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Rectal Cancer — Radiation and Chemotherapy: treatment in the Best Hospitals of Germany

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.

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.

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 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 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 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 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.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

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.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Hematology and Oncology

According to the Focus magazine, the Department of Hematology and Oncology ranks among the top German medical facilities specializing in bowel cancer treatment! The department offers the full range of specialized diagnostics, treatment and follow-up care for patients with oncological diseases and blood diseases. The department's doctors have in their arsenal many innovative effective methods to fight against cancer. In addition, a number of clinical trials are carried out here in order to develop the very latest targeted drugs, immunotherapy drugs, etc. All the department's specialists regularly undergo advanced training courses, which help them to keep abreast of innovations in medicine and to guarantee the best therapy result for patients.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Hematology, Oncology and Pulmonology

According to the Focus magazine, the Department of Hematology, Oncology and Pulmonology ranks among the top medical facilities in Germany specializing in bowel cancer treatment! The department offers the full range of modern diagnostics and treatment of solid tumors, benign and malignant blood and hematopoietic system diseases, including bleeding disorders, as well as pathologies of the lungs and other organs of the respiratory system. The offer is complemented by effective palliative care. All physicians of the department are highly qualified experts in their area of specialization and apply theoretical knowledge and clinical experience to ensure an optimal therapy result.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Charité Comprehensive Cancer Center

Charité Comprehensive Cancer Center offers patients the full range of classical and innovative examinations, treatment of malignant diseases of all organs and anatomical structures of the human body. The spectrum is complemented by follow-up medical care, rehabilitation, modern schemes for the prevention and early detection of malignant diseases. An important component of the therapeutic process in the center is psycho-oncological care. The centerdals with the treatment of patients of all age groups, ranging from small children to elderly patients.

University Hospital Bonn

9.2/10
location_onGermany, Bonn

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.

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Oncology, Hematology and Palliative Care

The Department of Oncology, Hematology and Palliative Care offers all the options of modern medicine for the treatment of patients with the pathologies in these fields. Specialization covers the treatment of cancer of the internal organs, blood cancer, symptomatic treatment of progressive incurable diseases. Other focuses of the department are intensive care medicine and special pain therapy. To achieve successful and long-term results, the clinical practice is based on the use of effective classic and innovative treatment methods.

The hospitals in developed countries have achieved tremendous success in rectal cancer treatment. Therefore, in the case of such diagnosis, the patients often go to Germany to undergo treatment. They receive more effective and safer treatment there. In most cases, it is successful up to stage 3 inclusive. The doctors achieve considerable success even at the 4th stage of the disease. If the pathology cannot be completely cured, the doctors at least achieve long-term remission and increase the patient's life expectancy.

At what stages can chemotherapy and irradiation be used?

At different stages of rectal cancer, chemotherapy and irradiation play a different role in the treatment of the disease.

Stage 0. This stage requires only surgical treatment, but does not involve the use of any additional techniques.

Stage 1. In most cases, the doctors manage to treat the pathology using the surgical method. Sometimes, when performing a surgical procedure, the doctors find out that colorectal cancer has spread more than it was previously seen. If the risk of relapse is rated as high, the chemotherapy course will be carried out. If it is contraindicated, the doctors prescribe irradiation, but it may be less effective. Therefore, chemotherapy is preferred.

Stage 2. This stage always involves the use of irradiation and chemotherapy. These methods are usually applied conjunctively after surgery. They may sometimes be applied prior to surgery in order to reduce the tumor size.

Stage 3. The tumor reaches a large size and extends metastasis to the nearest lymph nodes. Both chemotherapy and irradiation are often performed prior to surgery. This allows the doctor to reduce the tumor size and subsequently remove it totally.

Stage 4. The operation cannot always be used, but still it is performed much more often than in other types of malignancies. For example, the treatment of stage 4 stomach cancer in Germany does not involve the use of radical surgery at all, but rectal cancer can be treated using surgery, and it can be successful. Even if the disease cannot be cured completely, the doctors can increase the patient's life expectancy. Both chemotherapy and irradiation can be applied additionally. If surgery is contraindicated, they become the main methods, which allow to control the tumor growth.

Thus, in most cases, only surgery is enough to cure the disease at stages 0 and 1. At the stages 2 and 3, chemotherapy and radiation therapy can be used before or after surgery. At the stage 4, they may be the only treatment option if surgery is not possible or impractical.

The role of radiation therapy in rectal cancer treatment 

Radiation therapy can be applied in the treatment of most types of malignancies. Irradiation is carried out in the treatment of esophageal cancer or stomach, breast or endometrial cancer. Rectal cancer is not an exception.

In the case of this disease, radiation therapy can be used in the following cases:

  • prior to operation, in combination with chemotherapy, in order to reduce the tumor size and facilitate the process of its removal;
  • after surgery, if the doctor is not sure that the tumor was totally removed, as well as in the case of cancer spread to the abdominal cavity;
  • during surgery, in order to destroy the remaining cancer cells and reduce the risk of relapse;
  • in combination with chemotherapy, as the main treatment method, if the operation cannot be performed due to medical contraindications, patient's refusal or other reasons;
  • as a palliative method for reduced pain, prevention of hemorrhage and elimination of intestinal obstruction;
  • for the destruction of metastatic foci in distant organs and tissues, including the brain and bones.

Both external and contact radiation therapies can be used. In external therapy, the source of radiation is outside the body. The beams are directed to the tumor and destroy the cancer cells. In contact types of radiation therapy, the radiation source is inserted directly into the human body. Contact radiation therapy has the following types:

Interstitial brachytherapy. A tube is inserted into the tumor through the rectum. The radioactive seeds are placed in it for several minutes. The procedure is carried out once a week. It can be single or it can be performed several times, depending on the specificities of the disease, the patient's well-being and the achieved results of cancer treatment in Germany.

Endocavitary radiation therapy. A balloon is inserted into the rectum. A radiation generating device is placed in it. The treatment requires up to 4 sessions of such radiation therapy. It is often combined with external beam radiation therapy. The technique is used infrequently, only for some types of cancer. The breaks between sessions last 2 weeks.

Interstitial brachytherapy is considered the safest method. The seeds emit a very short irradiation, and therefore they almost do not damage the surrounding tissue.

External irradiation almost always produces side effects. These can be redness of the skin, diarrhea, anal pain, fecal incontinence, erection problems.

The role of chemotherapy in rectal cancer treatment

One of the most commonly used methods of cancer treatment in Germany remains chemotherapy. The drugs, which block the growth of rapidly dividing cells, are injected into the body. The cancer cells divide very rapidly, and therefore drugs primarily affect them, but chemotherapy also has systemic side effects, which cannot be avoided.

Colorectal cancer treatment regimens in Germany. There is a large number of drugs and their combinations. Most drugs are administered intravenously. Some of them are applied in pill form. The doctors usually use at least 2 drugs simultaneously. Chemotherapy can often be complemented with targeted therapy.

The local chemotherapy methods can sometimes be applied as well. They are applied if the cancer spreads to the abdominal cavity or liver. The local chemotherapy allows the doctor to create a large concentration of the drug directly in the lesion. In the case of cancer spread to the abdominal cavity, the patient can undergo intraperitoneal chemotherapy. Should liver metastasis be detected, hepatic artery chemoembolization will be used. It is blocked with emboli to reduce the blood supply to the tumor. The emboli contain the chemotherapy drugs. They release these drugs, after which they enter the cancer cells and destroy them.

Treatment and diagnostics in Germany with the Booking Health company

You can get the highest quality medical services in Germany. One can find there many hospitals, which have achieved success in certain fields of oncology. Some of them specialize in esophageal cancer treatment, others succeed in breast cancer treatment, while others are best in colorectal cancer treatment.

The Booking Health company will organize your treatment in German hospitals at an affordable cost. We have been engaged in medical tourism for a long time and are leaders in this field. The success of our work is confirmed by thousands of reviews of satisfied customers around the world. If you book a colon cancer treatment program in Germany through the Booking Health service, you will get the following benefits:

  • Selection of a medical facility based on the specific clinical case. For example, we can offer the best hospitals for the diagnostics and treatment of stage 3 colon cancer.
  • Reduced prices for treatment in Germany due to the lack of overpricing and coefficients for foreign patients. Your savings reach 50%.
  • Booking the appointment with a doctor on the most suitable dates for you.
  • Preparation of the program taking into account previously performed examinations.
  • Establishment of communication directly with your attending physician.
  • Monitoring of the medical program at all its stages
  • Control of the costs of procedures, your invoices and return of unspent funds upon the program completion.
  • Assistance in buying and forwarding of medicines.
  • Organization of additional diagnostics in Germany.
  • Communication with the German clinic upon treatment completion.

We will provide high level services. The specialist of the Booking Health company will book a hotel room and airline tickets for you. We will meet you at the German airport, take you to the hospital and provide you with interpreting services.




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