Oncology in Poland

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 Poland?

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

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 Poland

About Poland

Poland, as one of Central Europe's most expansive nations, has only recently begun to make its mark as a key player in the realm of Medical Tourism. Being particularly appealing to tourists from neighboring regions, many visitors arrive seeking Oncology procedures. Poland's open border policy further simplifies travel between its territory and other countries within the European Union (EU), making it an accessible destination for many.

The Polish healthcare system comprises a blend of public and private establishments. While none of these facilities hold JCI accreditation, they are endorsed by local accreditations issued by the Polish Ministry of Health. Their recognition within the European Union testifies to the quality and reliability of these certifying bodies.

In Poland, the most frequently sought-after medical procedures encompass dental, cosmetic, orthopedic, and bariatric treatments. Impressively, the costs of these treatments are significantly lower than what one would expect to pay in Poland's Western European counterparts. Beyond Poland's vibrant capital, Warsaw, cities such as Krakow, Jelenia Gora, and Wroclaw have emerged as favored destinations among medical tourists.

Popular Parts of Poland

Poland, with a population exceeding 38.5 million, is a nation steeped in rich history and recognized for its whopping fourteen UNESCO World Heritage Sites. Despite frequently being overshadowed in the realm of tourism, the country in reality, boasts of a multitude of alluring attractions waiting to be explored and appreciated.

• Warsaw, Poland’s capital provides tourists with a mix of old and new. Restored Gothic buildings and modern glass structures stand side by side. The city offers a scenic view. Wander around the streets of Old Town to see the oldest part of the city. Warsaw was also the former home of Frederic François Chopin; tourists can retrace his steps by visiting Saxon Garden, where Chopin’s family used to live next door.
• Krakow is Poland’s former capital. The city is full of charms; from cobbled streets, beautiful squares, pretty buildings, churches, and a castle. Wawel Castle, located in the Old Town area, is an architectural wonder with medieval, baroque, and renaissance style. The city has numerous museums that provide insights into its fascinating history.
• Gdansk stands as one of the country's most breathtaking seaside cities. It houses some of the finest museums in Poland and is renowned for its thriving nightlife and diverse culinary scene. Visitors are encouraged to admire the vibrant street art, delve into history at the numerous museums, explore the charms of the Old Town, and embark on a gastronomic adventure with a food tour in Gdynia. In a nutshell, Gdansk offers a rich and memorable travel experience.
• Poznan will amaze tourists once they see its vibrant, playful, and unique treasures. As the birthplace of the Polish nation, the city offers many historical attractions as well as urban green spaces. Tour the Lech Brewery to learn more about the brewing process of beer visit the Old Market Square and find an array of bars and food stalls.
• Wroclaw is not as popular as other cities in Poland. It’s actually full of attractions, incredible architecture, and hidden gems. Tourists will find dwarf statues throughout the city and can go on the dwarf trail. Market Square is the city’s centerpiece that blends colorful buildings and gives a scenic view, especially in winters.

Weather and Climate in Poland

Poland has a temperate climate and sometimes experiences rough weather. Spring starts in late March to May. The season is characterized by a wave of warmer weather with less frequent rain. It is one of the best times to visit Poland because the temperature is comfortable.

Poland's summer season extends from June until August and brings with it a certain unpredictability in weather patterns. The general climate is warm, with temperatures hovering between 18 to 30°C. Amidst sunny spells and elevated temperatures, frequent rain showers and storms are also common phenomena. This period marks the peak of the tourism season and tourists can expect prices to see a corresponding increase. Despite the occasional rains, summer promises a delightful time to experience Poland in all its warmth.

September to November is Autumn, the season where the temperature starts to drop. Late September and October are still warm, while November is cold and wet. Sunny days during this season are known as “Polish Golden Autumn.”

Winter in Poland, which runs from December until early March, can be exceedingly cold. Temperatures often tumble to an average range of 0 to -10°C and can even drop as low as -20°C. Despite the chilly conditions, this is actually the peak season for mountain ski resorts, attracting numerous enthusiasts to take advantage of Poland's picturesque winter landscapes.

Getting Around in Poland

Most international flights arrive at Warsaw Frederic Chopin Airport. It’s Poland’s largest and busiest airport. The airport serves domestic and has International connections with many cities around the world. It is the hub for LOT Polish Airlines. Budget airlines such as Wizz Air and EasyJet also operate flights from this airport. There is a smaller airport, Warsaw Modlin Airport, which handles more budget airlines.

To get to the city center, bus, taxi, and train are available. There are five public buses that stop at Warsaw’s city center; bus 175, bus 188, bus 148, bus 331, and bus N32 (night bus). Taxis are available, but always make sure to use licensed taxi services. The fare from the airport to the city center is around 40 PLN. Chopin Airport is linked to Legionowo and Sulejówek Miłosna by a railway service. Tourists can buy ZTM tickets to ride the bus and train which can be purchased at the Passenger Information Point in the arrivals hall, ticket machines at bus stops and train station entrance, or from bus drivers.

Ample public transportation options simplify getting around in Poland. Trains, in particular, offer an incredibly budget-friendly means of travel. For instance, the journey from Krakow to Warsaw is set to cost approximately 45 PLN and spans a duration of around three hours. Meanwhile, a slightly longer five-hour train journey from Warsaw to Gdansk can be undertaken at a reasonable fare of around 65 PLN. Such connectivity and affordability make exploration within Poland both easy and economical.

Within the cities, local buses in the central zone cost around 4 PLN (a single-fare ticket). Major cities offer one-day tickets for 20 PLN. Taxis are relatively cheap and tourists can get around the city quickly. Taxis are metered and usually start at around 6 PLN to 8 PLN. Unlicensed taxi drivers are most likely to cheat and charge more. There are taxis that put a fake phone number in their cars, be careful and ask your hotel staff for the number of the taxi company they have used previously. Cycling is a good way to explore the scenery in Poland. There are many bike rentals around the country, always be aware of drivers since some are careless.

For cities like Krakow, tourists are highly recommended to secure tourist cards. These cards provide unlimited access to public transportation for a period of one to three days. In addition, they also offer free or discounted admission to several museums. This is a great bargains that grants tourists flexibility and sizable savings to fully relish their visit.

Tourist Visas in Poland

Poland is part of the Schengen Area. Citizens of the United States, Canada, Australia, New Zealand, Japan, Israel, and several other countries do not need to obtain a visa and can stay in Poland for up to 90 days. EU citizens do not need a visa and can stay indefinitely. Other nationalities must check with their local Polish embassy. All visitors must hold a passport valid for at least six months.

Additional Information about Visa in Poland:

• It is important to note that the visa requirements for Poland can change at any time, so it is always best to check with the Polish embassy or consulate in your home country before you travel.
• If you are planning to stay in Poland for longer than 90 days, you will need to apply for a visa. You can do this at the Polish embassy or consulate in your home country.
• When applying for a visa, you will need to provide a number of documents, including a valid passport, proof of travel insurance, and proof of financial means.

Additional Information

1. Local Currency: the official currency is the Polish złoty (PLN). 1 USD converts to 4.21 PLN.
2. Money & Payments: ATMs are available in cities and towns; even small villages should have at least one. The best way to exchange rates is at banks or withdrawing money from ATMs. Credit cards (Visa and MasterCard) are accepted in most hotels and restaurants. Always carry small cash and coins for shops and cafes. Tipping in Poland is mostly optional. In restaurants, 10% is the standard. Room-service staff and porters in hotels expect to be tipped. Taxis don’t expect tips.
3. Local Language: The official language is Polish. Most of the locals in the tourist areas will have decent English. Foreign tourists should be aware that all official information including street signs and directions are only written in Polish.
4. Local Culture and Religion: Christianity is the largest religion in Poland with 87.5% of the population identified as Roman Catholic.
5. Public Holidays: Poland celebrates major Christian holidays such as Christmas and Easter. The country hosts many festivals throughout the year such as St. Dominik’s Fair every July to August, Light & Move Festival every October, and Ice Festival every December.