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Neuroendocrine Tumor (NET) of the Colon | Embolization or Chemoembolization in Germany . Hospital Prices, Ranking, Reviews - Bookinghealth

Neuroendocrine Tumor (NET) of the Colon — Embolization or Chemoembolization: treatment in the Best Hospitals of Germany

➤Treatment of neuroendocrine tumor (NET) of the colon with embolization or chemoembolization in Germany ★ Direct prices from the best hospitals in Germany $ We will help you save money on treatment ✔ Patient support 24/7

Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.

University Hospital Rechts der Isar Munich
Specialized hospital
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating 9.8 / 10

Department of Interventional Radiology

The Department of Interventional Radiology offers the full range of imaging examinations, as well as innovative image-guided minimally invasive techniques for the treatment of tumors, vascular diseases and internal pathologies (for example, CT, MRI, PET-CT, SPECT). The department's doctors have deep knowledge and colossal experience in the field of interventional radiological methods of treatment, which represent an excellent alternative to open surgical interventions. Despite the high level of technical equipment and the presence of advanced computerized systems, the focus is always on the person with his individual needs. Compliance with current clinical protocols and high professionalism of the department's specialists contribute to the successful clinical practice, as well as the reputability of the department among the best medical facilities of this kind in Germany.

Marcus Makowski
Prof. Dr. med.Marcus Makowski
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Price: 31053.01
University Hospital Halle (Saale)
Specialized hospital
Germany, Halle

University Hospital Halle (Saale)

Overall rating 9.6 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of modern radiological diagnostics and minimally invasive treatment both on an inpatient and outpatient basis. It has advanced equipment for conducting radiological studies in adults and children, as well as minimally invasive procedures under the guidance of imaging systems. There is maintained close cooperation with many departments of the hospital, which provides an interdisciplinary approach to treatment and comprehensive medical care.

Walter Wohlgemuth
Prof. Dr. Dr. med.Walter Wohlgemuth
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Price: 28041.07
University Hospital Muenster
Specialized hospital
Germany, Muenster

University Hospital Muenster

Overall rating 9.8 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology is one of the best institutions of its kind in Germany and offers patients the full range of radiological studies and imaging-guided minimally invasive therapy. The department’s scope of tasks also includes imaging diagnostics in children of all age groups, detection and invasive treatment of cerebral vascular pathology (neuroradiology). Patient care is provided both on an inpatient and outpatient basis.

Walter Heindel
Prof. Dr. med.Walter Heindel
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Price: 27875.08
University Hospital Saarland Homburg
Specialized hospital
Germany, Homburg

University Hospital Saarland Homburg

Overall rating 9.8 / 10

Department of Interventional Neuroradiology

The Department of Interventional Neuroradiology offers the full range of services in the areas of ​its ​specialization. The medical facility provides imaging diagnostics and low-traumatic image-guided interventional treatment of nervous system diseases. The department's specialists have rich experience and exceptional professional skills in the field of interventional procedures for acute and chronic vascular diseases, such as ischemic strokes, brain hemorrhages, cerebral artery stenosis, brain aneurysms, and vascular malformations. The department's neuroradiologists cooperate closely with neurologists and neurosurgeons so that each patient receives an optimal treatment regimen based on the expert opinions of the specialists. The department's medical team has state-of-the-art computed tomography (CT), magnetic resonance imaging (MRI), and MR angiography systems that are actively used for diagnosing patients and therapeutic procedures. Medical care is provided in compliance with current clinical protocols. The department also offers many outpatient medical services, which is an advantage for many patients.

Wolfgang Reith
Prof. Dr. med.Wolfgang Reith
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Price: 26412.43
HELIOS University Hospital Wuppertal
Specialized hospital
Germany, Wuppertal

HELIOS University Hospital Wuppertal

Overall rating 9.8 / 10

Department of Neuroradiology

The Department of Neuroradiology provides the full range of diagnostic and therapeutic services in the areas of ​​its specialization. The team of the department's doctors deals with the diagnostics and treatment of brain and spinal cord pathologies. The department has at its disposal state-of-the-art medical equipment, including systems for CT, MRI and myelography, thanks to which specialists can comprehensively assess the state of the nervous system, detect pathological processes at the initial stages and provide effective treatment. Among the department's therapeutic options, a special focus is on the interventional treatment of acute stroke – thrombectomy. Another important focus of the specialists' work is the treatment of cerebral vascular malformations, stenosis of the arteries of the brain and spinal cord, and cerebral aneurysms. In addition, the department provides CT-guided interventional pain management to relieve chronic back pain. The department's neuroradiologists cooperate closely with doctors from the related medical specialties: neurologists, neurosurgeons, ophthalmologists, otolaryngologists and radiation therapists. The specialists strive to provide each patient with high quality medical care meeting his needs and wishes.

Thorsten Schmidt
Dr. med.Thorsten Schmidt
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Price: 28050.47
University Hospital Oldenburg
Specialized hospital
Germany, Oldenburg

University Hospital Oldenburg

Overall rating 10 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology offers the full range of services in these medical fields. To ensure the accurate diagnostics and effective treatment, the department has state-of-the-art medical equipment, particularly 64-slice CT scanner, two 1.5 Tesla high-performance MRI devices, modern equipment for digital subtraction angiography (DSA), pulsed fluoroscopy and many other devices. All medical services are carried out in strict accordance with the protocols of professional societies.

Tobias Kowald
Dr. med.Tobias Kowald
Price: 24604.22
Charite University Hospital Berlin
Specialized hospital
Germany, Berlin

Charite University Hospital Berlin

Overall rating 9 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology offers the full range of medical services in these fields. In order to ensure the most accurate and reliable diagnostics, the department has state-of-the-art systems for CT, MRI, PET, ultrasound and X-ray examinations, as well as PET-CT and SPECT-CT hybrid examinations. The department specializes in interventional radiology, namely, imaging-guided therapy. It performs all vascular (for example, vascular recanalization) and non-vascular imaging-guided interventions (for example, tumor ablation). The department is one of the largest and leading medical facilities of this kind in Europe.

Bernd Hamm
Prof. Dr. med.Bernd Hamm
Price: 41512.85
University Hospital Ulm
Germany, Ulm

University Hospital Ulm

Overall rating 8.7 / 10

Department of Adult and Pediatric Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Interventional Radiology, Neuroradiology specializes in modern imaging examinations and minimally traumatic image-guided interventional procedures. Of particular interest to the department's experienced medical team is individualized minimally invasive therapy for cancer and the treatment of pain syndromes and vascular pathologies. The medical facility has state-of-the-art equipment for X-ray scanning, angiography, ultrasound scanning, CT, MRI, and PET/MRI. The diagnostic devices are adapted for children, including newborns. During examinations and treatment, the department's specialists strictly meet radiation protection standards. As for treatment, special attention in clinical practice is paid to interventional procedures for vascular diseases and malignant tumors. These procedures are performed using catheter-based techniques under CT, MRI, or angiography guidance. Despite the low trauma rate of interventional manipulations, their effectiveness is comparable to full-fledged surgery. The medical facility cooperates closely with other departments at the hospital, thus providing comprehensive medical care at the highest level of university medicine. The department's successful clinical practice has been recognized by prestigious quality certificates, including the ClarZert certificate and certificates from the German Cancer Society (DKG) and the German Radiological Society (DRG).

Meinrad Beer
Prof. Dr. med.Meinrad Beer
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Price: 29804.39
University Hospital Frankfurt am Main
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating 10 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology provides the full range of services in these fields and specializes in conducting radiologic examinations, high-intensity focused ultrasound (HIFU) therapy, vascular, oncological, orthopedic and urologic interventions. The department includes specialized Sections for Gynecologic, Pediatric and Orthopedic Radiology.

Thomas Vogl
Prof. Dr. med.Thomas Vogl
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Price: 27623.47
University Hospital Duesseldorf
Germany, Duesseldorf

University Hospital Duesseldorf

Overall rating 9.45 / 10

Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology

The Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology offers the full range of modern radiological examinations and minimally invasive imaging-guided treatment of various diseases. Most often, radiologists have to deal with the diagnostics and therapy of tumors, inflammatory processes, injuries, pathologies of the heart and vascular diseases. The combination of advanced medical technologies and high professionalism of the doctors working in the department are the key to the successful treatment results.

Gerald Antoch
Prof. Dr. med.Gerald Antoch
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Price: 31449.73
University Hospital of Ludwig Maximilian University of Munich
Germany, Munich

University Hospital of Ludwig Maximilian University of Munich

Overall rating 10 / 10

Department of Adult and Pediatric Interventional Radiology

The Department of Adult and Pediatric Interventional Radiology provides the full range of medical services in the area of its specialization. The department offers modern diagnostic rooms with advanced equipment for imaging examinations for patients with suspected cancer, diseases of the cardiovascular system, thorax, abdominal organs, musculoskeletal system, and breast diseases. The department's diagnostic systems are adapted for examining children of different age groups. The medical facility also offers many therapeutic services, the most popular of which include MRI-guided treatment of uterine fibroids with high-intensity focused ultrasound (HIFU) and uterine artery embolization, prostate adenoma treatment with prostate artery embolization, tumor treatment with brachytherapy, percutaneous radiofrequency ablation, percutaneous microwave ablation, and transarterial chemoembolization. The doctors working at the medical facility also have rich experience in the interventional treatment of vascular pathologies and arteriovenous malformations. The department has an excellent reputation and regularly diagnoses and treats patients not only from Germany but also from other countries in the world.

Jens Ricke
Prof. Dr. med.Jens Ricke
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Price: 31478.96
University Hospital Jena
Germany, Jena

University Hospital Jena

Overall rating 9.5 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of services in these medical fields. Here patients can undergo all modern imaging diagnostic studies and therapeutic procedures, the quality of which corresponds to high international standards. The department also specializes in conducting radiological studies in children and adolescents. The cutting-edge technical equipment and the rich clinical experience of doctors contribute to the successful work of the department.

Ulf Teichgräber
Prof. Dr. med.Ulf Teichgräber
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Price: 28013.93
University Hospital Tuebingen
Germany, Tuebingen

University Hospital Tuebingen

Overall rating 9.13333 / 10

Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology

The Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology offers the full range of services in these fields. It conducts all types of modern imaging studies: sonography, digital X-ray, angiography, multilayer computed tomography and conventional MRI, positron emission tomography (PET/CT), etc. The department also specializes in minimally invasive treatment of various tumors, vascular pathology (obstruction and vascular stenosis). The Section of Experimental Radiology is engaged in active research to optimize existing methods and develop new ones.

Konstantin Nikolaou
Prof. Dr. med.Konstantin Nikolaou
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Price: 29218.7
University Hospital Würzburg
Germany, Würzburg

University Hospital Würzburg

Overall rating 9.8 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology offers the full range of modern diagnostic and therapeutic procedures in this field. For this purpose, it has advanced medical equipment: magnetic resonance imaging (MRI), multispiral computed tomography (CT), duplex sonography and digital X-ray, fluoroscopy, etc. In the field of interventional radiology, the focus is on the treatment of vascular diseases, for example, the doctors of the department conduct special measures for dilating the vessels in peripheral arterial occlusive disease and closing the vessels in complicated bleedings. Also, the range of services in this field is complemented by the installation of drainage and port systems, punctures, and special percutaneous methods for tumor treatment.

Thorsten Bley
Prof. Dr. med.Thorsten Bley
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Price: 28119.37
University Hospital Heidelberg
Germany, Heidelberg

University Hospital Heidelberg

Overall rating 9.8 / 10

Department of Adult and Pediatric Diagnostic, Interventional Radiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology offers the full range of services in these medical fields. It conducts all modern radiological examinations and imaging-guided minimally invasive interventions for the treatment of various benign and malignant diseases. A feature of the department is imaging diagnostics in children and adolescents. There are specially adapted devices with minimal irradiation for this purpose.

Hans-Ulrich Kauczor
Prof. Dr. med.Hans-Ulrich Kauczor
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Helios Hospital Hildesheim
Germany, Hildesheim

Helios Hospital Hildesheim

Overall rating 9.5 / 10

Department of Interventional Radiology

The Department of Interventional Radiology provides the full range of medical services in the area of its specialization. The team of the department's doctors specializes in diagnostic and therapeutic image-guided interventional procedures. The doctors have at their disposal the most advanced imaging devices, including X-ray systems, ultrasound devices, equipment for computed tomography and magnetic resonance imaging. In most cases, the department's specialists perform interventions on the vessels, and therefore doctors from the Department of Vascular Surgery are often involved in the therapeutic process. The use of state-of-the-art equipment allows the patients to get rid of pathological changes in the vessels of any part of the body, excluding open invasive surgery with its high risks. The department's medical staff has excellent qualifications and vast clinical experience, so patients confidently trust their health to real professionals.

Jörg Werhand
Dr. med.Jörg Werhand
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Price: 24512.35

The large and small intestines are one of the main localizations of neuroendocrine tumors (NETs). In Germany, this cancer is treated with surgery and drug therapy, and advanced medical centers also offer chemoembolization. This therapeutic procedure helps control tumors or metastases in the liver at an advanced stage.

Content

  1. What are NETs?
  2. Standard treatments for NETs
  3. Embolization and chemoembolization
  4. How is chemoembolization performed?
  5. Where can I undergo treatment?

What are NETs?

 

Neuroendocrine tumors are neoplasms of varying grades that can produce hormones or biologically active amines. Up to 60% of neoplasms occur in the gastrointestinal tract. Of these, up to 9% of cases occur in the colon and 16% in the rectum. In general, however, these tumors are quite rare, accounting for up to 0.4% of all colorectal tumors.

NETs were previously called carcinoids. This is an obsolete name that has not been used in medicine since 2000.

Tumors of any location can be benign, intermediate, or malignant. They are designated as G1, G2, and G3. The grade is determined by the number of mitoses and the Ki-67 index. The more intensively the cells divide, the more aggressive the tumor.

Colon NETs are most often malignant. Poorly differentiated NETs in pathomorphological examination resemble adenocarcinoma, a common colon cancer. The disease as a whole is treated according to the same algorithm. At the same time, rectal NETs, although more common, are usually small and benign.

Standard treatments for NETs

 

Most patients undergo surgery for colon neuroendocrine tumor treatment. Operations are used at all stages, from the first to the last. Surgery provides the best survival rates for patients.

Treatment options for early-stage colon neuroendocrine tumors are as follows:

  • Simple polypectomy
  • Endoscopic mucosal resection
  • Endoscopic submucosal dissection

These operations are performed using endoscopic techniques without any incisions in the abdomen. Minimally traumatic interventions provide a quick cure with a short rehabilitation period.

In cases of stage 2 or higher colon NETs, removal of part of the intestine along with the tumor is required. Surgeons at German medical centers perform surgical laparoscopic resection instead of open surgery. The best clinics in Germany also perform even safer robot-assisted operations (da Vinci treatment).

In advanced stages, cytoreductive surgery (CRS) is performed to remove all visible tumor foci, followed immediately by hyperthermic intraperitoneal chemotherapy (HIPEC).

Some patients receive somatostatin analogs, chemotherapy, and lutetium therapy after surgery.

Embolization and chemoembolization

 

The best hospitals for colon NET treatment in Germany are increasingly using embolization and chemoembolization. This is a blockage of the blood vessels that feed the tumor. Emboli that are injected into arteries may contain chemotherapy drugs. At the same time, there is no opposition between chemoembolization and surgery, so they can be used in combination.

Below are the cases in which the procedure can be used for colorectal NETs:

  • Before surgery to remove a tumor in order to reduce blood loss
  • In advanced stages of rectal cancer in order to combat rectal bleeding
  • For liver metastasis control

Typically, even malignant NETs are less aggressive than intestinal adenocarcinoma. Therefore, the prognosis, even at the advanced stage, is much better. Many patients are considered candidates for surgery despite the appearance of distant metastatic lesions.

Patients with end-stage cancer often have liver metastases. In this case, the tumor itself in the intestine may be small. Whenever possible, doctors perform simultaneous resections of the intestine and liver, but this is a traumatic operation that cannot always be performed due to possible contraindications. In this situation, the optimal treatment option is intestinal resection in combination with hepatic artery chemoembolization. This procedure makes it possible to shrink metastatic tumors several times, sometimes tens of times, and in some patients, tumors in the liver may disappear completely.

How is chemoembolization performed?

 

The procedure is minimally invasive. It is performed under local anesthesia with intravenous sedation. The doctor makes an incision in the groin area to approach the femoral artery and perform the necessary manipulations from inside the blood vessels.

The catheter is delivered to the arterial network, supplying the tumor under X-ray guidance. The doctor injects a contrast agent to determine the type of blood supply. The target arteries are then blocked by emboli.

Depending on the purpose and type of procedure, solid particles, adhesive compositions, lipiodol solutions with chemotherapy drugs, and drug-saturated microspheres can be used as emboli.

After the administration of microspheres, the blood vessels feeding the tumor are blocked. As a result, cancer cells are deprived of blood supply and die. Regional chemotherapy complements the therapeutic effect. Drugs that suppress tumor growth are released from drug-saturated microspheres over a long period of time.

Where can I undergo treatment?

 

You can undergo your diagnostics and neuroendocrine tumor treatment in Germany. The Booking Health website presents the country's leading hospitals. On the website, you can also find out the current cost of treatment in Germany and make an appointment at a clinic at the best price.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

National Library of Medicine

Wiley Online Library

Cancer Research Institute