Oncology in Cape Town

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 Cape Town?

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

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 Cape Town

About Cape Town

Cape Town is the legislative capital of South Africa and is also known as the Mother City. It is the oldest city in the country and home to the Parliament of South Africa and is a major destination for immigrants and expatriates, making it one of the most multicultural cities in the world. Located on the shore of Table Bay, the city is known for its harbor, natural setting, as well as famous attractions and many tourists,  visit to enjoy Table Mountain and Cape Point. 

Recently, tourists also come to the city for its medical tourism. Many groundbreaking procedures and medical research in South Africa, such as the world’s first penile transplant, have put Cape Town under the radar of medical tourists from all around the globe. Thanks to its world-class healthcare and world-renowned medical practitioners, more and more people now prefer Cape Town as their medical destination. The healthcare in the city is among the best on the African continent. Other reasons such as shorter waiting times for surgeries, state-of-the-art equipment, and affordable healthcare compared to Europe and the United States, and English-speaking doctors. 

Popular Areas in Cape Town

Cape Town is a natural beauty that offers a wide range of things to do and see. From culture, food, art, to nature. Listed below are some of the more popular places in the city: 

• Table Mountain is one of the New 7 Wonders of Nature and it is easy to see why. The iconic mountain makes an amazing backdrop to Cape Town. The level plateau is about 3 kilometers from side to side with remarkable cliffs on the edges. The peak offers an amazing view of the city. Tourists can choose to board the cable car or discover its beautiful nature by hiking.
• Cape of Good Hope is situated within the Table Mountain National Park. The area has a mix of bio-diversity and wonderful beauty that attracts thousands of tourists to visit. There are around 250 species of birds spotted in the area. Hiking and cycling through it is the best way to discover its true majesty. Tourists can picnic and birdwatch in isolated beaches. 
• Kirstenbosch National Botanical Garden is one of the most incredible botanic gardens in the world. Nestled at the eastern foot of Table Mountain, it features a natural forest and fynbos flora and sprawls around 528 hectares. The garden displays a collection of diverse South African plants with seasonal festivals such as musical sunset concerts during summer and craft markets on the last Sunday of every month. 
• Groot Constantia is the oldest wine-producing estate in South Africa, located in the suburb of Constantia. The estate consists of a museum, restaurants, tasting room, and cellars. The museum was built in Cape Dutch architecture style, further into the estate; tourists will find the free orientation center which provides an overview of Groot Constantia history. Tourists can also tour the original wine cellar, have a wine tasting, or a wine and chocolate pairing.
• Boulders Penguin Colony is located in Boulder Beach on the outskirts of Simon’s Town. The beach boasts fine white sand with pristine waters and endangered African penguin colonies. Tourists can set up camp, see the penguins up close, and even swim along with the magnificent aquatic birds. Observing the penguins socializing and playing in the waves is a perfect way to enjoy your travel in Cape Town. 

Weather and Climate in Cape Town

Cape Town enjoys a warm Mediterranean climate. The summer is dry and warm, lasting from early December to March. The average maximum temperature during this season is around 26 °C, and the minimum is 16 °C. The Berg Wind that arrives from February to early March can make the city uncomfortably hot for a couple of weeks. 

The winter starts in June and ends in August and the season is characterized by mild and wet weather. The city also experiences strong north-westerly winds during this season. The average temperature ranges between 8.5 °C at the lowest and 18 °C at the highest. 

Getting Around in Cape Town

The primary airport that serves Cape Town is the Cape Town International Airport and it is the second busiest airport in South Africa and the fifth busiest in Africa. The airport serves direct domestic flights to major cities and several small centers in the country. It also connects the country with major cities in Africa, Europe, the Middle East, and Asia. It is the hub for South African Express as well as budget airlines such as Mango and FlySafair.

There are several types of taxis: the metered taxis, Rikkis Taxis, and minibus taxis. The metered taxis can be a little expensive but are usually comfortable. Tourists can order one via a phone call or from one of the city’s official taxi stands. Tourists should always choose reputable taxi companies such as Marine Taxi, Unicab, Excite, and SA Cab. 

Rikkis Taxis are painted yellow and very popular and these taxis run on a fixed fare rather than metered, so they are a little more affordable than metered taxis and a good option if you are traveling on longer journeys. Other than the Rikkis Taxis, tourists can choose the minibus taxis which are perfect for adventurous foreign travelers. The minibus taxis can be found practically everywhere and are very cheap, however, you will need to know exactly where your destination is and tell the driver when to stop. Another travel option is the MyCiTi bus, a modernized and effective bus system.

Tourist Visas in Cape Town

There are more than 60 countries listed in the visa exemption agreements, which means the citizens of these countries can stay in South Africa for up to 90 days. Other countries not listed must obtain a valid visa to enter the country. A Medical Treatment Visa is available for medical tourists. Note that all visitors must hold a passport valid for at least 30 days after the expiration of their intended visit.

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency and 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs almost everywhere around the city, but you should avoid ATMs in secluded places, especially at night. Credit cards are accepted in established restaurants, hotels, and shops. It is always better to carry some cash because smaller food places are cash-only. Tipping is expected here.
3. Local Language: The most common languages in the city are English, Afrikaans, and Xhosa with Afrikaans as the most widely spoken home language.
4. Local Culture and Religion: The population follows Christianity, Islam, Judaism, and several other religions.
5. Public Holidays: There are 12 official public holidays in Cape Town, including New Year’s Day, Freedom Day, and Christmas.