Oncology in Marrakech

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 Marrakech?

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

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 Marrakech

About Marrakech

Located to the north of the foothills of the Atlas Mountains, Marrakech is the fourth largest city in the Kingdom of Morocco. Found nearly a thousand years ago, this city is where Africa, the Middle East, and Europe fuse into one. It is widely known as the red city because of its famous red walls, alleys, and plazas. The city offers a rare opportunity for tourists to immerse themselves in culture, where modern and ancient merge in a perfect balance. Just like many Moroccan cities, the medina in Marrakech is too beautiful to be missed. 

Marrakech has the perfect environment for relaxing and rejuvenating, which is one of the reasons why many medical tourists seek health treatments in this beautiful red city.  The medical facilities in the city offer outstanding quality with the latest technology and a wide range of treatments. Healthcare in this city is considerably cheaper than in Western countries and many people are also attracted to Marrakech because it is known to excel in modern plastic surgery. The most sought-after procedures are liposuction, nose jobs, breast lifts, and ear surgery. Other treatments such as dental care, spa, and wellness are also popular.

Popular Areas in Marrakech

This exotic city has everything for everyone, whether you want to indulge in its culture and history or have a luxurious and modern vacation.

• Djemaa El Fna is the most famous square in Morocco that attracts tourists from all around the globe. Often referred to as the heart of Marrakech, the square is a thrilling place to go shopping and get a closer look into the Moroccan culture. However, the real excitement starts when the sun sets and the square is transformed into an Arabian fantasy. It will be filled with fortune tellers, snake charmers, monkeys, and musicians, making it an interesting place to have fun and experience new things. 
• Ali Ben Youssef Medersa is the largest madrasa in Morocco and one of the most important in North Africa. Built around 500 years ago, the Quranic learning center still retains its splendid beauty. It is said that up to 900 students have lived in the building to study law and theology. In 1960, it was turned into a museum and one of the most popular sights in Marrakech. Tourists can enjoy a striking view of architecture and decoration as its wall and columns have astonishing carvings, the large patio is made of marble, and the inner courtyard is decorated with mosaics.
• Musée Yves Saint Laurent is a must-visit for any fashion enthusiast and the museum exhibits selected masterpieces of haute couture clothing and accessories made by the legendary French fashion designer Yves Saint Laurent from 1962 until his retirement in 2002. Designed by Studio KO, the building itself is impressive with terracotta brick and earthen-colored terrazzo. The museum consists of a 150-seat auditorium, bookstore, a research library, and a terrace café.
• The Bahia Palace means brilliance in Arabic and it is a fascinating well-preserved historical site in Marrakech. It consists of a palace and a set of gardens which was built in the late 19th century. The building perfectly captures the essence of the Islamic and Moroccan style.

Weather and Climate in Marrakech

Marrakech mostly experiences a hot semi-arid climate. Spring starts in March and ends in May, with flowers blossoming and the temperature is between 15 °C at the lowest and 28 °C at the highest, spring is one of the best times to visit the city. If you’re planning to visit during this season, note that April and May have occasional rain showers. June to August are the summer months which can get extremely hot and the average temperature is around 26 °C to 30 °C, but it can increase to 36.8 °C. It is best to stay in the shade from noon to 3.00 PM when the sun is at its hottest. 

The temperature will slowly decrease in the Autumn months of September to November. This season is also one of the best seasons to travel and have some outdoor adventures in the red city. Although the summer is remarkably hot, the winter in Marrakech is cold as the temperature sometimes plummets to 6 °C. This season runs from December to February and it is also the wettest season as rain is most predominant in December.

Getting Around in Marrakech

The main international airport serving Marrakech is the Marrakesh Menara International Airport. The airport operates domestic and international flights. It has two passenger terminals in one large building that serve flights to Europe, the Middle East, and Africa. Budget airlines such as EasyJet, Ryanair, and Wizz Air provides affordable options to travel to and from the red city.  

Taxis are widely available throughout the city. It is also one of the most efficient and flexible ways to get to the main sites and there are two kinds of taxis in the city. The Grand taxis are old Mercedes cars that can carry up to six people and have a specific route with a fixed fare. Tourists can find the grand taxis at the bus station or Djemaa el Fna. Petit taxis are a private taxi, and the drive will take you anywhere. These taxis are metered and can be a little more expensive than the grand taxis. There are drivers who do not use the meter so you should bargain or ask the driver to switch the meter on before you get into one.

Buses are the most inexpensive way to get around. Tourists can find them in the central bus station of Place El Mouarabitene, and most buses will stop at the Djmaa el Fna. Tourists can pay the fare directly to the driver. If you want a more traditional and interesting way to get around, you can opt for the caliche and it is a horse-drawn carriage with a fixed price for the most common routes. 

Tourist Visas in Marrakech

There are around 66 countries granted visa-free access to Morocco for up to 90 days, including the European Union, Australia, China, Russia, and the United States. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance. It is best to always check the current regulations at the nearest Moroccan Embassy or Consulate before applying for a visa.

Additional Information

1. Local Currency: The official currency is the Moroccan Dirham (MAD) and the exchange rate from 1USD is 9.70 MAD.
2. Money & Payments: ATMs can be found all over the city. Credit cards are mostly accepted in top-end restaurants and hotels. Tipping can be obligatory sometimes. 
3. Local Language: Modern Standard Arabic and Berber is the official languages and French is widely spoken. English is not common but there will be people who can speak English especially in tourist areas.
4. Local Culture and Religion: The majority of the population follows Islam. There are also people who follow Christianity, Judaism, and Baha’i Faith.
5. Public Holidays: Islam religious holidays such as Islamic New Year and Eid al-Fitr are celebrated in Marrakech.