Skip to content
Doruk Hospital
Home › Oncology › Anal Cancer

Anal Cancer

In anal cancer, our aim is to treat while preserving the organ. Our oncology board plans the process together with you, step by step.

HIGHLIGHTS

What stands out in this treatment

Organ and Sphincter Preserving Approach

In anal cancer the primary treatment is not surgery; chemoradiotherapy targets the disease while preserving the anus and continence, surgery only for recurrence.

Chemoradiotherapy (Nigro Protocol)

The Nigro protocol, concurrent chemotherapy and radiotherapy, is the standard for anal cancer and spares most patients from surgery.

Reduced-Toxicity Radiotherapy with IMRT

IMRT/VMAT on the TrueBeam LINAC targets the tumor with a high dose while sparing surrounding tissue, reducing skin, bowel and bladder side effects.

Multidisciplinary Oncology Council

A tumor board of radiation oncologist, medical oncologist, surgical oncologist, radiologist and pathologist determines treatment method and sequence.

HPV and Molecular Diagnosis

HPV association and molecular pathology define the tumor's biology; immunotherapy options are considered in advanced or recurrent disease.

Salvage Surgery and International Patient Support

When needed, salvage APR is performed by an experienced team; visa, transfer, accommodation and medical interpreter support are offered to international patients.

Insurance & agreements

Transparent payment with contracted institutions and private insurers, at home and abroad.

Accommodation & rooms

Companion-friendly modern patient rooms and in-city accommodation support.

International patient services

Visa, airport transfer and 24/7 multilingual medical interpreters.

Transparent, guaranteed price

A quote prepared from your medical information; no extra charge for the treatments it covers.
OVERVIEW

Who it's for & conditions treated

Who is it for?
Bleeding from the anus is often mistaken for hemorrhoids, which can delay diagnosis; persistent bleeding must always be evaluated.
A palpable mass, swelling or feeling of fullness in the anal area.
Pain, itching or abnormal discharge around the anus.
Straining, narrowed stools or difficulty with continence.
Persistent high-risk HPV infection is the leading risk factor for anal cancer.
Conditions of immunosuppression such as HIV infection and organ transplantation increase risk; follow-up and screening are important in these patients.
Conditions treated
Chemoradiotherapy — Nigro ProtocolRadiation Oncology — IMRT/VMATMedical Oncology — Chemotherapy and ImmunotherapySalvage Surgery — Abdominoperineal Resection (APR)Multidisciplinary Tumor Council
TREATMENTS

Our treatment methods

Anal Cancer
In anal cancer, our aim is to treat while preserving the organ. Our oncology board plans the process together with you, step by step.

Chemoradiotherapy — Nigro Protocol

Radiation Oncology — IMRT/VMAT

Medical Oncology — Chemotherapy and Immunotherapy

Salvage Surgery — Abdominoperineal Resection (APR)

Multidisciplinary Tumor Council

TREATMENT TIMELINE

From day one to discharge

The timeline below is an average and varies by patient, diagnosis and clinical status. Exact timing and all included services are detailed in your personalized treatment offer.
Application
Your imaging, tests and any biopsy/pathology reports are shared.
Workup
Staging is completed with PET-CT, pelvic MRI, anoscopy/biopsy and HPV/molecular evaluation.
Council
The case is evaluated for an organ-preserving treatment plan in the council attended by radiation, medical and surgical oncology.
Plan & Offer
A chemoradiotherapy-focused, organ-preserving plan and a transparent offer covering all steps are presented.
Treatment & Follow-up
Chemoradiotherapy is delivered; response is assessed after a defined interval, salvage surgery is planned by the council if needed, and follow-up continues with tele-oncology.
Every treatment offer is presented in full detail — accommodation, transfer, interpreter and follow-up included — clearly stating what is covered.
HOW IT WORKS

A completely carefree treatment journey

1
Online application
Fill the form or message us on WhatsApp; share your file in seconds.
2
Free evaluation
Our specialists review your file and reply within 24 hours.
3
Personalized plan
Treatment steps, timeline and transparent cost are clarified.
4
Welcome & treatment
Airport pickup, accommodation and treatment — coordinated end to end.
BY THE NUMBERS

Our center in numbers

12,000+
oncology cases per year at our center
TrueBeam
latest-generation LINAC platform
30+
cancer types treated
PET-CT
for staging and response follow-up
TECHNOLOGY

Our diagnostic and treatment technologies

Technology

Da Vinci Xi

TrueBeam LINAC

Biplane Angio

Advanced Imaging

Gait Robot

Arm Robot

WHY DORUK

What sets us apart here

JCI accreditation & patient safety
Accredited to international JCI standards; an independently audited quality and patient-safety system.
Weekly tumor board
Your treatment plan is finalized at a board where medical, radiation and surgical oncology sit together.
Radiotherapy, robotic surgery and PET-CT together
TrueBeam LINAC, Da Vinci robotic surgery and PET-CT in the same center — from tests to treatment without changing institutions.
International patient services
End-to-end support with visa, airport transfer, accommodation and multilingual medical interpreters.
Transparent, guaranteed pricing
A quote prepared from your medical information; the hospital charges no extra for the treatments it covers.
Tele-oncology follow-up
Your post-treatment follow-up continues via tele-oncology after you return home.
INFO & BLOG

About diagnosis, treatment and recovery

Why isn’t surgery performed first in anal cancer?
What is the Nigro protocol?
Why is IMRT radiotherapy preferred?
Will my anus be preserved after treatment?
What is the relationship between HPV and anal cancer?
Is treatment different in patients living with HIV?
When is salvage surgery (APR) needed?
Is there a role for immunotherapy in advanced anal cancer?
What documents are needed for a second opinion?
How does the process work for international patients?
PRICING

Transparent treatment pricing

Consultation & second opinion
A transparent offer prepared per your medical information and the council decision is provided with your first evaluation.
Free
Radiotherapy course (IMRT)
Planning + sessions included
€4,500 – €8,000
Chemotherapy (per cycle)
Excl. meds, incl. administration
€900 – €2,500
Robotic tumor surgery
3–4 night stay included
€7,500 – €12,000
Indicative price range — your binding quote is sent in writing after your free medical evaluation.
PRICE GUARANTEE

Our quote is a binding commitment

The quote prepared and shared based on the medical information you provide is guaranteed: for every treatment it covers, the hospital charges no extra fees.

Written, binding quote
Your quote is prepared from your medical information and shared in writing.
No surprise charges
For the treatments the quote covers, the hospital requests no extra charge.
All covered treatments included
Every planned treatment is included in the guaranteed price.
PATIENT STORIES

Recovery journeys in their own words

Patient stories
All patient stories
PATIENT VOICES

What our patients say

The oncology team was with me medically and emotionally. In a word, they gave me confidence.

Ayşe
Türkiye · Oncology
Illustrative review

All my tests were done in one centre and the tumour board produced a plan the same week.

Klaus
Germany · Oncology
Illustrative review

I came for a second opinion; it was the doctor himself who explained that I should stay and be treated.

Ivan
Bulgaria · Oncology
Illustrative review

A Russian-speaking coordinator was with me at every appointment; I never had to guess anything.

Elena
Russia · Oncology
Illustrative review

The file of the treatment I began at home was read here in full; I did not start from zero.

Aigul
Kazakhstan · Oncology
Illustrative review

Accommodation and transfers were planned in one schedule during radiotherapy; it did not exhaust me.

Faisal
Saudi Arabia · Oncology
Illustrative review

They explained both my illness and my options in my own language. Knowledge eased my fear.

Zainab
Iraq · Oncology
Illustrative review

I had my follow-up calendar in hand after treatment ended; I did not return home into a vacuum.

Sarah
United Kingdom · Oncology
Illustrative review
FAQ

Frequently asked questions

Is the consultation paid?
How do I apply from abroad?
Visa and transfer support?
How is post-care follow-up?

Free evaluation for Anal Cancer

Our international team replies within 24 hours. Visa, transfer and accommodation included.

WhatsApp us