Carcinoma Esophagus Esophagectomy Surgery Chemotherapy

Clinical Case Report: Multimodal Management of Carcinoma Esophagus (Esophageal Squamous Cell Carcinoma – ESCC) via Chemo-Immunotherapy Followed by Esophagectomy Surgery in a 63 Years Patient from Azerbaijan

As per the shared reports, the patient has carcinoma of the esophagus. Esophageal squamous cell carcinoma (ESCC) is a malignant tumor arising from the flat, thin squamous cells that line the inner surface of the esophagus. It is the most common type of esophageal cancer worldwide, typically occurring in the upper or middle parts of the tube.

We require some investigations to confirm the findings and the diagnosis.

Investigations required: The patient would require detailed physical and clinical examination, which includes Imaging such as PET CT Scan, Upper Endoscopy (EGD) with a tissue biopsy, Endoscopic Ultrasound (EUS), Blood Tests, and other routine examinations.

Possible line of treatment: The final treatment plan will be determined after the complete investigation outcomes. However, considering the clinical history, the patient may require one of the following treatments;

1. In case the disease is localized, the patient may need Esophagectomy surgery. 
2. In case the disease has spread to any other site, the patient would require 4-5 cycles of chemotherapy with immunotherapy.

An esophagectomy is a major surgical procedure to remove part or all of the esophagus, primarily treating esophageal cancer, severe GERD, or Barrett’s esophagus. Surgeons remove the damaged section and reconstruct a new esophagus, usually from the stomach, often using minimally invasive (laparoscopic/robotic) techniques to reduce recovery time.

Chemotherapy is a drug treatment used to kill fast-growing cancer cells throughout the body, aimed at curing, controlling, or easing symptoms. It is administered via intravenous (IV) infusion, injections, or pills in cycles.

Immunotherapy is a type of cancer treatment that boosts the body’s natural defenses to fight cancer, often using substances made by living organisms.

Kindly note: The advised treatment plan is solely based on the reports shared with us; the final line of treatment will be decided post clinical and physical evaluations of the patient on arrival only.

We would recommend the following hospitals having Top doctors as below: 

1. Amrita Hospitals // Treating Doctors // Dr. Abhishek Aggarwal // Dr. Saphalta Baghmar 

Kindly find the hospital view via the link –  https://pin.it/6VWWsyyzq

2. Shalby International Hospital //Treating Doctors // Dr. Piyush Kumar Agrawal // Dr. Veenoo Agrawal 

Kindly find the hospital view via the link –  https://pin.it/7KCpv705h

3. Sarvodaya Hospital and Research Centre // Treating Doctors // Dr. Naveen Sanchety // Dr. Vishnu Hari

Kindly visit the Hospital Gallery via the link – https://in.pinterest.com/hbgmedical/sarvodaya-hospital-hbg-medical-assistance/

4. Artemis Hospital // Treating Doctors // Dr. Tapan Singh Chauhan // Dr. Priya Tiwari 

Kindly find the hospital view via the link –  https://pin.it/1bs51UAGE

5. BLK Super Specialty Hospital Treating Doctors // Dr. Rajesh Kumar Jain // Dr. Chandragouda Dodagoudar 

Kindly check the hospital gallery – https://pin.it/1Ji84QapI

Stay in India – The patient will require 3-5 days for initial evaluations on an OPD basis. After further investigation. For surgery, the hospital stay will be 2-3 days, followed by 10-15 days for recovery and rehab. So, the total stay will be approx. 2-3 weeks

In case chemotherapy and immunotherapy is done, the total stay would be an additional 4-5 weeks.

Estimated costs:
The estimated cost of Initial Evaluations will be approx. USD 1500-2000 on OPD basis.

The estimated cost of Laparoscopic Esophagectomy Surgery at the various hospitals will be approx.:

** In case a robotic surgery is preferred, the cost will go up by USD 1000-USD 2000, depending on the hospital chosen.

The Estimated cost of Chemotherapy and immunotherapy (per cycle) will be as below:

Kindly Note: The given cost is a tentative cost based on the shared information. If the investigations shed a new picture, the cost may vary accordingly.

Inclusions:

1.      The cost of all investigations related to the Surgery.
2.      The cost of the Surgery.
3.      The doctor’s fee and Hospital charges.
4.      The stay of the patient and 1 attendant during hospital admission.
5.      All meals for the patient and the attendant as per the available menu while in hospital.
6.      Medical Consumables and Medicines while in hospital.
7.      The fee for dieticians and nurses while in hospital.
8.      It also includes complimentary Airport Transfers, Forex Services, and assistance.

9.      Chemotherapy and immunotherapy will be administered on a daycare basis.

Exclusions:
1. Any consultation other than in discussion
2. Extended stay

On Arrival:

The patient and his attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with the reasonably charged accommodation near the hospital. The patient and attendant may arrange 35-50 USD per day for accommodation and food at the Guest House.

Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer and shall look forward to assisting you.

Regards,

Dr. Priya