Treatment of malignant mediastinal mass in Germany
Mediastinum represents an anatomical area that separates vital organs and structures. The tumour frequency is 3-7% in different countries. 30% of all the mediastinal masses are malignant. The incidence is equal for both men and women and its peak is exactly during the most socially active period from 20 to 40 years old.
Mediastinal mass – Diagnostics
A doctor will explain the additional diagnostic measures right after the clinical examination (a survey, examination of the patient, palpation of tissues, in particular regional lymph nodes). Additional procedures are necessary to detect the tumour, its exact location, histological origin, size.
Specialists will also perform a test aimed at the detection of metastases with the help of modern diagnostic techniques which include:
- Ultrasound used to visualise the venous, arterial mediastinal vessels, nerve stems and other structures
- Radiography of the mediastinum, as well as of the chest organs
- CT and MRI have high resolution and can detect even the smallest tumours or metastases
- Fine needle biopsy means taking a small area of the tumour with a special thin needle in order to examine the tissue structure
- Excision biopsy is held when the surgeon takes a piece of tissue during mediastinoscopy (an invasive procedure that involves penetration into the chest)
To determine the functional status of other organs, clinical, biochemical blood analysis, general urine analysis, laboratory examination of the functional activity of the immune system, electrocardiography, electroencephalography, external respiration function evaluation are additionally assigned by the doctor.
The volume of the diagnostic measures is determined individually for each patient in the European hospitals as tumour location, origin, size significantly differ.
Best clinics for the mediastinal mass diagnostics in Germany:
University Hospital Ulm
University Hospital Duesseldorf
University Hospital RWTH Aachen
Mediastinal mass – Treatment
The main treatment of a malignant mediastinal mass is the surgical removal of the malformation through an open access technique or laparoscopic surgery.
If a tumour is small, metastases are absent, radical treatment is performed with complete excision of the malformation and nearby healthy tissues. Unfortunately, many tumours are unresectable, when located close to vital organs, primarily to the heart.
Palliative surgical treatment is performed at the last stages of the disease. It is aimed at the partial removal of the tumour to ease the patient’s condition triggered by the compression of the vessels, nerve stems, and bronchi.
Radical and palliative surgical treatment of the malignant mediastinal mass is often accompanied by radiation therapy or cytostatics (chemotherapy).
Best clinics for the malignant mediastinal mass treatment in Germany:
University Hospital Ulm
Gamma Knife and Radiotherapy Center Krefeld
University Hospital Duesseldorf
Mediastinal mass – 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.
Best clinics for oncological rehabilitation in Germany:
Max Grundig Clinic Buehl
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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