Treatment of anal carcinoma in Germany

Modern standards of therapy with preservation of the sphincter apparatus

Anal carcinoma is a rare malignant tumor of the anal canal that requires a comprehensive approach. RheinRegio Klinik Zentrum uses organ-preserving techniques, including chemoradiotherapy according to the Nigro protocol, which allows 80% of patients to avoid a calostomy. Our goal is radical treatment while maintaining quality of life.

Symptoms of Anal Carcinoma

Early signs

  • Bloody discharge from the anus
  • Foreign body sensation
  • Itching and discomfort

Late manifestations

  • Intense pelvic pain
  • Defecation disorder
  • Enlarged inguinal lymph nodes

Important: 30% of cases are misdiagnosed as hemorrhoids.

Diagnosis of anal carcinoma at the RheinRegio Klinik Zentrum

At RheinRegio Klinik Zentrum we carry out:

  • High-resolution anoscopy with biopsy
  • MRI of the pelvis (assessment of depth of invasion)
  • PET-CT for staging
  • HPV test (prognostic factor)
  • Genetic testing (MSI status)

Innovation: Fluorescent lymphography to detect micrometastases.

Each direction is supervised by advanced oncologists.

Find out the cost of treatment

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    Treatment Methods for Anal Carcinoma

    1. Chemoradiation therapy

    • Nigro Protocol (5-FU + mitomycin + 45 Gy)
    • IMRT (gentle irradiation)

    2. Surgery

    • Local excision (for T1N0)
    • Abdominoperineal resection (rare)

    3. Immunotherapy

    • Pembrolizumab (for MSI-H)

    Survival prognosis

    • Stage I: 90%
    • Stage III: 60%

    Make an appointment with a proctologist-oncologist.

    Our clinics

    The association of clinics RheinRegio Klinik Zentrum offers the organization of treatment of anal carcinoma 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?

    • Accurate diagnosis using 3.0T MRI
    • Organ-preserving approach in 85% of cases
    • Individual rehabilitation programs

    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).