Oncology in Belgium

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 Belgium?

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 Belgium for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Belgium.

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 Belgium

Belgium is one of the smallest and most densely populated countries in Europe and has some of Europe’s finest cuisine, including the creamiest chocolates and a wide variation of beers. In addition, it is home to extensive beaches, postcard-worthy dunes, historic cities, and beautiful countryside, with belfries, castles, and carnivals. Belgium has enjoyed a growing reputation for being excellent medical tourism as well as the country boasts immaculate clinical standards. The medical centers in the country offer a wide range of specializes treatments, short waiting time, highly-trained medical professionals, and considerably lower medical costs. Orthopedics and heart surgery are the most sought after procedures in Belgium.

Popular Parts of Belgium

Brussels is the capital of Belgium, as well as home to European Union official seats and NATO headquarters. Here, visitors can see Europe’s grandest squares, visit the beloved statue of a little boy peeing into a basin (Manneken Pis), explore Musées Royaux des Beaux-Arts, and admire the magnificent Grand Palace. Bruges, a pickled Gothic city, is also worth a visit. The key attractions in the city are the 14th-century town hall, the Cathedral of the Holy Savior, and the Belfry Tower. Other popular cities include Antwerp and Ghent. While Antwerp is famous for its fashion and excellent museums, Ghent is best known for its historic quarter and stunning Van Eyck altarpiece in its colossal cathedral.

Weather and Climate in Belgium

Belgium has four distinct seasons. Summer in the country is relatively short, starting in July and ending in August. The season is warm, with bearable heat and some intermittent rain. Winter comes in November and extends until March. It can get rather wet and chilly during this season, with an average temperature of around 3 - 7°C. Spring (April – June) and autumn (September – October) are generally nice and warm, with an average temperature of around 10 - 15°C. 

Getting around in Belgium

The main international airport in Belgium is Brussels Airport. It serves flights to many major cities around the world, including Copenhagen, Doha, London, New York, Atlanta, Casablanca, and Bangkok. Since Belgium is a small country, there are no domestic flights. The public transport system in the country is extremely well-organized and reasonably priced. The best way to get around the country is by train. The trains are affordable, fast, frequent, very punctual, and have a comprehensive network of lines. Buses tend to be used in conjunction with train services, so you will likely need a train-bus combination when traveling, especially to rural areas. Inside cities, the transport systems are centered on buses, but there are also metro and trams in Brussels and Antwerp. Taxis are plentiful in all cities and ensure to hire metered official taxis, which have standard fares.

Tourist Visas in Belgium

Belgium is part of the Schengen Area, so nationals of EU/EEA countries do not need a visa to visit the country regardless of their length of stay or purpose of travels. Citizens of 62 countries, including Canadian, Australian, and US nationals, can stay in the country without a visa for up to 90 days. Belgium Visa for Medical reasons is available for people who need to obtain medical care in the country.

Additional Information

1. Local Currency: Belgium adopted the euro (€) in 2002. The exchange rate from US$1 is around €0.85 (€1 is around US$1.17).
2. Money & Payments: All towns and cities have cashpoints that are compatible with international banking networks. Credit Cards, particularly MasterCard and Visa, are widely accepted in major cities and towns. Always have some cash on you when traveling to smaller villages. Tipping is not standard practice but appreciated.
3. Local Language: Dutch, German, and French are the official languages in Belgium. English is widely spoken.
4. Local Culture and Religion: About 65% of the population is Christian, with a large portion adhere to Roman Catholicism. There are also some small communities of Jewish, Muslim, and Buddhist. 
5. Public holidays: Some important public holidays in Belgium include New Year’s Day, Easter Monday, Ascension Day, Whit Monday, Independence Day, and Christmas Day.