Visceral Oncology – Follow-up, Case Evaluation & Second Opinion
Tumor diseases of the abdominal cavity and digestive system are among the most complex medical conditions.
After surgery, endoscopic treatment, chemotherapy, or combined oncological therapy, many patients face important questions:
- Was my treatment complete and in line with current guidelines?
- What kind of follow-up is necessary now?
- Do I need further therapy?
- How should histology, CT, MRI, or PET-CT findings be interpreted?
- Is surgery, chemotherapy, or a tumor board discussion required?
- Are there uncertainties or conflicting medical opinions?
In our practice, we offer structured follow-up care, comprehensive case evaluation, and independent second opinions in the field of visceral oncology.
👉 Our goal is to provide a clear, understandable, and medically sound assessment of your condition and define the next appropriate steps.
What is Visceral Oncology?
Visceral oncology focuses on tumors of the abdominal organs and digestive system.
This includes:
- malignant tumors
- precancerous conditions
- unclear masses
- local recurrences
- metastases
- follow-up after completed treatment
It specifically involves diseases of:
- Esophagus
- Stomach
- Small intestine
- Duodenum
- Colon
- Rectum
- Anal canal
- Liver
- Gallbladder
- Bile ducts
- Pancreas
- Appendix
- Peritoneum
- Neuroendocrine tumors of the gastrointestinal tract
👉 Visceral oncology combines surgery, oncology, endoscopy, radiology, pathology, and structured follow-up care.
What we offer
We do not provide full inpatient oncologic treatment, but rather high-level surgical-oncological consultation.
Services include:
Structured second opinion
Postoperative follow-up
Evaluation of surgical reports
Histology interpretation
Imaging review (CT, MRI, PET-CT)
Tumor staging assessment
Therapy planning support
Tumor board recommendation
Follow-up strategy
Preparation for specialized centers
Clear explanation of findings
👉 Focus: clarity, structure, and decision support
Process
Detailed history
Review of all documents
Analysis of:
surgical reports
histology
imaging
endoscopy
lab results
Clinical interpretation
Therapy evaluation
Clear recommendation
Pricing
On-site:
Initial consultation: €100
Complex second opinion: €150
Follow-up: €100
👉 In many cases, a significant portion of the costs – in some cases up to approximately 80% – may be reimbursed by health insurance.
📌 The exact reimbursement depends on your diagnosis, the type of procedure, and your individual insurance plan.
Online:
Consultation: €80
Complex case: €120
Duration
First consultation: 30–45 min
Complex cases: longer
Follow-up: 15–20 min
Advantages
Experienced visceral surgeon
Clear explanations
Structured follow-up
Guideline-based
In which tumor conditions is consultation useful?
🔹 Esophageal tumors
- Esophageal carcinoma
- Adenocarcinoma of the gastroesophageal junction
- Squamous cell carcinoma
- Status after endoscopic resection or esophageal surgery
🔹 Gastric tumors
- Gastric cancer
- Adenocarcinoma of the stomach
- Early gastric cancer
- Suspicious gastric lesions
- Status post gastrectomy or partial resection
🔹 Small bowel & duodenal tumors
- Duodenal carcinoma
- Small bowel adenocarcinoma
- GIST (gastrointestinal stromal tumor)
- Neuroendocrine tumors
- Rare jejunal/ileal tumors
🔹 Colon cancer
- Colon carcinoma
- Right- or left-sided colon cancer
- Sigmoid cancer
- Status after hemicolectomy or colectomy
- Follow-up after colorectal surgery
- Questions regarding histology or lymph node status
🔹 Rectal cancer
- Rectal carcinoma
- Low rectal tumors
- Status after neoadjuvant chemoradiotherapy
- Status after LAR, Hartmann, APR
- Local pelvic recurrence
- Follow-up care
🔹 Anal tumors
- Anal carcinoma
- Squamous cell carcinoma
- Suspicious anal lesions
- Post chemoradiotherapy follow-up
🔹 Liver tumors
- Hepatocellular carcinoma (HCC)
- Liver lesions of unclear origin
- Liver metastases (e.g. colorectal cancer)
- Cholangiocarcinoma
- Status after liver surgery
🔹 Gallbladder & bile duct tumors
- Gallbladder carcinoma
- Intrahepatic cholangiocarcinoma
- Perihilar cholangiocarcinoma
- Distal bile duct carcinoma
- Biliary strictures
- Post-treatment follow-up
🔹 Pancreatic tumors
- Pancreatic cancer
- Pancreatic head tumors
- Cystic lesions (IPMN)
- Neuroendocrine tumors
- Status after Whipple or distal pancreatectomy
🔹 Appendix & peritoneal tumors
- Appendix tumors
- Mucinous neoplasms
- Pseudomyxoma peritonei
- Peritoneal carcinomatosis
🔹 Neuroendocrine tumors
- Gastric NET
- Small bowel NET
- Pancreatic NET
- Functional / non-functional NET
🔹 Metastatic & complex cases
- Liver metastases
- Local recurrence
- Complex postoperative courses
- Therapy decision-making
👉 Also useful in cases of:
- unclear histology
- conflicting recommendations
- tumor board questions
- uncertainty about next steps
🔹 Typical questions
- Do I need further treatment?
- How good/bad is my histology?
- How often imaging?
- Is it recurrence?
- Do I need surgery?
⚠️ Important notes
- Does not replace oncologic center
- Final decisions via tumor board
Online ≠ full clinical exam
