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Cancer

Learn cancer fundamentals, types, and core definitions explained by multidisciplinary oncology teams.

Oncology Center: The Intersection of Science, Technology, and Hope

A cancer diagnosis is a seismic event. It divides life into “before” and “after.” At Liv Hospital, we understand that you are not just fighting a disease; you are fighting for your future, your family, and your normal life. That is why we have built one of the most comprehensive Oncology Centers in the region—a place where cutting-edge science meets compassionate care.

Cancer care has evolved rapidly in the last decade. It is no longer about “one size fits all” chemotherapy. Today, it is about Precision Oncology. It is about decoding the genetic makeup of your specific tumor, using MR-Linac technology to target it with sub-millimeter accuracy, and employing Immunotherapy to train your own body to join the fight. At Liv Hospital, we do not just treat “cancer”; we treat your cancer. We are your strategic partners in this journey, equipped with the technology, expertise, and speed required to win.

Meet With Your Doctor

Discover the evolution of cancer care through advanced radiation technology! In the video below, Prof. Dr. Merdan Fayda explains the critical role of Radiotherapy and Stereotactic Radiosurgery (Pinpoint Radiation) in targeting tumors with extreme precision while preserving surrounding healthy tissues.

In this comprehensive overview, we explore how high-energy beams and state-of-the-art image-guided systems are transforming the oncology landscape, offering highly effective, non-invasive alternatives for patients.

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Overview and Definition

What Is Cancer?

To defeat the enemy, you must understand it. The human body is made up of trillions of cells that grow, divide, and die in an orderly fashion. Cancer is a broad term for a group of diseases characterized by the uncontrolled division of abnormal cells.

  • The Mutation: It starts with a change (mutation) in the DNA of a single cell. This mutation tells the cell to stop following the rules—it doesn’t stop dividing, and it doesn’t die when it should (apoptosis).
  • The Tumor: These accumulated cells form a mass called a tumor.
    • Benign Tumors: Do not spread to other parts of the body (e.g., lipomas).
    • Malignant Tumors: Cancerous. They can invade nearby tissues.
  • Metastasis: The biggest danger. Cancer cells can break away from the original tumor, travel through the blood or lymph systems, and form new tumors in other organs (e.g., breast cancer spreading to the bones).

At Liv Hospital, our goal is two-fold: Local Control (destroying the primary tumor via surgery or radiation) and Systemic Control (killing circulating cells via medication to prevent metastasis).

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Collective Intelligence

what is cancer staging LIV Hospital

In many hospitals, a patient sees a surgeon, then a medical oncologist, then a radiation doctor separately. This fragmented care can lead to conflicting advice.

At Liv Hospital, every single cancer case is presented to our Multidisciplinary Tumor Council. This is a board meeting for your health.

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Who is at the table?

how is cancer staged LIV Hospital
  • Medical Oncologists: (Chemotherapy/Immunotherapy experts)
  • Surgical Oncologists: (Organ-specific surgeons)
  • Radiation Oncologists: (Targeted radiation experts)
  • Pathologists: (Who analyze the cell type)
  • Radiologists: (Who interpret the PET-CT/MRI scans)
  • Nuclear Medicine Specialists: (Theranostics experts)
  • Geneticists: (DNA profiling experts)

Symptoms and Causes

Medical Oncology: Beyond Standard Chemotherapy

The era of “carpet bombing” the body with toxic chemicals is ending. While traditional chemotherapy is still a powerful tool, Liv Hospital specializes in Smart Medicines.

1. Immunotherapy (Unmasking the Cancer)

Cancer cells are clever; they wear a “mask” that tricks your immune system into thinking they are healthy cells (using checkpoints like PD-L1).

  • The Treatment: Immunotherapy drugs (Checkpoint Inhibitors) rip this mask off. They do not kill the cancer directly; they unleash your body’s own T-cells to identify and attack the tumor.
  • The Result: Often fewer side effects than chemo and potentially durable, long-term remission.

2. Targeted Therapy (Smart Drugs)

  • The Science: We perform Next-Generation Sequencing (NGS) on your tumor biopsy to find specific genetic mutations (like EGFR, ALK, or BRAF).
  • The Treatment: We use oral pills or IV drugs designed to attack only cells with that specific mutation, leaving healthy cells alone. It is like a sniper shot compared to a shotgun blast.
Pancreatic Cancer: Vital Triggers Of Organ Masses

Understanding Cancer and How It Affects the Body

Cancer can affect the body by pressing on organs, which may cause pain or even organ problems. Treatments like chemotherapy target fast-growing cells, so they attack cancer but can also affect healthy cells, leading to side effects like hair loss, tiredness, or nausea. Immunotherapy works by boosting the immune system, which can sometimes cause symptoms similar to the flu.

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Radiation Oncology

Radiation therapy uses high-energy waves to destroy cancer DNA. The challenge has always been hitting the tumor without burning the healthy organs nearby. Liv Hospital is one of the few centers in the world equipped with the MR-Linac.

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Diagnosis and Staging

MR-Linac (Unity): Seeing While Treating

Traditional radiation machines use old X-ray images. But tumors move—your lung tumor moves when you breathe; your prostate moves when your bladder fills.

  • The Revolution: MR-Linac combines a high-strength MRI machine with a Linear Accelerator.
  • The Benefit: We can see the tumor in real-time, crystal-clear definition during the treatment. If the tumor shifts 2mm, the machine pauses or adjusts. This allows us to deliver massive, curative doses (SBRT) in fewer sessions (e.g., 5 days instead of 6 weeks) with minimal side effects.

CyberKnife & Gamma Knife

For brain tumors or spinal metastases, we use Radiosurgery. This is non-invasive “surgery” using radiation beams so precise (sub-millimeter accuracy) that no incision is needed.

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cancer

Treatment Details

Da Vinci Xi Robotic Surgery

Untitled LIV Hospital

Liv Hospital utilizes the latest robotic systems for complex cancer surgeries:

  • Prostate Cancer: Protecting the nerves responsible for potency and urinary control.
  • Colorectal Cancer: Removing tumors with tiny incisions, allowing for faster return of bowel function.
  • Gynecologic Cancer: Hysterectomies performed with extreme precision.
  • The Benefit: The robot provides 3D high-definition vision and wrist movements that human hands cannot perform. This means less blood loss, less pain, and a faster discharge—crucial for international patients who need to fly home.

Nuclear Medicine: Theranostics

Untitled 1 1 LIV Hospital

We are pioneers in Theranostics (Therapy + Diagnostics). This involves finding cancer cells with a radioactive tracer (PET-CT) and then destroying them with a radioactive missile.

  • Lutetium-177: Used for advanced Prostate Cancer (PSMA therapy) and Neuroendocrine Tumors. It seeks out cancer cells throughout the body and delivers radiation directly to them, sparing healthy tissue.

Why Choose Liv Hospital for Cancer Care?

Untitled 2 LIV Hospital

Traveling for cancer treatment is a major decision. Here is why patients from 50+ countries trust Liv Hospital:

  1. Speed is Survival: In many countries (UK, Canada), waiting lists for PET-CT scans or surgery can be months long. Cancer does not wait. At Liv Hospital, we typically complete all diagnostics in 3 days and start treatment immediately.
  2. JCI Accreditation: We are an accredited Center of Excellence, adhering to strict American safety protocols for chemotherapy preparation and surgical sterility.
  3. Comprehensive Support: We treat the person, not just the disease. Our Supportive Care Unit includes:
    • Psycho-Oncology: Psychologists to help navigate the anxiety and depression often associated with diagnosis.
    • Onco-Nutrition: Dietitians to maintain your strength and weight during treatment.
    • Algology (Pain Management): Specialists dedicated to ensuring you are pain-free.
  4. Access to Clinical Trials: As a university hospital, we participate in global clinical trials, giving patients access to new drugs before they are widely available.

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Assoc. Prof. MD. Evrim Duman Liv Hospital Ulus Assoc. Prof. MD. Evrim Duman Radiation Oncology Asst. Prof. MD. Meltem Topalgökçeli Selam Liv Hospital Ulus Asst. Prof. MD. Meltem Topalgökçeli Selam Medical Oncology Prof. MD. Duygu Derin Liv Hospital Ulus Prof. MD. Duygu Derin Medical Oncology Prof. MD. Emre Merdan Fayda Liv Hospital Ulus Prof. MD. Emre Merdan Fayda Radiation Oncology Prof. MD. Meral Günaldı Liv Hospital Ulus Prof. MD. Meral Günaldı Medical Oncology Assoc. Prof. MD. Murat Ayhan Liv Hospital Vadistanbul Assoc. Prof. MD. Murat Ayhan Medical Oncology Prof. MD. Itır Şirinoğlu Demiriz Liv Hospital Vadistanbul Prof. MD. Itır Şirinoğlu Demiriz Hematology Prof. MD. Tülin Tıraje Celkan Liv Hospital Vadistanbul Prof. MD. Tülin Tıraje Celkan Pediatric Hematology and Oncology Assoc. Prof. MD. Erkan Kayıkçıoğlu Liv Hospital Bahçeşehir Assoc. Prof. MD. Erkan Kayıkçıoğlu Medical Oncology Assoc. Prof. MD. Mine Dağgez Liv Hospital Bahçeşehir Assoc. Prof. MD. Mine Dağgez Gynecological Oncology Assoc. Prof. MD. Ozan Balakan Liv Hospital Bahçeşehir Assoc. Prof. MD. Ozan Balakan Medical Oncology MD. Taylan Bükülmez Liv Hospital Bahçeşehir MD. Taylan Bükülmez Radiation Oncology Op. MD. Alp Koray Kinter Liv Hospital Bahçeşehir Op. MD. Alp Koray Kinter Gynecological Oncology Prof. MD. Nuri Faruk Aykan Liv Hospital Bahçeşehir Prof. MD. Nuri Faruk Aykan Medical Oncology Spec. MD. Özlem Doğan Liv Hospital Bahçeşehir Spec. MD. Özlem Doğan Medical Oncology Assoc. Prof. MD. Emir Çelik Liv Hospital Topkapı Assoc. Prof. MD. Emir Çelik Medical Oncology Assoc. Prof. MD. Muhammed Mustafa Atcı Liv Hospital Topkapı Assoc. Prof. MD. Muhammed Mustafa Atcı Medical Oncology Prof. MD. İrfan Çiçin Liv Hospital Topkapı Prof. MD. İrfan Çiçin Medical Oncology Assoc. Prof. MD. Ramazan Öcal Liv Hospital Ankara Assoc. Prof. MD. Ramazan Öcal Hematology Assoc. Prof. MD. Nazlı Topfedaisi Özkan Liv Hospital Ankara Assoc. Prof. MD. Nazlı Topfedaisi Özkan Gynecological Oncology Prof. MD. Fikret Arpacı Liv Hospital Ankara Prof. MD. Fikret Arpacı Medical Oncology Prof. MD. Gökhan Erdem Liv Hospital Ankara Prof. MD. Gökhan Erdem Medical Oncology Prof. MD. Meral Beksaç Liv Hospital Ankara Prof. MD. Meral Beksaç Hematology Prof. MD. Oral Nevruz Liv Hospital Ankara Prof. MD. Oral Nevruz Hematology Prof. MD. Saadettin Kılıçkap Liv Hospital Ankara Prof. MD. Saadettin Kılıçkap Medical Oncology Prof. MD. Sadık Muallaoğlu Liv Hospital Ankara Prof. MD. Sadık Muallaoğlu Medical Oncology Spec. MD. Ender Kalacı Liv Hospital Ankara Spec. MD. Ender Kalacı Medical Oncology Assoc. Prof. MD. Fadime Ersoy Dursun Liv Hospital Gaziantep Assoc. Prof. MD. Fadime Ersoy Dursun Hematology Prof. MD. Fatih Teker Liv Hospital Gaziantep Prof. MD. Fatih Teker Medical Oncology Spec. MD. ELXAN MEMMEDOV Liv Bona Dea Hospital Bakü Spec. MD. ELXAN MEMMEDOV Medical Oncology Spec. MD. Ceyda Aslan Spec. MD. Ceyda Aslan Hematology Spec. MD. Elkhan Mammadov Spec. MD. Elkhan Mammadov Medical Oncology Spec. MD. Elmir İsrafilov Spec. MD. Elmir İsrafilov Hematology Spec. MD. Minure Abışova Eliyeva Spec. MD. Minure Abışova Eliyeva Hematology Spec. MD. Natavan Azizova Spec. MD. Natavan Azizova Medical Oncology Prof. MD. Mehmet Hilmi Doğu Liv Hospital Ulus + Liv Hospital Bahçeşehir Prof. MD. Mehmet Hilmi Doğu Hematology

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FREQUENTLY ASKED QUESTIONS

Do you offer "Second Opinions"?

Yes. In fact, 40% of our international patients come to us for a second opinion. Pathology slides can be misinterpreted, or treatment options may be outdated. Our Tumor Council will review your existing reports and slides to confirm the diagnosis and propose a treatment plan, often finding options that were not offered elsewhere.

  • MRI/CT: Shows the structure (anatomy) of the body. It shows if there is a lump.

PET-CT: Shows the metabolism (activity) of the cells. Cancer cells are “hungry” and eat sugar (glucose). We inject a radioactive sugar tracer that lights up cancer cells like a Christmas tree. It tells us if a lump is benign or malignant and if the cancer has spread (metastasis).

No. Many early-stage cancers (like Stage 1 Breast Cancer) can be treated with surgery and hormonal therapy alone. With Genomic Testing (like Oncotype DX), we can predict if chemotherapy will actually help you. If the test shows low risk, we can safely skip chemo and its side effects.

Absolutely. We encourage it. Fighting cancer requires a support system. Our private patient rooms include a comfortable bed for a family member to stay with you throughout the hospitalization, free of charge.

Communication is critical in oncology. Our International Patient Center provides dedicated interpreters who speak your native language (English, Arabic, Russian, French, etc.). They attend every consultation and explain every medical term, ensuring you are never lost in translation.

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Op. MD. Alp Koray Kinter Gynecological Oncology

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Spec. MD. Özlem Doğan Medical Oncology

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