Oncology
Emsey Hospital Medical Oncology Department provides post-diagnosis evaluation, treatment planning, administration of drug therapies, and long-term follow-up for patients diagnosed with cancer or referred with suspected cancer. Located in Pendik, on the Anatolian Side of Istanbul, our department develops an individualized treatment plan for each patient based on the type and stage of cancer, the patient's overall health condition, and their expectations.
Cancer treatment is not the responsibility of a single medical specialty. Therefore, our department adopts a collaborative approach involving a medical oncologist, chemotherapy nurse, radiologist, surgeon, oncology psychologist, and dietitian. When necessary, coordination is maintained with radiation oncology and other medical specialties.
What Is Medical Oncology?
Oncology is the branch of medicine concerned with the diagnosis, treatment, and follow-up of cancer. Medical oncology is the specialty within this field that focuses on treating cancer with medications. Systemic treatments that affect the entire body, such as chemotherapy, targeted therapies, immunotherapy, and hormone therapies, are planned and managed by a medical oncologist.
The medical oncologist also serves as the coordinator of the treatment process: together with the relevant specialties, they evaluate the sequence in which surgery and radiotherapy should be administered, manage potential side effects during treatment, and continue regular patient follow-up after treatment is completed.
Services Offered in Our Oncology Department
- Evaluation of patients diagnosed with cancer and development of treatment plans
- Evaluation of patients with suspected cancer in collaboration with relevant departments
- Planning and administration of chemotherapy treatments
- Administration of chemotherapy on an outpatient basis or, depending on the patient's condition, during hospitalization
- Planning the sequence of treatments in coordination with surgery and radiation oncology
- Prevention and management of treatment-related side effects
- Monitoring complications such as infections, problems affecting kidney and heart function, and nutritional difficulties
- Planning nutritional support and psychological support services
- Regular check-ups and monitoring after treatment
Types of Cancer We Treat
| System / Region | Types of Cancer |
|---|---|
| Lung | Lung cancer |
| Breast | Breast cancer |
| Digestive system | Esophageal, stomach, colon and rectal cancers; pancreatic cancer; liver cancer; gallbladder and bile duct cancers |
| Urological cancers | Prostate cancer, kidney cancer, bladder cancer, testicular cancer |
| Gynecological cancers | Ovarian cancer, endometrial cancer, cervical cancer |
| Head, neck and endocrine | Head and neck cancers, thyroid cancer |
| Nervous system | Brain tumors |
| Skin | Melanoma |
| Lymphatic system | Lymphomas |
| Soft tissue and bone | Malignant mesenchymal tumors (sarcomas) |
Treatment Methods Used in Medical Oncology
The choice of cancer treatment depends on the type of tumor, the extent of its spread (stage), its biological characteristics, and the patient's overall health condition. The main drug treatments used in medical oncology are as follows:
| Treatment | How Does It Work? | How Is It Administered? |
|---|---|---|
| Chemotherapy | Stops the multiplication of rapidly dividing cancer cells or destroys them. | Mostly through intravenous infusion, sometimes as oral tablets |
| Targeted therapy | Targets a specific molecule or genetic alteration that enables cancer cells to grow. | Intravenously or orally |
| Immunotherapy | Enables the immune system to recognize and fight cancer cells. | Usually intravenously, at specific intervals |
| Hormone therapy | Reduces hormone production or blocks hormone effects in hormone-dependent cancers (such as breast and prostate cancer). | Oral tablets or injections |
| Supportive treatments | Prevent or alleviate problems such as nausea, anemia, infection risk, and pain. | According to the treatment plan |
These treatments may be administered alone or combined with surgery and radiotherapy. Treatment given before surgery to shrink the tumor is called neoadjuvant therapy, while treatment given after surgery to reduce the risk of residual disease is called adjuvant therapy.
Multidisciplinary Approach to Cancer Treatment
Collaboration among different medical specialties plays an important role in planning cancer treatment. In our department, the treatment process is carried out with the contributions of the following team members:
- Medical oncologist: Develops the treatment plan, manages drug therapies, and coordinates the process.
- Chemotherapy nurse: Prepares and administers chemotherapy drugs in a controlled environment.
- Radiologist: Evaluates the extent of the disease and response to treatment using imaging techniques.
- Surgeon: Plans surgical treatment for patients whose condition can be treated through surgery.
- Oncology psychologist: Provides support to help alleviate the psychological burden of diagnosis and treatment.
- Dietitian: Develops a program to maintain nutritional status and prevent weight loss during treatment.
For patients requiring radiotherapy, treatment is planned in coordination with radiation oncology specialists.
Cancer Diagnosis and Staging Process
The first step toward appropriate treatment is accurate diagnosis and staging. A definitive cancer diagnosis is established through pathological examination of a tissue sample (biopsy) taken from the suspicious area. Imaging techniques are then used to determine how far the disease has spread throughout the body:
- Computed tomography (CT): Detailed examination of organs in the chest, abdomen, and other regions
- Ultrasonography: Evaluation of abdominal organs, thyroid, lymph nodes, and soft tissues
- Magnetic resonance imaging (MRI): Detailed imaging of the brain, liver, pelvis, and soft tissues
- PET-CT: Evaluation of disease spread throughout the body and response to treatment
When necessary, blood tests, tumor markers, and molecular tests performed on tumor tissue also guide treatment selection. All this information is combined to determine the cancer stage and develop a treatment plan.
How Does the Chemotherapy Process Work?
Chemotherapy drugs are prepared specifically for each patient by a specialized chemotherapy nurse in a controlled environment. Depending on the patient's overall condition, treatment may be administered on an outpatient (same-day) basis or during hospitalization. Most treatment regimens are planned in cycles, consisting of days when medication is administered and rest periods that allow the body to recover.
- Before each cycle, the patient's overall condition and blood test results are generally evaluated.
- Supportive medications to prevent side effects such as nausea are often part of the treatment plan.
- The number of cycles and the intervals between them vary depending on the type of cancer and the medication used.
Possible Side Effects of Chemotherapy
Hair loss, fatigue, nausea, weakened immunity, and changes affecting sexual life are among the known side effects of chemotherapy. However, not every patient experiences the same side effects; their type and severity vary depending on the medication used and the individual. Today, many side effects can be largely controlled through preventive measures taken before and during treatment.
From Initial Consultation to Follow-Up: The Patient Journey
- Initial consultation: The medical oncologist evaluates the patient's complaints, existing medical reports, and medical history.
- Completion of missing tests: Necessary blood tests, imaging examinations, and pathological evaluations are planned.
- Staging and treatment decision: All findings are evaluated together with the relevant specialties to develop an individualized treatment plan.
- Administration of treatment: Planned treatments are administered alongside regular check-ups.
- Response assessment: Treatment effectiveness is monitored through tests performed at specific intervals; the plan is updated if necessary.
- Follow-up: After treatment is completed, regular check-ups continue to detect possible cancer recurrence early and monitor late treatment-related effects.
What to Bring to Your First Appointment
To ensure an efficient initial consultation and avoid delays in treatment planning, you are advised to bring the following documents:
- Pathology (biopsy) reports and, if possible, biopsy blocks and slides
- Imaging reports and digital copies of scans (CT, MRI, PET-CT, mammography, ultrasound)
- Most recent blood test results
- Discharge summaries and surgical reports from previous operations
- Treatment summaries if you have previously received chemotherapy or radiotherapy
- A list of medications, herbal products, and supplements you regularly use
- If you have a family history of cancer, information about the degree of relationship and type of cancer
Support Services During Treatment
Nutritional Support
Cancer and its treatment may affect appetite, sense of taste, and weight balance. Adequate nutrition during treatment is important for the body's ability to tolerate treatment and for recovery. A dietitian prepares a nutritional plan tailored to the patient's condition.
Psychological Support
A cancer diagnosis can create a significant emotional burden for patients and their relatives. Feelings of anxiety, fear, and uncertainty are a natural part of the treatment process. An oncology psychologist provides psychological support to the patient during this period.
Management of Complications
Complications such as infections, impaired kidney or heart function, and nutritional problems may develop during treatment. In our department, early detection and management of these problems are considered an integral part of the treatment process.
When Should You Consult the Oncology Department?
- When cancer is diagnosed following a biopsy
- When imaging examinations reveal findings suspicious for cancer and you are referred by the relevant physician
- To assess whether additional treatment is necessary after cancer surgery
- For monitoring and follow-up of cancer that has previously been treated
If you experience symptoms such as unexplained weight loss, persistent cough, blood in the stool, a breast lump, a wound that does not heal, or unexpected bleeding, you will first be evaluated by the relevant department. If cancer suspicion is confirmed, you will be referred to the oncology department.
Frequently Asked Questions About the Oncology Department
Which diseases does the oncology department treat?
The oncology department specializes in the treatment and follow-up of cancer. Drug treatments for many types of cancer, particularly lung, breast, digestive system, urological, and gynecological cancers, are planned and administered in this department.
What is the difference between medical oncology and radiation oncology?
Medical oncology manages cancer treatment using medications such as chemotherapy, targeted therapy, immunotherapy, and hormone therapy. Radiation oncology, on the other hand, focuses on treating cancer using radiation therapy (radiotherapy). In many patients, these two treatments are administered together or sequentially.
What happens during the first consultation?
During the initial consultation, the patient's complaints, medical history, and existing pathology and imaging reports are evaluated. A physical examination is performed, and any additional tests required for treatment planning are identified. Therefore, bringing all your medical reports will help speed up the process.
How long does chemotherapy take?
The duration of a chemotherapy session varies depending on the medication used. Some treatments are completed within 1–2 hours, while others may take longer or extend over several days. The total duration of treatment may range from a few months to much longer periods, depending on the type of cancer and the treatment objective.
Can I continue my daily activities during chemotherapy?
Many patients can continue their daily activities and even work during treatment with certain adjustments. This depends on the medication used, the severity of side effects, and the individual's overall condition. You can discuss this with your treatment team to establish a routine that suits your needs.
Does chemotherapy always cause hair loss?
No. Hair loss is common with some chemotherapy medications, while with others it may not occur at all or may be mild. Significant hair loss is generally not expected with targeted therapies and immunotherapy. If hair loss occurs, hair usually grows back after treatment is completed.
How should I eat during chemotherapy?
Adequate protein and energy intake is important during treatment. Eating small, frequent meals, drinking plenty of fluids, and choosing well-cooked foods are among the general recommendations. During periods of weakened immunity, it may be necessary to avoid raw or undercooked foods. Herbal products and supplements should not be used without consulting a physician, as they may interact with medications.
I was diagnosed at another medical center. Can I continue my treatment here?
The diagnosis and tests performed at another medical center are evaluated during the initial consultation. Your physician will decide how treatment should continue. Bringing your pathology reports, imaging records, and treatment summaries will facilitate this evaluation.
How often are follow-up appointments scheduled after treatment?
The frequency of follow-up appointments varies depending on the type and stage of cancer. Generally, examinations, blood tests, and necessary imaging studies are performed more frequently during the first few years and at longer intervals in subsequent years. The follow-up plan is individually determined by the medical oncologist.
Randevu ve İletişim
To schedule an appointment or obtain information from the Emsey Hospital Medical Oncology Department, you can contact us at 444 25 99 or use our online appointment system. Our hospital is located at Selçuklu Street No:22, Çamlık Neighborhood, Pendik, Istanbul.
The information on this page has been prepared for general informational purposes and does not replace medical diagnosis or treatment. Please consult your physician for your diagnosis and treatment plan.
