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Appendix Carcinoma
Cholangiocellular Carcinoma
Colorectal Carcinoma
Colorectal Liver Metastases
Gastric Carcinoma
Hepatocullar Carcinoma
Liver Metastases of Mamma Carcinoma
Multivisceral Resections
Ovarial Carcinoma
Pancreas Carcinoma
Pelvis Tumour Resection
Peritoneal Carcinosis
Peritoneal Mesothelioma
Peritoneal Pseudomyxoma
Retroperitoneal Tumours
Small Intestinal Carcinoma
Overview of Other Specialties
Price Comparison Tumour Treatment
Prices for Tumour / Tumor / Cancer Treatment in Hospital in Germany
 Conventional, Natural, Alternative or Holistic Tumour / Tumor / Cancer Therapy / Treatment in Germany
 Please note: Due to the wide variation in extent of disease and duration of treatment we are usually only able to provide prices for tumour treatment in Germany upon individual request. We have just quoted a few prices here to give you a rough idea of the price level in German hospitals
 Gamma Knife Surgery: 12500 EUR
 Open Skull Tumour Surgery: from 15000 EUR
 Complete check plus one cycle of chemotherapy: 5000 Euros
 Further cycles of Chemotherapy:3000 Euros
 Regional Chemotherapy:5000 Euros
 Medium Scale Surgery 6500 Euros
 Liver Resection:9500 Euros
 Peritonectomy:12.500 Euros
 In hospital: from 15.000 EUR (including hospital stay of 3 weeks, usually 3 -4 cycles are required)
 In outpatient facility: price to be made available shortly
 Endoscopic diagnostic procedures and therapy
 Endoscopy means the examination of the inside of the body (speculum examination) assisted by an optical precision instrument, the endoscope. Endoscopies are used for clarification as well as for treatment of diseases. The following listing will give you a survey about endoscopic standard examinations or interventions:
 Placing of stomach nutrition probes (PEG - abbr. for percutaneous endoscopic gastrostomy)
 ERCP (abbr. for endoscopic retrograde cholangiopancreatography): X-ray contrast depiction of the bile ducts and gall bladder and of the pancreatic ducts where contrast medium is being injected by means of a duodenoscopy.
 Placing of gall and kidney stent. A stent is a self-extending endoprostesis, a support of artificial material that keeps open duct structures.
 Endoscopic growth ablation and stopping of bleeding
 Radiologic diagnostic procedures and therapy
 Apart from all standard X-ray examinations the following diagnostic and therapeutic processes are frequently used:
 Colon contrast depiction (Radiography of the large intestine by enema of contrast media)
 Alimentary passage (X-ray contrast examination of stomach, duodenum and small intestine through dicontrast method)
 Angiograms (X-ray depiction of blood vessels after injection of a contrast medium). Typical angiograms are:
 Phlebography (depiction of veins after direct puncture of the back of a hand or a foot vein)
 digital subtraction angiograms (X-ray contrast depiction of vessels during which depiction disturbing other body tissue is faded out by a special method.)
 Angioplasty (a surgical process during an angiogram to treat vessels that have become narrow over a short distance - stenosis. The narrow passages of a vessel are expanded with the help of an inflated balloon of a catheter - catheter dilatation).
 Placing of arterial chemotherapy catheter under X-ray control (For more information see below: "Chemotherapeutic interventions")
 Percutaneous choledochdrainage under X-ray control (Creation of biliary outlet)
 Percutaneous kidney fistula (nephrostomy) under X-ray control (Creating a fistula of the renal pelvis by puncture; "fistula" in this context is a therapeutically created connection between body antrums or hollow organs with each other or with the body surface)
 The immune system is the defence mechanism of the body. With the help of immunotherapy the defective immunological reaction is influenced with drugs. During therapy the following preparations are frequently ised:
 Interferon (IFN)
 Interleukin-2 (ILN - 2)
 mistletoe preparations
 thymus preparations
 Antihormone therapy
 Antihormones are natural or synthetic counterparts of hormones (antagonists). During tumour treatment, antihormones are used in cases where specific hormones accelerate growth formation.
 The terms chemotherapeutic agents or cytotoxic drugs are collective terms for naturally found and for synthetically made substances that have a damaging influence on aetiological agents or growth cells. In growth therapy, especially cytotoxic drugs are used. These are agents that prevent or at least slow down cell division considerably. Main targets of the cytotoxic drugs are therefore all growth cell fractions that are just growing and thus are in cell division stage. Unfortunately, cytotoxic drugs are not only effective specifically against growth cells but they damage also healthy cells. As a result there are possible side-effects that may occur during treatment with cytotoxic drugs.
 Systemic vs. Regional Chemotherapy
 Please note: Regional chemotherapy is currently only done by very few hospitals in Germany although it seems to have significant advantages over systemic chemotherapy in some cases. We will be glad to arrange access to these hospitals or get you their opinion on the feasibility of regional chemotherapy
 Systemic chemotherapy influences the entire organism. In contrast to this, regional chemotherapy is a more specific form of treatment with cytotoxic drugs. The great advantage of regional chemotherapy is a more effective combat of a tumour as concentration of the cytotoxic drugs can be locally increased in the organ or part of the body in question. Thus, a stronger damaging effect on the tumour can be achieved. Also the side-effects can be significantly reduced by this method.
 Administration of Regional Chemotherapy
 Please note: This particular form of regional Chemotherapy is only carried out in one hospital we know of.
 Angiographic catheter: This method allows the administration of cytotoxic drugs well-aimed into the region of the body that is infested by a tumour or its metastasis. After administration of a local anaesthetic - mostly into the crest - the artery is punctured under X-ray control and a very thin tube, the angiography catheter, is inserted into the artery that supplies the tumour with blood, for instance the liver artery. Again under X-ray control, a contrast medium is injected. As a result, the vascular tree can be seen and the correct position of the catheter can be decided on.
 Once this catheter is in the right position, the chemotherapeutic agent is injected which then will flow with the bloodstream to the tumour formation.
 As therapy mostly must be continued for some days, the catheter stays in the artery. A compression dressing is applied in the crest that prevents secondary haemorrhage or a haematoma. The chemotherapeutic agent is then administered by appropriate short-term infusions. Also, as a permanent infusion, an anticoagulant (Heparin) is administered so that the vessels do not close and the catheter does not become blocked.
 With the catheter staying in the artery, the patient has to stay in bed calmly. Especially when raising the upper body or when turning over on to the side or even to the stomach there is a high risk the catheter slips out of its position. At the same time, the respective leg must always be extended so that compression dressing remains effective.
 After completion of the therapy, the doctor removes the catheter. After short compression of the puncture by hand, a compression dressing is applied again. This must remain for 24 hours. During this time, the patient must stay in bed as well.
 Surgical therapy
 In tumour surgery it is advisable to useas gentle and blood saving techniques as possible. Also in many cases operations can be performed in a laparoscopic fashion provided that symptoms do permit it. For example, interventions within the bladder are possibly carried out transurethral, i.e. through the ureter. This is done with the help of a cystoscope, the method itself is called cystoscopy. The following listing will give you a survey of typical surgical procedures:
 Thyroid resection
 Removal of lymph nodes
 Mamma resection (breast conserving intervention)
 Mastectomy (breast amputation)
 Skin-graft by swinging skin lobe: Method of transplantation where skin of neighbouring body regions are "swung over" into the skin defect.
 Oesophagus resection (removal of gullet)
 Partial lung resection (Resection of lung lobe)
 Pneumonectomy (removal of a lung)
 Diaphragm resection
 Stomach resection (Gastrectomy)
 Pancreas resection
 Partial liver resection / Hemihepatectomy (removal of half of a liver)
 Revision or reconstruction of bile duct
 Resection of small intestine
 Resection of large intestine
 Proctectomy (rectum amputation)
 Nephrectomy (removal of a kidney)
 Partial bladder resection (Cystectomy)
 Total cystectomy: Removal of the whole urinary bladder
 Extended cystectomy: Additional removal of prostate and vesicle gland (male), of uterus and two third of the urethra (female).
 Resection of ureter (removal of urinary ducts)
 Reconstruction of ureter
 Ureter splint (Splinting urinary duct in case of growth compression)
 Hysterectomy (removal of the womb)
 Adnectomy: Removal of fallopian tube and ovaries
 Resection of growth on extremities
 Arterial and venous portimplantation: (Inserting a plastic reservoir into the respective vascular system; this operation may be required in case access to the vessels is necessary frequently or on a long term like during a regional chemotherapy.)
 To find out more about treatment of a specific tumour type please click on the incomplete list on your left
 If you are a patient or acting on behalf of a patient and wish to contact us please use this Email