Treatment of leukemia in Germany

Innovative methods of therapy: from genetic analysis to bone marrow transplantation

Leukemia is a malignant disease of the hematopoietic system in which abnormal blood cells are formed in the bone marrow. RheinRegio Klinik Zentrum uses advanced treatment protocols, including targeted therapy and stem cell transplantation. Our goal is to achieve stable remission even in difficult cases.

Symptoms of leukemia

Signs depend on the type of disease (acute/chronic) and stage:

General manifestations

  • Pale skin, weakness (anemia)
  • Frequent infections (decreased white blood cells)
  • Bleeding gums, bruising (thrombocytopenia)
  • Enlarged lymph nodes, liver and spleen
  • Night sweats, weight loss

Features by Type

Acute leukemia:

  • Rapid development (weeks)
  • High temperature
  • Hemorrhagic syndrome

Chronic leukemia:

  • Long-term asymptomatic course
  • Fatigue, heaviness in the stomach

Important: In children, acute lymphoblastic leukemia (ALL) is often disguised as ARVI.

Diagnosis of leukemia at RheinRegio Klinik Zentrum

At RheinRegio Klinik Zentrum we carry out:

  • Detailed blood test – blast cells, cytopenia.
  • Sternal puncture – examination of the bone marrow.
  • Cytochemistry and immunophenotyping – determining the type of leukemia.
  • Molecular genetic tests (FISH, PCR):
  • Philadelphia chromosome in CML.
  • Mutations of FLT3, NPM1 in AML.
  • CT/MRI – assessment of damage to lymph nodes and organs.

Example: In AML, identification of an IDH1 mutation makes it possible to prescribe targeted therapy (ivosidenib).

Each direction is supervised by advanced oncologists.

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    Classification and stages of leukemia

    Main types

    1. Acute lymphoblastic leukemia (ALL) is more common in children.
    2. Acute myeloid leukemia (AML)—predominant in adults.
    3. Chronic lymphocytic leukemia (CLL) has a slow course.
    4. Chronic myeloid leukemia (CML) is associated with the Philadelphia chromosome.

    Stages (for chronic forms)

    • Initial: Asymptomatic, detected by blood test.
    • Expanded: Clinical manifestations.
    • Terminal: Blast crisis (aggressive course).

    Cancer treatment methods

    1. Chemotherapy

    • Induction of remission – destruction of blast cells.
    • Consolidation – consolidation of the result.

    2. Targeted therapy

    • Imatinib (for CML) – blocks the BCR-ABL protein.
    • Monoclonal antibodies (rituximab for B-cell leukemia).

    3. Bone marrow transplantation

    • Allogeneic – from a donor (the main method for AML).
    • Autologous – the patient’s own stem cells.

    4. Radiation therapy

    • Prevention of neuroleukemia (for ALL).

    5. Immunotherapy

    • CAR-T cells – for relapses of ALL.

    Survival prognosis

    • ALL in children – 90% 5-year survival rate.
    • CML – 85% of patients live 10+ years on imatinib.
    • Relapsed AML – 50% chance of remission after transplantation.

    Important: Early diagnosis improves the prognosis by 2–3 times.

    Survival prognosis

    • ALL in children – 90% 5-year survival rate.
    • CML – 85% of patients live 10+ years on imatinib.
    • Relapsed AML – 50% chance of remission after transplantation.

    Important: Early diagnosis improves the prognosis by 2–3 times.

    RheinRegio Klinik Zentrum uses a personalized approach to the treatment of leukemia. We combine the latest scientific advances with caring for each patient.

    Sign up for a consultation – we are ready to help in the fight against the disease!

    Our clinics

    The association of clinics RheinRegio Klinik Zentrum offers cancer treatment in Germany without intermediaries, providing access to the country’s leading oncology clinics. We combine advanced techniques, an individual approach and the highest level of medical care, giving hope even in difficult cases.

    Catholic Clinical Complex

    The clinic specializes in the diagnosis and medical treatment of tumor diseases of internal organs (solid tumors and carcinomas), connective and musculoskeletal tissues (so-called sarcomas), as well as diseases of the blood and lymphatic system (lymphoma and leukemia). It conducts a wide range of clinical studies aimed at developing new drugs and vaccines for the treatment of cancer.

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    Rhine Clinical Complex Hospital Lucas

    The Lucas Clinic plays a key role in the German healthcare system, offering a wide range of medical services. All diagnostic and therapeutic radiological activities are carried out at the Institute of Clinical Radiology. Using the most modern devices, in accordance with the latest medical advances, low-irradiation methods of radiation therapy are used.

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    Sana’a Clinical Complex

    The Sanaa Clinical Complex actively uses the latest medical technologies in the treatment of cancer, including robotic surgical systems, high-precision diagnostics and innovative methods of radiation and chemotherapy.

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    Our oncologists:

    Bjorn-Wieland Lisboa

    Gynecologist, senologist, specialist in the treatment of breast cancer, Doctor of Medical Sciences…

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    Karl-Axel Hartmann

    A leading specialist in radiation therapy, Professor, Doctor of Medical Sciences, is included in the TOP list of the best German doctors…

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    Tobias Heintges

    Prof., dr. honey. Sciences, oncologist, gastroenterologist. Included in the TOP list of the best doctors in Germany according to the results of the annual survey of the public journalistic magazine “FOCUS”

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    Jörg Falbrede

    Gynecologist, oncologist, mammologist, uro-gynecologist, professor, doctor of medical sciences Jörg Falbrede is included in the TOP list of the best gynecologists in Germany…

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    Aristotle Giagounidis

    Professor, Doctor of Medical Sciences, Head of the Clinic of Oncology and Hematology Medicine, is on the TOP list of the best German oncologists…

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    Jan Martin Beron

    Dr. med. Jan Martin Beron, leading specialist in thoracic surgery. Specializes in the treatment of lung tumors, including lung cancer and metastases…

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    Thomas Dirschka

    Dermatologist, onco-dermatologist, specialist in allergology and venereology, professor, doctor of medical sciences…

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    Susan Ingman

    Radiologist, Diagnostic Radiologist, Nuclear Medicine Specialist, Dr. Susan Ingman, MD

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    Why RheinRegio Klinik Zentrum?

    • International experts – hematologists with experience in clinics in the USA and EU.
    • Genetic diagnostics – selection of therapy based on mutation profile.
    • Bone Marrow Transplantation – ISO 5 Clean Room Unit.
    • Clinical trials – access to innovative drugs (for example, venetoclax for CLL).
    • Patient support – psychological assistance and rehabilitation.

    Application for treatment

    Apply now, and our highly qualified staff quickly and professionally choose specialized clinics and physician and prepare visa invitation from the clinic. Application processing time varies from a few hours to 2-3 working days (depending on the complexity of the inquiry).