Treatment of Ewings sarcoma in Germany
Ewing’s sarcoma is a malignant tumour that develops from the stromal cells of the bone marrow. The bones are the primary target of the tumour. Illness has a negative prognosis as tumour grows fast and metastasizes early. In general, Ewing’s sarcoma is not a widespread condition. Though, this disease is the second most frequent malignant oncological pathology among all the paediatric tumours.
Ewing's sarcoma – Diagnostics
Following visualization methods will help to identify the pathological changes of the bones, tumor and its metastases:
- Computed tomography
- Magnetic resonance imaging
- Positron-emission tomography
A biopsy with the following examination of the tumor tissue is required for confirming the diagnosis:
- Cytogenetic examination
- Using a PCR (polymerase chain reaction)
Biopsy can be excisional or incisional. Excisional biopsy is rarely applied as it requires removal of the whole tumor. It’s possible at the beginning stage of Ewing’s sarcoma, when malformation has a small size and is located in the convenient for surgical intervention place.
Incisional biopsy means taking tumor fragment for analysis. The procedure is held by one of the following ways:
- Closed – with the help of needle
- Opened – through the incision (surgical intervention)
In some cases, bone marrow biopsy is needed, as Ewing’s sarcoma often gives metastases over there.
Other examination methods that can be used for the diagnostics are:
- Bone scan (for detecting bone metastases)
- Ultrasound examination
Best clinics for the Ewing's sarcoma diagnostics in Germany:
Rambam Health Care Campus Haifa
Academic Childrens Hospital Nuremberg
University Hospital Duesseldorf
Ewing's sarcoma – Treatment
Basic methods for Ewing’s sarcoma treatment are:
- Radiation therapy
- Surgical intervention
Surgeries can be different depending on the location of the tumour. If tumour is extensive, then surgery is not performed. Instead, doctors prescribe only chemotherapy and radiation therapy.
Surgeons remove a bone and replace it with a prosthesis when sarcoma is located on the limbs. The prosthesis in children have to be replaced after several years due to the ongoing growth of the skeleton. There are high-tech prostheses that can change their size without any surgery. A limb is rarely amputated if sarcoma is present in the bones.
If the tumour is located in the chest, surgeons remove the tumour and nearby ribs. Often, Ewing’s sarcoma spreads into the lungs and thus the surgery expands to those areas as well.
Tumours of the pelvic cavity require the removal of bone fragments. Regardless of tumour location, doctors remove soft tissues together with the bone. Meanwhile, the surgeon tries to preserve nerves and tendons as much as possible to ensure the mobility of the operated body part.
Best clinics for the Ewing's sarcoma treatment in Germany:
Medipol Mega University Hospital Istanbul
Gamma Knife and Radiotherapy Center Krefeld
Hannover Medical School (MHH)
Ewing's sarcoma – Rehabilitation
Most patients require rehabilitation after the treatment of complex oncological diseases. It includes the following aspects:
- Prevention of complications that may occur as a result of treatment. It can be pneumonia, lymphostasis, thromboembolic or infectious complications.
- Restoration of general health. The elimination of the consequences after surgeries and chemotherapy is carried out. The functions of internal organs are restored with the help of various medical and rehabilitation measures.
- Restoration of occupation. A person must not just stay alive. He must have physical and intellectual capabilities, which are sufficient for employment.
- Psychological support. First of all, it is required for patients, whose occupational performance was harmed because of the disease. Patients with deterioration of appearance also will benefit from psychological help.
- Restoration of appearance. If necessary, you can use surgical and other methods in Germany to restore appearance defects caused by cancer. For example, to carry out the reconstruction of the breast.
In German clinics, rehabilitation is carried out in a comprehensive manner. The patients are provided with qualitative care here. Doctors' monitoring and conservative treatment allow to avoid complications, which usually happen after treatment of oncological diseases. Psychotherapy, physiotherapy and physical therapy are actively used in Germany.
Specialists in different medical spheres take part in the rehabilitation process. These are massage therapists, speech therapists, specialists in physiotherapy exercises, physiotherapists. Social and occupational therapy is carried out, as well. If necessary, people are taught how to eat properly, take care of the postoperative scar, etc.
In Germany, rehabilitation is carried out with the maximum level of comfort for the patient. A person feels the results quite quickly and it improves his motivation and promotes further recovery.
Best clinics for oncological rehabilitation in Germany:
Author: Dr. Nadezhda Ivanisova
Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.
The program includes the following:
- Issuing of an invitation for getting a visa for treatment as quick as possible
- Fixing an appointment at a time convenient for you
- Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
- Arranging transfer from the airport to the hospital and back to the airport
- Provision of interpreting services and services of a personal medical coordinator
- If necessary, assistance in the organization of further surgical treatment
- Provision of a medical insurance against treatment complications covering up to 200,000 euro
- Preparation and translation of medical records and recommendations from the hospital
- Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc