{"meta":{"humanUrl":"https://ua.bookimed.com/clinics/country=india/city=panaji/procedure=keytruda/","canonicalUrl":"https://ua.bookimed.com/clinics/country=india/city=panaji/procedure=keytruda/","jsonUrl":"https://ua.bookimed.com/clinics/country=india/city=panaji/procedure=keytruda/data.json","title":"Імунотерапія Кейтрудою (Пембролізумаб) в Панаджі 2026: ціни, клініки та відгуки","description":"Імунотерапія Кейтрудою (Пембролізумаб) в Панаджі коштує від $2,500. Знайдіть найдоступніший варіант із безкоштовною оцінкою.","heading":"Імунотерапія Кейтрудою (Пембролізумаб) в Панаджі: ціни та клініки","locale":"ua","schemaVersion":"ClinicListingPageDataV1","snapshotId":"90b2e995-9913cc1b","contentVersion":"90b2e995","generatedAt":"2026-11-15T16:10:16.692Z"},"filters":{"country":"india","city":"panaji","procedure":"keytruda","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Індія","url":"/clinics/country=india/"},{"name":"Панаджі","url":"/clinics/country=india/city=panaji/"},{"name":"Імунотерапія Кейтрудою (Пембролізумаб)","url":"/clinics/country=india/procedure=keytruda/"}],"entities":[{"name":"Індія","alias":"india","type":"country","id":32},{"name":"Панаджі","alias":"panaji","type":"city","id":387},{"name":"Імунотерапія Кейтрудою (Пембролізумаб)","alias":"keytruda","type":"procedure","id":491}],"clinics":{"clinics":[{"text":"<p>Лікарня Маніпал Гоа (Manipal Hospital Goa) – це найбільша приватна клініка в штаті Гоа, Індія. <strong>Спеціалізація медичного центру</strong> – онкологія, неврологія, нейрохірургія, ортопедія та лапароскопічна хірургія.</p>\n\n<p>Маніпал Гоа першим серед приватних шпиталів штату отримав <strong>сертифікацію NABN</strong> за відповідність рівня лікування міжнародним стандартам.</p>\n\n<p>У клініці доступна <strong>комп'ютерна система IBM Watson</strong>, яка дозволяє визначити найефективніший метод лікування раку.</p>\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":419,"alias":"manipal-goa-hospital","name":"Manipal Goa Hospital","short_description":"<p>Лікарня Маніпал Гоа (Manipal Hospital Goa) – це найбільша приватна клініка в штаті Гоа, Індія. <strong>Спеціалізація медичного центру</strong> – онкологія, неврологія, нейрохірургія, ортопедія та лапароскопічна хірургія.</p>\n\n<p>Маніпал Гоа першим серед приватних шпиталів штату отримав <strong>сертифікацію NABN</strong> за відповідність рівня лікування міжнародним стандартам.</p>\n\n<p>У клініці доступна <strong>комп'ютерна система IBM Watson</strong>, яка дозволяє визначити найефективніший метод лікування раку.</p>\n","images":[{"base_url":"clinic/5bcf234fbdca0","title":"Сучасний фасад клініки Manipal Goa Hospital, Індія"},{"base_url":"clinic/5bcf235091016","title":"Коридор лікарні Manipal Goa Hospital з яскравим декором і палатами пацієнтів"},{"base_url":"clinic/5bcf23516debc","title":"Ресепшн у Manipal Goa Hospital із сучасними меблями та просторим холом"},{"base_url":"clinic/5bcf2351e53fd","title":"Простора зона очікування в лікарні Manipal Goa з сучасними кріслами та рецепцією"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Індія","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Панаджі","id":387,"alias":"panaji"},"address":"Dr. E Borges Rd, Dona Paula, Panjim, Goa-403 004, India"},"rating":{"rating":4.7,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":7,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72a355c46.jpeg","name":"Національна рада з акредитації лікарень Індії (NABH)","country_code":"IN"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":70},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":2476,"user":{"id":3679,"name":"Андрей Павлович ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Перебував на відпочинку у штаті Гоа. Перед поїздкою робив операцію з видалення аденоми простати, за результатами біопсії виявили ознаки аденокарциноми. Щоб мати різні думки лікарів, вирішив порадитися з місцевим онкоурологом з Manipal hospital. Остап Бондаренко з Bookimed організував мені прийом лікаря. До цього робив спробу зв&#39;язатися зі шпиталем самостійно, але вони так і не відповіли. Все там добре організовано. Мені сподобалося. Усі питання обговорили. Перекладачка Світлана спочатку зі мною обговорила все та уточнили термінологію. А потім на прийомі все доступно лікарю переклала мої питання і мені його поради Лікар дуже компетентний і роз&#39;яснив мені всі можливі варіанти лікування та необхідні дослідження.","en":"Was on vacation in the state of Goa. Before the trip, he performed an operation to remove prostate adenoma, according to the results of a biopsy, he found signs of adenocarcinoma. In order to have different opinions, the doctors decided to consult with a local oncourologist from Manipal hospital. Ostap Bondarenko from Bookimed arranged for me to see a doctor. Before that, he attempted to contact the hospital on his own, but they did not respond.\r\n Everything is well organized there. I like it. All questions discussed. Translator Svetlana first discussed everything with me and clarified the terminology. And then at the reception everything is available to the doctor translated my questions and his advice to me.\r\n The doctor is very competent and explained to me all possible treatment options and the necessary research."},"order":{"illness":{"id":97,"name":{"ua":"Рак простати","en":"Prostate cancer"}},"diagnostic":{"id":1,"name":{"ua":"ПЕТ-КТ","en":"PET/CT"}}},"clinic_info":{"id":257,"name":"Manipal Hospitals","alias":"manipal-hospitals","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-12-18T20:18:22.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Там все добре організовано. Мені це подобається. Про лікаря: Лікар дуже компетентний і пояснив мені всі можливі варіанти лікування та необхідні дослідження. Про клініку: Там все добре організовано. Мені це подобається. Про результати: всі питання обговорено. Про досвід: Перекладач Світлана спочатку все обговорила зі мною і уточнила термінологію. А потім на прийомі все доступно лікар перевів мої за","en":"Everything is well organized there. I like it. About the Doctor: The doctor is very competent and explained to me all possible treatment options and the necessary research.About the Clinic: Everything is well organized there. I like it. About the Results: All questions discussed. About the Experience: Translator Svetlana first discussed everything with me and clarified the terminology. And then at"}}},{"id":5119,"user":{"id":29254,"name":"Фёдор ","country_code":"TJ"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ua":"Мене зовуд Фірдавс (Федер) хочу висловити Свого благадарності за вашу важку роботу","en":"My name is Firdavs (Feder). I want to express my gratitude for your hard work. Many thanks to the coordinator Julia Smirnova and Alexander. They are also supported 24 hours sometimes questions arise at night. She is always respectful from her patient. Thank you from all of Tajikistan."},"order":{"illness":{"id":4,"name":{"ua":"Рак легенів","en":"Lung cancer"}}},"doctor_info":{"id":1814,"name":"Surender Dabas","alias":"surender-dabas"},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-12T06:36:14.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Хочу висловити подяку за вашу нелегку працю.","en":"I want to express my gratitude for your hard work."}}},{"id":4781,"user":{"id":47724,"name":"Barno ","country_code":"UZ","country_name":{"ua":"Узбекистан","en":"Uzbekistan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Дякуємо за допомогу в організації поїздки та лікуванні, трохи довго надсилають відповідь на аналізи","en":"Thanks for the help in organizing the trip and the treatment, they send me an answer for analyzes for a little while"},"order":{"illness":{"id":4,"name":{"ua":"Рак легенів","en":"Lung cancer"}}},"clinic_info":{"id":283,"name":"Global Hospital Chennai","alias":"global-hospital-chennai","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-08-12T00:00:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Лікар дуже привітний і все дуже зрозуміло пояснює.","en":"The doctor is very nice and explains everything very clearly."}}},{"id":8228,"user":{"id":285678,"name":"Борис ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":4},{"name":"coordination","value":3},{"name":"doctor","value":4},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":2},{"name":"relative_price","value":2}],"text":{"ua":"Сумнівно","en":"Dubious"},"order":{"operation":{"id":37,"name":{"ua":"Хіміотерапія","en":"Chemotherapy"}}},"clinic_info":{"id":419,"name":"Manipal Goa Hospital","alias":"manipal-goa-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-11-23T09:54:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Так","en":"Yes"}},{"id":2057,"user":{"id":1609,"name":"Альбина ","country_code":"RU"},"ratings":[{"name":"main","value":3},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Лікарі клініки кваліфіковані, говорять англійською добре. Але організація лікування, тобто всі ці координатори та перекладачі вже коли ви в Індії це величезний мінус процесу. Просто величезний. Очікування всього і скрізь годинами, днями часом, погана поінформованість, жахливий акцент російською, що зрозуміти багато можна з точністю до навпаки, незнання медичних термінів, тобто побут можуть перекласти. Я супроводжувала мамутне лікування, трохи володію англійською, тому щось прискорювала за рахунок цього. Одному хворому їхати не варто, шукайте супроводжуючого, якщо інші країни не підходять за цінами на лікування. Якщо ж хтось їде один чи супроводжувальниць не знає англійської, процес зіпсує вам усі нерви. Саме обстеження та лікування, хірургія, все ведеться на хорошому рівні. Але до вміння організувати все безболісно для пацієнта-це ще прийде у BLK не скоро. Не знаю, як в інших клініках Індії, гадаю, що так само. Перекладачі тут різні, а проблеми однакові. Так і по всій країні я думаю. Але якщо виходить, здоров&#39;я довірити місцевим лікарям можна. Годують добре у стаціонарі і пацієнта, і супроводжуючого. Палати будь-якої чисельності ізолюють пацієнта шторками по периметру, вас бачить лише персонал, але врахуйте, що багатомісні палати дуже галасливі. Хто молиться арабською на всю палату, хтось пісню заспіває, хтось у гру зі звуковими ефектами грає, хтось по телефону репетує, адже і так тиші немає, стогонів від хвороб людей ще вистачає...зауваження не роблять нікому за невідключені телефони , гучні переговори та іншу неадекватність.","en":"Doctors of the clinic are qualified, speak English well. But the organization of treatment, that is, all these coordinators and translators already when you are in India, is a huge minus of the process. Simply huge. Expectations of everything and everywhere for hours, sometimes at times, poor awareness, a terrible accent on Russian, that one can understand a lot to the exact opposite, ignorance of medical terms, that is, only life can translate. I accompanied mamutna treatment, I speak English a little, therefore something accelerated due to this. One patient should not go, look for an accompanying person if other countries do not fit the prices for treatment. If someone is traveling alone or an accompanying person does not know English, the process will spoil your nerves. The very examination and treatment, surgery, everything is at a good level. But before the ability to organize everything painlessly for the patient, it will still come to BLK not soon. I do not know, as in other clinics in India, I think it's the same. Translators are different here, and the problems are the same. So in the whole country I think. But if there is no way out, you can entrust local doctors to the health. The patient is well fed in the hospital and the accompanying person. Chambers of any size isolate the patient with curtains around the perimeter, you see only the staff, but keep in mind that the multiple rooms are very noisy. Who prays in Arabic for the whole room, who sings the song, who plays the game with sound effects, who is screaming on the phone, because there is still no silence, people still have groans for the illnesses of people ... they do not do anybody for unconnected phones, loud talks and other inadequacy."},"order":{"operation":{"id":9,"name":{"ua":"Мастектомія","en":"Mastectomy"}},"illness":{"id":3,"name":{"ua":"Рак грудей","en":"Breast cancer"}},"diagnostic":{"id":1,"name":{"ua":"ПЕТ-КТ","en":"PET/CT"}}},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-08-19T08:42:08.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]}],"meta":{"total_count":8,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"<h2>Кейтруд - що це?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <strong>Кейтруда, Кітруда ( <a href=\"https://www.keytruda.com/\">пембролізумаб</a> )</strong> - це протираковий препарат, який активізує імунну систему. Він пригнічує білок PD-1, який маскує клітини раку, тому організм починає розпізнавати їх та самостійно знищувати. </p></div><h2> Ефективність препарату Кейтруда при раку</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <a href=\"https://www.keytruda.com/non-small-cell-lung-cancer/monotherapy-clinical-trial-results/\">Клінічні дослідження</a> пембролізумабу дали такі результати:</p><table class=\"block-green-frame\" style=\"width:50%;\"><tbody><tr><td><p> <strong>Період</strong></p></td><td><p> <strong>Відсоток виживання пацієнтів з 3-4 стадією раку</strong></p></td></tr><tr><td><p> 6 місяців</p></td><td><p> 92%</p></td></tr><tr><td><p> 1 рік</p></td><td><p> 69%</p></td></tr><tr><td><p> 1,5 року</p></td><td><p> 62%</p></td></tr><tr><td><p> 2 роки</p></td><td><p> 58% </p></td></tr></tbody></table></div><h2> Ризики та можливі побічні ефекти при лікуванні Кейтрудою</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Згідно з даними фармацевтичної енциклопедії <a href=\"https://www.drugs.com/mtm/pembrolizumab.html\">Drugs.com</a> , до найбільш поширених побічних ефектів Кейтруди, які виявляються у 20-55% пацієнтів, належать:</p><ul><li> свербіж шкіри;</li><li> гіперглікемія (підвищення рівня глюкози у крові);</li><li> нудота;</li><li> анемія (зниження рівня гемоглобіну у крові);</li><li> зниження апетиту;</li><li> втома;</li><li> кашель;</li><li> біль у суглобах.</li></ul><p> За статистикою Drugs.com, до найпоширеніших ускладнень, що виявляються у 1% пацієнтів, відносяться:</p><ul><li> ниркова та наднирникова недостатність;</li><li> коліт;</li><li> панкреатит;</li><li> гепатит.</li></ul><div class=\"info-block-wrapper\"><p><a></a> З появою побічних ефектів лікар може тимчасово зупинити терапію або відмовитися від неї.</p></div><p> Після початку прийому Кейтруди також може спостерігатися псевдопрогресія (збільшення основної пухлини та поява нових). Якщо загалом стан організму пацієнта залишається стабільним, лікар не припиняє лікування. </p></div><h2> Ціна пембролізумабу</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Вартість лікування Кейтрудою залежить від дозування та кількості сеансів. Орієнтовна ціна за 50 мг препарату – від $2 000. </p></div><h2> Відгуки про Кейтруд</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Кейтруди при раку шкіри (меланома).</p><div class=\"block-green-frame\"><p> <em>У січні 2017 року я розпочала лікування прогресуючої меланоми. Серед негативних побічних ефектів від Кейтруди було помічено лише втому. Перший курс становив 12 тижнів. Аналізи показали, що Кейтруд зупинила поширення меланоми. Нові пухлини не з'явилися. Лікування вирішили продовжити ще на 3 місяці.</em></p><p> <em>Лілія</em></p></div><p> Відгук про лікування Кейтрудою лімфоми Ходжкіна</p><div class=\"block-green-frame\"><p> <em>Кейтруда врятувала життя моєму чоловікові! Він лікував препаратом лімфому Ходжкіна. Підвищення рівня печінкових ферментів – єдиний побічний ефект. Це чудові ліки. Я можу сміливо рекомендувати його!</em></p><p> <em>Тетяна</em></p></div></div>"},"guide_mc":{"text":"<p>День 1</p><ul><li> Прибуття в країну та розміщення.</li><li> Підготуйтеся до первинних медичних тестів наступного дня.</li></ul><p> день 2</p><ul><li> Здати загальний аналіз крові на онкомаркери.</li><li> Виконайте протеїнограму, щоб оцінити рівень білка.</li></ul><p> день 3</p><ul><li> Консультація онколога для обговорення результатів обстеження.</li><li> План і розклад імунотерапії препаратом Кітруда (Пемболізумаб).</li></ul><p> День 4-5</p><ul><li> Почніть імунотерапію препаратом Кітруда (Пемболізумаб).</li><li> Сеанс триває від 30 хвилин до 4 годин.</li><li> Для цього лікування не потрібна анестезія.</li></ul><p> День 6</p><ul><li> Післялікова консультація онколога.</li><li> Обговорення побічних ефектів та запобіжних заходів.</li></ul><p> День 7</p><ul><li> Відпочивайте та відновлюйтеся у своєму помешканні.</li><li> Підготуйтеся до повернення додому.</li></ul><p> 2-4 тижні</p><ul><li> Слідкуйте за будь-якими побічними ефектами або реакціями.</li><li> Зверніться до клініки, якщо виникнуть будь-які проблеми.</li></ul><p> <i>Будь ласка, зверніть увагу, що досвід кожного пацієнта може відрізнятися, тому ви завжди повинні дотримуватися порад свого лікаря.</i></p>"},"overview":{"text":"<h3>Імунотерапія за допомогою препарату Keytruda (пемболізумаб)</h3> <p>Keytruda - один із різновидів імунної терапії, що використовує імунну систему організму для націлювання і знищення ракових клітин за допомогою моноклональних антитіл.</p> <div>[<b>Плюси:</b><span> Пропонує цілеспрямований підхід із меншою кількістю побічних ефектів; клінічні випробування показують 70-відсотковий рівень відповіді при деяких видах раку. Підходить для різних типів раку завдяки своїм імуномодулюючим властивостям.</span></div> <div>[icon-cons<b>]Мінуси:</b><span> Може спричиняти побічні ефекти, пов'язані з імунітетом, такі як коліт або пневмоніт, у 10 % пацієнтів. Обмежена ефективність при пухлинах з низькою експресією PD-L1.</span></div> <div>[icon-effect<b>]Ефективність:</b><span> 70-відсоткова частота відповіді при деяких видах раку.</span></div> <div>[icon-clock<b>]Тривалість:</b><span> Кожен сеанс триває близько 30 хвилин.</span></div> <div>[icon-run<b>]Відновлення:</b><span> Не потрібне.</span></div> <div>[icon-thumbs<b>]Найкраще підходить для:</b><span> Ракові захворювання з високою експресією PD-L1, меланома і недрібноклітинний рак легенів.</span></div> <div>[icon-price<b>]Ціни:</b><span> [txt-country]</span></div>"}}},"relations":{"countries":[{"name":"Єгипет","alias":"egypt","iso_code":"EG"},{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Італія","alias":"italy","iso_code":"IT"},{"name":"Азербайджан","alias":"azerbaijan","iso_code":"AZ"},{"name":"Домініканська республіка","alias":"dominican-republic","iso_code":"DO"},{"name":"Китай","alias":"china","iso_code":"CN"},{"name":"Малайзія","alias":"malaysia","iso_code":"MY"},{"name":"Марокко","alias":"morocco","iso_code":"MA"},{"name":"Мексика","alias":"mexico","iso_code":"MX"},{"name":"Німеччина","alias":"germany","iso_code":"DE"},{"name":"Південна Корея","alias":"republic-of-korea","iso_code":"KR"},{"name":"Сполучені Штати Америки","alias":"united-states","iso_code":"US"},{"name":"Таїланд","alias":"thailand","iso_code":"TH"},{"name":"Туреччина","alias":"turkey","iso_code":"TR"},{"name":"Україна","alias":"ukraine","iso_code":"UA"},{"name":"Швейцарія","alias":"switzerland","iso_code":"CH"},{"name":"Японія","alias":"japan","iso_code":"JP"}],"cities":[{"name":"Нашик","alias":"nashik"},{"name":"Панаджі","alias":"panaji"},{"name":"Делі","alias":"delhi"},{"name":"Бангалор","alias":"bengaluru"},{"name":"Гургаон","alias":"gurgaon"}],"operations":[{"name":"Мастектомія","alias":"mastectomy"},{"name":"Видалення нирки лапароскопічне","alias":"laparoscopic-nephrectomy"},{"name":"Хіміотерапія","alias":"chemotherapy"},{"name":"Резекція щитовидної залози","alias":"thyroid-resection"},{"name":"Резекція при раку печінки","alias":"removal-of-liver-cancer"},{"name":"Операція при раку товстого кишечника","alias":"removal-of-colon-cancer"},{"name":"Видалення пухлини головного мозку","alias":"removal-of-the-brain-tumor"},{"name":"Простатектомія","alias":"prostatectomy"},{"name":"Радіочастотна абляція","alias":"radiofrequency-ablation"},{"name":"Видалення пухлини спинного мозку","alias":"removal-of-spinal-cord-tumor"},{"name":"Видалення меланоми","alias":"melanoma-surgery"},{"name":"Видалення нирки","alias":"nephrectomy"},{"name":"Операція при раку шлунка","alias":"gastrectomy"},{"name":"Променева терапія","alias":"radiotherapy"},{"name":"Пересадка кісткового мозку","alias":"bone-marrow-transplantation"},{"name":"Оментектомія","alias":"omentectomy"},{"name":"Краніотомія","alias":"craniotomy"},{"name":"Трансназальне видалення пухлини","alias":"transnasal-resection-of-tumor"},{"name":"Аутологічна пересадка кісткового мозку","alias":"autologous-bone-marrow-transplantation"},{"name":"Трансплантація кісткового мозку алогенна від спорідненого донора","alias":"allogenic-bone-marrow-transplantation-from-a-related-donor"},{"name":"Трансплантація кісткового мозку алогенна від неспорідненого донора","alias":"allogenic-bone-marrow-transplantation-from-an-unrelated-donor"},{"name":"Езофагектомія","alias":"esophagectomy"},{"name":"Резекція тонкої кишки","alias":"small-intestine-surgery"},{"name":"Гормонотерапія","alias":"hormonal-therapy"},{"name":"Операція при раку молочної залози","alias":"operation-on-breast-cancer"},{"name":"Трахелектомія","alias":"trachelectomy-cervicectomy"},{"name":"Гістеректомія (видалення матки)","alias":"hysterectomy"},{"name":"Імунотерапія","alias":"immunotherapy"},{"name":"Лампектомія","alias":"lumpectomy"},{"name":"Субтотальна тиреоїдектомія","alias":"subtotal-thyroidectomy"},{"name":"Внутрішньочеревна хіміотерапія HIPEC","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Овариектомія","alias":"oophorectomy"},{"name":"Операція Уіппла","alias":"whipple-surgery"},{"name":"Орхіектомія","alias":"orchiectomy"},{"name":"Лімфаденектомія","alias":"lymphadenectomy"},{"name":"Широка ексцизія меланоми","alias":"wide-excision-of-melanoma"},{"name":"Операція Вертгейма","alias":"the-wertheim-meigs-operation"},{"name":"Видалення сечового міхура","alias":"rezekcia-mocevogo-puzyra"},{"name":"Ларингектомія","alias":"laryngectomy"},{"name":"Резекція кістки","alias":"resection-of-the-bone"},{"name":"Видалення поліпів ШКТ","alias":"polypectomy"},{"name":"Колектомія (резекція товстої кишки)","alias":"colectomy-large-bowel-resection"},{"name":"Резекція печінки","alias":"liver-resection"},{"name":"Видалення менінгіоми","alias":"removal-of-meningioma"},{"name":"Резекція прямої кишки","alias":"rectal-resection"},{"name":"Геміпельвектомія","alias":"hemipelvectomy"},{"name":"Видалення пухлини яєчка","alias":"removal-of-tumor-of-testicle"},{"name":"Видалення пухлини підшлункової залози","alias":"enucleation-of-tumor-on-pancreas"},{"name":"Імунотерапія Кейтрудою (Пембролізумаб)","alias":"keytruda"},{"name":"Видалення гліоми","alias":"resection-of-glioma"},{"name":"Видалення гліобластоми","alias":"resection-of-glioblastoma"},{"name":"Тімектомія","alias":"thymectomy"},{"name":"Видалення пухлини в основі черепа","alias":"excision-of-skull-base-tumor"},{"name":"Тиреоїдектомія","alias":"thyroidectomy"},{"name":"Променева терапія при раку прямої кишки","alias":"radiation-therapy-for-colorectal-cancer"},{"name":"Променева терапія пухлин головного мозку","alias":"radiation-therapy-for-brain-tumor"},{"name":"Хіміотерапія при раку печінки","alias":"chemotherapy-for-liver-cancer"},{"name":"Хіміоемболізація печінки","alias":"chemoembolization-of-the-liver"},{"name":"Хіміотерапія при раку гортані","alias":"chemotherapy-for-larynx-cancer"},{"name":"Променева терапія при раку гортані","alias":"radiotherapy-for-throat-cancer"},{"name":"Операція при раку гортані","alias":"throat-cancer-operation"},{"name":"Операція при раку язика","alias":"tongue-cancer-surgery"},{"name":"Лапароскопічна простатектомія","alias":"laparoscopic-prostatectomy"},{"name":"Хіміотерапія при раку легень","alias":"chemotherapy-for-lung-cancer"},{"name":"Хіміотерапія при раку простати","alias":"chemotherapy-for-prostate-cancer"},{"name":"Променева терапія при раку простати","alias":"radiotherapy-for-prostate-cancer"},{"name":"Імунотерапія при раку простати","alias":"immunotherapy-for-prostate-cancer"},{"name":"Променева терапія при раку легень","alias":"radiotherapy-for-lung-cancer"},{"name":"Гормонотерапія при раку простати","alias":"hormone-therapy-for-prostate-cancer"},{"name":"Променева терапія при раку молочної залози","alias":"radiotherapy-for-breast-cancer"},{"name":"Променева терапія при раку матки","alias":"radiotherapy-for-uterine-cancer"},{"name":"Променева терапія при раку шийки матки","alias":"radiotherapy-for-cervical-cancer"},{"name":"Хіміотерапія при раку матки","alias":"chemotherapy-for-uterine-cancer"},{"name":"Хіміотерапія при раку підшлункової","alias":"chemotherapy-for-pancreatic-cancer"},{"name":"Хіміотерапія при раку сечового міхура","alias":"chemotherapy-for-gallbladder-cancer"},{"name":"Хіміотерапія при раку молочної залози","alias":"chemotherapy-for-breast-cancer"},{"name":"Хіміотерапія при раку яєчників","alias":"chemotherapy-for-ovarian-cancer"},{"name":"Імунотерапія при раку легень","alias":"immunotherapy-for-lung-cancer"},{"name":"Імунотерапія при раку грудей","alias":"immunotherapy-for-breast-cancer"},{"name":"Імунотерапія при раку нирки","alias":"immunotherapy-for-kidney-cancer"},{"name":"Гастроктомія","alias":"gastroectomy"},{"name":"Видалення пухлини гіпофіза","alias":"pituitary-tumor-surgery"},{"name":"Променева терапія при раку шлунка","alias":"radiation-therapy-for-stomach-cancer"},{"name":"Операція при раку підшлункової залози","alias":"pancreatic-cancer-surgery"},{"name":"Хірургія пухлини головного мозку","alias":"brain-tumor-surgery"},{"name":"Резекція товстого кишечника","alias":"resection-of-large-intestine"},{"name":"Видалення лейоміосаркоми","alias":"leiomyosarcoma-removal"},{"name":"Операція при раку яєчників","alias":"ovarian-cancer-surgery"},{"name":"Хіміотерапія при раку яєчка","alias":"chemotherapy-for-testicular-cancer"},{"name":"Променева терапія при раку яєчка","alias":"radiation-therapy-for-testicular-cancer"},{"name":"Променева терапія при раку нирки","alias":"radiation-therapy-for-kidney-cancer"},{"name":"Резекція стравоходу","alias":"resection-of-the-esophagus"},{"name":"Променева терапія при раку стравоходу","alias":"radiation-therapy-for-esophageal-carcinoma"},{"name":"Хіміотерапія при раку стравоходу","alias":"chemotherapy-for-esophageal-carcinoma"},{"name":"Видалення сечового міхура з реконструкцією","alias":"bladder-removal-with-reconstruction"},{"name":"Променева терапія при раку кишечника","alias":"radiation-therapy-for-bowel-cancer"},{"name":"Променева терапія при раку яєчника","alias":"radiation-therapy-for-ovarian-cancer"},{"name":"Променева терапія при саркомі","alias":"radiation-therapy-for-soft-tissue-sarcomas"},{"name":"Хіміотерапія при пухлини головного мозку","alias":"chemotherapy-for-brain-cancer"},{"name":"Променева терапія при пухлини головного мозку","alias":"radiation-therapy-for-brain-cancer"}],"diagnostics":[{"name":"ПЕТ-КТ","alias":"pet-ct"},{"name":"МРТ одного відділу","alias":"mri-one-department"},{"name":"Колоноскопія","alias":"colonoscopy"},{"name":"Гастроскопія з біопсією","alias":"gastroscopy--biopsy"},{"name":"Ангіографія","alias":"angiography"},{"name":"Кольпоскопія з біопсією","alias":"biopsy-colposcopy"},{"name":"Мамографія","alias":"mammography"},{"name":"Біопсія кісткового мозку","alias":"lumbar-puncture-bone-marrow"},{"name":"Біопсія","alias":"biopsy"},{"name":"Консультація нейрохірурга","alias":"consultation-neurosurgeon"},{"name":"Біопсія простати","alias":"prostate-biopsy"},{"name":"Аналіз крові розгорнутий","alias":"extended-analysis-of-blood"},{"name":"Аналіз крові біохімічний","alias":"biochemical-analysis-of-blood"},{"name":"Аналіз крові на онкомаркери","alias":"identification-of-tumor-markers"},{"name":"КТ (комп'ютерна томографія)","alias":"ct"},{"name":"Сцинтиграфія","alias":"scintigraphy"},{"name":"Біопсія \"сторожових\" лімфовузлів","alias":"biopsy-sentinel-lymph-nodes"},{"name":"Консультація онколога","alias":"consultation-of-oncologist"},{"name":"Аналіз крові на ПСА","alias":"psa-test"},{"name":"Дерматоскопія","alias":"dermatoscopy"},{"name":"Консультація мамолога","alias":"consultation-mammalogy"},{"name":"МРТ всього тіла","alias":"whole-body-mri"},{"name":"Комплексна діагностика онкології","alias":"somplex-oncology-diagnostic"},{"name":"Ревізія гістологічного матеріалу","alias":"revision-of-biopsy-and-immunohistochemistry"},{"name":"Фібросканування","alias":"fibroscan"},{"name":"Тонкоголкова аспіраційна біопсія","alias":"fine-needle-aspiration-biopsy"},{"name":"МРТ хребта","alias":"mri-of-the-spine"},{"name":"Трансректальне УЗД","alias":"transrectal-ultrasound-trus"},{"name":"КТ грудної, черевної порожнин та органів малого тазу","alias":"ct-of-three-cavities"},{"name":"Біопсія простати під контролем ТРУЗІ","alias":"transrectal-ultrasound-guided-prostate-biopsy"},{"name":"Трепан-біопсія","alias":"core-needle-biopsy"},{"name":"МРТ черевної порожнини","alias":"abdominal-mri"},{"name":"МРТ головного мозку із контрастом","alias":"mri-of-the-brain-with-contrast-medium"},{"name":"КТ всього тіла","alias":"ct-scan-of-the-whole-body"},{"name":"Консультація радіолога","alias":"consultation-radiologist"},{"name":"Бронхоскопія з біопсією","alias":"bronchoscopy--biopsy"},{"name":"МРТ черевної порожнини з контрастом","alias":"mri-of-the-abdominal-cavity"},{"name":"КТ грудної клітки","alias":"ct-of-the-chest"},{"name":"Комплексна діагностика раку щитовидної залози","alias":"complex-diagnostics-of-thyroid-cancer"},{"name":"Комплексна діагностика саркоми Юінга","alias":"complex-diagnostics-of-ewing-s-sarcoma"},{"name":"Комплексна діагностика раку передміхурової залози","alias":"comprehensive-prostate-cancer-diagnosis"},{"name":"Комплексна діагностика хондросаркоми","alias":"complex-diagnostics-of-chondrosarcoma"},{"name":"Біопсія головного мозку","alias":"brain-biopsy"},{"name":"Онкологічний Check-up","alias":"screening-for-cancer"},{"name":"Watson для онкології","alias":"watson-for-oncology"},{"name":"Комплексна діагностика раку грудей","alias":"complex-diagnostics-of-breast-cancer"},{"name":"МРТ головного мозку","alias":"brain-mri"},{"name":"Комплексна діагностика при раку шийки матки","alias":"complex-diagnostics-of-cervical-cancer"},{"name":"Комплексна діагностика при раку шлунка","alias":"complex-diagnostics-of-gastric-cancer"},{"name":"Імуногістохімія","alias":"immunohistochemistry"},{"name":"Комплексна діагностика при раку стравоходу","alias":"complex-diagnostics-of-esophageal-cancer"},{"name":"Біопсія 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Strenuous exercise within about a week, limited by fatigue."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Best response often seen within 3-6 months; responses may deepen later."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Outpatient infusion with no wound; flying is possible once no reaction occurs and you feel well."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":42,"unit":"days","qualifier":"Clinical review and blood tests before each subsequent cycle (every 3 or 6 weeks depending on regimen)."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"First response imaging is typically about 6-12 weeks after starting treatment."}}],"indications":["Advanced or metastatic melanoma; adjuvant melanoma after resection","Non-small cell lung cancer (alone or with chemotherapy)","Head and neck squamous cell carcinoma","Classical Hodgkin lymphoma (relapsed/refractory)","Urothelial carcinoma","MSI-high/dMMR solid tumors including colorectal cancer","Other approved cancers (cervical, endometrial, gastric, renal, breast)","Merkel cell carcinoma"],"main_risks":["Immune-related organ inflammation (lungs, colon, liver, thyroid, kidneys, skin)","Fatigue, rash, itching, diarrhea, nausea","Infusion-related reactions","Type 1 diabetes, adrenal or pituitary insufficiency","Myocarditis (rare)","Serious or fatal immune events needing steroids and interruption"],"pain":"Minimal; only mild discomfort from IV cannulation. Side effects such as joint or muscle pain may occur in some patients.","preparation":["Confirmed cancer and approved indication; biomarker testing if relevant","Baseline blood tests: liver, kidney, thyroid, glucose","Baseline imaging for staging","Review of autoimmune history, transplant history and current medications","Pregnancy test and contraception counseling where relevant","Discussion of side effects and when to report symptoms urgently","Hepatitis B/C and HIV screening; exclude active tuberculosis","Baseline ECOG performance status assessment","Adequate venous access for intravenous infusion"],"recovery_timeline":[{"phase":"Infusion day","description":"About 30-minute IV infusion with brief observation; most patients go home the same day.","restrictions":[]},{"phase":"First days after each infusion","description":"Possible mild fatigue, rash or flu-like symptoms. Promptly report cough, breathlessness, severe diarrhea or rash, jaundice or weakness.","restrictions":[]},{"phase":"Ongoing treatment","description":"Cycles every 3 or 6 weeks with monitoring for delayed immune-related side effects, which can appear months into treatment or after it ends.","restrictions":["Do not self-treat immune-related symptoms; contact the oncology team"]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Outpatient infusion with no surgical recovery; usual activities resume within 0-2 days, depending on fatigue and side effects."},"result_longevity":"In responders, benefit is often durable, lasting years and sometimes continuing after the course (up to about 2 years) ends. Duration depends on cancer type, stage and biomarkers.","revision_rate_pct":null,"scars":"No scarring is expected; at most there is a tiny, temporary mark at the IV cannulation site.","sessions_or_stages":{"sessions":{"min":1,"max":35,"unit":"visits","qualifier":"Infusions every 3 or 6 weeks for up to about 2 years (35 three-weekly cycles) or until progression."},"stages":[{"code":"infusion_cycles","label":"Repeated intravenous pembrolizumab infusions every 3 or 6 weeks","after":{"min":0,"max":730,"unit":"days","qualifier":"Spans the whole course from the first infusion."}}],"qualifier":"Number of cycles depends on cancer type, regimen, response and tolerance."},"success":{"metric":"Overall survival at 5 years (advanced NSCLC, PD-L1 ≥50%)","value":31.9,"unit":"percent","horizon":"5 years","population":"Adults with untreated advanced NSCLC, PD-L1 ≥50%, on pembrolizumab monotherapy","evidence_status":"limited"},"techniques":[{"name":"Pembrolizumab monotherapy","suits_whom":"Patients with suitable biomarkers (e.g., high PD-L1, MSI-high) or melanoma","recovery":"Outpatient infusion; no downtime in most patients."},{"name":"Pembrolizumab combined with chemotherapy","suits_whom":"Patients such as those with non-small cell lung cancer or other tumors where the combination is approved","recovery":"Added chemotherapy side effects can increase fatigue and recovery time after each cycle."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Dose (200 mg every 3 weeks or 400 mg every 6 weeks) infused over 30 minutes, plus brief observation."},"initial_assessment_documents":["Pathology report with histology","PD-L1, MSI or dMMR test results","Staging CT or PET-CT reports","Prior treatment and surgery summary","Recent blood tests with liver and thyroid function","Oncologist letter on autoimmune disease or ECOG status"],"travel_trips":{"min":2,"max":35,"one_trip_possible":false,"qualifier":"Each 3- or 6-weekly infusion needs a visit; stay 1-3 days per trip. Fewer if a local oncologist continues."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the medical team treating you has suitable qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be 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concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Fevers or flu-like symptoms with a rash","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/20941-pembrolizumab-injection","host":"my.clevelandclinic.org","quote":"Contact your care team right away if you notice fevers or flu-like symptoms with a rash.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Allergic reaction to the medicine","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/drugs/keytruda","host":"healthline.com","quote":"Call your doctor right away if you have an allergic reaction to Keytruda.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Any change in eyesight","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/20941-pembrolizumab-injection","host":"my.clevelandclinic.org","quote":"Tell your care team right away if you have any change in your 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