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Chemotherapy and radiation therapy for Ewing sarcoma (298825) | University Hospital Hamburg-Eppendorf - BookingHealth
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Chemotherapy and radiation therapy for Ewing sarcoma

University Hospital Hamburg-Eppendorf

Hamburg, Germany
Program id # 298825
Doctor photo
Prof. Dr. med. Cordula Petersen
Department of Radiotherapy and Radiation Oncology
Specialized in: radiotherapy, radiation oncology

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
  • full course of the chemotherapy and radiation therapy
  • nursing services
  • consultations of related specialists
  • explanation of individual treatment plan

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).

Chemotherapy and radiation therapy are carried out as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.

Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.

During the chemotherapy session, after the placement of a venous catheter, you will stay in a comfortable ward. An infusion system will be connected to the catheter, through which the required drug or a drug combination will be administered. All drugs are administered by intravenous drip, slowly, so the total duration of the infusion can be up to several hours. All this time, doctors and nurses will monitor your health condition closely.

After the completion of the chemotherapy and radiation therapy course, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of treatment, if necessary.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Radiotherapy and Radiation Oncology at the University Hospital Hamburg-Eppendorf offers all modern methods of radiotherapy. It treats patients with oncological diseases, as well as benign pathologies, for example, degenerative joint changes. The department specializes in conformal radiation therapy, brachytherapy, intensity modulated radiation therapy, tomotherapy, stereotactic irradiation of malignant and benign brain neoplasms, whole-body irradiation, as well as in combined chemoradiation therapy. The Chief Physician of the department is Prof. Dr. med. Cordula Petersen.

The department treats such malignant diseases as eye, brain tumors, brain metastases, head and neck tumors, malignant lymphomas, malignancies of the bronchi, prostate, testicles, breast, uterus and cervix, vagina and vulva, bladder, esophagus, rectum, etc. In addition, with appropriate indications, radiation therapy may also be an option for the treatment of stomach, bone and soft tissue cancers, bone and soft tissue metastases, as well as malignant skin diseases.

Irradiation may also be indicated in case of such pathologies as osteoarthritis, frozen shoulder, heel spur, achillodynia, plantar fasciitis, heterotopic ossification, Dupuytren's contracture, endocrine ophthalmopathy, meningioma, acoustic neuroma, chordoma, glomangioma, etc.

All treatment regimens are implemented in close collaboration with oncologists. In addition, each patient receives a plan of the most effective therapy developed as part of an interdisciplinary tumor board. All treatments are based on current recommendations of the professional societies and the German Cancer Society.

The department’s medical services include:

  • 3D conformal radiation therapy
  • Intensity-modulated radiation therapy and volumetric modulated arc therapy IMRT / VMAT
  • Intensity-modulated tomotherapy
  • Imaging radiotherapy (imaging-guided radiation therapy IGRT)
  • Cranial stereotaxy (stereotactic radiosurgery SRS)
  • Extracranial stereotaxy (stereotactic body radiation therapy SBRT)
  • Deep inspiration breath hold
  • Brachytherapy
  • Interstitial brachytherapy
  • Installation of micro sources of radiation
  • Intraoperative breast irradiation (intraoperative radiation therapy IORT)
  • Whole body irradiation
  • Combination chemoradiotherapy
  • And other options of radiotherapy and radiation oncology

The diagnostic and therapeutic spectrum of the department includes the following diseases:

  • Malignancies
    • Eye tumors
    • Brain tumors
    • Brain metastases
    • Head and neck tumors
    • Malignant lymphomas
    • Bronchial cancer
    • Prostate cancer
    • Testicular cancer
    • Breast cancer
    • Uterine and cervical cancer
    • Vaginal and vulvar cancer
    • Bladder cancer
    • Esophageal cancer
    • Rectal cancer
    • Pancreatic cancer
    • Stomach cancer
    • Bone and soft tissue tumors
    • Bone and soft tissue metastases
    • Malignant skin diseases
  • Benign diseases
    • Arthrosis
    • Shoulder girdle periarthritis
    • Heel spur
    • Achillodynia
    • Plantar fasciitis
    • Heterotopic ossification
    • Dupuytren's contracture
    • Endocrine ophthalmopathy
    • Meningioma
    • Acoustic neuroma
    • Chordoma
    • Glomangioma
  • And other diseases

Curriculum vitae

Education and Professional Background

  • 1988 - 1994 Study of Medicine, University of Hamburg.
  • 1996 - 2006 Medical Specialist in Radiotherapy and Radiation Oncology, University Hospital Dresden; Venia legendi.
  • 2006 - 2010 Physician, Department of Radiotherapy and Radiation Oncology, Radiologische Allianz Hamburg.
  • Since 01.2010 Head of the Department of Radiotherapy and Radiation Oncology at the University Hospital Hamburg-Eppendorf; Full Professor at the University Hospital Hamburg-Eppendorf.

Photo of the doctor: (c) Universitätsklinikum Hamburg-Eppendorf (UKE) 


About hospital

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany!

Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care of the health of patients. About 2,900 of them are doctors and researchers, while more than 3,400 of them work as nurses and therapists. The hospital has 1,738 beds for inpatient treatment. The key principles of each employee’s work is care for the health and well-being of the patient.

It is worth noting that the medical facility became the first university hospital in Europe, which introduced an electronic system for storing medical histories. Thus, all the processes of diagnostics and treatment are stored electronically. In 2011, the hospital was certified as the first fully digital hospital in Europe.

The hospital presents all fields of modern medicine. The doctors of the medical facility have the necessary theoretical knowledge and enormous clinical experience, which allows them to easily cope with the treatment of common and extremely rare, complex clinical cases.

An important component of the university hospital work is research activities aimed at the development of innovative diagnostic and treatment methods. The main scientific focuses of the hospital include neurobiology, oncology, examination of the cardiovascular system, infectious and inflammatory diseases. Today, the key attention is also paid to researches in the field of molecular imaging and skeletal biology.

The hospital is distinguished not only by the first-class medical care, advanced technical equipment, but also by the modern infrastructure, courteousness, friendly and respectful attitude towards the patient by the entire medical staff.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Hamburg-Eppendorf live in comfortable single and double rooms designed in bright colors. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, a telephone, a radio and a TV. Also, there is Wi-Fi access.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or hotel of your choice.

Hospital accommodation

During the outpatient program, you may stay in a hotel at the hospital.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.

The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Coiling and clipping of aneurysms of different localizations
  • Transjugular intrahepatic portosystemic shunting in patients with portal hypertension
  • Minimally invasive surgeries (da Vinci)
  • Removal and reconstruction of mammary glands
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)

These are arteriovenous malformations and angiomas, vascular aneurysms, pathologies of the mammary glands, pelvic organ prolapse, urinary incontinence, malignant tumors of various localizations (area of ​​​​special attention is treatment of intestinal cancer), pathologies of liver and pancreas, cataracts and rare ophthalmic pathologies (aphakia, aniridia ), infertility and other diseases.

  • Interventional neuroradiology
  • Mammology
  • Oncology
  • Gastroenterology
  • Surgery

Over 2,900 highly qualified physicians and researchers work at the hospital.