Oncology in Hungary

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 Hungary?

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

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 Hungary

About Hungary

Positioned in the core of Central Europe and completely surrounded by land, this historically enriched nation is among the world's top 15 tourist favorites. It's a hotspot teeming with UNESCO World Heritage sites, a testament to its rich past.

The country boasts eye-catching architectural marvels and relaxing thermal baths and spas, the most talked-about amongst these being the Szechenyi baths nestled in the nation's capital, Budapest. This combination of cultural heritage and relaxation opportunities lends the country a unique charm that continually lures in visitors from around the globe.

While Hungary possesses only one facility accredited by the Joint Commission International, it leans on the trusted expertise of its local accreditation board. This board, licensed by pillars of authority such as the Hungarian Ministry of Health and the State National Health Commission and Medical Service, ensures the maintenance of high healthcare standards.

Each year sees a burgeoning number of medical tourists making the journey to Hungary. Many among them travel specifically for Oncology procedures. Dental and cosmetic treatments, in particular, draw significant attention due to Hungary’s competitive pricing, often regarded as the most economical across Europe.

Popular Parts of Hungary

With less than 10 million inhabitants sprinkled across an approximate area of 93,030 square kilometers, Hungary may appear relatively modest in size. However, within its boundaries, it hosts an impressive number of UNESCO World Heritage Sites. Alongside these acclaimed landmarks, it also boasts a multitude of exquisite attractions, making it a country that belies its physical size with its magnificently rich offerings.

• Budapest is the capital of Hungary. From beautiful boulevards, extraordinary architectures, an abundance of hot springs, to sophisticated food and an electric nightlife. Budapest has everything to satisfy everyone. Castle Hill is one of the most visited places in Budapest with beautiful buildings dating back to the 14th and 15th centuries.
• Eger is known for its castle, historic buildings, and thermal baths and also for its red wine. There are many festivals and celebrations centered around wine and remember to enjoy the wine-tasting when visiting Eger.
• Debrecen is an important city in Hungarian Protestantism. The city has many religious sites and museums. Tourists should visit the Great Church, St. Anne Cathedral, and the Deri Museum. Debrecen also has a lot of bars and nightclubs.
• Siofok is located at the southern coast of Lake Balaton. The small town also has beautiful beaches, making it one of the most popular summer holiday destinations. The town has many entertainment options, tourists can spend a lovely day on the beach next to Lake Balaton or enjoy the food in beachside bars and restaurants.
• Szeged is known as ‘The City of Sunshine’ because it has wonderful weather. The city offers beautiful parks, cultural scenes, and amazing street side cafes. Szeged has a youthful vibe as it is a university town. In the summer, there are many festivals such as the Open Air Theater festival.

Weather and Climate in Hungary

Hungary is characterized by the presence of four clearly demarcated seasons.

• Hungarian summers, spanning from June to August, are typically warm and agreeable, with average temperatures oscillating between 23 to 28°C (73 – 82°F). However, mercury levels can sometimes soar as high as 35°C (95°F). Tourists are advised to opt for lightweight clothing during this period. This season generally sees a tourism surge in Hungary.
• Both spring and autumn showcase milder, comfortable temperatures. Spring, in particular, is a splendid time to visit Hungary as the country's parks and fields burst into vibrant, full bloom.
• Winter presents a stark contrast with severely cold conditions. Average temperatures fall within -3 to -7°C (27 to 19°F), and can plummet to lows of -10°C (14°F). While rural areas may not be very visitor-friendly during this time, the more prominent cities continue to offer an enjoyable experience despite the cold.

Getting Around in Hungary

Hungary has five large airports, but international flights usually land at Ferenc Liszt International Airport. The airport is still commonly called “Ferihegy.” It offers international connections mainly to Europe, Africa, the Middle East, and North America. Several budget airlines such as Wizz Air, EasyJet, and Ryanair operate many flights from this airport. Flights to/from Schengen countries use Terminal 2A (also known as the Schengen terminal), while flights from non-Schengen countries use Terminal 2B. Another year-round international airport is Debrecen International Airport. The airport serves Wizz Air and Lufthansa along with several seasonal airlines. There aren’t many domestic flights in Hungary because traveling to one city to another usually only takes three hours by train or bus.

Visitors can get into the city from the airports by bus or taxi. If you wish to travel by taxi, make sure to use regulated taxis such as Főtaxi, the company has trained and experienced drivers to ensure passengers’ safety. The fare is 300 HUF/Km (1.03 USD). A ride to Budapest from Ferenc Liszt International Airport should cost around 7200 HUF (24.8 USD).

Buses are another easy option to get to the city center. Bus tickets are relatively cheap, single tickets are 350 HUF (1.30 USD) and can be purchased at the airport post office, BKK customer points in arrivals halls, the newsagents, and from the ticket machine at the bus stops. Drivers also sell tickets for 450 HUF (1.60 USD). It is recommended to buy daily or multi-day travel-cards and passes which are valid for an unlimited number of trips within their validity periods. The multi-day pass costs 1650 HUF (6.15 USD)

Hungary has a highly developed transport system. To travel to another city, tourists can use Intercity (IC), the fastest trains that link major cities with Budapest. Buses are a more economical way to travel inter-city. Buses are efficient. Tickets can be purchased from the bus driver. Taxis are good, but make sure to always inspect the change that taxi drivers give you. Drivers commonly give tourists outdated Romanian currency that looks similar to Hungarian currency but has no value. Hiring a car is another good option if you want to travel to many destinations, most roads are two lanes and the main roads are in good shape.

Tourist Visas in Hungary

European Union, American, and Canadian passport holders can stay in Hungary without a visa for up to 90 days, as long as the passport is valid for at least three months. Citizens of EU/EEA member and 33 countries are granted visa-free entry for a maximum period of 90 days.

Hungary is also a part of the Schengen Agreement. The Schengen Visa allows the holder to travel to any member countries using one single visa. The Schengen Visa is only issued to citizens of countries who are required to obtain a visa before entering Europe. For more information:

• Visitors to Hungary must have a valid passport and proof of onward travel.
• It is recommended to have travel insurance, as it is not required by law but can be very helpful in case of an emergency.
• Visitors to Hungary should be aware of the country's currency, the Hungarian forint (HUF). The exchange rate for the Hungarian forint fluctuates daily, but it is currently trading at around 350 HUF to the US dollar.
• Most businesses and establishments in Hungary accept credit cards and debit cards. However, it is always a good idea to have some cash on hand, especially for smaller purchases and for tipping.

Additional Information

1. Local Currency: Although the Hungarian government wants to use the Euro as Hungary’s currency, the official currency is still Hungarian Forint (HUF). 1 USD is equivalent to 362.80 HUF.
2. Money & Payments: ATMs are easily available within the country. Hotels, shops, and restaurants accept credit cards, especially, MasterCard, Visa, and American Express. Several taxis in Budapest also accept credit cards. Many hotels and guesthouses that give their rates in euros will accept payment with euros or forint. Tipping is not mandatory but will be appreciated.
3. Local Language: The official language is Hungarian. English is widely taught in schools and universities, so many young people can speak very good English. German is almost as widely spoken as English.
4. Local Culture and Religion: More than half of the population follows Christianity as it is a historically Christian country. Jewish, Buddhist, and Muslim are freely practiced and are in the minority.
5. Public Holidays: Hungary celebrates Christian holy days. The country hosts many annual festivals such as Hollókő Easter Festival, Busójárás, and Balaton Festival. Note that on national and public holidays, most businesses including shops and restaurants are closed. Public transportations also run less frequently.

With its stunning landscapes, laden with history and soaked in culture, Hungary truly is a gem to behold. Brimming with a myriad of delights to cater to diverse preferences, it offers everything from captivating landscapes and historical marvels to lively metropolises teeming with life, and a wealth of culinary delights. Indeed, Hungary ensures every visitor takes away an indelible wealth of wonderful memories.