Сarcinomatosis Treatment in Shefaa Al Orman international oncology hospitals

Carcinomatosis care at Shefaa Al Orman International Oncology Hospitals in Luxor, Egypt, includes diagnosis, systemic therapy, surgery, and procedures for metastases. Online surgeon consultation may be around $40–$60; MRI around $100; chemotherapy around $100 per cycle; pancreas biopsy around $600. The ESMO-accredited center has a multidisciplinary tumor board.

Diagnostic tests include MRI and PET-CT

• Imaging: Abdominal MRI, contrast CT, abdominal ultrasound, and PET-CT when clinically indicated.
• Biopsies: Thyroid and pancreas biopsies, plus CT- or ultrasound-guided sampling.
• Other tests: Colonoscopy and blood tests, including blood count, biochemistry, tumor markers, inflammation markers, and clotting tests.
• Online consultation: A surgeon can review the case. The clinic also offers a free medical review, treatment plan, and cost estimate.

Treatment options include TACE and ablation

• Chemoembolization (TACE): A catheter delivers chemotherapy and blocking agents into vessels feeding a tumor. Imaging maps these vessels, and the procedure takes place in an inpatient interventional radiology unit.
• Radiofrequency and microwave ablation: Image-guided needles treat tumor deposits with heat. Microwave ablation is an option for larger lesions.
• Systemic chemotherapy: Drugs enter through a vein over several hours. A cycle lasts 1–4 days, as an outpatient or inpatient. The tumor board sets the regimen after tests and imaging.
• Targeted therapy and immunotherapy: These may be included with chemotherapy in an individualized plan.
• Radiotherapy: Options include 3D conformal therapy, IMRT, and VMAT. Planning uses CT simulation and dose calculations, followed by image-guided treatment.
• Brachytherapy: Internal radiation delivers a high dose locally for prostate and cervical cancers.
• Tumor resection: Surgeons remove a primary tumor or isolated metastases. Laparoscopic surgery is used when possible, alongside an Enhanced Recovery After Surgery program. Major, medium, and minor resections are offered.
• Stenting and drainage: Percutaneous nephrostomy, biliary drainage, and stent placement can relieve blockages.
• Supportive care: Palliative care includes pain and symptom control, psychological support, and an inpatient unit with 4 rooms and 8 beds. Services also include physiotherapy, nutrition, and pain management.
• Bone marrow transplantation: Available for blood cancers and selected solid tumors.

Patients can request a consultation through Bookimed to discuss the diagnostic and treatment options.