In my biopsy report there is showing 2nd primary cancer in jaw mouth corner Doctor told it's early stage go for immediate treatment. I have planned for Mumbai Tata memorial hospital. Please suggest it will be best for treatment if yes then what will be the maximum approximately cost for this treatment including everything surgery, hospital and test. Please tell me about cost and is this curable?

Dr. Nikhilesh BorkarOncologist14yrs exp

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Where Was the first primary cancer? Jaw cancer treatment usually includes surgery upfront, which may entail partial removal of bone. Also neck nodes may need removal. Also the defect needs reconstruction depending upon the amount of tissue excised. It can range from primary closure, local flaps to microvascular free flap with or without bone. Sometimes in locally advanced cases, we ask for PET scan to rule out metastasis and consider chemotherapy before surgery. If early stage, node negative, surgery would be the only treatment needed and high chance of cure. Adjuvant therapy in the form of radiation or chemoradiation maybe needed depending on the pathology report. Tata Memorial Hospital is a good hospital. I also did my training i.e. M.Ch. Surgical Oncology from there. The only issue is waiting list, which can range from weeks to months there. If you are having early oral cancer it's best to get it operated without waiting as the tumor may progress in the mean time. If it becomes node positive the prognosis becomes poorer. The cost varies from the hospital and the type of surgery and the class of the room in which you are admitted. It can range from 20-30k in general ward of Tata to 1lac in gen ward of our hospital (non free flap) to 7-8 lacs in suite of private hospitals.  

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