At Anadolu Medical Center, we perform both radical and minimally invasive procedures in cancer treatment.
Anadolu Medical Center takes a multidisciplinary approach to cancer treatment. To draw up a personalised treatment plan for each type of cancer, multidisciplinary team meetings devoted to evaluating cancer patients are held regularly.
Anadolu Medical Center performs the following procedures in cancer treatment.
General Surgery
Within the general surgery department, we focus mainly on the surgery of three "systems". The first is the endocrine system, which includes thyroid surgery and minimally invasive kidney surgery for kidney tumours. Next come gastrointestinal tumours. Laparoscopic surgery for colon and rectal cancer, as well as procedures for stomach cancer, are very common in this category. Finally, we deal with cancers of the hepato-pancreato-biliary system (liver, pancreas and bile ducts). Alongside standard procedures, we offer minimally invasive alternatives to patients with gallbladder cancer and certain liver tumours.
HIPEC (hyperthermic intraperitoneal chemotherapy)
The fundamental principle of this treatment is to regard the peritoneum as an organ and, in cases of peritoneal carcinomatosis, to remove the affected peritoneum together with the damaged organ or organs (cytoreductive surgery). Intra-abdominal chemotherapy is given after this procedure, that is, once all the tumour tissue has been removed. The aim is to destroy any residual microscopic metastases.
What is the rationale behind HIPEC?
Why do we give the chemotherapy agent after heating it? What effect does the heat have?
- Heat helps the drug penetrate the tissues.
- Heat strengthens the destructive effect of the chosen chemotherapy agent on cancer cells.
- Heat itself has an antitumour effect.
- Intraoperative chemotherapy can be spread throughout the abdominal cavity by manual manipulation. The heat helps distribute the drug evenly over all intra-abdominal surfaces.
- During the procedure, the drug's side effects on the kidneys and urinary function can be monitored very closely and, if necessary, measures can be taken.
- During HIPEC, many of the patient's physiological parameters (body temperature, coagulation, haemodynamics, etc.) can be normalised.
- During HIPEC (60 minutes), tumour cells are removed mechanically from the surface of the small intestine and via the fibrin layers formed by coagulation.
Which patients and which diseases is HIPEC used for?
It is most often used in the treatment of ovarian cancer in women. It is also applied to cancers of the colon (rectum), stomach, appendix and peritoneum (pseudomyxoma peritonei). In recent years, it has also begun to be used in pancreatic cancer.
Comprehensive Breast Disease Centre (Senology)
The Breast Health Centre (breast cancer centre) provides access, in a single location, to every aspect of breast cancer screening and treatment. Our centre offers a simple pathway for the screening, diagnosis and treatment of breast cancer throughout the difficult journey of cancer patients.
- Patients are assessed using a multidisciplinary team approach.
- The centre is designed so that patients register there and benefit from the diagnostic process and treatment stages carried out within the centre.
- An active, organised structure where patients can find answers to all their questions.
- A case management system that ensures coordination between patients and medical departments.
What services do we offer?
- Examinations carried out immediately — mammography, ultrasound — followed by a biopsy (if necessary).
- A routine check-up for the early detection of breast cancer.
- Screening, assessment and (if necessary) in-depth examination of women at high risk of breast cancer.
- If a diagnosis is made, surgery or other medical treatment.
Our Breast Health Centre team (senology centre)
The team at our Breast Health Centre brings together all the specialties needed to meet the needs of patients who come to our hospital with questions about this disease. The breast cancer tumour board, made up of doctors specialising in general surgery, medical oncology, radiation oncology, nuclear medicine, pathology, radiology, plastic surgery and psychiatry, meets every week to assess the patient's health and treatment.
Gynaecologic Oncology
We can treat all gynaecological types: cervical cancer, ovarian cancer, uterine cancer, vulvar cancer, vaginal cancer and gestational trophoblastic tumours.
In cases of early-stage endometrial and cervical cancer, we favour our laparoscopic procedures, which allow faster recovery and less pain. Laparoscopic procedures for malignant gynaecological tumours are performed to high standards, without compromise.
In our operating theatres, we can obtain a frozen-section diagnosis from the pathologist working there. Thanks to our state-of-the-art technological infrastructure, the surgeon and the radiologist can review all preoperative radiological examinations during the operation, inside the operating theatre itself.
Postoperative treatment decisions are made at the regular tumour board meetings, attended by our colleagues from various specialties, including radiation oncology, medical oncology, radiology and pathology.
Orthopaedic Oncology
Our orthopaedic oncology centre offers the most effective treatment methods for bone and soft tissue sarcomas. Malignant bone tumours include osteosarcoma, Ewing sarcoma, chondrosarcoma, fibrosarcoma, metastatic carcinoma, myeloma and other metastatic bone tumours.
Our orthopaedic oncology centre also offers innovative treatments, such as limb-sparing procedures designed to preserve the limb when the tumour is surgically removed.
Our team consists of well-regarded orthopaedic surgeons as well as rehabilitation specialists. Our doctors have extensive experience of rare and difficult forms of osteosarcoma that require particular surgical procedures, such as limb-sparing surgery and rotationplasty.
At Anadolu Medical Center, the multidisciplinary centre generally operates through collaboration between the following departments:
- Medical Oncology
- Radiation Oncology
- Paediatric Oncology
- Musculoskeletal Radiology
- Orthopaedic Surgery
- Pathology
Weekly meetings between these departments coordinate and guide the care given to the patient. Our patients also have access to:
- Psychosocial support
- Patient educators and resources
- Support groups
ENT Oncology — oncology of the nose, throat and ear
In our Ear, Nose and Throat (ENT) department, we surgically treat benign and malignant tumours of the head and neck region. Surgery for laryngeal carcinomas is one of the most frequently performed procedures in our ENT department. It covers a wide range of oncological procedures, including organ-preserving endoscopic microlaryngeal surgery in early glottic carcinomas of the larynx, as well as other techniques such as partial or total laryngectomy, with or without neck dissection, for locally advanced malignant tumours of the larynx. Our department works closely with other departments on certain types of skull base tumour — jugular glomus tumours, acoustic tumours or temporal bone carcinomas. Using navigation systems, we can operate on tumours that are difficult to treat. Tumours of the salivary glands, in particular parotid tumours, are resected under nerve monitoring.
Thanks to an experienced surgical team and state-of-the-art endoscopic equipment, tumours of the paranasal sinuses can be treated with less loss of function. Our surgical team has extensive experience in oncological surgery, not only for initial resections but also for complex reconstructive procedures.
Neuro-oncological Surgery
The number of cancer patients is rising worldwide. We know that 20 to 25% of cancer patients have brain or spinal metastases. The neurosurgery department is frequently called on in these cases for diagnosis and treatment.
The neurosurgery department at Anadolu Medical Center also treats various types of neuro-oncology patients. The neuro-oncological conditions we treat include:
- Brain tumours
- Spinal tumours
- Peripheral nerve tumours
- Spinal cord tumours
Benign brain tumours include pituitary adenomas and neuromas. The malignant tumours that most often require surgery are mainly gliomas or metastatic lesions. Spinal tumours are essentially metastatic tumours. A metastasis to the spine usually causes severe pain that needs treatment. Tumours of the peripheral nerves and spinal cord are important because they affect the nerves and cause the patient pain and weakness.
Technologies
- Neuronavigation
- CyberKnife radiosurgery
- Digital angiography
- Advanced MRI and CT
- Frameless stereotactic biopsy
- Video-EEG monitoring
- Brain mapping
For deep-seated brain tumours, we use neuronavigation to minimise damage to healthy brain tissue. These technologies help the surgeon locate a small, deep-seated tumour through a small incision. In these cases, the patient's comfort after surgery is markedly better. We also use navigation-guided biopsy, which helps diagnose difficult lesions, and CyberKnife radiosurgery to treat certain tumours. In addition, video-EEG monitoring and brain mapping help to locate tumours.
Managing brain and spinal tumours requires a comprehensive, multidisciplinary approach. At Anadolu Medical Center, these patients are treated through collaboration between the following departments:
- Medical Oncology
- Radiation Oncology
- Neuroradiology
- Neuropathology.
We have the equipment, technology and experience needed to provide high-level care to patients with brain and spinal tumours.
Other services
In the treatment of cancers affecting the urological system, a multidisciplinary approach is also essential. Besides kidney and testicular cancer, our experienced team of urological surgeons can perform complex urologic oncology procedures. To find out more, see our Urology section.
Anadolu Medical Center also has experience in the surgical treatment of melanoma, a very common type of skin cancer.
İlker Tinay
İlker Tinay
Education and career
- Istanbul University, Istanbul Faculty of Medicine
- Urology, Marmara University Faculty of Medicine
Memberships
- Executive Board Member Association of Urooncology
- Secretary of the Bladder Tumors Research Group Association of Urooncology
- Member Of Board Of Directors Of Urological Surgery Association, Northern Marmara Branch
- Internatıonal Bladder Cancer Network
- European Assocıatıon Of Urology Member
- Member of the Amerıcan College Of Surgeons
Research and publications
- Marmara University, Faculty of Medicine, Science Encouragement Award for Residency Students, 2008
- National Urological Surgery Congress, Young Academic Presentation Award,2012
- Urooncology Association Scientific Research Award, 2019