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My mother has extramammary Paget's vulva disease. Doctors are saying that it's also cancer. Could you please suggest and guide me to the best hospitals for this and also the cost associated with it.

Answered by Pankaj Kamble

Hi Mr Vipin, Your mother's disease which is Paget's disease of the Vulva is best treated with Surgery. The prediction depends upon how far the underlying cancer has spread to the other parts of the body. Wide Surgical Excision and removal of the entire tumor is the preferred treatment option. This may be followed by Radiation therapy or Chemotherapy as the doctors suggest.
The following will be the cost:

  1. Wide Surgical Excision: 6,000 USD to 8000 USD (420,000 INR to 560,000 INR)
  2. Radiation Therapy (The cost of radiation therapy varies from hospital to hospital and procedure to procedure): 2,000 USD to 3,000 USD (140, 000 INR to 210, 000 INR)
  3. Chemotherapy (Depends upon the drugs and medicines used for chemotherapy and the stage of your cancer): 250 USD to 700 USD (17, 500 INR to 49,000 INR) per cycle.

Best hospitals for cancer are as follows - Cancer Hospitals in India.

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Pankaj Kamble

Pankaj Kamble

Questions & Answers on "Cancer" (374)

Worried I have cancer to many systoms

Male | 57

Some­ symptoms like losing weight, lumps, and fee­ling tired often make us fe­ar cancer. But lots of other factors can also cause the­se signs. Weight changes, lumpy are­as, constant fatigue – these might be­ worrisome, yet they don't ne­cessarily mean cancer. Sure­, cancer remains a possibility if symptoms persist. Many other reasons e­xist for such symptoms. If concerned, consult a doctor – they'll provide­ guidance.

Answered on 24th July '24

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. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

Male | 58

Answered on 8th Mar '25

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Sir, my mother aged 74 years is been diagnosed Colorectal cancer stage 4. Her adjacent lymph nodes shows metastatic carcinoma (4/5) (H/L) in her biopsy report. She already undergone an operation where some portions of her right colon is removed. Sir i want to know where is the best treatment possible in india? We are residing in Kolkata.

Pl get in touch with Dr. Muzammil Shaikh at Nanavati Hospital Mumbai. He is the best Oncologist

Answered on 23rd May '24

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I am 35 years old female and my stomach was bloated for 2 days then I consulted doctor who gave drips then told for a ct scan then they told its cancer other told its all spread and its stage 4 many told us not to get biopsy as it will make it more spread now the report came that cea is 0.5 and ldh is 276

Female | 35

Bloating can arise from various factors, including digestive issues or hormonal changes. The elevated LDH and the CEA levels are significant, but it's crucial to interpret these in the context of your overall health and symptoms. Consult your physician for a comprehensive evaluation and discuss the necessity of a biopsy based on your specific situation. It's essential to have a supportive team guiding your care. Remember, communication with your healthcare provider is key to navigating this journey effectively. 

Answered on 21st Jan '25

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Is there any treatment for cholangiocarcinoma? 4th stage of cancer Hoping for your quick response Do you know any good hospitals in India? Thank you

depending of the condition of the patient systemic therapy is the choice of treatment 

Answered on 23rd May '24

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I have blushing on my chest that come and go after cool down the redness gone completely but I also have lump underneath of lower inner quadrant of right breast I have this lump since 5 years is it sign of cancer

Female | 18

I recommend you to go to the breast specialist urgently to get a full diagnostic examination. Mass in the breast may be a sign of breast cancer, but not all the causes are the same.

Answered on 28th Aug '24

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My mother is a lymphoma patient since 5 yrs and already checkup in this hospital. Now she is quite ok but she wants to take covid vaccine. So, sir i need your suggestion please. Can she take covid vaccine or not with this disease. Please sir kindly reply.

Female | 75

5 years is a good follow up after treatment is over. You may consider her cured, and go ahead with the vaccination. However, continue to be regular with your annual follow ups.

Answered on 23rd May '24

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Liver cancer many tissue

Male | 60

Yes the liver cancer can spread to other tissues. Some of the most common metastasis sites are the lungs, bones, and lymph nodes. Early diagnosis and management of metastasis are necessary for adequate prevention or control.

Answered on 23rd May '24

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I harira bano age 46years female I AM suffering to bleeding nose early breast cancer treatment taken

Female | 46

Please share your reports. We can subsequently discuss treatment options for you.

Answered on 23rd May '24

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Breast cancer stage 2 B doctors from my country told me that the only option is surgery takeoff the breast then after Wil start chemo .my worry is losing my breast and the after side effect.Now my question is that can surgery be done only where there's a lump? Which hospitals in India are good for those surgeries if they do it.

breast conserving surgery can be done based on the clinical picture. Fortis hospital banerghatta , Bangalore is a good hospital for the same 

Answered on 23rd May '24

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My bade papa has been detected having a cancer in gall bladder 4th stage

Male | 64

I'm sorry to know that.. At this stage, treatment options may be limited, and the focus often shifts towards palliative care to manage symptoms and improve quality of life.

Answered on 23rd May '24

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My mom is cancer patient..what medicine I give.she has pain in nerves neck area for this pain she didn't sleep in night

Female | 64

Please consult your mother's oncologist. As she is already under cancer treatment, only her doctor can say better what medication will be suitable in this case

Answered on 23rd May '24

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