treatment is contraindicated.

Doctors abroad use the very latest methods of radiation therapy. They are very accurate and direct the rays from different sides in order to minimize damage to the healthy tissues. With such irradiation, the risk of spinal deformity and instability is lower. Some clinics use stereotactic body radiation therapy. It allows destroying the tumor within just one or several sessions. 

To undergo spinal cord astrocytoma treatment abroad, please use the services of Booking Health. We will select the best clinic for you and take care of the organization of your trip. On the Booking Health website, you can compare prices and book a medical care program at a favorable price. The cost of treatment for spinal cord intramedullary astrocytoma will be lower for you due to the lack of additional coefficients for foreign patients.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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