Treatment of bronchial carcinoma in Germany
Innovations in the treatment of bronchial carcinoma: from fluid biopsy to third-generation targeted drugs
Bronchial carcinoma is a malignant neoplasm that develops from the bronchial epithelium. RheinRegio Klinik Zentrum uses innovative treatment protocols, including robotic surgery, targeted therapy and immuno-oncology drugs, which allows achieving high results even in late stages of the disease.
Symptoms of bronchial carcinoma
The clinical picture depends on the location of the tumor:
Central cancer (70% of cases):
- Boring cough for no apparent reason
- Hemoptysis (in 40% of cases)
- Progressive shortness of breath
- Recurrent pneumonia
- Chest pain
Peripheral cancer:
- Long asymptomatic course
- Pain during pleural invasion
- Pancoast syndrome (at the apex of the lung)
- Paraneoplastic syndromes
Diagnosis of bronchial carcinoma at the RheinRegio Klinik Zentrum
- CT scan of the chest with contrast
- Bronchoscopy with biopsy and sputum cytology
- Whole body PET-CT
- Molecular genetic testing (EGFR, ALK, ROS1, PD-L1)
- Endobronchial ultrasound (EBUS) for lymph node assessment
- Thoracoscopic biopsy for peripheral formations
Each direction is supervised by advanced oncologists.
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Classification and stages of bronchial carcinoma
Histological types:
- Squamous (40-50%)
- Adenocarcinoma (30-35%)
- Small cell (10-15%)
- Large cell (5-10%)
Staging according to TNM 8th revision:
- Stage I: tumor ≤4 cm without lymph node involvement
- Stage II: tumor >4 cm or damage to peribronchial lymph nodes
- Stage III: locally advanced process
- Stage IV: distant metastases
Treatment methods for bronchial carcinoma
Surgical treatment:
- Video-assisted lobectomy/bilobectomy
- Circular resection of the bronchus in early forms
- Extended operations for locally advanced process
Radiation therapy:
- Stereotactic radiosurgery (CyberKnife)
- Proton therapy for gentle radiation
Systemic therapy:
- Targeted drugs (Osimertinib, Alectinib)
- Immunotherapy (Pembrolizumab, Nivolumab)
- Chemoradiation therapy according to ESMO protocols
Survival prognosis
Bronchial carcinoma requires a multidisciplinary approach. At RheinRegio Klinik Zentrum we offer innovative treatment methods based on a personalized approach to each patient.
Make an appointment with a pulmonary oncologist!
Our clinics
The association of clinics RheinRegio Klinik Zentrum offers the organization of treatment of bronchial 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.
Why RheinRegio Klinik Zentrum?
- Thoracic surgeons with experience >500 resections
- Da Vinci robot for precision operations
- Own molecular diagnostics center
- Individual treatment regimens according to the latest recommendations
- International clinical trials
