Patient specific treatment
Developing medical treatment strategies and correct use of new smart drugs are due to the good interpretation of many scientific data. Before the treatment decision, all available patient and tumor data are examined in detail and analyzed in line with the globally used guidelines (American guideline; NCCN, European guides; ESMO Guideline, St. Gallen) and the final decision is made by taking the opinion of the oncology council in difficult patients. In the treatment decision, the patient’s age, accompanying diseases, individual preferences and psychosocial characteristics are taken into consideration, and the patient’s participation in the treatment plan is ensured. Medical treatment of cancer patients is not only about giving the right medicines to the right patient intravenously or orally. The secret is the effort to transfer love, respect for people, hope and trust to the patient and his family.
Medical treatment of cancer is one of the areas with the most innovation and knowledge in recent years.
Nowadays, “One size fit all”, that is, “A single treatment method is good for all patients” model has been abandoned and has been replaced by “individualized treatments”. In this way, the chance of success has increased with more effective treatments in patients, and unwanted side effects have been avoided.
Nuclear medicine applications in cancer treatment
Nuclear medicine applications; In addition to diagnosis and staging in cancer, alternative methods developed for patients who do not have a chance to have a surgical treatment make a significant contribution to cancer treatments. In addition to the treatments that help the regression of the disease and the prolongation of the survival, the quality of life of the patients is increased with successful procedures, especially in cancer pain.
Nuclear imaging methods
Today, it is a highly developed technology among imaging methods, and it is an effective method for screening tumors of the whole body. It is often preferred for staging purposes before treatment decision in high-risk patients, for detailed examination of lesions that occur during follow-up and for determining the effectiveness of treatments applied to patients with metastases.
The PET-Tomography in our Hospitals uses this device which combines TOF technology and HD technology together, and the cancer centers of our hospitals has been accepted as the reference center of SIEMENS Turkey, considering its ability to use all the features of the device.
With a well-equipped surgical team, patients in lung, breast, gastrointestinal, gynecological and all other areas are evaluated in the oncology council before surgery. The treatment decisions of the patients are in line with the common opinions of the physicians participating in the council; It is taken into consideration by taking the patient’s age, medical and psychosocial status, wishes and expectations into consideration.
As in surgery and medical treatment, interdisciplinary communication and patient treatment decisions are important in radiotherapy. It is extremely important for the success of the treatment that the characteristics of the patient and the tumor data are discussed, the treatment decisions are made in the multidisciplinary oncology council attended by all physicians, and the best technology and comfort are brought together with the patient.
Cancer treatment with trilogy
Trilogy uses a complex technology that sends highly focused, powerful radiation beams to the exact location of the tumor. Although this technology can be used effectively in various cancer treatments, it is very advantageous in destroying tumor cells near critical organs and is also ideal for the use of second series irradiation of patients who have previously received radiotherapy. Trilogy technology provides the most accurate treatment by offering the best treatment option for each patient.
It is a treatment applied as a radiolabeled resin or using small beads stuck on glass. Its area of application is liver tumors. It is an invasive method targeted at the tumor. There are radioactive materials on the beads that emit very high energy and give high energy within a few millimeters from a short distance. These are applied to the liver in an interventional way; It is intended to settle in the area that feeds the tumor from the capillaries, where it is intended to radioactively destroy the tumor cell and any small metastases in its vicinity at the microscopic level. The procedure, as it is used in preparation for surgery, is preferred in patients who do not benefit from chemotherapy.
Chemotherapy is a treatment for destroying cancer tumors with intravenous drugs. We have about 30 drugs. These contribute to the treatment by killing and at least weakening tumors in target tissues. There is one given through a vein, one given to the cerebrospinal fluid, and one given into the peritoneum. It is given intravenously, which we use at a rate of 99 percent in practice.
Intra-arterial chemotherapy, which is applied for patients who do not benefit from chemotherapy, is performed by determining the vessels feeding the tumor with angiography and giving an intensive chemotherapy by entering the vein interventional. The most important advantage of the procedure for the patient; The side effects are low and the effect of the drug on the tumor is high.
Smart drugs and antibody treatments
In Cancer Center; In blood cancers, treatment applications with oral pills are successfully applied in some chronic leukemia subgroups where allogeneic transplants are the most common. Some diseases that could only be controlled by transplantation in the past can be treated with daily pill therapy. Smart drugs significantly increase the lifespan of patients in many types of blood cancers. Antibody treatments, which are routinely put into practice at the center and shown among the most important innovations in the world, also increase the life expectancy and quality of patients. By recognizing and targeting a number of antigenic structures in cancerous tissue, methods that only destroy cancerous cells provide significant success, especially in the treatment of lymphomas.
With hormone therapy, it is aimed to control the hormones that cancer cells need to grow. Medications are usually given orally as a pill.
Immunotherapy is one of the most up-to-date treatment methods. It is aimed to stop the development of cancerous cells by strengthening the immune system of the body.
Hematological cancers; It consists of acute and chronic leukemias, blood, bone marrow and lymph node cancers, lymphoma and Multiple Myeloma. In the center, bone marrow transplantation is applied in these cancers and some solid tumor patients. Bone marrow transplantation can be performed from the patient himself (autologous) or from a relative or non-relative (allogeneic) compatible donor. Within a multidisciplinary approach with the department of internal medicine; The basic treatment and care services of patients are provided by a team experienced in bone marrow transplantation. The treatment of patients is provided in the Stem Cell Transplantation unit against the risks of infection, in single rooms with heap filter system.