Head and Neck Cancer Treatment: Why African Patients Choose India

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Head and Neck Cancer Treatment: Why African Patients Choose India

Head and Neck Cancer Treatment

Head and neck carcinomas include a diverse group of neoplasms that arise in the oral cavity, pharynx, larynx, nasal cavity, and salivary glands. They are tumors in which a multi-specialty team approach is commonly needed.

Common Head and Neck Cancers

  • Mouth, tongue, gums, etc.
  • Cancer of the throat (pharynx)
  • Laryngeal (voice box) cancer
  • Nasal and sinus cancer
  • Cancer of the Salivary gland

Primary Treatment Options

Surgery

  • Among the therapeutic modality with curative intent, surgery especially at the early stage is the key.
  • Complete excision of tumors.
  • Neck dissection (removal of lymph nodes if there is suspicion of spread)
  • Restorative surgery to regain appearance and function.
  • State-of-the-art centers utilize robotics and minimally invasive techniques for maximal recuperation.

Radiation Therapy

  • They use high-energy beams to kill the cancer cells.
  • Externally directed radiation therapy 
  • Intensity-modulated radiation therapy 
  • Proton therapy (in rare cases)
  • Radiation can either be as a standalone therapy (early stage) or postoperative.

Chemotherapy

  • Drugs are given to kill or stop the growth of cancer cells.
  • Often in combination with radiation (chemoradiation).
  • Applied when in an advanced or metastatic case.

Targeted Therapy

  • Attacks the proteins unique to the cancer cells.
  • Cetuximab (EGFR inhibitor) is an example.
  • Applied in the treatment in cases of recurring or advanced cancer.

Immunotherapy

  • Enhances the immune system of the body to resist cancer.
  • PD-1 inhibitors such as Nivolumab or pembrolizumab.
  • Applied in recurrent malignancies or in metastatic malignancies.

Head neck cancer treatment India Africans

There are numerous patients in the African countries who seek treatment in India due to:

  • Much lower prices than treatment in most African or Western nations. 
  • Availability of the whole range of cancer treatments including surgery, radiation, chemotherapy, targeted therapy and immunotherapy.
  • Access to state-of-the-art oncology equipment (including IMRT/IGRT radiation, reconstructive surgery) and a highly specialized multidisciplinary team.

Factors Affecting Throat cancer surgery cost India Nigeria

These are the main aspects by which the cost of the surgery of throat cancer in India is influenced in relation to patients who are Nigerian citizens (or citizens of other African countries). These aspects are the reason why prices may differ significantly in the instances:

Cancer Stage & Complexity

  • Cancers at an early stage might require simplified surgery reducing the cost.
  • Tumors are further complicated by the fact that advanced tumors may require complex surgery including reconstruction and/or removal of a portion/whole of the involved organ, leading to greater cost and theatre time.

Type of Surgery

Various surgery methods are highly different in terms of their prices:

  • Standard surgical excision
  • Partial or total laryngectomy (excision of segments of the voice box)
  • Reconstructive surgery (such as microvascular free flap)
  • Minimally invasive surgery, such as robotic, laser)
  • Such sophisticated methods as robotic or endoscopic surgery are more expensive because of specialized tools and expertise needed.

Expertise and Reputation of the Surgeon

  • Most of the surgeons who have a long history of practicing head and neck oncology or have a high procedure level tend to have higher professional fees. The famous surgeons in leading hospitals of cancer are usually expensive.

Hospital Type & Location

  • Small or government hospitals usually have lower charges compared to those of the large cities where the hospitals are private and high-end.
  • Costs are also raised when there is accreditation (such as NABH or JCI) because of increments in quality standards.

Diagnostics/ Pre-operative Assessment

Extensive pre-operative tests are required:

  • Biopsy
  • Imaging
  • Blood tests
  • Specialist consultations
  • They are prescriptive tests, which increase the overall expense, but are necessary in the planning of safe and effective surgery.

Hospitalization and Postoperative Services

  • The bill is raised by longer stay in the hospital, or ICU care, as well as recovery room. In case of problems or a further post-surgical treatment (wound treatment, nutrition support) is required, the expenses increase.

Drugs and Supportive Care

  • Other added cost is post-surgical drugs, painkillers, antibiotics, and care. Services like speech therapy or swallowing rehabilitation are value added but increase the expenses.

International Patient Costs

Travel related and indirect costs affect overall spending of patients who are nationals of Nigeria:

  • Travel and visa costs
  • Patient and companion accommodation.
  • Interpreter / help services (where necessary)
  • Prolonged hospitalization because of recovery or radiotherapy.
  • These are not medical but they add up to the overall expenses of attending treatment in India. Foreign patients would usually consider extended visits (a few weeks or months) to get full treatment.

Head neck oncology hospitals India visa

  • Artemis Hospital, Gurgaon
  • Medanta-The Medicity, Gurgaon
  • Fortis Memorial Research institute, Gurgaon
  • Max hospital, Saket

Best ENT oncologists India African patients

  • Dr. Biswajyoti Hazarika
  • Dr. K K Handa
  • Dr. Atul Kumar Mittal
  • Dr. Sanjay Sachdeva

Tongue cancer treatment success rate India

The following is a picture of success and survival rates of tongue cancer in India:

General Five-Year Survival

  • 5 year survival rates of oral cancers (also including tongue cancer) in India are approximately: 50-65 percent of oral cancers with treatment of oral cancers involving surgery and radiotherapy.
  • Overall survival at 5 years was approximately 65% in one study conducted at a single hospital of oral cancer patients treated in a major center and for tongue cancer at approximately 67%.

By Stage at Diagnosis

The outcomes vary widely according to when the cancer is found:

  • The prognosis is much better (commonly 70-90 percent at 5 years) for early stage (confined) tumours (Stage I or II).
  • The prognosis in stage III/IV disease is poorer - commonly in the range of 30-60% depending on extent, nodal involvement and regimen of treatment.
  • Survival rates in node-negative (no lymph node metastasis) patients can reach up to 59.7% (5-year survival) whereas when lymph nodes are metastases, the survival rate can be as short as 59.7%.

Conclusion

There has been a great improvement in the management of head and neck cancer that is now able to offer better survival rates, better functional outcomes and quality of life to the patients. Currently, the multidisciplinary approach including surgery, radiation therapy, chemotherapy, targeted therapy and immunotherapy has allowed treatment to be more tailored according to the stage of the cancer, tumor site and the general condition of the patient. The most important aspect that determines success rates is the early diagnosis. Those patients who are diagnosed early tend to have high cure rates, whereas late-stage cases need comprehensive treatment by multiple modalities, yet can be put under meaningful long-term control with appropriate care. Sensitive detection, highly specialized management, and strict compliance to a multidimensional treatment protocol can lead to good outcomes and long-term survival in a considerable number of patients with H&N cancer. Post-treatment care, rehabilitation (such as speech and swallowing therapy) and changes in lifestyle are also crucial to healing and to minimizing chances of recurrence.

Head neck cancer India GetWellGo Africans

GetWellGo is regarded as a leading supplier of healthcare services. We help our African patients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for Head neck cancer treatment.
  • Expert ENT oncologists with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food

 

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