My wife having breast cancer and taken out complete breast through surgery at Visakhapatnam. We are shifting now to kaikalur in krishna district. Is there any hospital close to that village having facility for chemo therapy? Either in Eluru or Bhimavaram? What precautions to be taken by the patient? What will be the cost for one sitting for chemo therapy? Please suggest.

Dr. Nikhilesh BorkarOncologist14yrs exp

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Usually we make a plan for chemotherapy and that can be taken at any local hospital, where the nurses are trained to give chemotherapy and there is a physician or medical oncologist who can manage the side effects. You can enquire at your local district hospital. The chemotherapy for breast usually includes Adriamycin + Cyclophosphamide and most of the times followed by Paclitaxel (4+ 4 cycles). Transtuzumab may be given depending on the Her 2 Status (1 year). The cost of the treatment may vary according to the centre can range from 8k to 25k per cycle. But the transtuzumab can also vary from 50k to 75k Per cycle for 1 year Some patients prefer having a port inserted to avoid the painful chemotherapy through the opposite hand, which causes thrombophlebitis. They will ask to monitor the blood counts and renal function as it can cause anemia and drop in white cell and platelet counts (increasing the risk of infection and bleeding). There would be mild nausea and vomiting for which medications would be given. Hair loss is another side effect for which wigs may be given. Some hospitals have the cooling cap which can decrease the hair loss (50-70%), but the cost and time for chemotherapy increases. Also taxanes can cause neuropathy in some patients leading to muscle weakness. I can clarify the treatment plan better if I can see the histopathology report.  

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