Chemotherapy

• Neoadjuvant
  Administered before surgery to reduce the size of tumors. Chemotherapy helps to shrink the tumor and make it operable, simplifying the surgeon's task. This treatment reduces the risks of metastasis.
• Adjuvant
  Performed after surgery to prevent further tumor growth and eliminate hidden foci. Helps to kill cancer cells that remain in the body after surgery, thereby reducing the risk of recurrence.
• Induction
  Prescribed for inoperable forms of cancer and has proven effective when tumor cells are highly susceptible to anticancer drugs.
• Hyperthermic
  This type of chemotherapy, known as "hot" chemotherapy, involves treating cancer cells with high temperatures. The method is particularly relevant for large tumors, including in the peritoneum and bone tissues.
• Platinum-based
  Treatment involves the use of platinum-containing drugs. This method is used when other therapy methods are ineffective.
• Targeted
  Targeted therapy is a type of treatment that targets specific changes in cancer cells, known as molecular targets, which help them grow, divide, and spread. The main advantages of targeted therapy are its precision in targeting the cause of the pathology, relatively good tolerability of the drugs, and a minimal set of side effects.
• Conservative
  Performed with the least aggressive drugs, characterized by a relatively small number of side effects. Treatment is relevant for small tumors without metastasis.
• High-dose
  This chemotherapy involves high doses of drugs. It is primarily prescribed for eliminating lymphomas. The disadvantages of this method include high toxicity for the patient's body, a large number of negative consequences, and side effects.
• Palliative
  Conducted at the terminal stage of the disease, when it is about maintaining vital functions, reducing further tumor growth, and alleviating pain.

After a course of treatment, there is often a significant deterioration in overall body function. This is associated with a decrease in the quantitative and qualitative indicators of blood and changes in its composition. Infectious diseases also worsen, and overall immunity decreases.

• nausea and vomiting;
• diarrhea and constipation, stool disorders;
• loss of appetite, weight loss;
• hair loss;
• constant fatigue;
• increased temperature;
• pains in different parts of the body;
• mouth ulcers, stomatitis;
• bleeding;
• and the appearance of bruises on the body.

Most side effects subside soon after the end of treatment. The body gradually recovers, and symptoms such as weakness, hair loss, and nausea disappear. Treating severe disorders may take longer. Often, prolonged medication is prescribed to improve the condition, which includes drugs to improve the function of damaged organs, strengthen immunity, etc.

The cost of treatment depends on a range of factors and cannot be stated without their prior assessment.

Price is influenced by:

• The drugs used
• Duration and number of courses
• The stage and other features of the oncological process

The exact cost can only be calculated after evaluating all important parameters of the upcoming treatment.

At EVIMED Medical Center, a personalized approach to chemotherapy is successfully implemented. Comprehensive diagnostics allow analyzing the nature and spread of the tumor process and acting precisely. International protocols recommended by leading organizations in the field of oncological diseases study – ASCO, ESMO – are used. Thus, chemotherapy is conducted to the highest international standards using the most modern and effective drugs, which cause the least side effects.

For long-term infusion therapy, a subcutaneous implantable port system may be installed, through which regular blood draws and drug administration are performed. This prevents venous trauma, as occurs during regular catheter installations.

The treatment is carried out under double medical and nursing supervision. Comfortable wards are equipped with everything necessary for the stay of patients.

Many cancer patients require long-term administration of anti-tumor and other drugs, as well as regular blood tests. Frequent intravenous injections and catheter installations cause pain and discomfort, and risk complications such as phlebitis and thrombophlebitis. Infusion port systems help avoid all this. A small reservoir is sewn under the patient's skin, one wall of which is a membrane, and it is connected by a catheter to a vein. Now, to perform an injection or take blood for analysis, it is enough to puncture only the skin and membrane. This is comfortable for the patient - the port is completely under the skin and does not interfere with daily life. The use of port systems has long been the gold standard for long-term treatment courses in all Western countries.

The main advantages of the port system include:

1. The system is installed only once, thereby eliminating the risk of venous trauma that occurs with multiple venous catheter insertions. Frequent puncture can lead to the development of phlebitis or thrombophlebitis.
2. The system is very compact, i.e., the patient can lead a normal life, not depriving themselves of usual joys.
3. Direct access to the port system, and therefore to the vein – is easier, faster, and less painful than setting up an IV, i.e., this method increases patient comfort during treatment.

To remain functional, the port system requires regular flushing between treatment courses and after the course of treatment.

Injections and flushing should only be performed by qualified medical personnel, as the Huber needle must be inserted at the correct angle, holding the chamber to avoid damage. Hands and the area of the system are thoroughly disinfected before insertion. It is necessary to examine the port attachment site: there should be no redness, swelling, or other external changes.

The system is flushed with saline solution after the procedure. If the patient is not currently undergoing treatment, the procedure is carried out every 4-6 weeks or once every 1-3 months, depending on the model and manufacturer's instructions.

We strongly advise against doing this on your own to avoid the risk of infection or damage to the silicone membrane of the port.

At EVIMED Medical Center, the installation of an infusion port is performed on a daily basis by a highly skilled specialist with significant experience in various surgical interventions. In our work, we prefer to use the highest quality BBraun products, which ensure easy, reliable, and painless drug administration.