|PET CT||€2200 - €2600|
|MRI||€1500 - €1700|
|Blood test (general, biochemical, hormonal)||€300 - €600|
|Colonoscopy||€350 - €500|
|Mammography||€200 - €250|
|ECG||€70 - €100|
|Capsule Endoscopy||€3000 - €3710|
|Ultrasound||€120 - €220|
Nord Klinik Allianz
Nord Klinik Allianz, Bremen - is a network of large-scale, one of the largest medical institutions throughout Germany, and in the north, in particular. Clinics Nord has 4 multidisciplinary medical centers. The uniqueness of this network of clinics is that scientific research in the field of oncology is constantly being conducted on the basis of 7 hospitals, and this indicates that these institutions fully implement modern methods of treatment and are constantly developing. Of the main advantages, it is also worth noting the presence of its own molecular genetic laboratory.
Diagnostic and treatment prices
Nord Klinik Allianz
It is a network of large-scale, one of the largest medical institutions throughout Germany, and in the north, in particular. Clinics Nord has 4 multidisciplinary medical centers. More than 250,000 patients are treated in the department every year. The uniqueness of this network of clinics is that, on the basis of 7 hospitals, scientific research in the field of oncology is constantly being conducted, which is a very important aspect, and indicates that these institutions fully implement modern methods of treatment and are constantly developing. Of the main advantages, it is also worth noting the presence of its own molecular genetic laboratory.
According to the authoritative magazine FOCUS, Nord Alliance clinics are among the TOP leading medical institutions in Germany in 2015-2016.
The main medical centers of Nord Clinic Alliance:
- Bremen Mitte (Klinikum Bremen-Mitte),
- Bremen Nord (Klinikum Bremen-Nord),
- Bremen Ost (Klinikum Bremen-Ost),
- Klinikum Links der Weser.
Leave a request on our website Clinics Direct and get an individual treatment program, find out the cost of diagnostics, surgery in the best clinic in Germany!
Important facts about the network of clinics when choosing a treatment in Germany:
- the number of employees of medical institutions exceeds 6,700 employees, of which 57 professors and assistant professors conduct medical practice,
- clinics have the opportunity to undergo treatment both inpatient and outpatient, 121,800 inpatients per year, and about 130,000 patients - outpatients,
- The cardiology department performs more than 2600 successful heart surgeries ,
- the base carries out kidney transplantation from a related donor,
- the laboratory of pathology and molecular genetic diagnostics functions and conducts research activities,
- the clinic provides a unique service for patients with disabilities with the help of an emergency service, thanks to the helipad it is possible to receive or transport patients anywhere in the country or abroad,
- service of the clinic at the highest level, from the examination of medical documents by professors before your arrival at the clinic, and to meeting at the airport and placing patients in the guest house at the clinic,
- The prices for treatment in Bremen are, on average, 10-20% lower than in other hospitals in Germany.
For which treatment areas and diseases can you choose the clinic in Bremen Nord Clinic Alliance?
Often, patients from CIS countries such as Ukraine, Russia, Kazakhstan and Uzbekistan choose the Bremen Mitte Cancer Center, as this center uses the most advanced technologies in cancer diagnostics and treats patients according to European protocols.
The peculiarity of the therapy is the unique use of autoimmune stem cell treatment and in vitro chemotherapy. Also, in the oncology center there is a department of diagnostic radiology and a department of radiation oncology.
On the basis of the clinic, research work in the field of oncology is constantly being carried out, the centers for the treatment of cancer diseases are accredited by the German health society DKG Krebsgesellschaft.
The advantage of the hospital is the possibility of admitting not only adults, but also adolescents and children for treatment. For such cases, specially equipped rooms for small patients are provided, employees of the psychological support department conduct consultations and all kinds of development of the child's creativity.
Treatment of cardiology and cardiac surgery
Treatment at the Heart Center Herzzentrum Bremen is based at the Clinic Links der Weser - the largest hospital in Germany for cardiology. The clinic has the following departments:
- cardiac surgery,
- specialized rehabilitation center.
The head of the Cardiology Clinic and the Department of Angiology is Professor Rainer Hambrecht.
The selection of patients for treatment at Herzzentrum Bremen is based on the following facts: more than 2,600 operations are performed in the clinic every year. This number includes 1,200 aortic valve implantations and over 350 mitral valve procedures. There is no doubt about the qualifications of specialists, since doctors perform bypass surgery, an operation using the “artificial heart” system, as well as peripheral revascularization and therapy of vascular malformation.
Initially, the clinic carries out diagnostics of the cardiovascular system by the following methods:
- Ultrasound of the heart (echocardiography, 3D cardiac imaging and transesophageal echocardiography);
- stress echo;
- sonographic methods for the diagnosis of blood vessels.
Treatment of urology and nephrology
Chief urologist of the Bremen Mitte Clinic - prof. Sebastian Melchior.
Professor Sebastian Melchior is one of the best TOP specialists in the direction of a urologist in Germany according to the authoritative magazine FOCUS.
The strength of the clinic is in its urology and nephrology department, which cooperates with a kidney transplant center from a related donor, and also treats children and adults with various pathologies of the sword-excretory system. The hospital has 77 inpatient beds and 4 operating units.
Patients choose the clinic in Bremen Mitte due to the qualified Department of Urology, where you can receive treatment for the following conditions:
- surgical treatment of prostate and bladder tumors,
- open and endoscopic surgical treatment of tumors of the kidneys, ureters and adrenal glands,
- surgical and minimally invasive methods of treating tumors of the male reproductive organs.
Department of Traumatology and Orthopedics
Why do Clinics Direct patients choose the Regional Center for Traumatology and Endoprosthetics? The answer to this question is that this center is part of the reputable society for trauma surgery DGU® .
The head of the department and the chief specialist of the department is Professor Michael Paul Hahn . Each year, a record number of operations are performed on the basis of the clinic, the figure reaches 3000 not only in the field of traumatology, but also in orthopedics, endoprosthetics.
If you still have questions - write to us in the chat or order a call from our website to clarify the details!
Cancer Treatment (Cancer Treatment)
Cancer treatment is carried out by the Bremen Mitte Cancer Center in the Nord Clinic Alliance network of hospitals.
To determine the method of treatment, the current protocols of the German Society for Oncological Therapy are used, which are confirmed by research. The following methods are used in diagnosis and treatment:
- selective treatment,
- targeted therapy,
- stem cell therapy,
- immunotherapy, chemo - and radiotherapy.
The hospital network includes 7 research centers in order to test and create new or alternative treatments.
Typically, patients can be hospitalized or treated on an outpatient basis.
For foreign patients, doctors conduct remote consultations, monitor and conduct them in cooperation with partner clinics, there is a service for ordering and delivering drugs from Germany.
Do you have any questions? Leave your application on our Clinics Direct website and we will definitely help you!
Diagnosis and treatment of esophageal cancer
Esophageal cancer is one of the most common types of malignant tumors. A tumor of the esophagus can be divided into 3 types, depending on the place of development of the malignant neoplasm:
- cancer of the lower third of the esophagus;
- cancer of the middle third of the esophagus;
- cancer of the upper third of the esophagus.
The disease is characterized by rapid tumor progression. There are frequent cases when cancer detected in the early stages led to complete dysphagia of the esophagus within a few weeks. After a short time, the overgrown tumor begins to metastasize to nearby organs.
According to experts, the lower the cancer grows along the esophagus, the more difficult the tumor is to treat. So, cancer of the lower third of the esophagus requires transhiatal esophagectomy, that is, the esophagus is removed, starting from the abdominal cavity and ending with the cervical region. Cancer of the upper third of the esophagus is often treated with non-invasive, gentle methods such as radiation therapy, chemotherapy, etc.
The following symptoms are sure signs of esophageal cancer: dysphagia, chest pain, cough (when the cancer spreads to the trochea and bronchi), profuse drooling, hoarse voice, vomiting. Against the background of the main symptoms, the patient feels significant malaise, a breakdown is observed, and very rapid fatigability sets in.
Bremen Mitte Cancer Center, part of the Nord Clinic Alliance network, specializes in cancer treatment. The center's specialists provide quick diagnosis and prompt development of a treatment strategy. Each case of esophageal cancer is supervised by 3 highly qualified oncologists at once: a senior physician, an oncosurgeon and a radiation therapist.
Accurate and fast diagnostics, together with the choice of optimal therapy, ensure high efficiency of treatment - esophageal cancer detected at early stages can be completely cured in 80% of cases .
Radical treatments include:
- transhiatal esophagectomy;
- transthoracic esophagectomy.
Together with direct surgery, chemotherapy and radiation therapy sessions are performed. In cases with inoperable advanced cancer, emergency palliative therapy can be carried out, thanks to which a noticeable improvement in the patient's quality of life can be achieved.
Make an appointment with an oncologist at the Nord Klinik Allianz with the coordinating physician at Clinics Direct .
Diagnosis and treatment of laryngeal cancer
Laryngeal cancer is a common oncological disease, which accounts for about 3% of the total number of diagnosed malignant tumors. This type of cancer is predominantly a male disease; women are much less likely to be affected by this type of oncology. The risk group includes men aged 40 to 60 years.
There are 3 types of laryngeal cancer:
The most common type of cancer is subglottic (65% of cases). Such tumors grow rapidly and metastasize. But subglottic cancer makes itself felt at a very early stage of development. While still in its infancy, the tumor provokes a pain syndrome, which soon turns into a feeling of a foreign body in the throat. Complex treatment of stage I-II laryngeal cancer is successful in almost 90% of cases.
Ligamentous type cancer affects the vocal cords. Tumors of this type occur in 32% of cases. Ligament cancer is dangerous because patients almost completely lose the ability to speak. Tumors on the vocal cords are most often diagnosed in the early stages (I-II), which is the key to successful therapy.
Supra-laryngeal cancer of the larynx is quite rare, only in 3% of cases. Such tumors are the most insidious, since cancer in the early stages does not manifest itself in any way. When diagnosing an already formed tumor, as a rule, it turns out that the cancer has already penetrated into neighboring organs and metastasized.
Laryngeal cancer treatment
Part of the structure of the Alliance Clinic Nord (Nord Klinik Allianz) m-pocket medical center Bremen Mitte specializes in clinical oncology. The doctors of the center practice modern and promising methods of treating laryngeal cancer. Due to the high efficiency of cancer therapy, Bremen Mitte attracts patients from non-CIS countries.
The following techniques can be used during cancer treatment:
- Laryngeal resection.
- Extended laryngectomy.
- Radiation therapy.
- Chemotherapy (used as an adjunct technique).
Medical specialists centers help not only to cure cancer of the larynx, but also to restore the dividing function of the throat, as well as to fully or partially restore the voice. After a radical surgical intervention, reconstructive plastic surgery of the larynx is performed.
Particular attention is paid to recovery from medical therapy. Patients are assisted in restoring speech functions.
Diagnosis and treatment of lung cancer
Lung cancer is one of the most common cancers, accounting for about 15% of all malignant neoplasms. More than 1 million patients worldwide are diagnosed with lung cancer annually. Men are more susceptible to the disease; in women, lung cancer is diagnosed 5 times less often.
There are several main types of lung cancer:
Tumors of the central type develop in the mucous membrane of the bronchi. The cancer quickly spreads to the bronchi, causing pain and coughing, which is often accompanied by sputum and blood. Central lung cancer can be diagnosed early. With the complex treatment of stage I-II lung cancer, the survival rate of patients is 70-80%.
Peripheral cancer develops in the lung tissues in which there are no painful nerve endings. Tumors of this type are the most difficult, as they do not show noticeable symptoms in the early stages. Peripheral cancer makes itself felt when the tumor has already penetrated the bronchi, pleura and nearby organs. As practice shows, a tumor of a peripheral type is diagnosed already at stages III-IV, which significantly complicates the therapy process. Such cancer penetrates the walls of neighboring organs and has many metastases, making radical surgical intervention irrational.
Doctors identify another type of lung cancer, which is mixed. Mixed tumors occur in only 5% of cases. Mixed lung cancer detected in the early stages is amenable to successful therapy.
Without treatment for lung cancer, up to 60% of patients die in the first year, another 27% - in the second year.
Lung cancer treatment
Part of the Clinic Nord-Alliance (Nord Klinik Allianz) Cancer Center Bremen Mitte is one of the leading European clinics. Within the walls of this medical center, thousands of patients diagnosed with lung cancer have already been successfully treated.
The Bremen Mitte Cancer Center has united highly qualified specialists who in their practice use both generally accepted traditional methods of therapy and modern achievements of experimental medicine. This gives hope for recovery even in the most difficult cases.
The most effective treatments for lung cancer are:
- Radiation therapy.
- Laser coagulation, etc.
Comprehensive diagnostics and an integrated approach to the treatment of lung cancer make it possible to achieve high results of therapy. In 2015, the Lungen Krebs Zentrum research center , created at the Bremen Mitte Oncology Center , was included in the TOP-100 of the world's best lung cancer hospitals, according to the prestigious FOCUS rating.
More than 250,000 women worldwide are diagnosed with ovarian cancer each year. The disease affects:
- the fallopian tubes;
In advanced stages, the malignant neoplasm can metastasize to the liver, lungs and brain. Ovarian tumors affect women of all ages. But the risk group first includes women after 45 years, especially from among those who have not given birth due to infertility.
In the early stages, the development of a malignant tumor is almost asymptomatic. A little later, cancer can mimic, that is, disguise itself as other diseases. There are cases when even experienced doctors mistakenly diagnose diseases of the digestive tract or bladder, while cancer freely develops and grows stronger in the ovaries.
The sooner ovarian cancer is diagnosed, the better the chances of a full recovery. After starting treatment for ovarian cancer at stages I-II, patients recover in 80-90% of cases.
Diagnosis and treatment of ovarian cancer
Bremen Mitte Cancer Center has a modern medical and diagnostic base, one of the priority areas of work of which is the treatment of ovarian cancer. Within the walls of the medical center, the most promising methods of treating female genital organs are practiced.
The appearance of a tumor in the ovaries can be diagnosed during ultrasound examination or even palpation. In any case, it is recommended to cut the tumor, regardless of the nature of the tumor. Samples of tissues obtained during the operation are sent for biopsy and histological analysis.
If it is confirmed that the tumor is malignant, then nearby tissues and organs are analyzed. Based on a comprehensive analysis, a treatment strategy is developed.
The following methods can be used to treat ovarian cancer:
- Extirpation of the uterus with removal of the ovaries.
- Radiation therapy.
To ensure the possibility of further childbirth, cryopreservation of the biomaterial of the uterine ovaries can be performed.
In terms of prevalence, pancreatic cancer (PC) ranks 6th among the entire spectrum of malignant tumor formations. The disease affects:
- ducts from the gallbladder to the duodenum.
Most often, only the head of the pancreas is affected by cancer - 60% of cases. Pancreatic body cancer occurs in 10% of cases, cancer of the tail part of the pancreas accounts for 5%, and a complete pancreatic tumor is diagnosed in 20-25%.
The most difficult cases are considered when cancer affects the body of the pancreas or the tail. Tumor formations of this type practically do not manifest themselves in the early stages. Such forms of cancer are diagnosed mainly in the course of related laboratory tests, or already at the stage of metastasis. With complete defeat of the pancreas or only its head, the bile ducts overlap, which leads to jaundice.
Pancreatic cancer treatment
Oncology Center Bremen Mitte, belongs to the structure Clinics North-Alliance (Nord Klinik Allianz), specialized in the treatment of malignant neoplasms. For more than 20 years of work, the clinic's specialists have cured thousands of patients diagnosed with pancreatic cancer.
Depending on the complexity of the situation, an interdisciplinary commission draws up the most optimal treatment methods. This could be:
- pancreatoduodenal resection;
- irreversible electroporation;
- hormone therapy;
- radiotherapy (in combination with surgery).
Particular attention is paid to the elimination of pain. The clinic also carries out adjuvant therapy, thanks to which it is possible to exclude the occurrence of a relapse with successful treatment of pancreatic cancer.
The mainstay of treatment for a pancreatic tumor is surgery. There are few blood vessels in the pancreas, for this reason, chemotherapy does not give good results, as well as radiotherapy, since pancreatic cancer is quite resistant to radiation.
Pancreatoduodenal resection removes the cancer-affected areas of the pancreas. After undergoing radical surgery, 45% of patients survive to the 5-year mark after surgery.
Diagnostics and treatment of cervical cancer
Cervical cancer is a malignant tumor that is directly related to the human papillomavirus (HPV). The disease ranks first among oncology of female genital organs and fourth among the total number of malignant neoplasms. The average age of patients diagnosed with cervical cancer is 35-55 years.
The difficulty in diagnosing the disease lies in the fact that it is asymptomatic for a long time. The formation of a malignant tumor is preceded by a precancerous state of the cervical tissue. A precancer can form into a full-fledged tumor for 15 years, slowly progressing every day.
A malignant tumor of the cervix can be:
- squamous cell carcinoma.
It takes only 1-2 years from the first stage to the fourth. Treatment of the early stages of cervical cancer guarantees the success of therapy in 90% of cases. When treating oncology at stage 4, about 8-10% of patients are completely cured of cervical cancer.
The main symptoms for which cervical cancer is detected are: menstrual irregularities (the nature and duration of bleeding changes), pain during intercourse, discomfort in the pelvic area. Symptoms are associated with increasing fatigue, weight loss, anemia, etc.
Within the walls of the Bremen Mitte Cancer Center, which is part of the Nord Clinic Alliance network, the most modern methods of cervical cancer treatment are practiced:
- exentration of the pelvis;
- radiation therapy;
To avoid relapses, the uterus with appendages is removed. The vaginal tube is excised, by a third. To prevent the development of metastases, the lymph nodes are removed along with the pelvic tissue in which they are enclosed.
If cervical cancer is diagnosed at a late stage of development, then radical surgery is not performed. Stage 4 neoplasm responds well to radiation therapy. As a rule, remote gamma irradiation is practiced, which is often carried out in parallel with intracavitary radiotherapy of the cervix.
The Bremen Mitte Cancer Center has the best experience in the treatment of cervical cancer. Specialists come even from far abroad. The highest professionalism of oncologists and a modern medical and diagnostic base allow us to put hundreds of patients diagnosed with cervical cancer on their feet every year.
Make an appointment with an oncologist at the Nord Klinik Allianz with the coordinating physician at Clinics Direct .
Diagnostics and treatment of stomach cancer
Stomach cancer is one of the most common types of cancer. More than 1 million people worldwide are diagnosed with stomach cancer every year. The risk group includes people of the older age category (40-70 years old) who suffer from gastritis / stomach ulcer or have fibroma / papilloma on the walls of the stomach.
Stomach cancer has 4 main forms:
- polypoid cancer;
- carcinoma ulceration (ulcerative cancer);
- partial carcinoma - ulceration with infiltrative germination;
- diffuse infiltrative cancer.
Ulcerative and polypoid cancers are often treatable successfully. Partial carcinoma with diffuse infiltrative cancer requires the most modern and professional treatment.
Stomach cancer is a complex oncological disease, since in the early stages a malignant tumor does not have pronounced symptoms. As a rule, stomach cancer is diagnosed at stage 4 (80% of cases), when the tumor has already grown stronger and metastasized.
Bremen Mitte Cancer Clinic, part of the Nord Clinic Alliance network, has been successfully treating stomach cancer for 40 years. On the basis of the oncology center, a dispensary has been created in which people from the risk group can undergo an accurate diagnosis and begin immediate treatment when the tumor is still in a precancerous state or at least at stage 1.
The 5-year survival rate among patients who started early cancer treatment is a record 90%, with 80% of patients being completely cured of stomach cancer .
Bremen Mitte specialists use exclusively the most promising and effective methods of treating stomach cancer:
- subtotal resection;
- distal resection;
- proximal resection;
Chemotherapy, as well as radiation therapy, may be prescribed as an adjunct to radical surgery for gastric cancer.
After removal of the stomach or part of it, full patency of the gastrointestinal tract is restored. In particular, gastrostomy and enterostomy are performed. Thanks to a special probe, food is delivered either to the parts of the stomach remaining after resection, or directly to the intestines.
To get the exact cost of diagnostics and treatment of stomach cancer at Nord Klinik Allianz , contact our Clinics Direct team .
Diagnosis and treatment of melanoma (skin cancer)
Skin cancer (melanoma) is a dangerous and widespread cancer that annually diagnoses more than 200,000 people around the world. The tumor most often affects open areas of the skin (70% of cases), but melanoma can also develop in the tissues under the nails, in the oral mucosa, as well as in the vagina and intestines.
The risk group includes people of the older age category, from 70 years. Women and men are equally susceptible to skin melanoma.
There are several types of melanoma:
- a tumor growing inside the tissues;
- superficial ulceration of the skin.
The difficulty in treating skin cancer is that an accurate diagnosis can be made only after resection of the tumor tissue. Puncture and biopsy of affected skin areas directly on the patient is prohibited. Any intervention in the tumor can serve as a signal for its accelerated progression.
Within the walls of the Bremen Mitte Cancer Center, which is part of the Nord Clinic Alliance network of clinics , world-renowned oncologists practice their work. The clinic works in close cooperation with research centers in Tel Aviv, London, Heidelberg, Roswell Park, etc.
The patients of the oncology center have access to modern methods of diagnostics and treatment of skin cancer. The success of Bremen Mitte therapy reaches 70-90% , allowing patients to forget forever what melanoma is.
Depending on the type of melanoma and the stage of its progression, treatment may include the following techniques:
- case-fascial excision:
- Mosh surgery:
- laser case excision.
In parallel with radical surgery, chemotherapy, immunotherapy and radiation therapy are actively used. In cases where melanoma metastasizes to bone tissue, which causes a noticeable pain syndrome, the patient is prescribed anesthetic therapy.
Bremen Mitte Cancer Center takes an active part in international programs for the treatment of skin cancer using innovative technologies. There are a wide range of government programs in which cancer patients with skin melanoma can participate. Treatment is carried out using modern drugs, which give real hope for recovery even for inoperable patients.
To get the exact cost of diagnostics and treatment of melanoma (skin cancer) at Nord Klinik Allianz , contact our Clinics Direct team .
Diagnosis and treatment of gallbladder cancer
Gallbladder cancer is a malignant neoplasm arising from the tissues of the mucous membrane. Experts associate this type of cancer with gallstones, which systematically injure the mucous membrane. Of course, the presence of stones in the gallbladder does not always lead to cancer. The development of the tumor is significantly influenced by: unhealthy diet, bad habits and a sedentary lifestyle.
There are several types of gallbladder cancer:
- squamous cell carcinoma.
The share of gallbladder cancer accounts for about 2% of the total number of cancers. Gallbladder cancer ranks 5th among malignant neoplasms of the gastrointestinal tract.
The difficulty in treating this type of cancer is the location of the gallbladder. In the immediate vicinity are: liver, duodenum, bile ducts, stomach, etc. Cancer of the gallbladder is accompanied by noticeable malaise, fever, nausea, vomiting, jaundice. In some cases, severe intoxication may occur.
The early stages of gallbladder cancer are difficult to detect. But at the same time, the most successful prognosis of treatment has a precancerous state, as well as stage I of gallbladder cancer. But in the early stages, cancer does not manifest itself in any way. When cancer symptoms are noticed by a patient, the tumor is already at stage IV (80% of diagnosed cases).
Bremen Mitte Cancer Center, part of the Nord Clinic Alliance network of clinics , specializes in the treatment of gastrointestinal cancer. On the basis of the clinic, there is a special dispensary, where people from the risk group can quickly and accurately examine the gallbladder. If there are signs of a tumor, Bremen Mitte is equipped with everything necessary for effective treatment.
The specialists of the oncology center practice advanced methods of therapy for gallbladder cancer:
- imposition of hepaticojejunostomy;
- liver resection.
In the later stages of cancer, when the tumor is already inoperable, recanalization of the bile ducts is advisable to avoid the development of jaundice. Recanalization is performed using the endoscopic stenting technique. Additionally, chemotherapy and radiation therapy are used.
Learn more about the treatment of gallbladder cancer at the Nord Klinik Allianz hospital by signing up for a consultation on our Clinics Direct website.
Diagnosis and treatment of tongue cancer
Cancer of the tongue is a malignant neoplasm that arises from the small salivary glands, as well as the mucous membrane of the epithelial cells of the tongue. This type of oncology is highly aggressive. Cancer quickly metastasizes to the lymph nodes, from where it quickly spreads literally throughout the body, primarily to the organs of the cervical spine.
Cancer of the tongue can be roughly divided into several types:
- oral swelling;
- swelling of the nasopharynx.
Oral cancer affects the body of the tongue itself: the sides, back (bottom) and tip. Nasopharyngeal cancer develops at the root of the tongue, which invades the distal region.
According to experts, in the initial stages, only cancer of the tongue of the root section, which affects the distal sections, is diagnosed. The main symptoms of tongue root cancer are speech disorders. The patient begins to feel discomfort when eating. Subsequently, a noticeable pain syndrome is added.
If we talk about cancer of the tongue of the oral type (the body of the tongue itself swells), then this malignant neoplasm does not manifest itself in the early stages. Clinical diagnosis is carried out even when the tumor has already metastasized to the lymph nodes and nearby organs of the cervical spine.
The Bremen Mitte Oncology Center, which is part of the Nord Clinic Alliance network of clinics , allows achieving high results in the treatment of tongue cancer. Even when the tumor has metastasized and invaded nearby organs, patients can expect a complete recovery.
The center's specialists, oncologists, practice the following methods of therapy:
- resection of the tongue;
- resection of the jawbone and adjacent soft tissues.
Carrying out operations in the head area is a particularly difficult clinical practice, since it is important to keep the patient not only healthy, but also to hide the traces of surgery as much as possible. For this reason, in parallel with oncologists, plastic surgeons also work on patients.
Surgery can be accompanied by radiation therapy as well as chemotherapy. In cases where cancer is diagnosed in an already inoperable stage, therapy is aimed at improving the patient's quality of life. The pain syndrome will be eliminated, the tongue is resected in the oropharyngeal region, which makes it easier to breathe and swallow food.
Make an appointment with an oncologist at the Nord Klinik Allianz with the coordinating physician at Clinics Direct .
Thyroid Cancer Treatment
The Nord Klinik Allianz is one of the largest hospital associations in Germany. It also includes the Klinikum Bremen Mitte (Klinikum Bremen Mitte) .
The treatment of thyroid cancer in this multidisciplinary clinic is comprehensively and tailored to the individual patient. Conducting accurate diagnostics, determining the strategy and tactics of managing a cancer patient with the involvement of interdisciplinary knowledge and skills of experienced specialists, the latest technological equipment, and the professionalism of the medical staff allow us to achieve exceptional results in the treatment of all stages of this disease.
A complete examination of the patient, determining the boundaries of the prevalence of a malignant tumor, in order to select the optimal method of treatment, includes:
- A scrupulous study of the patient's history.
- Visual inspection of his neck and throat.
- Blood tests: general, advanced biochemical, for TSH (hormone levels).
- Ultrasound is a hardware study of the thyroid gland and nearby tissues using ultrasonic "waves".
- Biopsy - taking a biopsy sample (cells or tissue particles) for histological and immunochemical studies in our own molecular genetic laboratory.
- Refine the diagnosis with computed tomography (CT), magnetic resonance imaging (MRI), or positron emission computed tomography (PET-CT).
Diagnostics - a complete examination of the patient and determination of the boundaries of the prevalence of a malignant tumor in order to select the optimal method of treatment, includes:
- Surgery. This is a partial or complete thyroidectomy (removal of the gland) with simultaneous extirpation (removal) of the lymph nodes affected by the tumor. The operation itself is minimally invasive (traumatic), it is performed through small incisions no more than 2 cm, under general anesthesia.
- Radioactive iodine therapy. The drug is administered orally (swallowed by the patient) and destroys microscopic fragments of the tumor with the remnants of cancer cells, without affecting healthy ones. The course of treatment is monitored by an endocrinologist and a nuclear medicine operator.
- External beam therapy . It is used to treat aggressive and inoperable forms of thyroid cancer, as well as in its recurrence. The treatment tactics and control over its effectiveness are carried out by a radiation oncologist.
- Chemotherapy. It is used for complex treatment, in particular, in combination with radiation therapy for anaplastic thyroid cancer.
- Hormone therapy of 2 types : replacement and suppressive (suppressive). It is used after surgery. Taking thyroid medications normalizes hormones in the body and reduces the risk of cancer recurrence.
Diagnosis and treatment of bone cancer
The largest medical center in Germany, the Nord Klinik Allianz, Bremen, provides effective assistance in the treatment of primary bone cancer and bone metastases. Diagnostics and treatment is carried out according to European protocols, advanced medical technologies and equipment are used, the staff is distinguished by high professionalism and experience in the fight against this serious disease.
According to the trustworthy magazine FOCUS, Nord Alliance clinics are among the TOP leading medical institutions where patients with any stage of bone cancer have a real chance to restore health or achieve long-term remission, as well as get rid of pain that is not amenable to conventional drugs.
- Thorough examination and questioning of the patient to draw up a detailed anamnesis (medical history).
- Radiography . Bone neoplasms are usually well visualized.
- Computed tomography . Allows to obtain clear images of cross sections of the investigated area, to determine the "maturity" of the tumor and the boundaries of its spread.
- Magnetic resonance imaging. Allows you to clarify the diagnosis to the smallest detail.
- Osteoscintigraphy . It is used to diagnose distant metastasis.
- Puncture or surgical biopsy . Collection of mini-samples of tumor tissues with their subsequent study in the immunological and molecular genetic laboratory. Allows to reveal the malignancy of the neoplasm and its "nature": the tumor is primary or is a metastasis.
- Angiography . A method of contrast study of blood vessels, which is carried out before the operation to determine their condition.
An interdisciplinary commission, which includes an orthopedic oncologist, clinical oncologist, onco-radiologist and other specialized specialists, selects the most optimal set of treatment procedures. The 5-year survival rate of patients with a multidisciplinary approach to the treatment of patients reaches 70%.
- Surgery. 90% of operations are performed with the preservation of limbs.
- Radiosurgery . It allows you to remove the tumor with minimal losses using the Gamma Knife, Cyber Knife or Linear Accelerator.
- Radiation therapy . Focused high-energy radiation under CT control has a detrimental effect on cancer cells.
- FUS therapy . A gentle and effective method for the treatment of bone cancer using focused ultrasound guided by MRI.
- Chemotherapy . Intravenous administration of a combination of 2-3 cytostatics that have a destructive effect on tumor cells. In some cases, the method is used as the main treatment (Ewing's sarcoma), but more often in combination with other methods, in particular, before and after surgery.
Contact the coordinating physician of Clinics Direct to make an appointment with the oncologist at Nord Clinic Alliance.
Diagnosis and treatment of bladder cancer
The services of one of the largest medical concerns in Germany - Nord Klinik Allianz (Nord Klinik Allianz) , include the provision of effective assistance in the treatment of bladder cancer. Diagnostics and patient management protocols comply with high European standards, which is confirmed by the DIN EN ISO 9001: 2008 certificate.
Modern equipment, the professionalism of the staff, the diagnostic capabilities of the clinic - these factors are important for determining the strategy and tactics of treating patients, making it possible to achieve high efficiency in the fight against this disease at any stage of its spread. Even with advanced forms of cancer, the survival rate of patients for more than 5 years is 70%, and 30% have a chance of prolonged remission.
Diagnostic procedures include :
- Medical examination and drawing up anamnesis (medical history) of the patient.
- Laboratory analyzes of blood and urine.
- Ultrasound of the abdominal organs and kidneys.
- NMP22 protein test with a biopsy (tumor tissue) sampling with a cystoscope to determine the type of tumor malignancy.
- CT, MRI and PET-CT . These types of radiological diagnostics are used to accurately determine the boundaries of the extent of the tumor and the presence of metastases.
- Urography . X-ray examination with a contrast agent to detect filling defects in the bladder.
- Cytodiagnostics . Examination of tissue samples in order to detect lumps in the lymph nodes.
- Scintigraphy. It is carried out to detect bone metastases.
Upon completion of the diagnostic procedures (this usually takes 2-3 days), an interdisciplinary commission consisting of the leading specialists of the clinic determines the main and auxiliary methods of treatment. The question is approached in a comprehensive and personalized manner. The patient has the right to receive a "second opinion" from the best medical experts before starting treatment.
Depending on the diagnostic data, the most effective methods of treatment are used.
- Radical cystectomy. Complete removal of the affected organ followed by its reconstruction. It is used for advanced bladder cancer, as well as to exclude recurrence in cancer stages 2, 3 and 4. At Nord Klinik Allianz, such an operation is performed with the help of the da Vinci robotic surgeon, which makes it possible to carry out low-traumatic and delicate surgical procedures even in hard-to-reach areas of the patient's body.
- Partial cystectomy. Resection of a part of an organ at an early stage of the disease.
- TUR (Transuretal Resection). It is produced with a special probe through the urethra in the early stages of cancer.
- Laser vaporization, cryodestruction, HIFU. Methods to destroy a tumor with correspondingly high temperature, low, focused high frequency ultrasonic waves. According to the indications, they are an alternative to removing the bladder, the ability to save the organ.
- Radiation therapy. It is used in combination with other methods of affecting an inoperable tumor
- Brachytherapy. It is used in the early stages of cancer and as an adjunct to partial cystectomy to prevent relapse.
Brain Cancer Treatment
The medical concern Nord Klinik Allianz in Bremen includes the Center for Head and Neck Oncology , accredited by the German Cancer Society DKG Cancer Society . The 5-year survival rate of brain cancer patients treated at this medical center exceeds 70%, and the relapse rate after treatment is the lowest in Europe. These achievements are due to the high professionalism of the Center staff, as well as the latest diagnostic and treatment equipment of the clinic, including its own immunological and molecular genetic laboratory.
The first step to recovery is accurate diagnosis. It is carried out using:
- MRI 3 Tesla - a magnetic resonance imaging scanner of the latest generation, which has the maximum resolution of images;
- MSCT - multispiral computed tomography for obtaining a layer-by-layer image of the examined tissues;
- Magnetic encephalograph , which gives important information about the work of the brain;
- A stereotactic biopsy machine , with the help of which the tumor tissue is taken for histological analysis. The procedure is a small, minimally invasive operation.
Treatment of brain cancer is carried out in a comprehensive manner, with the involvement of specialized specialists, and the treatment scheme itself is selected for each patient by an interdisciplinary commission purely individually, in accordance with the diagnostic indications and the type of neoplasm. Most often, a step-by-step, complex treatment is assumed.
- Surgery to remove the tumor if resectable. If the neoplasm adheres to hard-to-reach, vital parts of the brain, alternative treatment is performed.
- Radiation surgery is a single exposure to a large dose of ionizing radiation of pathological tissues inside the skull.
- Stereotactic radiosurgery. An innovative method of irradiation and destruction of the tumor using the Gamma-Knife under the visual guidance of CT or MRI. Healthy cells are not affected.
- Proton therapy and ion therapy. The new technology of irradiation of the tumor with the energy of charged particles is superior in efficiency to other methods.
- BNCT (Boron neutron capture therapy). The newest method of treatment based on the ability of boron to accumulate and absorb neutrons in pathologically altered tissues. This releases a large amount of energy that kills cancer cells.
- Chemotherapy. Traditional treatment is hampered by the blood-brain barrier - the barrier between the blood and the brain. Therefore, new methods of drug delivery are used:
- interstitial (interstitial) - capsules with the medicine are injected directly into the cavity itself, which was freed after the removal of the tumor.
- Intra-arterial - the medicine is injected with a thin catheter through the arteries of the brain.
- Convection is a very slow injection of a drug through a special catheter over several days.
Treatment for uterine cancer
The gynecological oncological center of the largest German medical concern Nord Klinik Allianz offers services for high-precision diagnosis and treatment of uterine cancer . The latest equipment, many years of experience and professionalism of the clinic staff, the presence of its own immunological and molecular laboratory, the use of innovative technologies in the treatment of this disease at different stages of its development, allow us to achieve outstanding results. Up to 97% of patients with grade 1 and 2 uterine cancer recover completely.
Diagnostic procedures include:
- Interviewing and examining the patient by a gynecological oncologist for anamnesis.
- Blood tests - general, clinical and biochemical, as well as for the CA-125 tumor marker, the indicators of which may indicate cancer of the appendages.
- Transvaginal ultrasound. Internal examination of the uterus with appendages using a special probe that is inserted into the vagina.
- Biopsy. Taking tissue with a special tube that is inserted into the vagina for histological examination under a microscope. It is a reliable way to determine the presence and malignancy of a tumor.
- Laboratory tests. Papanicolaou test - a cytological smear from the mucous membrane of the cervix for the detection of cancer cells.
- Chest X-ray. It is used to detect or exclude pathology in the chest organs.
- CT and MRI. To clarify the diagnosis, the boundaries of the spread of the tumor and metastases.
- Mammography. It is prescribed for suspected neoplasms in the mammary glands.
- Operation. Hysterectomy - removal of the uterus and surrounding tissue. It is the most radical and common method to avoid relapse.
- Radiation therapy. Radiation therapy is a treatment option for any stage of uterine cancer. It is carried out before or after the operation, sometimes instead of it. Two types of radiation therapy are used. External beam therapy. Focused radio waves that destroy the tumor are directed to the area of the tumor from the outside.
- Internal radiation therapy (brachytherapy). A narrow cylinder with a radioactive substance is placed inside the vagina. After completing therapy, young women still have a chance to become pregnant and have children.
- Chemotherapy . It can be used before surgery for stage II, III or IV cancer to shrink the tumor, and after, to prevent recurrence. It is also indicated for women in whom the neoplasm cannot be completely removed by surgery.
- Hormone therapy. It is used for hormone-dependent uterine cancer instead of surgical treatment, as well as for grade 1 cancer in women who want to subsequently become pregnant and have children.
Diagnosis and treatment of kidney cancer
Germany is one of the leaders among European countries in the effective treatment of malignant neoplasms in the kidneys. Turning to the most popular medical network in Bremen - Nord Klinik Allianz, each patient with kidney cancer receives comprehensive diagnostics and personalized treatment of this formidable disease. Thanks to the modern equipment of the clinic, the highest qualifications of medical personnel, innovative treatment technologies, the 5-year survival rate of patients with stage 1 and 2 kidney cancer reaches 95%, 70-40% from 3-4 and at least 10% in the most advanced cases.
Diagnostic procedures include:
- Interview and examination of the patient by an urologist oncologist to draw up a medical history.
- Ultrasound of the kidneys and other abdominal organs.
- Angiography - determines the state of the vessels, including those that feed the tumor.
- Scintigraphy is a high-tech diagnostic study using radioisotopes that allows you to see distant metastases in bone tissue.
- CT (computed tomography) and MRI (magnetic resonance imaging) for detailed clarification of the boundaries of the tumor, the presence of metastases, the state of the lymph nodes).
An interdisciplinary council consisting of the leading specialists of the clinic, taking into account the data of the patient's diagnostic procedures, develops for him a personalized, step-by-step treatment regimen (treatment protocol). Possible options:
- Surgical operation - excision of the tumor while preserving the organ, or removal of the kidney and lymph nodes affected by metastases.
- Laparoscopic minimally invasive surgery through 3 one-centimeter incisions under the control of ultra-precise electronic equipment (if the tumor is not more than 6 cm).
- In an advanced stage, treatment is carried out in several stages: removal of the kidney with nearby tissues and lymph nodes, conducting a course of radiation and immune therapy.
- Radiofrequency ablation (thermoablation) is a minimally invasive method of destroying a tumor with an electric current through a special electrode (in case of neoplasm less than 3 cm).
- Cryodestruction - destruction of a tumor by low temperature.
- Targeted therapy (molecular targeted therapy) is a local drug effect on cancer cells. It is a type of immunological therapy.
Testicular cancer diagnosis and treatment
According to the authoritative magazine FOCUS, oncology clinics in Germany are considered the best among similar clinics in other European countries. The Nord Klinik Allianz Cancer Center , Bremen , provides highly effective assistance in the diagnosis and treatment of testicular cancer. The presence of the latest generation of medical equipment, the highest qualifications of the personnel, the use of the latest technologies and an integrated approach to the treatment of this life-threatening disease, make it possible to achieve a 5-year survival rate in 98% of patients. Relapses after 3 years of remission are recorded in no more than 5% of patients.
A malignant testicular tumor (damage to both occurs very rarely) is of several types, respectively, the tactics of treating the disease differ. Therefore, differential diagnosis is essential. It includes:
- Examination of the patient by an oncourologist and taking anamnesis.
- Clinical and biochemical blood test.
- Blood test for tumor markers (in case of cancer recurrence).
- Ultrasound (ultrasound) examination of the scrotum and abdominal organs to determine the size and extent of the tumor.
- CT, MRI or PET-CT (computed, magnetic resonance or positron emission tomography) for a detailed study and clarification of the boundaries of the tumor process, detection or exclusion of its metastasis to distant organs and tissues.
- Chest x- ray to exclude lung metastases.
In testicular cancer, a biopsy with histological examination of tumor tissues is performed only after surgery, since this procedure can provoke the spread of cancer cells into healthy tissues of the scrotum.
A medical council consisting of specialized specialists develops the most optimal treatment plan for the patient, taking into account the specificity (type) of the tumor, its distribution and the patient's personal diagnostic data. In some cases, only surgical removal of the tumor is indicated, in others, in addition to surgery, a set of additional measures using radiation and / or chemotherapy. Treatment options:
- Orchiectomy - an operation to remove the testicle, spermatic cord with lymphadenectomy - to identify and remove the retroperitoneal lymph nodes.
- External beam therapy before and after surgery. Internal radiation therapy (brachytherapy) is not used for testicular cancer.
- Chemotherapy (oral and / or intravenous) before and after surgery with the introduction of cytostatics.
- Stem cell therapy combined with chemotherapy. It is considered a highly effective method.
Diagnosis and Treatment of Small Bowel Cancer
The Bowel Cancer Center, part of the medical concern Nord Klinik Allianz , Germany, Bremen , provides effective assistance in the treatment of malignant neoplasms of the small intestine of any stage of development. Thanks to the new generation medical equipment, the highest qualifications of the clinic staff, the use of innovative technologies in combination with an integrated approach to the treatment of each patient, the 5-10-year survival rate for patients with early stages of cancer reaches 98%. At 3-4 stages, long-term stable remission and a significant improvement in the patient's quality of life are also possible.
The key to a successful fight against a formidable disease is a comprehensive examination of the patient and the formulation of an error-free diagnosis. In addition to meticulous questioning and examination of the patient by a specialized oncologist, laboratory tests of blood, urine, feces, the following are used:
- X-ray with contrast agent to determine bowel functionality;
- Ultrasound - for examining the abdominal organs;
- colonoscopy and gastroscopy - for examining different parts of the intestine;
- endoscopy with biopsy - to clarify the diagnosis and collection of tumor tissue with subsequent histology;
- fibroscopy - examines the general condition of the small intestine;
- irrigoscopy - X-ray examination of the intestine and obtaining its images;
- scintigraphy - examination of the bones of the skeleton to detect or exclude metastases in them;
- MSCT (multislice computed tomography) of the lungs.
It also uses the latest generation of radiological high-precision diagnostic equipment CT, PET-CT and 3.0 Tesla MRI machine , which can detect even single cancer cells.
Based on the results of diagnostic procedures, an interdisciplinary council consisting of the leading specialists of the clinic develops a personalized, comprehensive treatment plan for the patient. To restore intestinal patency, recovery and rehabilitation of a patient with minimal physical trauma, the following are used:
- Surgical removal of the tumor. Most often, it is performed using a minimally invasive laparoscopic method through small incisions.
- Radiofrequency ablation . Insertion of an electrode into the tumor / metastasis zone, destructively affecting cancer cells with radio frequency waves.
- Chemotherapy (CT). It is used before and / or after the operation, it is carried out according to the latest technologies, excluding the global intoxication of the patient's body.
- Chemoembolization of the vessels supplying the tumor and regional chemoperfusion are new methods for destroying the tumor from the inside.
- Radiation therapy (radiotherapy) using the latest generation of linear accelerators VersaHD from Elekta. It is used after surgery and in combination with other methods of treatment.
- Palliative treatment with stent placement to widen the lumen of the small intestine.
Diagnosis and treatment of sigmoid colon cancer
Treatment of sigmoid colon cancer in the cancer center of the medical concern Nord Klinik Allianz gives real chances for patients with this formidable disease to recover. The 5-year survival rate of patients with stage 1 and 2 tumors is 94%, with stage 3 - more than 70% , with sigmoid colon cancer burdened by distant metastases, the prognosis is less favorable, but not hopeless . Such a high efficiency is achieved thanks to the complete equipping of the clinic with new generation medical equipment, the use of the latest methods of treatment of oncological diseases, and a comprehensive, interdisciplinary approach to the treatment of each patient.
According to its histological structure, sigmoid colon cancer is of 3 types : adenocarcinoma, mucous adenocarcinoma, cricoid cell carcinoma of the sigmoid colon. Differentiation of the type of tumor is of great importance for the selection of the most effective treatment protocol. For this purpose, a number of diagnostic procedures are carried out:
- Initial examination and questioning of a patient with oncoproctol to collect anamnesis.
- Clinical and biochemical analysis of blood, urine.
- Endoscopic examination ( rectosigmoscopy and / or colonoscopy, sigmoidoscopy) to assess the volume and localization of the neoplasm, as well as to take tissue for histological examination under a microscope in an immunological and molecular genetic laboratory.
- Irrigoscopy is an X-ray examination of the colon segments with a contrast agent, which makes it possible to assess all the nuances of the structure and functioning of the gastrointestinal tract.
To identify nearby and distant metastases and clarify the diagnosis, use:
- Abdominal ultrasound;
- Chest x-ray;
- Radiological and nuclear methods for examining the patient's body using such ultra-precise equipment as CT, MRI, PET-CT .
An interdisciplinary consultation of the leading specialists of the clinic, on the basis of diagnostic data, determines an updated diagnosis and develops a personalized patient treatment protocol.
- Surgical treatment - removal of a tumor with regional lymph nodes. In most cases, it is performed with a minimally invasive laparoscopic method (TEM) through small incisions. Can be combined with radiation and chemotherapy.
- Radiation therapy (radiotherapy) using Elekta's state-of-the- art VersaHD linear accelerators to irradiate the pelvic area to kill single cancer cells left over from surgery.
- HDR brachytherapy - radiation of a tumor from inside the affected organ.
- Chemotherapy is used after surgery to prevent cancer from recurring, or before surgery to shrink a tumor.
- Targeted (molecularly targeted) therapy capable of targeting - drugs made using genetic engineering attack cancer cells without affecting healthy ones.
In some cases, the latest treatment methods are used, such as:
- radiofrequency ablation;
- immune therapy.
Diagnosis and treatment of rectal cancer
Oncology Center of the German Medical Group Clinics Alliance Nord (Nord Klinik Allianz) of Bremen one of the twenty best clinics in the world, assisting in the treatment of rectal cancer. The 5-year survival rate of patients with this dangerous ailment is 40-98%, depending on the timeliness of tumor detection and seeking medical help. Such high results can be achieved with the latest medical equipment of the clinic, its own immunological and molecular genetic laboratory, the qualifications of specialized personnel, and a comprehensive and personalized approach to the treatment of each patient.
- Interviewing and scrupulous examination of the patient to draw up a medical history and prescribe diagnostic procedures.
- Clinical and biochemical blood and urine tests.
- Ultrasound of the abdominal cavity to assess the condition of its organs.
- Chest x -ray.
- Scintigraphy to examine bone tissue to detect or exclude bone metastases.
- Rectosigmoscopy and / or colonoscopy with a surgical endoscope, allowing to assess the volume and boundaries of the neoplasm, to take particles of tumor tissue for histological examination
- Irrigoscopy is an X-ray examination of the rectum with a contrast agent, segments of the colon, allowing to evaluate all the nuances of the structure and functioning of the gastrointestinal tract.
- Radiological diagnostics using high-precision electronic equipment of the latest generation: CT (computed tomography), PET-CT (positron emission tomography) and 3.0 Tesla MRI machine. They make it possible to detect even microscopic pathological changes in the tissues and organs of the patient.
Accurate diagnostic data allow an interdisciplinary commission consisting of leading specialists of the clinic to choose the most optimal, comprehensive treatment option for each patient.
- Surgical removal of the tumor and metastases is a key factor in the fight against rectal cancer of any stage. Depending on the type and location of the neoplasm, its distribution and aggressiveness, the method of surgical intervention is determined. Most often, minimally invasive and sphincter-sparing surgery technologies are chosen. For example, TEM (transanal endoscopic microsurgery) or TME (total mesorectal excision).
- Adjuvant (postoperative) chemotherapy with or without radiation therapy is indicated even when the tumor and metastases are completely removed. This greatly reduces the risk of recurrence.
- Immunotherapy with monoclonal antibodies (a type of targeted therapy) - special substances obtained by the method of genetic engineering. Medicines based on them target cancer cells and act as an immunomodulatory agent.
- Radiation therapy (radiotherapy) is used mainly before surgery for the combined treatment of rectal cancer. In this case, ultra-precise and powerful equipment of the latest generation is used, for example, the most modern linear accelerators VersaHD from Elekta .
Diagnostics and treatment of tonsil cancer
Oncology Center Nord Klinik Allianz , Bremen, Germany , accredited by the DKG Cancer Society, offers modern methods of diagnosis and treatment of all forms of tonsil cancer, as well as tumors of the mucous membrane of the tongue root, posterior pharyngeal wall and soft palate ...
A disease detected in the early stages has a favorable prognosis for complete recovery. Therefore, it is important to make a scrupulous diagnosis in time, since the primary symptoms of tonsil cancer are rather vague. In addition, many domestic clinics do not pay due attention to it due to the lack of appropriate diagnostic equipment or insufficient qualifications of local therapists who are called upon to monitor the health of their patients.
Diagnostic procedures at the Nord Klinik Allianz Cancer Center are carried out as soon as possible. In addition to interviewing and examining the patient (to draw up a detailed history), clinical and biochemical blood tests, as well as tests for tumor markers and laryngoscopy - a method of visual examination of the larynx, an examination is prescribed using:
- CT, MRI or PET-CT is the latest radiological diagnostic method. It is used to clarify the boundaries of the tumor and detect / exclude metastases to other organs and lymph nodes.
- Surgical biopsy followed by histological analysis of tumor tissue in our own molecular genetic laboratory. This informative type of diagnosis makes it possible to verify the type and aggressiveness of the neoplasm, as well as the stage of its development.
- Nasopharyngoscopy is an effective way of examining the structures of the palatopharyngeal ring.
- Chest X-ray and other studies as indicated , for example, ultrasound and skeletal scintigraphy .
A correctly made diagnosis and treatment tactics, which are developed by an interdisciplinary commission for each patient, guarantees the choice of the most optimal option for complex treatment. Applicable:
- Surgery with partial excision of the tonsils and adjacent tissues, or laryngectomy - complete removal of the larynx in the event that alternative treatment options do not imply a positive result.
- Laser microsurgery is a low-traumatic and effective way to destroy a tumor in the initial stages of cancer, significantly reducing the possibility of postoperative complications.
- Radiation therapy (radiotherapy) - the destruction of cancer cells by ionizing radiation, as the main method of treatment for tonsil cancer, and as part of the complex.
- Targeted radiation therapy is highly effective for low to moderate disease severity. The use of the highly targeted drug cetuximab in combination with radiation therapy enhances treatment success.
- Chemotherapy is used only when the tumor is actively spreading to other organs and tissues.
According to statistics, treatment of tonsil cancer in the early stages gives almost 99% of a positive result . In the later stages, when the process of metastasis is started, a favorable outcome of the disease is observed in 50-60% of patients, however, in most cases, Nord Klinik Allianz oncologists manage to significantly improve the general well-being of the patient and prolong his life.
Diagnosis and treatment of nasopharyngeal cancer
The multidisciplinary medical concern Nord Klinik Allianz , Bremen, Germany, provides accurate diagnosis and effective treatment of nasopharyngeal cancer . Not every clinic, due to the rarity of this disease - only 1% of all cases in oncology, has a technological base and accumulated experience for its treatment. Medical equipment and qualifications of doctors at the Nord Klinik Allianz Cancer Center , which is included in the TOP of the best German clinics according to the Focus magazine , help patients with nasopharyngeal cancer cope with this formidable disease.
Tumors of the nasopharynx are classified as highly malignant (with rapid growth and development of metastases) and low malignancy. In addition, they differ histologically. Accordingly, the methods of their treatment are also different. Therefore, it is so important to verify neoplasms and conduct a comprehensive diagnosis with the identification of concomitant diseases and the development of the best treatment regimen.
In addition to collecting anamnesis - a general examination and questioning of the patient, the following are carried out:
- Blood tests, chest x-rays, abdominal ultrasound - these diagnostic procedures are needed to assess the health of the patient as a whole.
- Otoscopy (examination of the auricles).
- Pharyngoscopy - examination of the pharynx with special mirrors.
- Rhinoscopy - examination of the nasal cavity with a special endoscope.
- Biopsy - histological analysis of tissue particles from suspicious sites and the neoplasm itself to determine the type and extent of the tumor.
- MRI and CT - radiological studies, with the help of which it is possible to obtain a three-dimensional image of the neoplasm, as well as to make volumetric images, which allow determining the exact localization of the tumor and the boundaries of its spread.
- Scintigraphy - radioisotope scanning of bone tissue to detect / exclude pathological changes in the skeleton.
Based on the results of diagnostic procedures, an interdisciplinary commission consisting of specialized specialists: an ENT doctor, an oncologist surgeon, a radiologist, and a chemotherapist selects the optimal treatment regimen. Before it begins, the patient can get a "second opinion" from a leading ENT oncologist, even from another clinic. Complex treatment is most often used.
Radiation therapy is a priority :
- external (remote), with irradiation of the neoplasm zone with ionizing radiation or a directed beam of elementary particles from a medical linear accelerator;
- internal (brachytherapy) - "grains" of radioactive material are placed in close proximity to the tumor.
Stereotactic radiotherapy is a new method of irradiation with high doses of radiation. It is used if the neoplasm is less than 3 cm.
Surgical treatment is used to remove metastatic lymph nodes - usually given after a course of radiation therapy.
Chemotherapy is given in conjunction with radiation therapy for aggressive nasopharyngeal cancer, as well as in cases of cancer spread to other organs.
Photodynamic therapy is an innovative and gentle treatment method. Its essence is that a photosensitizer is injected into the patient's blood intravenously - a drug that can accumulate only in cancer cells. When a tumor is irradiated with a laser beam of a certain length, a photochemical reaction occurs, as a result of which they die. The blood vessels inside the tumor are also damaged, which means that its nutrition stops. Photodynamic therapy is an alternative to surgical treatment and is irreplaceable when the neoplasm is located “in an inconvenient place”.
Leukemia (blood cancer) treatment
The largest German medical concern Nord Klinik Allianz , Bremen, provides effective diagnosis and treatment of blood cancer . The oncology center of the clinic is equipped with everything necessary to combat this disease, and the use of modern technologies and techniques provide high chances of patient recovery. Thus, the percentage of recovery of children with the form of childhood acute lymphoblastic leukemia is above 80% - this figure is the highest in the world.
Diagnostic procedures, which are carried out in the clinic with the help of the latest medical equipment and its own immune and molecular genetic laboratory, are aimed not only at identifying the main pathology in the patient, but also latent forms of the development of the disease. For example, immunophenotyping is a detailed study of a bone marrow biopsy, much more informative than traditional blood tests of a patient with the calculation of its leukocyte formula, and allows you to determine the sites of chromosome mutations, the degree of differentiation (malignancy) of tumor elements, as well as their dependence on specific growth factors.
Special studies such as
- electronic cytochemistry;
- flow cytometry;
- determination of hereditary factors in DNA using cytogenetics.
These diagnostic procedures and analyzes clarify the phenotype (set of individual characteristics) of blood cancer in a particular patient.
Pathology of lymph nodes, brain and spinal cord, bone tissue and internal organs can be assessed:
- MRI (magnetic resonance imaging);
- chest x-ray;
- Ultrasound of the abdominal cavity.
Complex treatment begins after verification (complete recognition) of the disease and there is no doubt about the correctness of the diagnosis. On its basis, an individual patient treatment protocol is developed. This could be:
- Targeted therapy (a type of biological therapy) is a selective effect on malignant neoplasms and distant metastases with drugs with monoclonal antibodies created by genetic engineering.
- Radiotherapy (radiation therapy) is a dosed, narrowly targeted or systemic irradiation of the lymph nodes, brain or other organs with an accumulation of cancer cells to destroy them.
- Hormonal treatment of leukemia with drugs from the group of corticosteroid hormones.
- Bone marrow hematopoietic cell transplantation . This method of treating blood cancer has a positive effect in acute leukemia with incomplete remission. Autologous material (from the patient himself) or allogeneic (donor) material from close relatives or from the clinic's base is used.
At all stages of the implementation of the treatment program, supportive and symptomatic therapy with drugs of clinically proven efficacy is carried out.