Oncology in Egypt

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 Egypt?

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

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 Egypt

About Egypt

Egypt is a spectacular fusion of splendid beaches, diverse wildlife, delectable cuisine, and a consistently sunny climate. Its historical significance is rooted deeply in Ancient Egypt - one of the most influential and fascinating civilizations to have ever existed. Journey back into the corridors of time as you visit Egypt's famous architectural wonders such as the iconic Pyramids of Giza and the historically rich Valley of the Kings.

With every twist and turn along the River Nile, brace yourself for a captivating journey into the past, and lose yourself in the labyrinth of bustling bazaars. Egypt invites you to revel in the architectural grandeur of some of its most renowned temples, be awed by the commanding presence of the Sphinx, and acquaint yourself with the distinct Nubian culture. Egypt presents an intriguing mélange of timeless history, vibrant cultures and stunning natural beauty.

One of the unique advantages of considering cosmetic surgery in Egypt is that it allows you to pair your medical trip with a satisfying holiday, all at a price that would typically cover only the surgery in many developed nations. Many top-notch clinics are concentrated in Cairo, the capital. However, there are also excellent private medical facilities in Heliopolis, Zamalek, Maadi, and Gizeh. Eleven of these are accredited by the Joint Commission International (JCI), vouching for their high quality of services.

The bulk of the medical tourists in Egypt come from other Arabic-speaking nations and across the African continent, drawn in by the affordability and expertise on offer. Particularly, Oncology procedures have gained notable popularity, further consolidating Egypt's position as a favorable destination for medical tourism.

Popular Parts of Egypt

Currently, Egypt is home to over 95 million inhabitants, securing its place as the most populous country in North Africa and standing third in terms of population across Africa. With its majestic historical landmarks, the sweeping expanse of the Nile, and the captivating allure of its deserts, Egypt extends an open invitation to all who seek to explore the grandeur of the ancient world. This fusion of history and natural beauty offers a unique landscape that continues to enchant millions of global citizens, making Egypt a must-visit destination.

• Cairo is the capital of Egypt as well as the largest city in the country and it is a perfect blend of ancient and modern culture. Visitors from all over the world come to see the Great Pyramid of Giza, the iconic Sphinx, or the magnificent tomb of Tutankhamun. Modern attractions such as its countless museums and busy markets are also popular with tourists.
• Luxor has frequently been called the world’s greatest open-air museum. Tourists can visit the Valley of the Kings, wander around the Temple of Dier el-Bahari, or discover the beauty of the Karnak Temple. Not only home to the extraordinary temple ruins of ancient Thebes, but this city also lies in a breathtaking setting of the Nile River and astonishing desert.  Tourists should complete their visit to this beautiful city by taking a sunset felucca cruise on the Nile River.
• Alexandria is a major economic center and the second-largest city in Egypt. The city has an impressive and interesting past, which began when Alexander the Great founded the city around 331 BC and it was home to the Pharos and the Great Library. Now, although the legendary buildings have disappeared, tourists can still learn about its past from the Alexandria National Museum, Bibliotheca Alexandrina, Kom el-Dikka, and Fort Qaitbey. Tourists can also relax in The Corniche, a scenic promenade overlooking the beautiful sea.  
• Aswan is located in the south of Egypt. It is part of the UNESCO Creative Cities Network in the craft and folk art category. The city is a major destination for cruise boats on the River Nile, making it a favorite place for tourists. The local market in this city is known to be a superb place for holiday shopping, especially for those looking for fresh spices. The most popular attractions in or around the city are Sharia as-Souq, Nubian Museum, Unfinished Obelisk, Abu Simbel, and Philae Temple. 
• Sharm El Sheikh is situated on the coastal strip along the Red Sea. The city is the perfect beach gateway and is known for its outstanding beaches and some of the best dive spots in the world with a stunning coral reef. Dive into the crystal clear water and encounter schools of sharks, moray, and barracuda. Other than the underwater scenery, tourists can explore the Sinai desert by camel, take a tour to Saint Catherine’s Monastery, or relax in the Red Sea Resort.

Weather and Climate in Egypt 

Characterized mainly by a sweltering desert climate, Egypt remains significantly dry throughout, apart from its northern areas along the Mediterranean Sea. These northern regions break from the norm, being comparatively more humid and receiving the lion's share of the country's annual rainfall, offering a contrasting picture to Egypt's otherwise arid landscape.

Summer in Egypt exhibits average temperatures hovering around 35 °C, but there can be instances where temperatures escalate beyond 40 °C. These extreme temperature spikes are often accompanied by increased levels of humidity, intensifying the overall heat experience during the country's summer months.

Winter ushers in a pleasant climate, making it a popular time for tourists, although it results in crowded tourist spots and slightly higher costs. Cities like Alexandria may receive occasional showers, contributing to increased dampness during this season.

Winter is recognized for being Egypt's breeziest season. During this time, daytime temperatures typically float around a comfortable 20°C. When night descends, the temperature can drop further towards 10°C, introducing a gentle chill. Mindfully sandwiched between the country's dominant hot desert climate, this period offers a refreshing contrast as it unveils Egypt's mild winter chill.

Getting Around in Egypt 

There are several international airports in Egypt: Cairo International Airport, Burg Al Arab Airport, Hurghada Airport, Luxor Airport, Marsa Alam Airport, and Sharm El Sheikh International Airport. The main and the busiest airport is Cairo International airport which serves both domestic and international flights to Asia and Europe. The airport is the hub for Egypt Air, Egypt Air Express, and Nile Air. Budget airlines such as Flynas and FlyEgypt also operate flights from this airport. 

Egypt has a dependable and efficient public transport network and tourists can travel by rail which covers a limited network of routes. Trains travel is the best option for long-distance travel and there are air-conditioned trains that offer a more comfortable option. But if you are looking for a cheaper alternative, a non-air-conditioned economy class is also available.

If you're looking for a budget-friendly and swift mode of travel, buses present an ideal choice. Primarily employed for longtrips, these buses conveniently link major cities across the country. Tickets for these bus journeys can be conveniently secured at the Cairo Gateway bus terminal, making it an easily accessible option for tourists interested in exploring the breadth of Egypt.

Taxis and Uber are available in most cities, providing easier travel for tourists. In Cairo, the taxis are painted white and black. In Alexandria, the taxis are painted orange and black. The taxis are generally metered but there are also taxis that will refuse to use the meters. Tourists should insist on using the meter or agree on a fare before getting into one. Long-distance group taxis are also available and are relatively cheap and be sure to agree on the fares and bargain if necessary.  

Tourist Visas in Egypt

Every traveler planning a visit to Egypt needs a visa, barring citizens from visa-exempt countries such as Bahrain, Hong Kong, and Saudi Arabia who are allowed to stay for up to 90 days without one.

A Visa-on-Arrival service, which simplifies the process, is available to several nationalities, including Australia, Japan, Russia, and all European Union citizens. This Visa-on-Arrival is valid for an initial 30 days but can be extended for another 30 days if needed. These visa policies aim to facilitate easier and regulated travel to and from Egypt.

For citizens of 46 countries, which includes major nations such as the United States, Canada, and the United Kingdom, an electronic visa is easily available. The e-Visa, valid for a 30-day period, can conveniently be applied for and obtained online via the official Egyptian government's website.

For all other nationals who don't fall under the visa exemption agreement, visa on arrival, or electronic visa categories, a visa application must be filed at their nearest Egyptian embassy or consulate. This makes the process of securing a visa to Egypt more streamlined and accessible, ensuring a smooth travel experience for visitors.

Additional information about the Visas:

• All visitors to Egypt must have a passport valid for at least six months beyond their intended date of departure from Egypt.
• Visitors who obtain a visa on arrival or an e-Visa must pay a visa fee. The visa fee varies depending on your nationality.
• Visitors who apply for a visa at an Egyptian embassy or consulate may also need to provide additional documentation, such as a proof of onward travel or a letter of invitation.

Additional Information

1. Local Currency: The local currency is the Egyptian pound (EGP). 1 USD will get you 30.90 EGP.
2. Money & Payments: ATMs are available in major cities, but if you are planning to go to remote places, prepare to bring cash with you. Credit cards are accepted in the midrange and high-end restaurants, hotels, and shops. Tipping is generally expected everywhere.
3. Local Language: There are various languages spoken in Egypt. The official language is Classical Arabic but the most widely spoken language is Egyptian Arabic. Since the county was occupied by the British from 1882 to 1952, many people will speak English.
4. Local Culture and Religion: Islam is the state religion of Egypt. There are also small groups of Christian and Jews. 
5. Public Holidays: Egypt celebrates religious and national holidays including Coptic Easter Sunday, Christmas Day, End of Ramadan, and Revolution Day.