Treatment of fibrosarcoma in Germany
Fibrosarcoma is a malignant neoplasm arising from the connective tissues. It rarely affects adults, usually it develops between the ages of 20 and 50 years. It is quite often identified in young children. Fibrosarcomas account for about 50% of the total number of soft tissues oncological diseases in the age group up to 5 years. The tumor can be localized in any area of the human body, but its preferred spot is the connective tissue of the upper (shoulder area) and lower (thigh area) limbs.
Fibrosarcoma – Diagnostics
Diagnostic measures are recommended by a doctor on the basis of a clinical exam, which consists of clinical history taking, discussing complaints, physical examination of the patient, including palpation of tissues in the area of the tumour and regional lymph nodes.
Laboratory and instrumental diagnostics pursues several main goals, which include determining the histological structure of the tumour, its size and the precise location in the body. Diagnostics will also show possible metastases, their quantity and location.
Such diagnostic purposes are reached in modern German hospitals via using the latest devices, which provide accurate results. The tests include:
- Radiography of a body part where a tumour or metastasis is suspected to be
- Ultrasound of the soft tissues
- Computer tomography or magnetic resonance imaging, which makes it possible to see even small distant metastases
- Fine needle biopsy means obtaining a part of the tumour with a thin needle in order to study its histological structure under a microscope
Additional tests, including a complete blood count, urine test, blood biochemistry, and electrocardiogram, are conducted. This way, specialists are able to analyse possible functional disorders of various organs and systems.
Comprehensive diagnostics enables a doctor to confirm the stage of fibrosarcoma development and to choose the most effective therapeutic measures.
Best clinics for the fibrosarcoma diagnostics in Germany:
University Hospital Duesseldorf
Pediatric Diagnostic Hospital M1 Munich
Charite University Hospital Berlin
Fibrosarcoma – Treatment
Radical or palliative treatment is prescribed on the basis of the diagnostics results. The type and extent of the surgery is defined by the location and spreading of the oncologic process to nearby tissues and organs.
Radical treatment in modern German hospital presupposes tumour removal, prevention of recurrence and metastases formation. Chemotherapy and radiation therapy are used to reach this purpose.
Palliative therapy is recommended at the late stages and it can include tumour or metastases removal to restore the tissues function around the fibrosarcoma area and to alleviate the patient's condition.
Different kinds of radiation therapy are administered in German hospitals. This therapy is an additive to the surgery which helps to prolong the patient’s life expectancy.
The following methods are used for the treatment in the case of fibrosarcoma:
- IMRT (intensity modulated radiation therapy) has a direct impact on the tumour cells, while causing minimal damage to surrounding healthy tissues.
- Proton therapy can replace IMRT as it’s safer, although much more expensive and is available only in certain hospitals.
- Intraoperative radiation therapy is included in the treatment scheme. The radiation dose is given only after the removal of the tumour, but before the wound is closed.
- Brachytherapy presupposes the introduction of granules with radioactive material right next to the tumour. It is injected through catheters, which are left after the operation. Different approaches are used in brachytherapy. Fibrosarcoma is irradiated with large doses of radiation for several minutes, or granules with radioactive material are placed inside the body for several days, but have low radioactivity.
Best clinics for the fibrosarcoma treatment in Germany:
Charite University Hospital Berlin
Gamma Knife and Radiotherapy Center Krefeld
University Hospital of the Ludwig-Maximilians-University Munich (LMU)
Fibrosarcoma – Rehabilitation
After treatment of complex oncological diseases most patients require rehabilitation. 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.
- Social and domestic rehabilitation. A person with reduced workability is trained to act in the society and perform everyday tasks in new conditions.
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 a colostomy or urostomy, 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.
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