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German Medical Institute was the first in Cyprus to offer PET/CT scanning. Its dedicated sarcoma surgery department offers abdominal and retroperitoneal surgery, cytoreductive surgery with HIPEC, and robotic-assisted surgery. Options for non-resectable tumours include Nanoknife irreversible electroporation and electrochemotherapy. Assessment can include biopsy, molecular testing, and multidisciplinary tumour board review. An online oncologist consultation may cost around $300. The clinic holds ISO 9001, CHKS, ISO 45001, and ISO 22000 accreditations.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Image-guided high-dose-rate brachytherapy for sarcoma","why_its_ranked":"Sarcoma radiation therapy led by the Radiation Oncology Department head. Every case reviewed at structured MDT meetings. On-site molecular pathology, hybrid operating theatre with real-time imaging, and clinical trial access."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":6298,"alias":"german-medical-institute","name":"German Medical Institute (GMI)","short_description":"German Medical Institute (GMI) is a private multi-specialty center in Cyprus founded as the German Oncology Center. It specializes in oncology, plastic surgery, medical check-ups, and nuclear medicine. Staff are trained in Germany and the UK, and the center holds multiple ISO certifications.
Head of Radiation Oncology at German Oncology Center – specializes in sarcoma treatments with advanced techniques.
Dr. Konstantinos Ferentinos heads the Radiation Oncology Department at the German Oncology Center in Cyprus. He earned his doctoral degree from Johann Wolfgang Goethe University in Frankfurt. Dr. Ferentinos specializes in radiation therapy for complex brain, prostate, and lung cancers.
German Medical Institute (GMI) is a private multi-specialty center in Cyprus founded as the German Oncology Center. It specializes in oncology, plastic surgery, medical check-ups, and nuclear medicine. Staff are trained in Germany and the UK, and the center holds multiple ISO certifications.
Sarcoma is a rare type of cancer that develops in the soft tissue, including muscles, tendons, and blood vessels. The incidence rate for sarcoma is less than 1% of new adult cases annually.
\n\nA comprehensive approach to cancer diagnosis is crucial, particularly for rare cancers like sarcoma. Sarcomas can occur in any body part. Sarcomas can occur in people of all ages but are more commonly diagnosed in children and young adults.
\n\nThe exact cause of sarcoma is unknown, but several factors can increase the risk of developing this type of cancer:
\n\nGenetic predisposition. Certain inherited genetic conditions, such as Li-Fraumeni syndrome or neurofibromatosis, increase sarcoma risk;
\n\tRadiation exposure. Previous exposure to radiation therapy, especially for treating other cancers, can lead to the development of sarcoma in the treated area;
\n\tChemical exposure. Prolonged exposure to chemicals like dioxins and herbicides has been linked to a higher risk of sarcoma;
\n\tChronic lymphedema. A long-term build-up of lymph fluid in the tissues can cause a specific type of sarcoma called angiosarcoma.
\n\t
Sarcomas are divided into two main categories: bone sarcomas and soft tissue sarcomas. Within these categories, several subtypes exist.
\n\nOsteosarcoma. Bone cancer primarily affects the arms and legs.
\n\tChondrosarcoma. A bone sarcoma that begins in cartilage cells, usually affecting older adults;
\n\tEwing Sarcoma. A rare but aggressive form of bone cancer that commonly occurs in children and teenagers;
\n\tLiposarcoma. A soft tissue sarcoma arises from fat cells and can occur in various body parts, such as the limbs or abdomen;
\n\tLeiomyosarcoma. A type of soft tissue sarcoma that starts in the smooth muscles, often in the uterus, gastrointestinal tract, or blood vessels.
\n\t| Type of Sarcoma | \n\t\t\tDescription | \n\t\t\t\n\t\t\t Incidence rate (compared to other types) \n\t\t\t | \n\t\t
| Osteosarcoma | \n\t\t\t\n\t\t\t Bone cancer primarily affects the arms and legs. \n\t\t\t | \n\t\t\t5% | \n\t\t
| Chondrosarcoma | \n\t\t\tA bone sarcoma that begins in cartilage cells, usually affecting older adults. | \n\t\t\t10% | \n\t\t
| Ewing's Sarcoma | \n\t\t\tA rare but aggressive form of bone cancer that commonly occurs in children and teenagers. | \n\t\t\tLess than 5% | \n\t\t
| Liposarcoma | \n\t\t\tA soft tissue sarcoma arises from fat cells and can occur in various body parts, such as the limbs or abdomen. | \n\t\t\t11% | \n\t\t
| Leiomyosarcoma | \n\t\t\tA type of soft tissue sarcoma that starts in the smooth muscles, often in the uterus, gastrointestinal tract, or blood vessels. | \n\t\t\t12% | \n\t\t
Sarcomas and carcinomas affect bones but come from different cells and spread differently.
\n\nSarcomas start in bone or soft tissue and grow as \"ball-like\" masses, pushing nearby structures like muscles, blood vessels, and nerves away. This makes them easier to remove with surgery. Sarcomas usually spread to the lungs or other bones and rarely to lymph nodes.
\n\tCarcinomas usually start in organs like the breast or lungs and can spread to bones. They grow by invading nearby tissues like nerves and muscles, making surgery more challenging. Carcinomas are more likely to spread to lymph nodes, lungs, bones, and other organs.
\n\tBoth types of cancer behave differently, so their treatment plans vary accordingly.
\n\n| Condition | \n\t\t\tCarcinoma | \n\t\t\tSarcoma | \n\t\t
| Origin | \n\t\t\tEpithelial tissue | \n\t\t\t\n\t\t\t Mesenchymal tissue \n\t\t\t | \n\t\t
| Age | \n\t\t\tMore in old | \n\t\t\tMore in young | \n\t\t
| Vascularity | \n\t\t\tLess vascular | \n\t\t\tMore vascular | \n\t\t
| Rate of growth | \n\t\t\tLess rapid | \n\t\t\tMore rapid | \n\t\t
| Prognosis | \n\t\t\tLess bad | \n\t\t\tWorse | \n\t\t
The doctors use the TNM staging system:
\n\n🛑 T refers to the tumor size;
\n\t🛑 N refers to the spread to lymph nodes;
\n\t🛑 M refers to metastasis.
\n\tThere are four main stages of sarcoma:
\n\nStage I. The size of a tumor is around 5 cm, and the cancer doesn't spread to the nearby lymph nodes.
\n\tStage II. The tumor is smaller than 5 cm and doesn't metastasize. However, the pathologist can see mutated cancer cells under the microscope.
\n\tStage III. The tumor is 5-10 cm, and the cells look very different from normal tissue.
\n\tStage IV. Sarcoma can be any size and spreads to the lymph nodes and distant organs.
\n\tThe symptoms of sarcoma vary depending on the tumor's location and size. Some common symptoms include:
\n\nA painless lump or swelling in the soft tissues (arms, legs, or abdomen).
\n\tPersistent bone pain that worsens over time.
\n\tLimited movement or difficulty using the affected limb.
\n\tFatigue, weight loss, or unexplained fever.
\n\tUnfortunately, sarcoma symptoms can often be mistaken for other conditions, leading to a delayed diagnosis. It won’t happen with patients who leave a request on Bookimed. The experienced onologists will analyze the symptoms and align your treatment strategy with your disease history.
\n\nEarly detection of sarcoma can significantly improve treatment outcomes. Several diagnostic tools are used to identify sarcomas:
\n\nImaging tests, such as X-rays, CT scans, MRIs, and PET scans, detect and assess tumors’ size and location;
\n\tBiopsy, to examine a tissue sample under a microscope and confirm the cancer cells;
\n\tGenetic testing. Some sarcomas are the result of genetic mutations. Looking for specific gene changes can affect treatment choices.
\n\tTreatment for sarcoma depends on its type, location, and stage and often involves a combination of sarcoma treatment options:
\n\n👨🏻⚕️ Surgery is the primary treatment for localized sarcoma. For bone sarcomas, this may include limb-sparing surgery or, in more advanced cases, amputation;
\n\t🩻 Radiation Therapy is applied before surgery to shrink tumors or after surgery to destroy any remaining cancer cells. Intensity-modulated radiation therapy (IMRT) and proton therapy are advanced techniques used to minimize damage to surrounding healthy tissues;
\n\t💊 Chemotherapy is an option for osteosarcoma and Ewing’s sarcoma. This systemic treatment helps to prevent metastasis;
\n\t🧪 Targeted Therapy focuses on specific molecules driving cancer growth. For example, Pazopanib treats advanced soft tissue sarcomas, and Tazemetostat works well for epithelioid sarcomas;
\n\t🦠 Immunotherapy involves stimulating the immune system to fight sarcoma cells. Drugs like PD-1 and PD-L1 inhibitors prevent the T cells from attacking the healthy body parts;
\n\t🔬CAR-T cell therapy targets the proteins on the surface of sarcoma cells. It works great for patients with advanced synovial sarcoma after the course of chemotherapy.
\n\tA sarcoma care team is essential in providing comprehensive care tailored to the unique needs of sarcoma patients. A sarcoma specialist within the care team ensures that patients receive top-tier treatment tailored to their needs. Ongoing research in cancer treatment is crucial, as patients may access new drugs through clinical trials.
\n\nAfami-cel is the FDA-approved T-cell therapy to treat solid tumor cancers (such as synovial sarcoma). It differs from CAR-T therapy because the T-cells can recognize the hidden cancer markers, whereas CAR-T therapy targets only those markers on the cell's surface.
\n\nSynovial sarcoma is a rare type of cancer (only 800-1000 new cases annually) that occurs near large joints (mainly knees). It is usually present in young adults under 30. The main symptoms are a painless lump, numbness, and swelling.
\n\nMore than 85 out of every 100 (more than 85%) patients will survive their cancer for 1 year after diagnosis. Around 60 out of every 100 people (around 60%) will survive their cancer for 5 years or more after diagnosis.
\n\nHere's a price overview for sarcoma treatment at well-known cancer centers.
\n\n| Country | \n\t\t\tIsrael | \n\t\t\tTurkey | \n\t\t\tSpain | \n\t\t
| Treatment cost | \n\t\t\t\n\t\t\t From $12,330 to $34,420 \n\t\t\t | \n\t\t\tFrom $8,333 to $25,000 | \n\t\t\t\n\t\t\t From $12,330 to $34,420 \n\t\t\t | \n\t\t
Sarcoma treatment in Israel provides advanced therapies for all types of sarcoma, including granulocytic sarcoma, oral Kaposi sarcoma, bone and spine metastases, and other orthopedic conditions.
\n\nNew Phase is one of the latest treatment methods developed in Israeli cancer clinics. It uses advanced technology to treat metastatic solid tumors by delivering heat directly to cancer cells using tiny particles called \"nanoparticles.\"
\n\nSourasky Medical Center (Ichilov). The Head of Sourasky Oncology Division, Prof. Ofer Merimsky, shows 90% limb preservation in case of sarcoma metastases. During surgery, the doctors apply the O-ARM 3-dimensional navigation system, which reduces operation time and boosts postoperative recovery.
\n\tAssuta Medical Center. Assuta was the first Israeli hospital to receive Joint Commission International (JCI) accreditation. The doctors here performed more than 92,000 surgeries and 685,000 diagnostic procedures.
\n\tSheba Medical Center. Sheba is among the Top 10 Global Hospitals, according to Newsweek. The Jusidman Oncology Hospital at Sheba Medical Center is one of Israel's best sarcoma treatment centers.
\n\t| Sarcoma centers | \n\t\t\tTreatment cost | \n\t\t
| Sourasky Medical Center (Ichilov) | \n\t\t\tTreatment — $1000 - $2000 \n\t\t\tDiagnostics — $700 - $1800 | \n\t\t
| Assuta Medical Center | \n\t\t\tImmunotherapy — $3800 - $5000 \n\t\t\tPET/CT — $1680 | \n\t\t
| Sheba Medical Center | \n\t\t\tPET/CT — $2200 | \n\t\t
Have questions? Submit a request on Bookimed and our coordinator will contact you to answer all questions.
\n\nTurkey is home to some of the best sarcoma cancer hospitals, offering advanced medical care and cutting-edge technologies. These hospitals are internationally recognized for their expertise in oncology and have well-established reputations for treating sarcoma, a type of cancer that affects soft tissues and bones.
\n\nAnadolu Medical Center. This hospital is known for its comprehensive cancer care, which is supported by collaborations with global leaders like Johns Hopkins Medicine. The center offers personalized treatment plans for sarcoma patients using the latest technologies, such as robotic surgery and precision medicine techniques.
\n\tMemorial Şişli Hospital. Located in Istanbul, this hospital is part of the Memorial Healthcare Group, known for its world-class oncology departments. Memorial Şişli has modern diagnostic tools, including PET-CT and MRI, ensuring accurate diagnoses and effective treatment strategies.
\n\tIstanbul Florence Nightingale Hospital. With a strong focus on oncology, this hospital offers state-of-the-art treatments for sarcoma, including minimally invasive surgery, radiation therapy, and personalized medicine.
\n\t| Sarcoma centers | \n\t\t\tTreatment cost | \n\t\t
| \n\t\t\t Anadolu Medical Center \n\t\t\t | \n\t\t\tTreatment — $3100 - $6100 \n\t\t\tDiagnostics — $2400 - $5000 | \n\t\t
| Memorial Şişli Hospital | \n\t\t\tTreatment — $3000 - $5500 \n\t\t\tDiagnostics — $600 - $2100 | \n\t\t
| Istanbul Florence Nightingale Hospital | \n\t\t\tTreatment from $3000 | \n\t\t
Spanish hospitals have emerged as one of the leading destinations for sarcoma treatment.
\n\nCentro Médico Teknon. The Teknon Oncology Institute is one of Spain's most prominent cancer treatment centers, serving patients since 2000. Prof. Raimon Miralbell is a leading oncologist at Teknon Hospital in Barcelona.
\n\tSJD Barcelona Children’s Hospital. SJD Barcelona Children's Hospital offers Spain's first joint treatment protocol for both children and adults with Ewing's sarcoma. Advanced techniques reconstruct the affected limb using either the patient's bone material or a donor's, helping to avoid amputation.
\n\t| Sarcoma centers | \n\t\t\tTreatment cost | \n\t\t
| \n\t\t\t Centro Médico Teknon \n\t\t\t | \n\t\t\tRadiation Therapy for Sarcomas \n\t\t\t$17748 — $19967 | \n\t\t
| \n\t\t\t SJD Barcelona Children’s Hospital \n\t\t\t | \n\t\t\tSarcoma surgery \n\t\t\t$29950 — $55463 \n\t\t\tComplex diagnosis of sarcoma \n\t\t\t$7765 — $13311 | \n\t\t
When searching for the best hospital for sarcoma treatment, consider the following factors:
\n\nAccreditations. It is the cornerstone of quality assurance in healthcare. This should be the main criterion of the hospital's excellence for patients looking for the best diagnostics and treatment.
\n\tMembership in International Organizations. Such as the Union for International Cancer Control (UICC) or the International Cancer Foundation. It means that the hospital team strives to provide better outcomes in battling cancer.
\n\tAccess to Clinical Trials. Sarcoma research is evolving, and clinical trials may offer access to the latest treatments that can improve outcomes.
\n\tDoctor's Experience. Oncologists with successful surgeries and chemos will likely work at the best sarcoma treatment centers. That's why finding the physician and the hospital can be beneficial.
\n\tTechnological Advancements. Facilities with cutting-edge technologies like proton therapy, robotic surgery, and personalized genetic testing provide more precise and effective treatments.
\n\tPatient Support Services. Hospitals with comprehensive patient support services, including rehabilitation, counseling, and financial assistance, can enhance the treatment experience.
\n\tIf you're in doubt, leave a request on Bookimed, and our medical coordinator will pick the top hospital according to your needs.
\n\nClinical characteristics of sarcoma patients: a population-based data analysis from a German clinical cancer registry. PubMed Central (PMC). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657284/ (date of access: 09.09.2024).
\n\nFDA Approves First Engineered Cell Therapy for Treating Rare Sarcoma. Memorial Sloan Kettering Cancer Center. URL: https://www.mskcc.org/news/immunotherapy-clinical-trial-shows-promise-for-treating-rare-sarcomas (date of access: 09.09.2024).
\n\nImmunotherapy for Soft Tissue Sarcoma. Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin | American Cancer Society. URL: https://www.cancer.org/cancer/types/soft-tissue-sarcoma/treating/immunotherapy.html (date of access: 09.09.2024).
\n\nSurvival for soft tissue sarcomas. Cancer Research UK. URL: https://www.cancerresearchuk.org/about-cancer/soft-tissue-sarcoma/survival (date of access: 09.09.2024).
\n\nSynovial Cell Sarcoma - StatPearls - NCBI Bookshelf. National Center for Biotechnology Information. URL: https://www.ncbi.nlm.nih.gov/books/NBK587366/ (date of access: 10.09.2024).
"},"txt_price":{"text":"The cost of sarcoma treatment can range from $12,330 to $34,420:
The doctor will determine the total treatment cost based on your needs and past treatments. You may not need to redo previous tests, which could save money.
"},"guide_mc":{"text":"Arrival
\nDiagnostics
\nTreatment plan development
\nTreatment
\nFollow-up
\nRehabilitation
\nOnly a doctor can determine an appropriate diagnostic and treatment plan as each patient\"s case is unique. Other diagnostic methods could include PET scans, and additional treatment options might include targeted therapy and immunotherapy.
"}}},"faq":[{"id":"6a757be3ef68f5902e01bdb3","question":"What types of sarcoma specialists are available in Cyprus?","answer":"Sarcoma specialists in Cyprus include radiation oncologists, medical oncologists, and specialized surgeons at centers like the German Medical Institute (GMI). These experts provide multidisciplinary care. Treatments include brachytherapy, radiotherapy, and tumor resection. Centers often hold TÜV NORD DIN EN ISO quality certifications.
Bookimed Expert Insight: While many oncology centers are general, the German Medical Institute (GMI) operates 29 clinical departments. This volume allows 90 doctors to handle 13,700 patients annually. High patient volumes often correlate with better diagnostic accuracy in rare sarcomas. Specialists here possess German medical training, which brings European standards to Limassol-based care.
Patient Consensus: Patients note it is important to explicitly ask doctors about their specific sarcoma experience. Many recommend starting at major private centers in Limassol or Nicosia to access multidisciplinary teams.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a757c03b86f62ffd6013234","question":"Is complete surgical removal available locally in Cyprus?","answer":"Complete surgical removal of sarcoma is available at major medical centers in Cyprus. Facilities like the German Medical Institute offer specialized oncology services. Resection with clear margins remains the gold standard for treatment. Specialized surgeons perform these complex procedures in Limassol and Nicosia.
Bookimed Expert Insight: German Medical Institute serves over 13,000 patients annually and holds CHKS healthcare accreditation. This volume suggests high clinical proficiency in managing complex oncology cases. Patients should verify if a clinic holds ISO 45001 or CHKS certifications. These standards ensure rigorous quality and safety protocols during major surgical resections.
Patient Consensus: Patients emphasize finding a surgeon who performs wide excisions rather than limited removals. Many recommend confirming if a multidisciplinary board reviews your case before starting treatment.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a757c3007f10d5c4b05f362","question":"Are radiation therapy and chemotherapy accessible for sarcoma protocols?","answer":"Radiation therapy and chemotherapy are standard, accessible components of sarcoma protocols in Cyprus. Specialized centers like German Medical Institute provide advanced radiation for soft tissue and bone malignancies. Treatment often involves a multidisciplinary team to ensure precise dosing and effective tumor control.
Bookimed Expert Insight: While Cyprus has advanced facilities, data shows high-volume specialization is key. German Medical Institute treats over 13,000 patients annually. Their radiation oncology head, Dr. Konstantinos Ferentinos, was trained in Germany. This German-standard expertise is available locally in Cyprus for complex soft tissue cases.
Patient Consensus: Patients note that while treatment is accessible, residents should use the GESY system for lower costs. Finding a team with specific sarcoma experience is often more important than the clinic's general reputation.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a757c5117aad5c87201b382","question":"How do I request a multidisciplinary review or second opinion for a rare sarcoma subtype?","answer":"To request a multidisciplinary review for rare sarcomas, you must provide physical pathology slides for expert re-evaluation. Specialized centers in Cyprus like German Medical Institute (GMI) utilize multidisciplinary tumor boards. These teams refine diagnoses and sequence surgery with advanced radiation therapies to ensure optimal outcomes.
Bookimed Expert Insight: While many seek reviews abroad, Cyprus hosts specialists with extensive European training. Dr. Konstantinos Ferentinos at German Medical Institute (GMI) trained at Frankfurt’s Johann Wolfgang Goethe University. GMI treats 13,700 patients annually and offers advanced brachytherapy for complex bone and soft-tissue sarcomas.
Patient Consensus: Patients emphasize that you must advocate for a formal tumor board review yourself. They note that having physical imaging disks ready speeds up the second opinion process significantly.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a757c6874005d5c390068d2","question":"What follow-up and surveillance care is provided after treatment in Cyprus?","answer":"Follow-up care for sarcoma in Cyprus involves structured surveillance to monitor recovery and detect recurrence early. Leading centers provide regular clinical examinations, blood panels, and diagnostic imaging like CT or MRI scans. Specialist support includes physiotherapy and lymphedema management to address long-term treatment effects.
Bookimed Expert Insight: While German Medical Institute (GMI) serves over 13,000 patients annually, its radiation oncology department is a primary hub for complex sarcoma follow-up. Dr. Konstantinos Ferentinos leads this department, bringing German-trained expertise in brachytherapy and radiation surveillance. Patients benefit from a team trained in the United Kingdom and Germany, ensuring post-treatment protocols meet high international standards for bone cancer care.
Patient Consensus: Patients note it is important to request a written surveillance plan before finishing treatment to avoid confusion. Many emphasize confirming who will manage long-term effects like wound care or chronic fatigue during recovery.
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