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Rectal Cancer: Treatment with Radiation and Chemotherapy in the best Hospitals in the world

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Hematology, Oncology, Immunology and Palliative Care

he Department of Hematology, Oncology, Immunology and Palliative Care specializes in the diagnosis and treatment of patients suffering from blood diseases, oncological and immunological diseases. Palliative medicine also belongs to the main directions of the department.

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MediClin Robert Janker Clinic

9.5/10
location_onGermany, Bonn

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 doctors is to alleviate the symptoms of the disease and improve the quality of human life. The department's specialists use an individual approach to each patient and always take into account his wishes. A competent multidisciplinary team, which consists of palliative care experts, nurses, psycho-oncologists, physiotherapists and social workers, works here for the benefit of patients.

Medias Cancer Clinic Burghausen

10/10
location_onGermany, Burghausen

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.

Memorial Sisli Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Oncology

The Department of Oncology offers the full range of high-quality medical services for prevention, diagnostics and treatment of malignant tumors of various localization. With the advanced conservative and surgical methods of cancer treatment, the department has the status of one of the leading in Turkey, and is also known for its achievements in cancer treatment in Europe and the USA. The diagnostics is carried out in collaboration with the Departments of Radiology and Nuclear Medicine, which have state-of-the-art imaging systems. The specialists of the medical facility competently combine effective regimens of chemotherapy and radiation therapy with surgical interventions for tumor resection. With appropriate clinical indications, the doctors also successfully use hormonal therapy, immunotherapy, antibody therapy and targeted therapy. Depending on the particular clinical case, the aim of the department's physicians is to achieve a complete recovery or long-term remission.

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Oncology and Radiation Oncology

The Department of Oncology and Radiation Oncology offers the full range of medical services for prevention, diagnostics, treatment and follow-up monitoring of cancer patients. The doctors of the clinical practice mostly use such treatment methods as surgical resection (if possible, laparoscopic and robot-assisted), various chemotherapy and radiation therapy regimens. The specialists also successfully apply hormonal therapy, immunotherapy, antibody therapy, targeted therapy and other innovative techniques. The advanced medical and technical base of the department allows the doctors to detect malignant processes in the human body at any stage, as well as effectively treat cancer, achieving a complete cure or long-term remission.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Hematology, Oncology, Palliative Care, Rheumatology and Infectology

The Department of Hematology, Oncology, Palliative Care, Rheumatology and Infectology offers the full range of services in these fields. It provides the accurate diagnostics and effective treatment of oncological diseases, benign and malignant blood pathologies, rheumatic and infectious diseases. A separate focus of the department is palliative care aimed at relieving pain and improving the quality of life of the terminally ill patients. The doctors of the department have unique clinical skills and rich experience, which contributes to high treatment success rates.

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Oncology

The Department of Oncology provides the comprehensive diagnostics and treatment of malignant diseases of various organs and anatomical structures at the highest level of modern medicine. The department's experienced oncologists offer innovative treatment regimens using chemotherapy and radiation therapy. Of particular interest is also the effective palliative care aimed at improving the quality of life of patients with the advanced stages of cancer. The department is certified by the European Society for Medical Oncology (ESMO) and is one of the leading specialized Israeli departments.

Medicana International Istanbul Hospital

9/10
location_onTurkey, Istanbul

Department of Oncology

The Department of Oncology offers diagnostics and treatment of the full range of malignant diseases. The department specializes in the treatment of lung, breast, prostate, stomach and other abdominal cancers, etc. The department offers the full spectrum of treatments, ranging from conservative therapy with the chemotherapeutic drugs to the very latest methods of surgical treatment and radiotherapy. Both diagnostics and treatment are conducted in cooperation with other hospital’s departments, including radiation oncology, nuclear medicine, etc.

Samsung Medical Center Seoul

9.8/10
location_onSouth Korea, Seoul

Department of Oncology and Hematology

The Department of Oncology and Hematology offers the full range of services in these medical fields. The main clinical focuses include diagnostics and treatment of various forms of oncological diseases and blood diseases. The medical team of the department strives not only to prolong the life of patients, but also to improve its quality.

 

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

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.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

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.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

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.).

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

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.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Oncology

The Department of Oncology offers the full range of diagnostics and drug therapy of cancer diseases. The doctors have a broad arsenal of all the very latest methods of chemotherapy, immunotherapy and targeted therapy using innovative drugs. All the necessary specialists from the related fields are involved in the treatment planning, for example, surgeons, radiation therapists, and experts in the field of radiology. Thus, the patient is provided with tailored, comprehensive medical care at the highest level of university medicine.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Hematology and Oncology

The Department of Hematology and Oncology offers the full range of diagnostics and treatment of diseases of the hematopoietic system, such as acute or chronic leukemia, malignant lymphomas, as well as solid malignant tumors, which require chemotherapy or other systemic therapies. The department offers all systemic treatments, including bone marrow transplantation, antibody therapy. The main goal of each medical team employee is to provide patients with a competent medical care.

Rectal cancer can be treated using surgery, chemotherapy and radiation therapy. These techniques can be used in different combinations and in different sequence, depending on the tumor size, the degree of its spread to the neighboring organs and tissues, the presence of metastasis in the nearest lymph nodes or distant areas of the body.

At what stages can chemotherapy and irradiation be applied?

The treatment of colon cancer differs according to the stages of the disease.

Stage 0. A surgical intervention is enough to treat cancer. The doctors should not use chemotherapy or radiation to treat rectal cancer after surgery.

Stage 1. In most cases, the doctors perform only surgical intervention. Cancer chemotherapy can rarely be used as well. However, it can become an option of choice only in the cases when the doctor finds out that the tumor has spread further than it was expected before the treatment. If chemotherapy is contraindicated for a person, cancer radiation may be prescribed. Its tolerance is better, but its effectiveness is lower.

Stage 2. The first treatment method can be both radiation and chemotherapy for cancer. These methods are required, if the tumor is large and it is difficult to totally remove it. During the preparatory treatment, the tumor size becomes smaller. Once the preparatory treatment is completed, the doctor will perform an operation. If a rectal tumor is not very large, the first step is its removal. The surgery is followed by chemotherapy. The overall treatment process lasts for six months.

Stage 3. The radiation and chemotherapy for cancer can be used both after and prior to surgery.

Stage 4. The radical surgery can be performed only in small number of cases of stage 4 rectal cancer, but it can be palliative. The removal of the greater portion of the tumor allows a person to prolong his live. The radiation and chemotherapy for bowel cancer can be used as an additional option. If surgery is contraindicated, theses methods can become the main rectal cancer treatment options.

In what cases can chemotherapy be carried out?

In most cancers, chemotherapy is preferred after the removal of a tumor. The specificity of rectal cancer is the frequent use of radiation and chemotherapy prior to surgical treatment. This is due to the fact that already at the stage 2, the tumor can be quite large, although it still does not metastasize even to the nearest lymph nodes. It grows through other organs and tissues.

The use of chemotherapy allows to achieve the following results:

  • reduced radicalization of the operation, and sometimes avoidance of the need for the formation of a colostomy;
  • reduced injury rate of the surgical intervention;
  • increased chances for a total tumor removal and the absence of a relapse in the future.

The smaller the size of the neoplasm, the more sparing the operation will be for the patient, as well as the more technically simple for the doctor. It will take less time. The surgeon will damage less tissues. The patient will lose less blood.

In case of small tumors, chemotherapy is mostly performed after operation. It lasts a long time. There can be used different schemes with a duration of up to 6 months.

How is chemotherapy carried out? 

In most cases, systemic chemotherapy is applied. The drugs are injected intravenously. One cycle of chemotherapy lasts from 2 to 4 weeks and a person has rest periods between these cycles. 

The local types of chemotherapy are applied less commonly. In the case of cancer spread to the abdominal cavity, the doctors can carry out intraperitoneal chemotherapy, which is the injection of chemotherapeutic drugs into the peritoneal cavity. In the presence of liver metastasis, the doctors can carry out hepatic artery chemoembolization.

Radiation therapy

There are several cases when rectal cancer can be treated using radiation therapy. These are as follows:

  • prior to surgery, in combination with chemotherapy, to reduce the tumor size;
  • after surgery to remove stage 1 cancer, instead of chemotherapy, if it is contraindicated to a person;
  • after surgery, if the doctor is not sure whether all foci of malignant tissue were removed (most often this happens when the neoplasm spreads to the abdominal cavity);
  • intraoperative radiation therapy can be performed during surgery, which helps to destroy the remaining cancer cells;
  • in combination with chemotherapy for inoperable cancer, or if surgical intervention is contraindicated (helps to inhibit tumor growth for some time);
  • as a palliative measure, for the elimination of bowel obstruction, pain, hemorrhages;
  • to destroy distant metastatic foci in the bones or brain.

The methods of radiation therapy are different. The approaches to it significantly vary across countries. The best hospitals in the world use more advanced, but expensive technologies. They are more sparing for healthy tissues and provide the accurate targeting and administration of a large amount of radiation directly to the tumor.

The following types of radiation therapy can be applied:

  • external – the radiation source is outside the human body and the beams pass through the body;
  • brachytherapy – a radiation source (radioactive seeds) is injected directly into the rectum.

Since the rectum contacts with the external environment, it is convenient for the introduction of radioactive seeds into it. This procedure does not require any incisions. Therefore, brachytherapy is often applied to treat this pathology. It has the following types:

Endocavitary radiation therapy. A source of intensive radiation is inserted into the rectum through a special balloon. The patient usually requires 4 sessions with breaks for 2 weeks. This method can rarely be used, but it is very effective in some histological types of rectal cancer. It is often combined with conventional external irradiation.

Interstitial brachytherapy. The tube is placed directly into the tumor. The radioactive seeds with a high level of radiation are inserted into it for several minutes. This procedure is carried out once a week. The number of procedures differs significantly, depending on the specificities of the disease, treatment methods and the irradiation results.

Radioembolization. It is a special irradiation technique, which can be used in case of metastatic foci in the liver. The radioactive microspheres are inserted into the hepatic artery. They block blood supply to the tumor and also destroy the metastatic focus with the help of radiation. The irradiation time is very short, so healthy tissues remain almost unaffected.

Treatment abroad with the Booking Health company

To obtain a good colorectal cancer treatment, you can go abroad. The Booking Health company can help you to organize this trip. We have been successfully engaged in medical tourism for a long time. Our work collects thousands of positive reviews from grateful customers. Some reviews are published on our website. You can also read the reviews, which are recorded on the video. All the treatment programs are presented on the website. The website represent relevant data on hundreds of clinics and medical centers. You can find out the cost of surgery for colon cancer or specify the cost of radiation therapy at any time.

If you book colon cancer treatment program through the Booking Health company, you will receive the following benefits:

  • Selection of the best clinic for radiation and chemotherapy for rectal cancer, which specializes in these procedures and achieves the best results.
  • Reduced costs for medical services. Your saving reaches up to 50% due to the lack of overpricing and additional coefficients for foreign patients.
  • Preparation of the colorectal cancer treatment program taking into account previously performed examinations.
  • Booking the appointment with a doctor on the most suitable dates for you.
  • Establishment of communication directly with your attending physician.
  • Monitoring of all stages of the program.
  • Control of invoices and return of unspent funds.
  • Organization of additional diagnostic or therapeutic procedures.
  • Buying and forwarding of medicines.
  • Communication with the clinic upon colon cancer treatment completion.

Our company provides top-class services. The Booking Health specialists will book airline tickets and a hotel for you, help you to prepare the documents for entering another country, and arrange transfer from the airport to the clinic and back.




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