Schwannoma treatment in Israel

Schwannoma (a type of neuroma) is a tumor made from Schwann cells in the myelin sheath of nerves. It can be benign and affect mainly the trigeminal, auditory and spinal cord nerves. But there are also malignant forms that affect the sacral, brachial plexus, sciatic nerve. In terms of frequency, schwannoma occurs in 20% of all spinal cord tumors and only 8% of all brain neoplasms.

The most effective treatment for schwannoma in Israel, because in the country, methods are used in practice that allow you to completely get rid of the neoplasm without relapse. In addition, according to patients' reviews, the prices for treatment in Israel are several times lower than those in clinics in the USA and Europe. The pricing policy in the field of medicine in Israel is fully controlled by the Ministry of Health, due to which the cost of treatment remains affordable.

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Benefits of schwannoma treatment in Israel

1. Experienced doctors. Qualified neurosurgeons with a narrow specialization and extensive experience work in Israeli medical institutions;
2. The newest equipment. The clinics are equipped with the most modern diagnostic and treatment equipment;
3. Innovative treatments. The advantage is given to minimally invasive sparing methods of treatment, which provide a good result with minimal impact on healthy organs;
4. Affordable prices. The cost of treatment in Israel is about 30-40% less than that of European or American oncologists.

How is schwannoma diagnosed in Israeli clinics?

The diagnostic program for each patient is developed individually. In order to accurately find out its size, type and localization relative to neighboring organs, if a tumor is suspected, a number of instrumental and laboratory studies are prescribed.

Due to the use of highly sensitive equipment, the accuracy of the diagnostic results is guaranteed. The entire diagnostic process takes no more than 4 days and takes place in several stages:

Examination by an oncologist

At the first consultation, the doctor collects the medical history, analyzes the patient's complaints. The results of previous studies made before arrival are also taken into account, if the patient took them with him.

This is followed by an examination with palpation of the area where the neoplasm is located, a study of sensitivity to touch and pain, and a check of tendon and skin reflexes. Based on the results of the examination, the doctor prescribes a number of additional examinations necessary for the diagnosis.

Diagnostic procedures

Following methods of diagnostic are used:

• MRI (magnetic resonance imaging) - reveals even the smallest neoplasms, allows you to clarify the location and exact size of the tumor;
• X-ray examination - reveals the prevalence of the tumor to neighboring areas;
• Biopsy – sample of tissueis taken to determine the type of tumor, the difference between benign and malignant neoplasms;
• ENMG (electroneuromyography) - examines the patency of electrical impulses along the peripheral nerves;
• Ultrasound (ultrasound examination) - is prescribed when the tumor is located inside the soft tissues;
• Audiogram - a test of hearing acuity and the degree of hearing loss in the case of an acoustic schwannoma.

The high accuracy of diagnostic methods makes it possible to detect a neoplasm even at the initial stage and to avoid such possible complications as hearing loss up to deafness or paralysis of the facial nerve.

Coordination of the therapy program

In Israeli clinics, not one doctor is involved in drawing up a treatment plan, but a consultation of an oncologist, a radiologist, a neurologist, a neurosurgeon and related specialists is performed. Based on the data obtained from the examination results, the doctors together select the most optimal therapy regimen. Experience has shown that such a strategy and collaborative approach will yield better results.

Schwannoma treatment methods in Israeli clinics

In each specific clinical case, the method of treatment is selected individually. It depends on the size and location, the depth of the neoplasm, its stage in the malignant process. The general state of health of the patient, his age and concomitant chronic pathologies are also taken into account.

Surgical intervention

The surgical method is one of the most reliable, it is used strictly according to the indications:

• at the risk of malignancy (growth of a benign into a malignant) tumor;
• if the tumor can damage a nerve or nearby organs;
• if the tumor continues to grow rapidly;
• if symptoms worsen and the disease progresses over time.

For the treatment of benign schwannomas, which grow slowly, squeezing the surrounding organs, minimally invasive microsurgical method is used. In this case, tumor is removed through small punctures.

Such a gentle approach reduces the invasiveness of the operation, allows you to preserve the function of the nerve, and accelerate recovery. Microsurgery prevents schwannoma recurrence in 75% of cases.

Reference! The task of surgeons is especially difficult when the schwannoma is located on the head and face. High precision of manipulation is required in order not to damage the auditory and facial nerves, not to disturb hearing, facial expressions and skin sensitivity.

But even partial resection of a schwannoma gives an excellent result in the form of a reduction in compression (pressure) on the nerves, elimination of pain and an improvement in the quality of life of patients.

Unlike benign tumors, when microsurgery is sufficient, malignant schwannomas must be removed along with excision of nearby tissue to reduce the risk of recurrence and metastasis. To accelerate recovery after major operations, rehabilitation is perfromed.

Cyber Knife

Today, for the treatment of schwannomas in Israeli medical centers, the method of stereotaxic radiosurgery or cyber knife is widely used. This is an innovative technology that allows you to irradiate a tumor with targeted high doses of radiation with virtually no effect on the surrounding tissues and the body as a whole. Thus, the dose of radiation that tumor cells receive is maximum, and the dose that affects the surrounding tissues is minimal.

Cyberknife irradiation is carried out under the control of CT and MRI, which allows you to accurately see the location of the tumor. The installation is equipped with modern software that controls the emitter head with an accuracy of hundredths of a millimeter.

Cyber Knife application is shown when:

• recurrent schwannomas;
• tumors with difficult access for conventional surgery;
• high risk of nerve injury during classical surgery;
• if there are contraindications to anesthesia.

These contraindications include heart failure and other heart pathologies, kidney disease, severe diabetes mellitus. Since radiosurgery does not require local or general anesthesia, it can be performed even for patients with severe chronic diseases.

An important advantage of the technology is the complete absence of contraindications and possible complications. This procedure is absolutely non-invasive, does not require incisions or punctures. Accordingly, there is no need for special preparation, as well as long-term recovery, as after a conventional surgical operation with incisions, craniotomy, etc.

Chemotherapy

Chemotherapy is used only for malignant schwannomas. In this case, the patient takes cytostatics that slow down the growth of the tumor, reduce its volume and prevent the spread of metastases to other tissues with the bloodstream. Clinics for the treatment of schwannomas in Israel offer patients only modern cytostatics of increased efficiency with minimal side effects.

The cost of schwannoma treatment in Israel

The prices for the treatment of schwannomas in Israel are formed depending on the type of the affected nerve, the size of the tumor, the number of necessary diagnostic procedures, the treatment technologies used, the volume of restorative procedures in the event of an operation.

Therefore, the final cost of treatment can be announced only upon the patient's arrival at the clinic after the diagnosis and collection of a medical consultation. But, in any case, prices will be a third or even half as much as in clinics in the USA or Western Europe, which are popular with medical tourists.

The approximate price list for services in Israeli clinics is as follows:

• consultation with a neurosurgeon - $ 600 and more;
• study of short-latency evoked auditory potentials (ABRP) in the case of vestibular schwannoma - $ 245 and more;
• MRI of the head - from $ 650;
• surgery to remove a tumor - from $ 17,200;
• Cyberknife treatment - $ 12,500 and more.