STAGE 4 LARYNGEAL CANCER - START YOUR TREATMENT NOW
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STAGE 4 LARYNGEAL CANCER STANDARD and IMPROVED TREATMENT
STAGE 4 LARYNGEAL CANCER
Laryngeal cancer is one of the most common head and neck tumours. It develops most often in men under 60 years old. Effective pathology treatment and excellent five-year survival rates are possible with us The Zdenko Kos Foundation even at the advanced stages of pathology. To achieve this, the hospitals we are using in the UK, Germany, Switzerland and Italy for such treatments widely use modern methods, which are rarely practiced in other countries.
Patients can choose between Standard Treatment or Innovative Treatment.
Standard treatment of stage 4 laryngeal cancer
Stage 4 laryngeal cancer is diagnosed in cases when metastases up to 6 cm are detected in the cervical lymph nodes (stage 4A), the tumour has invaded the mediastinal organs, covers the carotid artery, or affects the spinal meninges (stage 4B), as well as when metastases in distant organs are also detected (stage 4C).
It is a rule, that standard treatment involves the use
- Radical surgery
- Chemotherapy and
- Radiotherapy.
Make no mistake, the standard protocols used in many countries have significant disadvantages:
- The classical chemotherapy regimen for laryngeal cancer affects pathological cells and healthy tissues of the body. It results in severe complications and the decreased function of the immune system.
- Radiation therapy causes side effects on the part of normal tissues and organs. They develop during radiation therapy and remain for a long time upon its completion.
- Radical surgery for stage 4 cancer involves the removal of the larynx, thyroid gland, lymph nodes, and other organs. After that, the quality of life of patients considerably worsens.
All these methods cannot fully prevent cancer recurrence and require long-term treatment and rehabilitation.
Hospital used by The Zdenko Kos Foundation practise the improved modifications of these methods, which are carried out using state-of-the-art equipment. It helps to reduce risks and prevent the development of complications.
Innovative treatment of stage 4 laryngeal cancer
When treating advanced stages of laryngeal cancer, our team of oncologists use those methods, which can reduce the size of the tumour, and metastases, as well as prolong the life of patients. The treatment regimen usually includes the simultaneous use of several methods to achieve the best results. The most common methods include embolization, modern options for systemic anticancer, and radiation therapy, sparing surgical interventions.
Embolization of metastases
Embolization is a minimally invasive procedure that selectively closes the lumen of the vessels supplying the tumour with blood. It is performed through a small skin incision: the doctor inserts a catheter into the vascular bed and reaches the vessels of the larynx under X-ray guidance. The next step is the injection of emboli – chemicals that block the arteries and disrupt the blood supply to the neoplasm.
Modern hospitals rarely use embolization in its classical form. They mainly use trans-arterial chemoembolization – blockage of arteries with microspheres saturated with chemotherapy drugs. The last ones penetrate the tumour and destroy it. The procedure allows doctors to get a response in up to 80% of patients. In 70% of patients, the tumour decreases in size, while 10% of cases show a complete response – the disappearance of the tumour.
Chemoembolization in cancer treatment affects the tumour in the following way:
Blood circulation in the tumour is impaired – malignant cells quickly die due to the lack of blood supply, as they need a large amount of arterial blood and its nutrients for rapid growth and division. The tumour is additionally inhibited by chemotherapeutic agents – they are gradually released from the emboli and destroy cancer cells within a few weeks.
It has minimal systemic side effects – such treatment is better tolerated than systemic chemotherapy and demonstrates excellent results.
It provides a high concentration of drugs – such a concentration would not be possible with systemic chemotherapy due to unacceptable toxicity.
Embolization and chemoembolization in laryngeal cancer are used not only as an independent method of local tumour control but also as a preparation for surgery. The technique helps reduce the extent of the surgical procedure, for example, removing only a part of the larynx instead of laryngectomy (radical removal of the larynx).
In addition, embolization is used for the palliative treatment of advanced laryngeal cancer. It is used to stop bleeding from the external carotid artery. The procedure is effective in more than 95% of patients and avoids surgical ligation of haemorrhagic vessels. In such cases, doctors use special spirals.
Radiotherapy for stage 4 laryngeal cancer
Radiation therapy is usually included in combination therapy for stage 4 laryngeal cancer. The hospital we are using for such treatment uses modern types of irradiations, which allow affecting only tumour cells with an accuracy of a nanometre, without affecting healthy tissues in the process and minimizing damage to the organs in the neck during irradiation.
The most popular methods of radiotherapy in the hospitals we are using are:
- Stereotactic radiation therapy (3D-CRT and IMRT)
is a high-precision radiation technique that destroys tumours and metastases within just a few sessions. For this purpose, doctors use state-of-the-art equipment, which makes it possible to accurately determine the coordinates of the tumour and control the intensity and direction of irradiation. The procedure is sparing and does not cause any significant side effects.
- Proton therapy
Is an advanced method of radiation therapy, which uses proton beams instead of X-rays. The physical properties of the last ones make it possible to effectively impact cancer cells with minimal stress on the body and minimal side effects.
- Brachytherapy
involves placing a radiation source close to cells affected by cancer. It helps specialists to use higher doses of radiation.
- Radiotherapy
is usually appointed before surgery to reduce the size of the tumour, and after surgery irradiate the residual tumour if it has not been removed completely, as well as to reduce the risk of recurrence.
Radiotherapy can be conducted instead of surgery for an inoperable tumour or concomitant pathologies that make surgery dangerous. In severe cases, the patient requires radiation therapy to reduce dysphagia (swallowing disorders) and pain, as well as prevent bleeding and laryngeal stenosis.
PRICES FOR PROCEDURES
Laryngeal cancer Standard and Improved Therapy Price List:
- Diagnostic test for laryngeal cancer £6,000
- Treatment of laryngeal cancer with laser resection £12,800
- Extensive resection and tracheostoma placement £14,200
- Full extensive treatment of laryngeal cancer £18,800
- Oncological rehabilitation £0.00 if booked and admitted with The Zdenko Kos Foundation.
- The above figures represent ¼ of the price, the balance of ¾ of the original price contributed and covered by The Zdenko Kos Foundation.
Book Your Laryngeal cancer Treatment Here
YOUR QUESTIONS ANSWERED
What is included in the treatment plan and pathway?
Following receipt of your initial submission and supporting documents (clinical letters, imaging, test results), you will be asked to select your preferred hospital from our list:
- You will then be advised of available admission dates for your initial two day stay
- On admission you will have a full diagnostic review, with all tests and investigations completed within 24 hours of your arrival.
- Your face-to-face consultation will then take place with the appropriate specialist Consultant and resident Doctor. The treatment plan will be presented for discussion and agreement; if the first proposal is not acceptable to you, an alternative treatment plan will be offered.
- Treatment can commence that day; treatment may include chemotherapy, radiotherapy, surgery and other therapies.
- Dependent on your treatment pathway you will either stay in hospital or you will be discharged and advised when you need to return.
- Hospital visits can be required every 2-3 weeks; the fixed fee includes all hospital visit and treatments for up to one year
Can I choose the hospital for my treatment?
Yes, you can select the hospital you would like to be during your treatment, however, keep in mind that that particular hospital must have a department and wards for the kind of profile of your medical issue. When the patients identify where they would like to have their treatment, they must have in mind the remoteness from the airports, main road and main railways in cases of any emergencies.
We’ll give our recommendation which is based on a long experience and a profound analysis of all criteria necessary for the quality of medical the patients are looking for.
How much does treatment cost?
When you book your treatment with us you will get fix figure of which you are paying just ¼ of original cost only, the balance of ¾ contributed and paid by Zdenko Kos Foundation.
Costs for hospitals are also fixed for entire year, therefore, if you are having treatment over one year, the hospital costs might changed. Once you make the payment for the hospital (eg. for one year) you have hospital free of any charges doesn't matter how many times and days per year you spent in the hospital, doesn't matter how many times you are booked and discharged from the hospital.
What is the cost of your services
Depending on the duration of the medical program the cost in every hospital doesn't matter, the country may vary - but not when you are booking with us. Our prices are fixed doesn't matter what we may find once eg. surgery or treatment start. All the costs of our services are significantly lower, up to 80% (depending on treatment) that you will have to pay either through your health system in your country or when organizing the program on your own. There are several reasons for it: The hospitals provided by us have special contract agreements to have fixed rates with discounts for the entire year. There are no overstated rates. You and the hospital you will be having treatment are insured specially from unforeseen expenses eg. possible complications.
With whom will I conclude the contract?
You must book with us, and you will complete the contract with us - The Zdenko Kos Foundation. It is a contract on the organization of a medical trip and provision of services. The protocol is very clear:
[1] You have to make the booking with us online on this web site (see the page with the booking box) for the treatment you are after where we are strongly suggest to give us as much data and images of your medical condition to date that we can contact you directly with our doctors, consultants and other medical staff for the treatment you would like to have.
[2] Once booking is completed, you will receive automated mail for the payment to be made. You have to make the payment in full for the treatment you would like to have in maximum 24 hours after the booking. With making the payment you start ball rolling.
[3] Being admitted to the hospital, you will conclude a direct contract with us for the provision of medical services.
{4} Once payment made you will get direct link to the doctor and counsaltant to discuss your case face-to-face via What's Up or other such service provider available to both parties depend on your locatition.
Why should I pay you, but not the hospital?
Firstly, unlike many intermediary firms and portals, we do not take from hospitals a percentage of the medical service cost because we have contract agreement not just with hospitals but also with doctors, consultants and other medical professional in each hospital we are working with.
Secondly, we are covering ¾ of costs for your procedure not to mention that your procedure-treatment will be fully insured up to £250,000 (for one year treatment) and automatically up to £500,000 (for 2-5 years treatment). The Zdenko Kos Foundation cover the hospital insurance seperately during your treatment if there may come to unforseen complication during the treatment.
Finally, as we are registered as charity, we remain independent in choosing a medical facility and work exclusively for the benefit of the patient. Any type of payment for sending a patient to the hospital is prohibited by law, since it contradicts medical ethics.
At what point do the services become paid?
The services for the organization of treatment become paid from the moment you made your medical treatment booking online and make the payment in full. Once this done, pre-treatment consultation will take the place following the initial examination (hospitalization).
Can I contact the hospital directly?
Yes, of course, you can also contact the hospital on your own. You should choose the hospital and the attending doctor, write an email to the chief doctor with a description of your case in English, ask him/her about the possibility of undergoing treatment in the hospital and the approximate cost of staying there. If you have received the consent of the hospital and you are satisfied with the price for the hospital (please specify that it must be the price for one year doesn’t matter on number of admissions and discharges and transfer an advance payment to us on our account. Once full payment is received, we will negotiate special terms with the hospital you select on your own that they will be aware of what and how many procedures they have to have in mind and secure at any time free bad in ward. If you are coming from a non-EU country write an email to the secretary of the hospital with a request to send an invitation for a visa. Please note that the invitation should come from the chief doctor, but not from the hospital's international department. After that you should on your own get a visa for medical treatment abroad, agree with the secretary of the chief physician on the date of the initial examination (hospitalization), translate medical records of local physicians into German or English (depending on the chosen country for treatment), book a hotel, prepare a transfer from the airport and find for yourself an interpreter for communication with the medical staff.
All these activities are not needed in case you are booking with us and you are choosing a hospital we would recommend. If you book with us, we will deal with your visa (if you are coming from a non-EU country), we will book you a hotel, and do all that is necessary to get you started with your treatment.
Shall I pay for a consultation?
A consultation before the treatment as well as long-distance consultation (if you are not from EU countries) is provided free except when you are returning to your home address and it is necessary to study CT or MRI images as the specialist gives an official consultation with a written opinion.
If you are not from EU countries it is imperative to translate epicurises and medical records from domestic doctors into English.
If you opt for our services for the organization of treatment with us, there is no need to translate the medical records. This will be done by qualified specialists.
What happens, if I refuse from the treatment?
If you refuse from the treatment you will get a refund of the advance payment.
The expenses for all what has been done to that moment will be deducted acordingly.
Is it possible to postpone the treatment?
Yes, it is. In case of an advance postponement (more than 48 hours before the start of the treatment), the treatment cost will not be changed, and will be deleyed till as per your request. If you intend to postpone the treatment, you must do so on written only. There may be some additional cost for consultation or pre-treatment appointment, depend on the lenght from the initial day of treatment till the day you want to be.
What security and guarantees do I have?
When booking the treatment with us all medical treatment are fully insured against possible complications and unforeseen contingencies. The additional treatment costs will be covered by the insurance covered and paid by The Zdenko Kos Foundation.
How is my personal data managed?
The Kos Foundation is a Data Controller therefore rest assured that your personal data and all material you submit over our link along with all medical history with us will be protected according to current regulations and legislation, using advanced security technologies. Medical history will not be disclosed to any 3rd party even to your GP without your special written permission.
Check list for inpatient and outpatient
When you pack your bag for your hospital stay, the following things should not be missing:
For your record
- Referral certificate from the general practitioner or specialist
- Health insurance card
For your treatment
- Medicines in original packaging that you take at home
- Current preliminary findings, such as X-rays, CT/MRI, ECG or EEG, blood tests, etc.
- Doctor's Letters
- If available, living will and power of attorney
- If available: allergy passport, vaccination certificate, X-ray passport, diabetic card, blood group card
For your stay
- Your aids (e.g. wheelchair, walker, walking stick, glasses, hearing aid)
- Comfortable clothing
- Towels
- Cosmetics and personal care products
- To pass the time: books, magazines, MP3 player with headphones
- Contact details of relatives and friends
Please be aware:
When you get your inpatient admission appointment, please clarify whether you have to appear fasting on the day of admission.
Valuables
If possible, please do not bring any valuables with you, as you are liable for losses. For indispensable valuables, e.g. Your watch or wallet, you will find a small safe deposit box in the closet of your patient room in the Surgery I Dermatology and in the Psychosomatics department. In internal medicine, there is a dispensing point.
How are the visiting hours regulated?
Visitors are not only welcome to us but are also of huge importance for our patients!
Doesn’t matter with which hospital we are working with you are booking there are variable visiting hours, as well as special visiting hours which are not for regular patients visits. Once you are admitted the care team will give you all the details about visiting hours. There are also alternative that your partner (husband/wife) stay with you during the treatment. Such accommodation is available nearly in all hospitals we are working with. For such accommodation additional charges applies.
There are separate visiting hours for intensive care units while parents of young patients in the children's area have unlimited visiting hours.
Visitors are asked to be considerate of patients and fellow patients. If necessary, the nursing staff of that hospital where you are staying, will point out the necessary rest periods for patients who have just undergone surgery
Where can I reach pastoral care?
All hospitals we are working with offer pastoral care for at the Protestant and Catholic hospital chaplaincy for patients and relatives. For all other religions you will be informed by the care team at that particular hospital on the day of your admission.
What help and counselling services are available?
Doesn’t matter which hospital we are working with you choose, you will be given supports with various counselling services and support services, such as the Social Counselling Service, Psychosomatic consultation service, Special offers for cancer patients, Clinic chaplaincy, Services of other religious communities, Art therapy, Self-help, Hospice and much more.
How can I contact social services?
The Social Counselling Service can advise you on topics such as rehabilitation, post-discharge care, social law, psychosocial care and many other matters. You will get special overview with information and contact details from consultant and care team in the hospital where you start your treatment.
Inpatient stay: How is admission made?
Registration and admission for an inpatient stay
If you have made an appointment for an inpatient stay in cooperation with The Zdenko Kos Foundation, you will first be "admitted" to hospital of your choice upon arrival. This means that we record your data and inform you about your hospital stay.
Please ask exactly where you should travel when making an appointment. The Zdenko Kos Foundation has several locations and consists of many individual clinics.
An overview of the parking facilities at the clinic locations will be provided once you identify the hospital you would like to be admitted to.
When you get your inpatient admission appointment, please clarify whether you have to appear fasting on the day of admission.
What should be considered when discharging?
Your attending physician has decided that you will be discharged from the hospital. This means that you will either be discharged directly to your home or still need follow-up treatment, which will be carried out on an outpatient or inpatient basis in another clinic or rehabilitation facility. For both situations, you will get full information before discharged date.
What do the General Terms and Conditions of Contract regulate?
Accepting services of The Zdenko Kos Foundation, you are not accepting just our Terms & Conditions but also for the period of your entire treatment or stay doesn’t matter which hospital we are working with, the hospital GTCs and the house rules of that hospital in their respective valid versions which you can see and read on hospital websites directly.