![\"Prostate](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66474cd3af15a.jpeg\" "\\"prostate")
Центр CDT-WEST специализируется на передовых методах лечения рака простаты с использованием лучевой терапии IMRT, IGRT и DIBH с применением прецизионной визуализации. Стоимость лучевой терапии обычно составляет от 12 200 до 19 800 долларов США. Центр оснащен современным оборудованием ПЭТ-КТ и МРТ для точной диагностики и планирования терапии.
","text_type":"mt_wow_description","best_texts":{"techniques":"3D-конформная лучевая терапия, лучевая терапия с модуляцией интенсивности (IMRT), объемно-модулированная дуговая терапия (VMAT), лучевая терапия под визуальным контролем (IGRT), стереотаксическая лучевая терапия тела (SBRT), междисциплинарный онкологический консилиум","good_fit_for":"Лучевая терапия предстательной железы для мужчин, которые не могут лежать неподвижно","why_its_ranked":"VMAT формирует распределение излучения вокруг опухоли, щадя мочевой пузырь и кишечник. IGRT позволяет использовать меньшие отступы безопасности. Отслеживание в реальном времени обеспечивает точность. Также применяется для лечения рецидива рака предстательной железы и метастазов."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":9000,"price_to":16000,"currency":"USD","id":28038},"operation":{"id":695,"name":"Лучевая терапия при раке простаты","alias":"lucevaa-terapia-pri-rake-prostaty"}},{"prices":{"price_from":552.5251632755839,"price_to":939.2927775684926,"currency":"USD","id":28024},"diagnostic":{"id":96,"name":"КТ (компьютерная томография)","alias":"kt"}},{"prices":{"price_from":220,"price_to":450,"currency":"USD","id":28031},"diagnostic":{"id":490,"name":"КТ придаточных пазух носа","alias":"kt-pridatocnyh-pazuh-nosa"}},{"prices":{"price_from":2000,"price_to":3200,"currency":"USD","id":28043},"diagnostic":{"id":1,"name":"ПЭТ-КТ","alias":"pet-kt"}}],"reviews":[],"clinic":{"id":427,"alias":"centr-diagnostiki-i-terapii-cdt-west","name":"Центр лучевой терапии и диагностики CDT-WEST","short_description":"CDT-WEST — это специализированный центр по радиодиагностике и терапии в Кёльне (Германия).
\n\nВрачи клиники проводят обследование пациентов на последних аппаратах КТ, МРТ и ПЭТ-КТ (позитронно-эмиссионной томографии).
\n\nЛучевую терапию доктора выполняют по современным методикам IMRT (интенсивно-модулированная радиотерапия), IGRT (под визуальным контролем), DIBH (синхронизированная с дыханием). Эти методы позволяют безопасно и эффективно лечить опухоли, которые расположены вблизи от жизненно важных органов.
\n","images":[{"base_url":"clinic/5beaf35ad9a6e","title":"Современный фасад клиники CDT-WEST Центр диагностики и терапии в Германии"},{"base_url":"clinic/5beaf35bd8023","title":"Главный вход в CDT-WEST Центр диагностики и терапии в Германии"},{"base_url":"clinic/5beaf35cc447b","title":"Зона ресепшн в CDT-WEST Центре диагностики и терапии, современная клиника в Германии"},{"base_url":"clinic/5beaf358602ad","title":"Современная зона ожидания в CDT-WEST Центре диагностики и терапии, Дюссельдорф"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Германия","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Кёльн","id":389,"alias":"keln"},"address":"Graseggerstrasse 105 H 50737 Köln, Germany"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":7,"year_foundation":0},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":198},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":4159,"user":{"id":117439,"name":"Marwa ","country_code":"BH"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ru":"Врачи Букимед всегда готовы помочь, дружелюбны и очень помогают в консультировании по критическим и сложным медицинским ситуациям. Начиная с объяснения дела и подготовки необходимых документов, пока не будет представлено и подробно объяснено второе мнение, и, наконец, следите за тем, чтобы все было улажено. Спасибо команде Букимед!","en":"The Bookimed doctors are always cooperative, friendly and very supporting in consultation about critical and complicated medical situations. Starting from explaining the case and preparing the required documents until the second opinion is provided and explained in good detail and finally following up to make sure everything is settled. Thank you Bookimed team!"},"order":{"illness":{"id":97,"name":{"ru":"Рак простаты","en":"Prostate cancer"}}},"clinic_info":{"id":295,"name":"Клиника Бремен-Митте (Норд Клиник Альянс)","alias":"set-klinik-nord-klinik-alyans","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-06-26T09:51:04.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Врачи Bookimed всегда готовы помочь, дружелюбны и оказать поддержку в консультации в критических и сложных медицинских ситуациях. Начиная с объяснения дела и подготовки необходимых документов до предоставления и подробного объяснения второго мнения и, наконец, последующих действий, чтобы убедиться, что все улажено. Спасибо команде Букимед!","en":"The Bookimed doctors are always cooperative, friendly and very supporting in consultation about critical and complicated medical situations. Starting from explaining the case and preparing the required documents until the second opinion is provided and explained in good detail and finally following up to make sure everything is settled. Thank you Bookimed team!"},"summary":{"positive":{"ru":"Врачи Bookimed всегда сотрудничают, дружелюбны и очень поддерживают в консультациях.Возврат: О докторе: Врачи Bookimed всегда сотрудничают, дружелюбны и очень поддерживают в консультациях. О клинике: Начиная с объяснения случая и подготовки необходимых документов до предоставления и подробного объяснения второго мнения. О результатах: Следим, чтобы убедиться, что все улажено. Об опыте: Спасибо ком","en":"The Bookimed doctors are always cooperative, friendly and very supporting in consultation.Return: About the doctor: The Bookimed doctors are always cooperative, friendly and very supporting in consultation. About the clinic: Starting from explaining the case and preparing the required documents until the second opinion is provided and explained in good detail. About the results: Following up to "}}},{"id":4989,"user":{"id":7922,"name":"Victor Plescan ","country_code":"IE"},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":4},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":2}],"text":{"ru":"Я попросил второе мнение о лечении рака простаты для моего отца. Консультация была предоставлена в письменной форме профессором, доктором мед. Себастьян Мельхиор. Он ответил на все мои первоначальные вопросы и те, которые я отправил после его первоначальных ответов за несколько дней. Это помогло нам лучше понять ситуацию и возможные варианты. Однако из-за того, что большинство ответов носили общий, довольно специфический характер, в конце концов, мы все еще не уверены, какое лечение лучше в нашем случае.","en":"I requested a second opinion for the treatment of prostate cancer for my dad.\r\n\r\nThe cosultation was provided in written by Prof. Dr. med. Sebastian Melchior. He answered all my initial questions and the ones I've sent after his initial answers in meter of few days.\r\n\r\nThis helped us in understanding better the situation and possible options. However due to the fact that most of the answers were of general rather specific nature, in the end we are still not sure what is the better treatment in our case."},"order":{"illness":{"id":97,"name":{"ru":"Рак простаты","en":"Prostate cancer"}}},"doctor_info":{"id":668,"name":"Себастиан Мельхиор","alias":"sebastian-melhior"},"clinic_info":{"id":295,"name":"Клиника Бремен-Митте (Норд Клиник Альянс)","alias":"set-klinik-nord-klinik-alyans","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-05T10:32:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Самая большая проблема, с которой я столкнулся, — это первоначальный контакт с Bookimed. Контактные формы и электронная почта с сайта не работали. Когда наконец связались, процесс прошел гладко и легко.","en":"The biggest issue I had is the initial contact with bookimed. Contact forms and email from the site didn't work.\r\nOnce finally contacted the process was smooth and easy."},"summary":{"positive":{"ru":"Он ответил на все мои первоначальные вопросы и те, которые я отправил после его первоначальных ответов, через несколько дней. О докторе: Он ответил на все мои первоначальные вопросы и те, которые я отправил после его первоначальных ответов, через несколько дней. О клинике: N/AО результатах: N/AОб опыте: N/AСамое положительное утверждение: Он ответил на все мои первоначальные вопросы и те, которые ","en":"He answered all my initial questions and the ones I've sent after his initial answers in meter of few days.About the Doctor: He answered all my initial questions and the ones I've sent after his initial answers in meter of few days.About the Clinic: N/AAbout the Results: N/AAbout the Experience: N/AMost Positive Statement: He answered all my initial questions and the ones I've sent after his initi"}}}],"meta":{"total_count":7,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"Профессор Борис Пфаффенбах руководит этим центром, сертифицированным Немецким онкологическим обществом, где выполнено более 9 000 операций. Как университетская клиника Кёльнского университета, клиника использует роботизированную систему da Vinci Xi для точного удаления опухолей. МРТ брюшной полости стоит около 900 долларов, а ПЭТ/КТ — около 2 600 долларов. Операция по поводу рака желудка стоит от 10 500 до 13 500 долларов. Обширная резекция желудка может стоить около 20 000–40 000 долларов. В эту стоимость входят операция и анестезия; обычно цены на 10% ниже, чем в других клиниках Германии.
","text_type":"mt_wow_description","best_texts":{"techniques":"Эндоскопическая подслизистая диссекция (ЭСД), лапароскопическая операция, химиотерапия, лучевая терапия, иммунотерапия, таргетная терапия","good_fit_for":"Пациенты, которым требуется химиотерапия перед операцией по поводу рака желудка","why_its_ranked":"Предоперационная химиотерапия уменьшает опухоли желудка. Еженедельный онкологический консилиум определяет тактику лечения. Da Vinci Xi, эндоскопические и лапароскопические методы. Специализированный центр лечения рака ЖКТ. Сертифицирован Немецким онкологическим обществом."},"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":20000,"price_to":40000,"currency":"USD","id":28067},"operation":{"id":218,"name":"Резекция желудка","alias":"rezekciya-zheludka"}},{"prices":{"price_from":10500,"price_to":13500,"currency":"USD","id":12190},"operation":{"id":122,"name":"Операция при раке желудка","alias":"gastrektomiya"}},{"prices":{"price_from":331.5150979653503,"price_to":331.5150979653503,"currency":"USD","id":28129},"diagnostic":{"id":102,"name":"Консультация онколога","alias":"konsultaciya-onkologa"}}],"reviews":[],"clinic":{"id":268,"alias":"gorodskaya-klinicheskaya-bolnica-v-g-zolingen","name":"Академическая клиника Золинген","short_description":"Академическая клиника Золинген (Solingen) — многопрофильная больница в Германии, в ТОП-е лучших госпиталей страны по версии журнала Focus.
\n\nСпециализация — онкология, нейрохирургия, гастроэнтерология, кардиология и ортопедия.
\n\n2 врача клиники входят в список рекомендованных специалистов Германии по версии Focus и Guter Rat— профессор Вольфганг Швенк, хирург брюшной полости, и профессор Петер Херинг, специалист по лечению гипертонии и болезней почек.
\n\nЕжегодно в Золинген обращаются более 60 000 пациентов.
\n","images":[{"base_url":"clinic/5c87c67033d52","title":"Современный фасад здания клиники Medical Center в Золингене, Германия"},{"base_url":"clinic/5ab24b5fb69f7","title":"Медперсонал изучает расписание операций на экране в Medical Center в Золингене"},{"base_url":"clinic/5ab24b6047e9a","title":"Кабинет КТ в Медицинском центре Золингена с пациентом и врачом"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Германия","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Золинген","id":341,"alias":"zolingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"Лучший врач по межпозвоночным грыжам","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Немецкое онкологическое общество DKG","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"listingTexts":{"entity_texts":{},"texts":{"txt_illness_3_clinics":{"text":"Рак простаты - это форма рака, развивающаяся в предстательной железе, которая представляет собой небольшую ореховидную железу у мужчин, вырабатывающую семенную жидкость, питающую и транспортирующую сперматозоиды.
\n\n
Осведомленность о раке простаты
\n\n![\"Prostate](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66474cef63414.jpeg\" "\\"prostate")
В зависимости от стадии рака простаты различные методы лечения демонстрируют разную степень эффективности:
\n\n1. Рак простаты ранней стадии (локализованный)
\n\n| Метод лечения | \n\t\t\tОписание метода | \n\t\t\tПоказатель успешности | \n\t\t
| Активное наблюдение | \n\t\t\tРегулярный контроль с помощью тестов на ПСА и биопсии без немедленного лечения. Помогает справиться с заболеванием на ранних стадиях, избегая или откладывая побочные эффекты более агрессивных методов лечения. | \n\t\t\t\n\t\t\t 5-летняя выживаемость близка к 100 %. \n\t\t\t | \n\t\t
| Хирургия (радикальная простатэктомия) | \n\t\t\tПолное удаление предстательной железы и некоторых окружающих тканей, в том числе лимфатических узлов. | \n\t\t\t5-летняя выживаемость близка к 100 % | \n\t\t
| Лучевая терапия | \n\t\t\tЛечение с помощью высокоэнергетических лучей или частиц для уничтожения раковых клеток, может быть внешним пучком излучения или брахитерапией. | \n\t\t\t5-летняя выживаемость близка к 100% | \n\t\t
2. Местнораспространенный рак предстательной железы
\n\n| Метод лечения | \n\t\t\tОписание метода | \n\t\t\tПоказатель успеха | \n\t\t
| Лучевая терапия + гормональная терапия | \n\t\t\tСочетание облучения с препаратами, снижающими уровень андрогена, чтобы подавить рост рака. | \n\t\t\t10-летняя выживаемость составляет около 60-75%. | \n\t\t
| Хирургия + адъювантная терапия | \n\t\t\tПростатэктомия с последующим дополнительным лечением (облучение или гормональная терапия) в зависимости от распространения рака и риска. | \n\t\t\t10-летняя выживаемость около 70-80 %. | \n\t\t
3. Прогрессирующий и метастатический рак предстательной железы
\n\nXofigo (дихлорид радия-223) - это вид костно-направленной терапии, которая специально воздействует на костные метастазы. В отличие от традиционных системных методов лечения, Xofigo точно нацелен на области, где рак распространился на кости. Он доставляет направленное излучение непосредственно к этим костным метастазам, помогая облегчить симптомы и продлить жизнь.
\n\nВ ходе крупного исследования ALSYMPCA было обнаружено, что пациенты, получавшие терапию Xofigo, жили в среднем на 3,6 месяца дольше по сравнению с теми, кто не получал этого лечения. Это показывает, что Xofigo может помочь продлить жизнь пациентов с распространенным раком простаты, поразившим кости.
\n\n| Метод лечения | \n\t\t\tОписание метода | \n\t\t\tПоказатель успешности | \n\t\t
| Гормональная терапия | \n\t\t\tЛекарства, снижающие уровень тестостерона, на который опираются клетки рака простаты для своего роста. | \n\t\t\tКонтролирует заболевание в течение примерно 18-24 месяцев. | \n\t\t
| Химиотерапия | \n\t\t\tИспользует такие препараты, как доцетаксел, для уничтожения раковых клеток, особенно полезен, когда гормональная терапия перестает действовать. | \n\t\t\tПродлевает выживаемость на 2-3 месяца. | \n\t\t
| Иммунотерапия | \n\t\t\tЛекарства, такие как Sipuleucel-T, которые помогают иммунной системе атаковать раковые клетки. | \n\t\t\tПродлевает жизнь примерно на 4 месяца. | \n\t\t
| Костно-направленная терапия | \n\t\t\tТакие препараты, как деносумаб и бисфосфонаты, укрепляют кости и облегчают боль от костных метастазов. | \n\t\t\tУменьшает количество скелетных событий, улучшает качество жизни. | \n\t\t
Последние достижения в области лечения рака простаты позволили значительно улучшить результаты, особенно на поздних стадиях заболевания.
\n\n1. Внедрение ПЭТ-КТ PSMA сканирования, которое позволяет точно определить распространение рака.
\n\n2. Геномное тестирование позволяет составлять индивидуальные планы лечения на основе генетических профилей.
\n\n3. Новые препараты гормональной терапии, такие как апалутамид и энзалутамид продлевают жизнь мужчинам с резистентными формами рака простаты.
\n\nВ испытание TITANапалутамид в сочетании с АДТ (андрогенной депривационной терапией) показал снижение риска смерти на 33 % по сравнению с АДТ. Через два года наблюдения около 82 % мужчин, получавших апалутамид вместе с АДТ, были живы по сравнению с 74 % мужчин, получавших АДТ и плацебо.
\n\n4. Радиолигандная терапия, при которой Lu-PSMA-617 нацеливается на раковые клетки и доставляет к ним излучение, эффективна в запущенных случаях.
\n\nВ испытание VISIONтерапия значительно увеличила общую выживаемость и выживаемость без прогрессирования по сравнению со стандартным лечением. Медиана общей выживаемости пациентов, получавших Lu-PSMA-617, составила 15,3 месяца по сравнению с 11,3 месяцами у пациентов, получавших только стандартное лечение.
\n\nЭти достижения особенно полезны при лечении распространенного рака предстательной железы, представляя собой значительный прогресс на пути к более целенаправленным, менее инвазивным и персонализированным методам лечения. Для получения более подробной информации свяжитесь с медицинским координатором Bookimed. Специалисты Bookimed оказывают бесплатную помощь в подборе оптимального метода лечения для каждого пациента.
\n\nРейтинг лучших клиник для лечения рака в урологии является динамическим. Это значит, что позиции онкологических центров меняются в зависимости от таких факторов:
\n\nЕсли центр рака простаты получает низкую оценку или плохие отзывы пациентов, он опускается в рейтинге. Это автоматически составленный рейтинг без субъективного мнения.
\n\nBookimed напрямую сотрудничает только с ведущими мировыми центрами, сертифицированными и одобренными престижными онкологическими ассоциациями. Прежде чем начать сотрудничество, мы тщательно проверяем каждую больницу, чтобы быть уверенными в том, что наши пациенты получат самую качественную медицинскую помощь.
\nКому-то выбор лучшего урологического онкологического центра может показаться сложным. Обратите внимание на такие факторы, чтобы получить наиболее эффективное лечение:
\n\nЕсли вам нужна помощь в выборе лучшего центра лечения рака простаты, обратитесь к менеджеру Bookimed. Вы получите бесплатную консультацию и ответы на все интересующие вас вопросы.
\nПо мнению пациентов Bookimed, лучшими центрами лечения рака простаты и урологии в Европе являются:
\n\nЕсли вам нужна помощь в выборе лучшей больницы для лечения рака в Европе, отправьте запрос.
\nBookimed сотрудничает с лучшими центрами лечения рака простаты в мире. В этих клиниках работают ведущие специалисты в области урологии и рака простаты, имеющие десятилетия опыта, членство в международных медицинских организациях и являющиеся лидерами престижных рейтингов. Врачи применяют новейшие технологии и проводят лечение рака простаты с максимальным успехом.
\n\nЕсли вы хотите получить консультацию одного из ведущих онкологов предстательной железы, просто отправьте заявку. Менеджер Bookimed организует консультацию с выбранным специалистом в течение нескольких дней.
\nВыполните следующие действия, чтобы получить максимально эффективное лечение рака простаты в кратчайшие сроки:
\n\nВы платите напрямую больнице. Услуги Bookimed бесплатны для пациента.
\n\nСтоимость лечения рака простаты может варьироваться от 8 510 до 17 420 долларов:
Врач определит общую стоимость лечения на основе ваших потребностей и предыдущих процедур.
"},"guide_mc":{"text":"Прибытие
Диагностика
Разработка плана лечения
Уход
Следовать за
Реабилитация
Обратите внимание, что только врач может определить точный диагноз и план лечения. Стратегия лечения очень индивидуальна и может различаться в зависимости от конкретного состояния пациента. Другие варианты диагностики и лечения могут включать таргетную терапию, иммунотерапию или участие в клинических испытаниях.
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