Top Ichilov is among the top three most powerful clinics in Israel, specializing in high-precision diagnostics and effective treatment of all types of oncological diseases. The latest equipment, world-class specialists, and availability of experimental treatment methods make non-surgical intervention a reality in 42% of cases.
Treatment Methods for Carcinoid in Israel
Considering the nonspecific complex of symptoms, atypical localization of the primary focus, and slow progression of the disease, the treatment strategy directly depends on the stage at which the disease was detected. Often, oncologists at Top Ichilov use a combination of several types of treatment, which increases the likelihood of a favorable outcome for patients at any stage of the disease to over 85%!
Surgical Treatment
- Laparoscopic excision of the primary focus – using three manipulators inserted into the abdominal cavity through narrow incisions, the affected area is excised with an electroscalpel. Simultaneously, the walls of the vessels supplying the tumor are "cauterized," and necrosis of the "remaining" pathological cells occurs.
- Laparotomy – an open surgery performed if the primary focus deeply invades surrounding tissues and lymph nodes. An extended excision of adjacent tissues, adipose tissue, and lymph node packets is performed.
- Cryodestruction and arterial embolization of distant foci – used as an organ-preserving operation for parenchymal organs (most often the liver). The effect of low temperatures ensures immediate necrosis of the area, while occlusion of the arteries supplying them prevents further spread of pathological cells. Subsequently, the areas are replaced by calcium salts or fibrous tissue, which excludes secondary degeneration.
Feedback from patients who have already undergone surgical treatment for carcinoid in Israel is mostly very positive, as the professionalism of the oncologists at Top Ichilov ensures not only a high percentage of recurrence-free carcinoid progression but also a quick return to a full rhythm of life!
Radiation Therapy
- CyberKnife – the latest combination of radiological and surgical treatment methods. The advanced navigation system ensures the accuracy of the operation to 0.5 mm and synchronizes the displacement of the pathological focus projection with the patient's breathing rhythm. This treatment method can be used as an emergency intervention when the size and localization of the tumor compress a major vascular-nervous bundle, making standard surgical intervention impossible.
- Radionuclide targeted therapy – radioisotopes that are analogs of somatostatin bind to all types of carcinoid receptors without affecting healthy tissues. This type of therapy not only prevents aggressive growth and spread of pathological foci but also allows penetration into the tumor tissue without affecting healthy cells. Radionuclide targeted therapy for carcinoid conducted by radiologists at Top Ichilov ensures minimal radiation exposure to healthy tissues and allows the patient to live in their usual routine!
- SIRT therapy, which involves the introduction of microcapsules containing radionuclides into the arteries supplying the foci. It is most often used to block the development of metastatic foci in the liver.
Chemotherapy
- Endolymphatic pulsed administration of cytostatics prevents the spread of tumor cells to surrounding lymph nodes, reducing the risk of secondary distant foci and chemoembolization of already existing areas. It is used in combination with other treatment methods.
- Combination of chemotherapy drugs and specific blockers of cell receptors – a combined administration of a cytostatic and a hormone analog to which the tumor is sensitive is performed. This type of intervention is used when radiation therapy is not possible or when the primary focus is located near vital anatomical structures.
Targeted Molecular Therapy
- Based on the administration of a combination of drugs that block the metabolism of pathological cells at the molecular level. The combination of somatostatin analogs and recombinant interferon is administered subcutaneously 3-5 times a week. Stabilization of the size of the primary focus and biochemical indicators is observed in more than 70% of cases, ensuring treatment of carcinoid without surgery at Top Ichilov!
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Diagnostics of Carcinoid in Israel
The process of diagnosing carcinoid begins with a consultation with your chosen doctor. During the initial visit, existing medical reports are reviewed, and a basic examination is conducted. A plan for further examination is then developed, and the patient is referred for necessary instrumental and laboratory tests.
It is important to note that you can obtain an expert opinion from a second doctor without visiting the clinic. If you doubt the accuracy of the diagnosis, simply contact our online consultant. You will be sent a list of copies of the necessary medical reports and a convenient date for a video consultation will be booked for you. You can receive a medical opinion via Skype without leaving your home! If you later decide to undergo treatment at Top Ichilov, the first in-person consultation will be completely free!
First Day – Medical History Collection and Examination
After the patient is registered at the clinic, the doctor collects information on the medical history (past and chronic diseases, contact with potential oncogens, cases of oncological diseases among close blood relatives) and the history of the disease (when the first complaints appeared, how symptoms were alleviated, the nature of the disease's progression). During the physical examination, blood pressure, pulse rate, palpation, and percussion are measured. A further treatment plan is then determined, and directions for tests are issued.
Second Day – Laboratory and Instrumental Research Methods
Laboratory methods:
- Complete blood count and urinalysis
- Determination of serotonin metabolite levels in 24-hour urine
- Determination of daily fluctuations in serotonin levels in plasma
- Chromogranin A level in blood (specific tumor marker)
- Biochemical blood analysis (levels of glucose, bilirubin, potassium, liver enzymes)
Instrumental methods:
- Magnetic resonance imaging of all body parts
- Scintigraphy using octreotide
- Echocardiography
- Endoscopic examination of the gastrointestinal tract with tumor biopsy
- Fine-needle biopsy of regional lymph nodes
- Histological examination of obtained samples
- Ultrasound examination of the abdominal cavity, retroperitoneal space, and pelvic organs
Third Day – Medical Council
Based on the results of the examination, a commission of three specialists discusses all possible treatment options with you and develops a rehabilitation program. The council is conducted with the participation of a Russian-speaking consultant, which allows for effective communication between the patient and the attending physician. You will be informed of all possible treatment and rehabilitation tactics, as well as the approximate cost of each course.
Treatment of Carcinoid in Israel: Prices
Currently, there is no need to overpay for effective treatment with minimal risk of complications, as the cost of carcinoid treatment in Israel is 30-50% lower than in similar clinics in the European Union, Canada, and the USA. You can also take advantage of a preliminary cost estimate for treatment thanks to the free financial audit provided upon request.
Advantages of Carcinoid Treatment in Israel:
- Thanks to highly effective and rapid diagnostics, over 40% of diagnoses made in the CIS were not confirmed by specialists at Top Ichilov.
- Comprehensive support system: you are provided with a curator with a medical education who speaks Russian, who will help eliminate any misunderstandings during medical consultations, as well as taking care of your everyday needs during your stay at the clinic.
- Flexibility of clinical protocols allowing the use of experimental treatment methods.
- Individually developed rehabilitation methods (a complex of therapeutic exercises, pharmacological support, mandatory long-term monitoring of the patient's condition).
- Trusting relationships between the patient and the team of specialists overseeing them, which is the key to psychological comfort and a favorable course of the recovery period!