El complejo clínico de Renania del Norte-Westfalia ofrece una revisión histológica a distancia para casos de linfoma, sin necesidad de desplazarse para el diagnóstico inicial. El servicio suele costar unos 3.500 € e incluye el diagnóstico genético molecular, el establecimiento del diagnóstico final y el desarrollo de un plan de tratamiento personalizado. Su enfoque incluye un perfilado molecular completo mediante resonancia magnética de 3 Teslas y sistemas de imagen en 3D. La clínica cuenta con la acreditación EndoCert de la Sociedad Alemana de Ortopedia y Cirugía Ortopédica.
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\n\nLos médicos de la red realizan tratamientos en 27 especialidades. Los más fuertes son oncología, cirugía robótica, ortopedia, cardiología, urología y ginecología.
\n\nEl Centro del Corazón de la Asociación es el más grande de Alemania. Es el lugar donde los pilotos de aviación civil se someten a chequeos cardíacos.
\n\nCada año, más de 100.000 pacientes ambulatorios y 45.000 pacientes hospitalizados son tratados en los hospitales de la Asociación.
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En función del número de fármacos prescritos, existen:
Por regla general, para el linfoma, los médicos prescriben la poliquimioterapia, que incluye de 2 a 7 fármacos.
Si el examen muestra que las células cancerosas del linfoma son resistentes a los protocolos de tratamiento estándar, los médicos pueden prescribir quimioterapia a dosis altas. En este caso, se prescriben al paciente los mismos fármacos, pero en una dosis mucho mayor.
Según los protocolos americanos, el médico prescribe los fármacos según un esquema determinado, teniendo en cuenta su principio de acción.
Para la quimioterapia del linfoma no Hodgkin, existen 6 grupos principales de fármacos:
Para la quimioterapia compleja del linfoma no hodgkiniano, los médicos prescriben al paciente varios fármacos de diferentes grupos. Las combinaciones más habituales son CHOP (ciclofosfamida, doxorrubicina, vincristina, prednisolona) y CVP (ciclofosfamida, vincristina, prednisolona).
Combinaciones de fármacos de quimioterapia prescritas habitualmente para el linfoma de Hodgkin:
Un programa de diagnóstico completo para la selección de la quimioterapia para el linfoma incluye:
El número de ciclos y su duración dependen de las formas de la enfermedad y de los medicamentos prescritos. Según los protocolos médicos estadounidenses, el paciente debe completar entre 2 y 8 ciclos.
Cada ciclo de quimioterapia dura entre 2 y 4 semanas. A continuación se hace una pausa para que el cuerpo del paciente se recupere. La duración media del tratamiento del linfoma con quimioterapia es de 6 a 12 meses. El paciente puede acudir a la clínica para recibir el tratamiento o comprar los medicamentos y seguir el tratamiento en casa.
Después de la quimioterapia, el paciente puede experimentar los siguientes efectos secundarios:
Estos efectos son temporales y desaparecen pocos días después de finalizar el tratamiento.
En la quimioterapia a dosis altas para el linfoma, los fármacos pueden dañar la médula ósea y su función hematopoyética, por lo que el paciente necesita someterse a un tratamiento adicional.
Según el tipo y el estadio del linfoma, la quimioterapia se utiliza sola o en combinación con terapia dirigida, inmunoterapia o radioterapia. Si una concentración elevada de fármacos quimioterápicos ha dañado la médula ósea del paciente, éste necesita un trasplante que le devuelva la función hematopoyética.
El coste de la quimioterapia para el linfoma depende de la clínica elegida, el estadio de la enfermedad, los fármacos prescritos y el número de ciclos. Puede conocer el precio exacto tras consultar a un médico.
Día 1
Dia 2
Día 3-4
Dia 5
Semana 2-6
Semana 7 en adelante
Tenga en cuenta que el cronograma anterior es una guía general y los casos individuales pueden variar.
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