Rectal Cancer — Conservative treatment With 1 Course of Chemotherapy in the Best Hospitals of Germany
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Department of Oncology
The Department of Oncology offers high-precision diagnostics and comprehensive treatment of oncological diseases, including palliative care for patients with terminal stages of malignancies. The specialized Cancer Center Berlin-Buch also operates on the basis of the department, which allows treating patients in interdisciplinary cooperation with the involvement of various specialists. The doctors of the department have rich experience in treating patients with oncopathologies, and also have a perfect command of all the modern and most effective therapeutic methods. The department is certified in accordance with the standards of the German Cancer Society.
Department of Hematology and Oncology
The Department of Hematology and Oncology treats solid malignant tumors of various localizations, blood cancer, and benign hematopoietic pathologies. A qualified team consisting of oncologists, hematologists, psycho-oncologists, physiotherapists, and experienced nursing staff takes care of the health of patients. Whenever required, doctors from related medical fields are also involved in the therapeutic process. All specialists make every effort to provide patients with effective and personalized medical services while surrounding them with care. The department is part of the Cancer Center of the hospital, which is certified according to the requirements of the German Cancer Society (DKG). The department prefers a multidisciplinary approach, holding weekly tumor boards with the participation of oncologists, hematologists, radiation therapists, and surgeons, as well as highly specialized experts in gynecology, urology, gastroenterology, pulmonology, etc. The department's specialists have in their arsenal modern treatment methods for malignant diseases, including chemotherapy, targeted therapy, immunotherapy, hormone therapy, and many others. Patients with advanced stages of cancer are offered palliative care aimed at alleviating pain syndrome and ensuring a decent quality of life.
Department of Oncology and Palliative Care
The Department of Oncology and Palliative Care provides palliative treatment for patients with incurable diseases. The goal of the department's physicians is to alleviate the symptoms of the disease and improve the quality of life. The department's specialists take an individual approach to each patient, always respecting the patient's wishes. A competent multidisciplinary team, consisting of palliative care specialists, nurses, psycho-oncologists, physiotherapists and social workers, works here for the benefit of the patients.
Department of Oncology and Surgical Oncology
The Department of Oncology and Surgical Oncology specializes in the conservative and surgical treatment of the full range of cancers. The department is one of the leading in the field of its competence in the international medical arena and treats patients with especially complex clinical cases. The priority focuses of the department's medical team include regional chemotherapy, hyperthermia, immunotherapy, surgical oncology and pain therapy. The goal of the department's doctors is to achieve an optimal therapeutic result with minimal damage to the healthy tissues.
Department of Hematology, Oncology, Rheumatology, Infectology and Bone Marrow Transplantation
The Department of Hematology, Oncology, Rheumatology, Infectology and Bone Marrow Transplantation offers modern diagnostics and treatment in all areas of its specialization. The medical facility treats patients with solid malignant tumors of various locations, malignant and benign diseases of the hematopoietic system, rheumatic diseases, and infections. The department enjoys a reputation as one of the leading health facilities for bone marrow transplants in Germany, which is confirmed by accreditation in accordance with JACIE standards. More than 80 allogeneic and more than 100 autologous bone marrow transplants are performed in the medical facility annually. In addition, the department successfully carries out innovative CAR T-cell therapy, which is available only in the most advanced medical centers worldwide. The department is part of the Comprehensive Cancer Center Ulm (CCCU), where a multidisciplinary team of highly professional doctors takes care of the health of patients. The high quality of medical services is confirmed by the certification of the German Cancer Society (DKG). The health of patients is in the safe hands of experienced specialists who strive to provide each patient with the most effective treatment using advanced therapeutic methods. The medical facility has 112 beds and many specialized outpatient clinics.
Department of Hematology and Oncology
The Department of Hematology and Oncology offers the full range of diagnostics and treatment of blood diseases, coagulation disorders, oncological diseases and related pathological conditions. The treatment is provided both on an outpatient and inpatient basis. The patient is offered a comprehensive treatment, including intensive care to eliminate side effects associated with the tumor and therapy, development of individual recommendations on nutrition, physiotherapeutic measures and psycho-oncological care.
Cancer Center
The Cancer Center offers the comprehensive diagnostics, effective treatment and follow-up care for patients with cancer of varying severity. Thanks to the productive research work of the center's specialists, it offers the most modern and unique treatment methods, which have no analogues in most other countries of the world. Clinical activities are mainly focused on the treatment of breast cancer, cancer of the female reproductive organs, prostate, intestinal cancer, skin cancer, head and neck tumors, malignant diseases in children, lung, liver, stomach, pancreas cancers and neuro-oncological tumors. To ensure comprehensive medical care, there is maintained close cooperation with specialists from all related fields.
Department of Hematology, Oncology, Adult and Pediatric Rheumatology
The Department of Hematology, Oncology, Adult and Pediatric Rheumatology offers the full range of modern diagnostics and treatment of malignant diseases, rheumatic pathologies, including particularly complex clinical cases in these fields. In addition, the department's doctors specialize in stem cell transplantation and occupy leading positions in this field at the international level. The medical team of the department makes every effort to guarantee each patient an individual, first-class treatment, based on the very latest achievements of modern medicine and human respect, understanding of the needs of each patient.
Department of Hematology, Oncology and Pulmonology
According to the Focus magazine, the Department of Hematology, Oncology and Pulmonology is one of the best medical facilities in Germany for the treatment of colorectal cancer! The department provides comprehensive diagnosis and highly effective treatment of solid tumors, benign and malignant blood diseases, and pathologies of the lungs and other respiratory organs. The department's specialists have unique expertise in the treatment of leukemia, lymphomas, germ cell tumors, gastrointestinal malignancies, lung cancer, bone and soft tissue sarcomas, and head and neck tumors. The pulmonary team focuses on patients with cystic fibrosis, interstitial lung disease, and pulmonary hypertension. The specialists have well-equipped endoscopic rooms for diagnosis and treatment. The department's medical team works closely with surgeons, radiologists, radiation therapists, urologists, gynecologists, otolaryngologists, and physicians of other specialties. The healthcare facility holds weekly interdisciplinary tumor boards, where clinical cases are discussed individually and optimal treatment regimens are developed for each patient. The department is certified in accordance with the standards of the German Cancer Society (DKG) and the European Society for Medical Oncology (ESMO). More than 2,800 inpatients are treated here each year, and nearly 7,000 more patients are cared for on an outpatient basis.
Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology
The Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology offers the full range of diagnostics and treatment in these fields. The department specializes in the treatment of benign and malignant diseases of the digestive system, liver and bile ducts, the hematopoietic system, etc. Much attention is paid to the interdisciplinary cooperation (Cancer Center Mainfranken, etc.).
Department of Oncology and Hematology
The Department of Oncology and Hematology offers accurate diagnostics and effective treatment of benign and malignant blood diseases, as well as solid tumors. The department's specialists are proud of the excellent results in the field of bone marrow transplantation, which is among the department’s priority focuses. The department has 61 beds. Medical care is carried out both on an outpatient and inpatient basis.
Department of Oncology
The Department of Oncology offers the full range of diagnostics and drug therapy of malignant diseases. Particular attention is paid to the treatment of gastrointestinal cancers (colon, esophagus, stomach, pancreas, liver), lung cancer, connective tissue malignancies (sarcomas) and germ cell tumors. The department's doctors have in their arsenal the very latest methods of chemotherapy, immunotherapy and targeted therapy with innovative medicines. The necessary specialists from related fields are involved in the treatment planning, for example, surgeons, radiation therapists, specialists in radiology, gastroenterologists, pulmonologists and others. The patient receives individualized, comprehensive medical care at the highest level of university medicine. The treatment is carried out both on an inpatient and outpatient basis. The therapy regimen is determined individually for each patient, based on the characteristics of the disease and general health condition.
Department of Hematology and Oncology
The Department of Hematology and Oncology provides diagnostics and comprehensive treatment of diseases of the hematopoietic system, as well as solid tumors of various organs. Hematologists most often deal with the treatment of acute and chronic leukemias, malignant lymphomas, myelodysplastic syndromes, plasmacytomas and other pathologies. Chemotherapy is usually first-line therapy. The department's specialists also successfully perform bone marrow transplantation. In the field of oncology, the department provides effective treatment of various tumors of the gastrointestinal tract, endocrine glands, female and male reproductive system, skin cancer, soft tissue and bone sarcomas, head and neck malignancies, etc. The patients suffering from cancer are offered classical (chemotherapy, immunotherapy, hormone therapy) and innovative (immunotherapy, CAR T-cell therapy) treatment methods. Surgical resection of solid tumors is performed by specialized surgeons. The treatment regimen is developed individually for each patient at the tumor board, which plays an important role in achieving a successful treatment result.
Department of Hematology and Oncology
The Department of Hematology and Oncology offers comprehensive diagnosis and effective treatment of the entire spectrum of oncological diseases of the hematopoietic system, benign blood disorders, and solid malignancies of various localizations. The primary specialization in the department is blood cancer treatment. The department's doctors have in their arsenal many methods with scientifically proven effectiveness in the fight against cancer: chemotherapy, targeted therapy, antibody therapy, hormone therapy, immunotherapy, as well as stem cell transplantation and innovative CAR T-cell therapy. Treatment tactics are developed taking into account the individual needs and wishes of each patient, thanks to which specialists manage to achieve good results. The department also offers maintenance therapy to alleviate the side effects of the basic course of cancer treatment and palliative care. The department has the status of a Leukemia and Lymphoma Center certified by the German Cancer Society (DKG). In addition, it is one of the few centers in Europe certified according to JACIE standards in the field of bone marrow transplantation. Competent physicians with in-depth knowledge and extensive clinical experience in their specialty care for the health of the patients.
Charite Comprehensive Cancer Center
The Charite Comprehensive Cancer Center offers a comprehensive range of services for the prevention, diagnosis, and treatment of all types of malignant diseases. The Charite Comprehensive Cancer Center was founded in 2008. Today, it is the largest oncology clinic in Europe certified according to the standards of the German Cancer Society (DKG). The center treats more than 14,000 cancer patients annually, including patients with the most complex and rare malignancies. The center's specialists develop a personalized treatment plan for each patient, which is compiled by a tumor board and physicians of related specialties. The center guarantees high-quality treatment of oncopathology to the patient, with special attention being paid to compassionate care, professional psychological support, and communication in self-help groups. In addition to its successful clinical practice, the Charite Comprehensive Cancer Center is also very active in research, with more than 300 research projects carried out each year, resulting in the introduction of new effective treatment methods into clinical practice worldwide, saving the lives of a large number of patients. The Charite Comprehensive Cancer Center treats many patients from Germany and other countries. Patients will find here all the resources they need to be treated with both proven classical and advanced innovative therapeutic approaches.
Department of Oncology, Hematology, Rheumatology and Immunoncology
The Department of Oncology, Hematology, Rheumatology and Immunoncology offers the full range of diagnostics and treatment of solid tumors, benign and malignant diseases of blood and bone marrow, rheumatic pathologies. The priority purpose of each employee in the department is to provide patients with an optimal medical care, based on the use of the very latest treatment methods. The department's specialists are distinguished by their high professionalism and colossal experience in the treatment of extremely complex clinical cases.
Colorectal cancer is treated using several methods simultaneously. Starting from stage 2, chemotherapy is used in most patients. It can be combined with radiation, radical and palliative surgery. At the last stage of the disease, it becomes one of the main treatment methods that can inhibit tumor growth and increase a person's life expectancy.
At what stages can chemotherapy be used?
Chemotherapy cannot be used at stage 0, when the tumor does not spread beyond the rectal mucosa. It can be used very rarely at stage 1, but only if during the operation it turned out that the neoplasm had spread further than originally thought. At all other stages, the technique can always be used:
- Stage 2 – chemotherapy is mostly used after surgery to reduce the risk of tumor recurrence after radical treatment of rectal cancer.
- Stage 3 – chemotherapy is often carried out prior to surgery to reduce the tumor in size and increase the likelihood of total tumor removal.
- Stage 4 – chemotherapy, along with radiation, can be used as the main method to help inhibit tumor growth. Radical surgery cannot be always performed at this stage.
What types of chemotherapy can be used?
There are two types of chemotherapy:
- systemic chemotherapy involves the administration of drugs into the body in one way or another, after which they penetrate the systemic circulation and spread throughout the body;
- regional chemotherapy involves the administration of drugs only in a certain area where they are concentrated in large quantities.
Each method has its advantages and disadvantages.
Systemic therapy is more common. It is effective because it acts on cancer cells wherever they are. Nonetheless, the drawback of this treatment is that it also affects healthy cells, especially those that divide quickly. Therefore, patients have many side effects, such as nausea, hair loss, problems with hematopoietic bone marrow function. However, most side effects are reversible. They disappear some time after the completion of chemotherapy.
Regional chemotherapy is less commonly used. It involves the administration of drugs into the body cavities or arteries that feed certain organs and tissues. The advantage of this approach is that it creates huge concentrations of drugs. Such doses cannot be administered when conducting systemic treatment due to negative effects on the human body. The downside is the invasiveness of the treatment procedure and its limitations. The regional therapy affects only certain foci of the tumor tissue, but does not affect distant metastasis.
What is the procedure of systemic chemotherapy?
In the course of systemic treatment, the drugs are administered intravenously or orally in the form of pills. How they will be used depends on the bioavailability of the drug. If it is able to be fully absorbed in the gastrointestinal tract, there is no need to administer the drug into a vein. However, some drugs are not able to penetrate the bloodstream from the digestive system.
The therapy involves the use of at least 2 drugs. One treatment cycle lasts from 2 to 4 weeks. The patient requires several such cycles. There are made some breaks between these cycles to let the body recover. The total duration of chemotherapy is 6 months.
The doctors use different combinations of drugs. The scheme, number of drugs, the duration of treatment is determined based on the particular clinical course of the disease, the histological type of the tumor, the patient’s health status, tolerability of the treatment and the intermediate results (tumor response to chemotherapy). This treatment method is often combined with targeted therapy and radiation.
What is the procedure of regional chemotherapy?
The regional chemotherapy can be rarely used to treat rectal cancer, but in some cases it helps to improve the results of other treatments. The scope of application of the regional therapy includes:
- in case of tumor spread into the abdominal cavity, the doctors carry out intraperitoneal chemotherapy;
- in case of metastatic foci in the liver, the doctors perform hepatic artery embolization (emboli block the access of blood to the tumor, as well as affect it with large doses of cytostatics).
Combination with other methods
Chemotherapy can almost never be used as the only way to treat cancer. It is combined with other methods:
- Surgical treatment – chemotherapy is either prescribed before surgery to reduce the size of the tumor or after tumor removal to reduce the risk of relapse.
- Radiation – chemotherapy is mostly combined with radiation therapy, unless the patient does not tolerate treatment. In this case only one of these methods can be used.
- Targeted therapy, immunotherapy – chemotherapy in combination with these methods, as well as with radiation, is mostly used for the treatment of rectal cancer of the last stage, when radical surgery cannot be performed.
Chemotherapy can be combined not only with radical, but also with palliative surgery. They are performed to reduce symptoms, normalize the removal of feces from the rectum, prevent severe bleeding. The drugs can inhibit tumor growth and increase the life expectancy of a person, even in advanced forms of the disease.
Treatment in Germany with the Booking Health company
To undergo rectal cancer treatment in Germany, you can contact the specialists of the Booking Health company. We specialize in the organization of treatment abroad. When booking treatment via the Booking Health service, you will get a number of benefits:
- Selection of the best hospital in Germany, the doctors of which specialize in the fight against rectal cancer and have outstanding achievements in this field of oncology.
- Reduced costs of diagnostics and treatment due to the lack of overpricing and coefficients for foreign patients.
- Appointment with a doctor on the most suitable dates.
- Preparation of a diagnostic and treatment program in Germany taking into account the previous examinations.
- Establishment of communication directly with an attending physician.
- Monitoring all stages of the program.
- Control of invoices, return of unspent funds.
- Buying and forwarding of medicines.
- Organization of additional cancer diagnostics, treatment or rehabilitation.
- Communication with a medical center after rectal cancer treatment in Germany.
The Booking Health company will provide you with all the necessary services. We will book a hotel and airline tickets, meet you at the German airport and deliver to the hospital.
