Mandaya Royal Hospital Puri offers the latest cancer treatments for stage 4 cancer patients through a modern and integrated therapeutic approach. A range of advanced medical technologies is available to treat prostate cancer, colorectal cancer, ovarian cancer that has spread to the abdominal cavity, and liver cancer. These include HIPEC, Lutetium-177 radiofarmaka therapy, and TACE. These innovations allow advanced-stage cancer treatment to be more targeted, precise, and tailored to each patient’s condition.
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Latest Stage 4 Cancer Treatments at Mandaya Royal Hospital Puri
Below are the latest treatment options for stage 4 or advanced-stage cancer available at Mandaya Royal Hospital Puri:
1. HIPEC (Hyperthermic Intraperitoneal Chemotherapy)
HIPEC is a cancer treatment method in which heated chemotherapy drugs are delivered directly into the abdominal cavity. This therapy is typically performed after surgical removal of tumors, particularly for cancers that have spread within the abdomen, such as advanced colorectal cancer and ovarian cancer. The heated temperature helps the chemotherapy work more effectively in destroying hard-to-reach cancer cells.
Advantages of HIPEC:
- Chemotherapy drugs act directly at the site of cancer spread
- Higher effectiveness due to the use of heated chemotherapy
- Relatively fewer systemic side effects compared to conventional chemotherapy
- Helps reduce the risk of cancer recurrence in the abdominal cavity
2. Lutetium-177
Lutetium-177 is a modern cancer treatment that uses a controlled dose of radioactive material to specifically target cancer cells. This therapy is widely used for advanced-stage prostate cancer and certain other cancers that no longer respond to standard treatments. The radiofarmaka binds to cancer cells and emits radiation that destroys them from within.
Advantages of Lutetium-177 Therapy:
- Selectively targets cancer cells without damaging healthy tissue
- Suitable for advanced-stage cancers that have spread
- Helps relieve symptoms and improve patients’ quality of life
- Performed without major surgery
3. TACE (Transarterial Chemoembolization)
TACE is a liver cancer treatment procedure in which chemotherapy drugs are delivered directly into the blood vessels supplying the tumor. The blood flow to the tumor is then blocked, depriving cancer cells of oxygen and nutrients, causing them to gradually die. This minimally invasive procedure is performed through blood vessels using catheterization techniques.
Advantages of TACE:
- Chemotherapy is delivered directly to the liver tumor
- Inhibits tumor growth by cutting off blood supply
- Minimally invasive procedure with faster recovery time
- Can be an effective treatment option for advanced-stage liver cancer
Integrated Cancer Services at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri provides comprehensive cancer care through an integrated cancer center designed to deliver thorough, optimal, and technology-driven cancer treatment. Several specialized cancer centers are available to support patient needs with an integrated care approach, including:
1. BRAVE (Breast Advanced Cancer Center)
A flagship program for breast cancer treatment covering the entire care journey, from screening and diagnosis to medical procedures and recovery. This service is supported by experienced surgical oncologists and more than 30 multidisciplinary specialists working within a unified, integrated care system.
2. Integrated Blood Cancer Center
A leading blood cancer treatment service in Indonesia, developed through collaboration with blood cancer centers in Singapore. The facility is equipped with ICIR/PICIR (ImmunoCompromised Isolation Rooms) and advanced therapies such as apheresis.
Mandaya Royal Hospital Puri also collaborates with the National University Hospital (Singapore) to implement international-standard procedures and therapies for blood cancer, from pre-treatment preparation to post-procedure care.
3. Integrated Thyroid Cancer Center
A dedicated thyroid cancer care program offering complete and continuous services, including thyroid surgery, diagnostic examinations and imaging, nuclear thyroid ablation therapy, and post-treatment hormone therapy.
4. Integrated Cancer Radiotherapy Center
Provides radiotherapy services using the latest and highest-tier Elekta Versa HD technology. This advanced system enables highly precise and effective targeting of cancer cells with an accuracy of up to 1 millimeter, helping maximize treatment outcomes while protecting surrounding healthy tissue.
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment, or the Care Dokter app, available on Google Play and the App Store, to manage appointments, check queue numbers, and access complete information.

