Advanced cancer therapy options in Germany

March 15, 2024

The last stage of cancer is not a verdict. Stage 4 cancer is more difficult to treat, requiring more high-tech and expensive procedures, but doctors at the best clinics in the world achieve excellent results even in the most severe cases. In recent years, the efficiency of last stage cancer treatment in Germany has significantly improved due to the introduction of new drugs and techniques.

Surgeries for advanced cancer

In the advanced cancer stages, only palliative surgeries are typically performed. But in individual clinical situations, doctors can try to cure the cancer or significantly increase the life expectancy of patients.

In Germany, healthcare professional carry out:

  • Cytoreductive surgeries, if the cancer has spread to the peritoneum. Even if multiple malignant foci have appeared in the abdomen, doctors can remove them all during one intervention. The abdomen is then flushed with a heated solution of cytostatics to destroy tumor foci up to 2 mm that are invisible for a surgeon’s eye.
  • Combined operations, like one-stage removal of the primary tumor and single metastases in other anatomical areas.

Targeting metastases throughout the body

Metastases cannot always be removed. However, they can often be destroyed using minimally invasive or non-invasive methods. Procedures used in Germany include the following:

Chemoembolization: blocking tumor vessels so that cancer cells die from lack of blood supply. Arteries are blocked with tiny microspheres saturated with chemo drugs. The procedure is done through a small incision in the leg or arm, from inside the blood vessels.

Stereotactic radiotherapy: destroys metastases in the brain and other organs with precisely targeted high doses of radiation, in one or more treatments.

Ablation (microwave, radiofrequency): destroys the tumor by heating it. It is a minimally invasive procedure that requires only a skin puncture with the insertion of a probe into the tumor. It is performed under general anesthesia.

High-intensity focused ultrasound (HIFU): allows destroying metastases non-invasively by sending high-intensity ultrasound waves through the skin deep into the patient's body.

Systemic treatments

In Germany, many innovative drugs and methods are used to treat all tumors in the body at once. These methods become the main ones for stage 4 cancer with multiple metastases.

German cancer hospitals use the following methods for the treatment of cancer:

  • Targeted therapy. This is a personalized treatment that is customized based on the laboratory tests, depending on genetic changes in the cancer cells and the expression of certain proteins.
  • Immunotherapy. The method includes a variety of techniques aimed at boosting the anti-tumor immune response. Dendritic cell vaccines are increasingly being used.
  • Antibody-drug conjugates. These are monoclonal antibodies that deliver chemotherapy drugs directly to cancer cells.
  • Radioligand therapy. In this case doctors use radioactive substances that "find" the cancer cells by certain molecules and destroy them with radiation.
  • CAR T-cell therapy. The technique includes laboratory alteration of immune cells with their subsequent return to the body and activation of the anti-tumor immune response.

All these and many other methods of advanced cancer treatment are available in German clinics. Use Booking Health service to find out the prices for procedures and make an appointment for convenient dates. The cost of medical services for you will be lower due to the exclusion of additional fees for foreign patients. Booking Health staff will help you choose a clinic, advise you on all questions, organize your trip and support you during your stay in Germany.

 

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