Medical oncology; treatment of cancer with drugs. Chemotherapy includes medication treatments to destroy cancer cells. In chemotherapy, usually a few drugs are used together. These drugs can be administered orally or in pills.
Department of Medical Oncology in OMC; according to the chemotherapy protocol prepared by medical oncology experts according to the individual characteristics of the patients and the characteristics of the tumor. Experienced chemotherapy nurses with chemotherapy application certificates are treated under the supervision of medical oncology specialist.
In our Medical Oncology Department, treatments are carried out in accordance with antibody therapies, hormone therapies and individual-specific genetic testing. Medical oncologists check-up on cancer-risk patients, so that the disease can occur before the diagnosis or early diagnosis can be made.
Psychological support treatments are provided to our patients through the psychology of our cancer patients and food regimes are applied to our cancer patients through our dietician.
Necessary training forms are given about all treatments for our patients. both oral and written information and training are provided. Discussion meetings are held with the other departments and the treatment protocols are established in multidisciplinary tumor councils as a result of scientific evidence-based approaches.
What is chemotherapy?
Chemotherapy means treating the tumor with medication. It is a very important part of tumor treatment with surgery and radiation therapy. Chemotherapy is used to kill tumor cells or stop the growth of the tumor. Sometimes, only a few drugs are administered by various means.
Who does chemotherapy apply?
The field of chemotherapy is called “Medical Oncology” or “Medical Oncology”. The doctor working in this field is called “Medical Oncologist”.
Medical oncology is a separate specialty; medical oncologist is an internal diseases specialist specializing in tumor treatment. Tumor therapy is a team job and should be applied in all the members of this team.
What is the purpose of chemotherapy?
Chemotherapy can be applied for various reasons such as the type of the tumor and the characteristics of the patient.
- To completely remove the tumor and heal the patient,
- To prevent the spread of the tumor,
- To stop or slow the growth of the tumor,
- Chemotherapy is applied to eliminate the symptoms caused by the tumor.
Although it is an effective treatment method, it can not completely destroy the tumor in some cases, but it can only improve the symptoms and provide a comfortable life. Chemotherapy is the only treatment for some tumors. In others, chemotherapy can be administered in succession or simultaneously with other treatments (surgery and radiotherapy). For example; In order to reduce the tumor before surgery, chemotherapy may be applied to prevent its spread after surgery. The same applications can be performed both before and after radiotherapy, and chemotherapy can be applied simultaneously with radiotherapy.
What is the frequency and duration of chemotherapy?
The duration and frequency of treatment depends on the chemotherapy scheme chosen specifically for your condition and the patient’s condition. The time and frequency can be changed by the doctor according to the response to the treatment and the side effects. Generally, the most commonly used intervals are 3 or 4 weeks, but in addition to some treatment schemes, there are also applications once or twice a week. The most important and even vital point about the timing of chemotherapy is that the treatment is as regular as possible and that the side effects are done in a timely manner. When the treatment intervals are unnecessarily prolonged, the risk of self-recovery and resistance to drugs is increased. In this way, if the tumor continues to grow and spread, the chance of treatment success decreases. Patients should never go beyond the recommendations of their doctor for chemotherapy appointments. Before stopping treatment, talk to your doctor and ask for help.
Innovations in Oncology
The immune system often detects cancerous cells and prevents the development of these cells by the attack mechanism, but in some cases, various types of cancers disable the body’s defense mechanism. Thus, no defense mechanism of cancerous cells, uncontrolled proliferation and spread to a larger area. Medications classified as immunotherapy prevent the tumor from escaping the immune system.
Immunotherapies are not suitable for all patients and cancer types. A number of tests may need to be done prior to compliance. Although the response to treatment with immunotherapy is not 100%, survival remains prominent in responding patients.
The tumor cells of the subject are tested for convenience to the targeted drug and targeted drug treatment is initiated if the patient is able to get the maximum benefit from this treatment. For example; Her-2 receptor positive in breast cancer cells, EGFR and ALK gene mutation in lung cancer and the absence of K-RAS mutation in colon cancer is used for those patients are preferred. In inappropriate patients, these drugs may have a negative effect on treatment success.
Gene mapping tests
Gene mapping tests allow the detection of changes in hundreds of cancer genes with a very high sensitivity and specificity. These tests, which can be performed in any part of the body, regardless of where the tumor is located or how advanced the cancer is, helps to match genetic changes with targeted therapies. The cancerous tissue is taken under appropriate conditions and sent to laboratories in America and Europe. In the laboratories, the genomic information released from the DNA sequenced by the new generation sequencing technology based on hybrid capture is entering the second stage of the analysis process. All changes associated with cancer genetics and individual treatment options targeting these changes are presented to the physician with a comprehensive report.