Oncology in Ankara

Oncology is the branch of medicine that focuses on the research, prevention, diagnosis, and treatment of cancer. A medical professional who specializes in diagnosing and treating people with cancer is called an oncologist.

An oncologist can design a treatment plan based on detailed pathology reports that shows the type of cancer the patient has, how much cancer has developed, how fast the cancer is likely to spread, and what parts of the patient's body are involved.

The field of oncology has three main areas, which include:

• Medical oncologists use chemotherapy, hormonal therapies, and other types of targeted treatments to treat cancer. Most people think of medical oncologist as their primary cancer doctor. Medical oncologists help monitor and maintain patients' well-being, as well as helping patients manage side effects. Often patients follow up with their medical oncologist once their treatment is complete.
• Surgical oncologists perform the surgical removal of the tumor and surrounding tissue. They will help patients prepare for and recover from any surgical procedure they undergo during their cancer treatment. If your primary doctor suspects that you have cancer, a surgical oncologist is likely one of the first doctors you see. Surgical oncologists can perform biopsies, which involves removing a small tissue sample to be checked for cancer cells.
• Radiation oncologists treat cancer using radiation therapy. They use high-energy photon beams to target and destroy cancer cells. Approximately one-half of all cancer patients will undergo radiation treatment during their cancer care.

Because most cancers are treated with a combination of therapies, you could see two or all three different oncologists during the course of your treatment.

Besides the three main areas, there are also several other areas of oncology. These include:

• Pediatric oncologists diagnose and treat cancer in children. Some types of cancer appear more often in children and teenagers, such as leukemia, brain tumors, osteosarcoma, and Ewing’s sarcoma. Some pediatric oncologists focus on conducting research on childhood cancers, while others specialize in certain types of cancer.
• Gynecologic oncologists treat cancers that affect women, such as cancer of the ovary, cervix, uterus, vagina, and vulva. Additionally, they also treat complicated gynecological conditions that are not cancerous, such as fibroid tumors and endometriosis.
• Hematologist-oncologists diagnoses and treats blood cancers, such as lymphoma, leukemia, and myeloma. They may also specialize in the management of solid tumors.

Oncologists usually work with a variety of other medical professionals, including pathologists, diagnostic radiologists, oncology nurses, and oncology social workers. They may also work with doctors from other areas of medicine, such as neurologists, dermatologists, or urologists.

What does Oncology Involve?

There are many types of procedures to treat cancer. The types of procedures that you receive will depend on the type of cancer you have and how advanced it is. Some people who have cancer will only have one treatment. However, most people have a combination of treatments, such as surgery with radiation therapy and/or chemotherapy. Below are the types of procedures to treat cancer:

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells in the body and prevent them from growing. The drugs can prevent cell division, target the food source of the cancer cells’ (the hormones and enzymes the cells need to grow), and trigger apoptosis (a process in which cancer cells kill themselves).

• Chemotherapy drugs can be given in several different ways, including.
• Oral – taken in a pill or capsule form.
• Intravenously – through an infusion into a vein.
• Shots – injected with a needle.
• Topical – applying creams or gels into the skin. This type is used to treat certain types of skin cancer.

Chemotherapy drugs can also be given directly to cancer or directly to an area of the body, such as the abdomen or central nervous system.

Immunotherapy

Immunotherapy, or biologic therapy, boosts your body’s natural defenses to fight cancer. It uses substances made by your own body, or in a laboratory, to improve or restore your immune system function. It can stop cancer from spreading to other parts of the body, stop or slow the growth of cancer cells, and help your immune system work better at destroying cancer cells.

There are several types of immunotherapy to treat cancer, including immune checkpoint inhibitors, T-cell transfer therapy, monoclonal antibodies, treatment vaccines, and immune system modulators. Different types of immunotherapy may be given in different ways, such as intravenous (IV), oral, intravesical (directly into the bladder), or topical.

Targeted therapy

Targeted therapy uses drugs that are designed to specifically “target” cancer cells without affecting normal cells. It targets the cancer’s specific proteins, genes, or other tissue environment contributing to cancer survival and growth. These proteins and genes are found in cancer cells or in cells related to cancer growth.

The targeted drugs can block or turn off chemical signals that tell cancer cells when to divide and grow, stop making new blood vessels that feed cancer cells, change proteins within the cancer cells so the cells die, trigger the immune system to kill cancer cells, and carry toxins in the cancer cells to kill them.

• There are two types of targeted therapy:
• Small-molecule drugs, which is given through pills or capsules that you swallow
• Monoclonal antibodies, which are given through a needle in a blood vein.

Radiation Therapy

Radiation therapy uses intense energy beams to kill cancer cells and shrink tumors. It most often uses X-rays, but other types of energy, such as protons may also be used.

Radiation therapy can be done in two ways:

• External-beam radiation therapy – this type of radiation therapy delivers radiation from a machine outside the body. You will lie on a table, and the machine (called a linear accelerator) moves around you to deliver radiation from several different angles. It is a quick and painless procedure.
• Internal radiation therapy – also called brachytherapy, involves both temporary and permanent placement of radioactive sources in the body. During the placement of the radioactive sources, you will be given anesthesia.

Hormone therapy

Hormone therapy stops or slows the growth of cancer that uses hormones to grow. It works by blocking your body’s ability to produce hormones or interfere with how hormones behave in your body. It can reduce the chance that cancer will return by stopping or slowing its growth, as well as preventing or reducing symptoms in men with prostate cancer.

Hormone therapy is usually used to treat breast and prostate cancer. It can be taken in many ways, including orally, through an injection, and surgery.

Stem Cell Transplant

People whose blood-forming stem cells are damaged by the very high doses of radiation therapy or chemotherapy can undergo stem cell transplant to restore the cells. Blood-forming stem cells are vital since they grow into different types of blood cells that you need to be healthy. The stem cells will be given to you through an IV catheter. The process is very much like receiving a blood transfusion.

Surgical treatment

Surgical treatment for cancer is a procedure to remove cancer from your body. There are many types of surgeries to treat cancer, which differ based on the part of the body that requires surgery, the purpose of the surgery, the amount of tissue to be removed, and your preference. In general, the surgery can be open or minimally invasive.

• During open surgery, one large incision is made to remove the tumor, some healthy tissue, and some nearby lymph nodes.
• During minimally invasive surgery, a few tiny incisions are made instead of a large one. These incisions are made to insert a laparoscope (a long, thin tube with a camera on its end) and special surgical tools. The laparoscope allows your surgeon to see the inside of the body, and the surgical tools are used to remove the tumor and some healthy tissue.

How Long Should I Stay in Ankara?

For chemotherapy, radiation therapy, immunotherapy, hormone therapy, and targeted therapy, the treatment schedule may vary. You may have treatment every day, week, or month. It may also be given in a cycle, which is a period of treatment followed by a period of rest to give your body a chance to recover. For surgical treatment, you may need to stay in the hospital for a few days, and you need to stay in Ankara for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Ankara.

What's the Recovery Time?

The type of procedure you undergo determines the recovery period. While you may be able to get back to your normal routine within 10 days after laparoscopic surgery, you may need to wait around 6 weeks to fully recover from open surgery. Your oncologist will give you a detailed recovery timeline.

What About Aftercare?

You will be given instructions on how to take care of yourself. Your surgeon or nurse will explain how to control your pain, how to take care of your wound, activities you can and cannot do, and how to spot signs of infections. You may also need to talk to a dietitian to help with eating problems caused by the treatment. You will need to attend follow-up checkups to monitor your condition.

What's the Success Rate?

Cancer survival has improved significantly due to constant advancement and improvements in the field of oncology, including improvement in treatments and screening (allowing for earlier diagnosis). Still, you need to be aware of the risks, such as infection, bleeding, nerve damage, fatigue, nausea, vomiting, and hair loss.

Are there Alternatives to Oncology?

There is no other alternative than to see an oncologist when it comes to cancer treatments. Some people may choose to undergo meditation, hypnosis, and acupuncture as well, usually to relieve the stress, anxiety, and pain that cancer can bring.

Oncology in and around Ankara

About Ankara

Turkey’s capital Ankara is the second-largest city in the country and has a rich cultural heritage and serves a prominent place in history.

Ankara is a prominent industrial hub of Turkey with many manufacturing plants catering to food, beverage, and the construction of raw materials, etc. Medical tourism is also a major source of revenue for Turkey as it tops the list among the seven countries famous for thermal springs. The Medical Tourist industry in Turkey is growing 10%-15% each year and 2018 saw close to 1 million tourists who visited the country for medical treatments.

While patients from all over the world visit Ankara for medical procedures, most of them are from Libya, Germany, UK, and UAE. The big reason behind this was due to the fact that the treatments and surgical procedures in Turkey are nearly 40% cheaper than in most other European nations. There are world-class hospitals catering to a wide range of medical procedures. The city being a hot tourist destination, many patients enjoy exploring the city while getting treated. Some of the popular hospitals and Clinics frequented by tourists in Ankara include:

• Sanatoryum Hastahanesi
• Ankara University Cebeci Hospital
• SALUSS Medical Center

In addition to the aforementioned services, the recently inaugurated Ankara Bilkent City Hospital that began operations in March 2019, holds the distinction of being the biggest hospital in the country. It boasts a stupendous capacity, housing a total of 3,704 hospital beds.

Popular Areas in Ankara

The Central Anatolia Region is known to host some of the most prolific wine production establishments in the city.

Notably, the well-known Turkish Aerospace Industries, Türk Havacılık ve Uzay Sanayii A.Ş., is based in Ankara's Sincan district. This area is predominately inhabited by Turkish residents.

Ankara is an important city where most of the significant Government related activities are carried out and has become a prominent place for bureaucrats and officials. Çankaya District houses most of the Government buildings and is also one of the most popular residential neighborhoods in Turkey.

Another key urban area in Ankara is Yenimahalle. This district is renowned for the recently popularized Wonderland Eurasia theme park. In merely the first week following its grand opening, the park was thronged by nearly one million eager visitors.

Weather and Climate in Ankara

Ankara is known for its Mediterranean climate with hot, dry summers making up the city's weather pattern. Contrastingly, winter seasons can be quite chilly, with the lowest yearly temperature recorded around a frigid -24.9°C. If your timing is lucky, you might even get to revel in a bit of gentle snowfall during the winter months. Namely, back in 2018, the city appreciated snowfall commencing in mid-December, signaling a winter season that was relatively warmer than those of preceding years.

June to August is an ideal time to visit Ankara. After the heat of the summer settles down, these months stay warm and dry. March to May is the next most preferred time for tourists. It is best to avoid the months of December and January, as the city can get unpredictably cold. It receives a good amount of rainfall after the winter between January and March. Hence, if you are visiting Ankara for skiing, then it is wise to reschedule your travel to early January.

Getting around in Ankara

Tourists from all over the world can reach Ankara through its Esenboğa International Airport. The primary airlines serving most of the popular global destinations are:

• Anadolu Jet
• Pegasus Airlines
• SunExpress
• Turkish Airlines

Besides this international airport, it also has the Etimesgut Air Base, the Akıncı Air Base, and the Güvercinlik Army Air Bases.

Visitors can easily navigate through the city courtesy of the efficiently networked metro rail and local bus services. The management and regulation of the railway and bus facilities are efficiently handled by Ankara Electricity and Gas Operations Business.

Ankara Central Railways Station provides connectivity to all primary points within the city. Opting for a taxi from the airport to the city center is also a reasonable choice, with fares approximated around $15. Plus, the overall taxi charges within the city are perceived to be quite fair.

Tourist Visas in Ankara

Electronic Visa Application System of the Republic of Turkey: The Electronic Visa Application System of the Republic of Turkey (e-Visa) is a system that allows citizens of certain countries to obtain a visa to Turkey online. To apply for an e-Visa, you must visit the government website of the e-Visa system. You can check the list of eligible countries on the website.

Visa on arrival: Citizens of certain countries, including Bhutan, Afghanistan, and Kenya, can choose to obtain a visa on arrival in Turkey. However, it is important to note that visa on arrival is not guaranteed, and you may be denied entry if you do not meet all of the requirements.

Visa requirements for citizens of India, China, Russia, and other countries: Citizens of India, China, Russia, and a few other countries must apply for a visa in advance before traveling to Turkey. Visas can be obtained online or at a Turkish embassy or consulate.

Additional Information

• The local currency of Ankara is Turkish Lira. The value of 1 Turkish Lira is equivalent to 0.17 USD.
• Most of the tourist spots in the city accept payments made with credit and debit cards. You can also make use of international money transfer systems. On Municipal buses and metros, you can pay with magnetic cards available at kiosks. However, it is advisable to carry cash to pay at the local buses. Most taxi drivers accept payment in local currencies only.
• ​​​​​​​The tourism police division in Ankara Police Department consists of staff who can speak multiple languages including English, French, Arabic, and Russian. Most of the younger generation and some taxi drivers also understand English. Yet not many might be able to communicate in English though.
• ​​​​​​​If you would like to enjoy the rich culture of the city, then check out the Ankara Opera House. It is popular for ballet performances and theatres. The city has a strong emphasis on arts and music.
• ​​​​​​​Kocatepe Camii is a popular destination for tourists. It is the largest Mosque in Ankara. The Mosque was built in an Ottoman architecture style, for this reason, it resembles the Mosques built in the Ottoman era, such as the famous Sultan Ahmet Mosque (also called the Blue Mosque) in Istanbul.
• ​​​​​​​The major public holidays of Ankara are the New Year’s on January 1, Labor Day on May 1, and Republic Day on October 29. So, plan your visit keeping these National holidays in mind.