Oncology in Vilnius

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 Vilnius?

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

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 Vilnius

About Vilnius

Vilnius is the capital of Lithuania and is also the largest city in the country, with a population of around 564,147. Vilnius was once referred to as the ‘Jerusalem of the north’ but the Jewish community was largely wiped out in WWII. The city does not hide its battle relics. Tourists will find museums dedicated to the Holocaust and preserved the KGB torture chamber. Other than its fascinating history, Vilnius also offers spectacular architecture, trendy bars, and hot-air balloons.

Vilnius is emerging as a medical tourism destination. Every year, medical tourism in Vilnius continues to expand and evolve. Medical treatments in Vilnius are gaining a powerful reputation among medical tourists. The vast majority of the medical tourists coming to Vilnius are from the Middle East, the United States, and Western Europe. Many tourists travel for Breast Augmentation or other cosmetic surgery. Kardiolita Hospital is one of the most popular medical facilities in the city. There are many reasons why local and international medical tourists come to Vilnius, including:

• Medical facilities with international standards such as JCI accreditation.
• Highly educated doctors and medical practitioners.
• Comprehensive diagnosis in just a single day.
• Foreign language speaking doctors and health care staff.
• Modern and secure equipment.
• Affordable prices for a wide range of medical treatment.

Popular Areas in Vilnius

Vilnius is a driving force behind Lithuania’s tourism sector. The city has affordable attractions, accommodations, and restaurants, Historical landmarks, extraordinary architecture, green spaces, and an array of cafes making the city a special place to visit.

• Palace of the Grand Dukes of Lithuania is located in the heart of Vilnius. The building has a Renaissance, Gothic, and early Baroque architectural styles. The reconstructed palace is now transformed into a museum with 4 exhibition tour routes related to the historical functions. A guided tour is in English, Russian, and German is available for tourists.
• Museum of Occupations and Freedom Fights (KGB Museum) is a museum with the darkest history in Vilnius. It is located in the former KGB building and preserved exactly how the KGB officers left the building. A museum is an excellent place for tourists who want to learn more about history.
• Antakalnis Cemetery in Vilnius is arguably one of the most interesting graveyards in Europe. The cemetery is the final resting place of Lithuanian leaders and locals lost to war. The most notable monuments are the Memorial of Red Army Soldiers and the monument of the victims of January 13, 1991.
• Gediminas’ Tower of the Upper Castle is the remnant of a brick castle built by the Duke of Lithuania, Vytautas Magnum. Tourists can get onto the top of the Gediminas Hill by foot or by the provided modern lift. While in the modern lift, tourists can see panoramic views of Vilnius along with the River Neris.

Weather and Climate in Vilnius

Summers in Vilnius is warm and dry, with occasional showers and chilly days. Summers are short, lasting for around two months from June to August. The average temperature in the summer is around 11 °C to 22 °C. Summers are usually the busiest time for the city’s tourism.

Although autumn is exceptionally beautiful and has many sunny days, the temperature will cool down rapidly during this season. It can get as low as -1°C in mid-November.

The winters are freezing when the average temperature plummets to -9°C. The temperature will remain below zero until March. Winters in the city can be an amazing time. However, it can be difficult in rural areas.

Spring usually arrives late in April and does not last very long. The temperature in Spring is cool and the green spaces are blossoming.  

Getting Around in Vilnius

Vilnius International Airport is the largest airport in Lithuania that connects the country with European cities. It is the hub for air Baltic and Get Jet Airlines. The airport serves many major airlines, as well as budget airlines such as Ryanair and Wizz Air.

Tourists can take the airport taxis to the city center. The taxis can be found in front of the arrivals terminal. A ride to the city center should cost around 10 EUR to 18 EUR. The city bus is another option to travel to Vilnius city center. It is more affordable than taxis, with a single ticket costs around 1EUR.

Walking is the best mode of transportation for exploring the Old Town. A good portion of Vilnius’s attractions is located within walking distance. Buses and trolleybuses are also available, tickets cost 1 EUR which can be paid directly to the driver. Taxis are not very recommended because many taxi drivers are known to cheat foreigners. Uber is available.

Tourist Visas in Vilnius

European Union citizens, American, Canadian, Australian, and British can stay in Vilnius for up to 90 days. Citizens of other countries must apply and obtain a visa before entering Lithuania

The country is part of the Schengen Area, tourists who already hold a Schengen visa does not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required.

Additional Information

1. Local Currency: Since Lithuania adopted the euro in 2015, the official currency is the euro. 1 USD is equivalent to 0.88 EUR.
2. Money & Payments: Tourists can withdraw money from ATMs. Visa and MasterCard credit cards are mostly accepted in hotels and restaurants. Tourists can tip 10% in restaurants if the service is good. Always tip in cash even when you’re paying with credit or debit cards.
3. Local Language: The official language is Lithuanian. Most people in the tourism area and the younger generation can speak English fluently. A large number of the population also speaks Russian and Polish.
4. Local Culture and Religion: Christianity (specifically Catholic) is the major religion in Vilnius. Small groups of the population follow Judaism, Islam, and other religions.
5. Public Holidays: Vilnius celebrates major Christian religious holidays. The city also hosts many annual festivals such as Capital Days in September, Culture Night and Trakai Medieval Festival in June, Street Musician’s Day in May, and Independence Day of the Republic of Uzupis in April.