Dr. Markus Zutt specializes in dermatosurgery with _doctor_566_years_ of experience, including melanoma treatment. He holds professorships at University Medicine Göttingen and authored research on skin tumor therapy. The clinic offers melanoma surgery for around $5,100–$5,300. Focus magazine ranked Bremen-Mitte among Germany's top hospitals for oncology care.
Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
Bremen-Ost Clinic is recognized among Germany's top medical facilities, treating over 19,000 patients annually. The hospital is certified for lung cancer treatment and specializes in complex thoracic procedures, including melanoma surgery. Dr. Dieter Ukena, Head of Pulmonology, oversees more than 500 lung cancer cases each year and conducts immunotherapy research.
Bremen-Ost Clinic is a lung surgery and neurology specialist, part of the Gesundheit Nord hospital network. The Pulmonary Center is certified by the German Cancer Society as a leading lung treatment center. Around 19,000 patients choose this clinic each year.
Städtisches Klinikum Solingen operates as a regional tumor center for the University of Cologne. Over 2,000 patients with complex ENT cancers receive treatment here annually. The clinic holds certification from the German Cancer Society, ensuring care follows strict oncology quality standards. Radiotherapy sessions typically run for six weeks, with daily appointments lasting about 15 minutes. This Academic Hospital offers the full care pathway in one location. Patients benefit from transparent pricing that is the same for both local and international visitors.
","text_type":"mt_wow_description","best_texts":{"techniques":"Brachytherapy","good_fit_for":"Advanced throat cancers other doctors considered inoperable","why_its_ranked":"Specialised Throat and Neck Tumour Centre. Offers brachytherapy for targeted internal radiation. Certified by the German Cancer Society. Treats complex, inoperable cases."},"additional_data":{"advertising_id":"268:illness_kind:10"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":15000,"price_to":30000,"currency":"USD","id":12399},"operation":{"id":685,"name":"Radiotherapy for throat cancer","alias":"radiotherapy-for-throat-cancer"}},{"prices":{"price_from":800,"price_to":1000,"currency":"USD","id":28143},"diagnostic":{"id":190,"name":"Whole-body MRI","alias":"whole-body-mri"}},{"prices":{"price_from":60,"price_to":200,"currency":"USD","id":28112},"diagnostic":{"id":507,"name":"Thyroid function tests (including T3, T4, TSH)","alias":"thyroid-function-tests-including-t3-t4-tsh"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Dr. Markus Zutt is a dermatologist and dermatologic surgeon at Bremen-Mitte Clinic. He holds a professorship at University Medicine Göttingen. Dr. Zutt specializes in dermatosurgery, laser medicine, and chronic wound treatment. He has authored research on cardiac comorbidity in psoriasis patients.
Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
Dr. Dieter Ukena is the Head Physician of Pulmonology at Bremen-Ost Clinic in Germany. He oversees the care of over 500 lung cancer patients every year. His work focuses on immunotherapy and treating respiratory malfunctions during sleep. Dr. Ukena is a member of the German Society of Pulmonology and Respiratory Medicine.
Bremen-Ost Clinic is a lung surgery and neurology specialist, part of the Gesundheit Nord hospital network. The Pulmonary Center is certified by the German Cancer Society as a leading lung treatment center. Around 19,000 patients choose this clinic each year.
This procedure removes skin cancer, ensuring complete disease control and improved recovery.
"},"361":{"operation":{"name":"Topical therapy of melanoma","alias":"topical-therapy-of-melanoma","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":3800,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"DE":false,"TH":false,"AT":false},"description":"This therapy applies medicine directly onto skin cancer to halt its growth and spread, offering lesser side effects.
"},"363":{"operation":{"name":"Mohs microsurgery","alias":"mohs-surgery","use_for_listing":true},"country_price":{"US":{"amount":1800,"max_amount":4500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":1800,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1900,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1500,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"This therapy removes skin cancer layer by layer, checking each for cancer cells, ensuring minimal tissue loss.
"},"364":{"operation":{"name":"Wide excision of melanoma","alias":"wide-excision-of-melanoma","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":2600,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2800,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2600,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"This treatment involves surgically removing skin cancer, specifically ensuring a clean, cancer-free margin around it.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Simple-closure excision, desk work. Longer for manual work, reconstruction, or leg, foot, joint sites; nodal surgery excluded."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound complications (infection, hematoma, dehiscence, delayed healing) after excision alone; higher on lower limb; serious ones rare."},"contraindications":["Unmanaged bleeding disorder or anticoagulation (relative)","Active infection at surgical site (usually deferred)","Severe comorbidity or frailty making surgery unsafe (relative)","Life expectancy too limited to benefit from excision"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient under local anesthesia. Extensive reconstruction or sentinel node biopsy may need a day-case or overnight stay; not included."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Simple closure; avoid wound-stretching strenuous activity until healing confirmed. Longer on trunk, back, joints, or after reconstruction."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for scar maturation after wide local excision; oncologic outcome is determined by pathology and surveillance, not by this timeframe."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After simple closure once suture removal and wound check are done; later after graft or flap."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typically 7-14 days; longer over joints or on the lower limb."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of excision margin pathology and discussion of staging and further management."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"First surveillance skin and lymph node examination; subsequent schedule depends on stage."}}],"indications":["Biopsy-proven primary melanoma needing wide excision with Breslow-based margins","Re-excision after diagnostic excisional biopsy with positive or inadequate margins"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing, especially on the lower limb","Visible, widened or hypertrophic scar","Numbness or sensory nerve injury","Incomplete excision requiring re-excision"],"pain":"Local anesthetic injection causes brief stinging; afterwards mild to moderate soreness for a few days, usually managed with simple analgesics.","preparation":["Review of biopsy pathology and clinical staging as indicated","Marking of the biopsy scar and planned excision margins","Medical history review including bleeding tendency and allergies","Perioperative medication instructions given by the surgical team","Arrange wound care; companion if walking or driving affected"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild pain and swelling. Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has experience treating melanoma","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/after-diagnosed","host":"aad.org","quote":"The surgeon who performs this surgery is usually a surgical oncologist who has experience treating melanoma.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the clinic provides pathology examination of removed tissue","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/diagnose-treat","host":"aad.org","quote":"The tissue that your dermatologist removes will be sent to a lab, where a doctor, such as a dermatopathologist, will examine it under a high-powered microscope.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check 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decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Incision site opens 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