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Breast Cancer Treatment Cost in Thailand

The average cost of Breast Cancer Treatment in Thailand approximately ranges between THB 442416 to 494465 (USD 12410 to USD 13870)

Malignant formation of cells in the breast of women leads to breast cancer. After skin cancer, breast cancer is the most commonly diagnosed cancer in women in the United States. The disease and its occurrence are found both in men and women alike, however, it is far more common in women.

Generous help for breast cancer education, awareness, and research subsidizing has helped made advances in the determination and treatment of breast cancer disease. Breast cancer endurance rates have expanded, and the mortality rate related to this ailment is consistently declining, to a great extent because of factors, for example, early detection, another customized way to deal with treatment and a superior understanding of the disease.

Risk factors for developing breast cancer include being female, obesity, lack of physical exercise, drinking alcohol, hormone replacement therapy during menopause, ionizing radiation, early age at first menstruation, having children late or not at all, older age, prior history of breast cancer, and family history.

Symptoms of patients with Breast Cancer

Signs and symptoms of breast cancer may include:

  1. A lump formation that may feel like a thickened mass of tissues around the breast.

  2. Change in the size, shape or appearance of a breast

  3. Changes to the skin over the breast, such as dimpling

  4. A newly inverted nipple

  5. Peeling, scaling, crusting or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin

  6. Redness or pitting of the skin over your breast, like the skin of an orange

Factors affecting the cost of Breast Cancer

Primarily, the factors affecting the cost of breast cancer vary with the socioeconomic status of the patient. The country in which the patient is procuring the treatment and the spending capacity of the patient. Mentioned below are some of the major factors:

  1. Age of the patient

  2. Stage of the treatment

  3. Medical history of the patient

  4. External allowances of the patient and the spending capacity of the patient

  5. Resources used and the technology incorporated into the procedure of the treatment

Following is the list of cities and the associated costs for Breast Cancer Treatment in Thailand

CityMinimum CostMaximum Cost
BangkokUSD 12200USD 13420

Country wise cost comparison for Breast Cancer Treatment:

CountryCostLocal_currency
GreeceUSD 27000Greece 24840
IndiaUSD 3000India 249450
IsraelUSD 8000Israel 30400
LebanonUSD 18500Lebanon 277602675
MalaysiaUSD 8000Malaysia 37680
South KoreaUSD 18500South Korea 24839765
SpainUSD 10540Spain 9697
SwitzerlandUSD 18500Switzerland 15910
ThailandUSD 12410Thailand 442416
TunisiaUSD 18500Tunisia 57535
TurkeyUSD 4500Turkey 135630
United Arab EmiratesUSD 12180United Arab Emirates 44701
United KingdomUSD 15000United Kingdom 11850

Treatment and Cost

30

Total Days
In Country
  • 4 Day in Hospital
  • 2 No. Travelers
  • 26 Days Outside Hospital

Treatment cost

USD7500 - USD23000

4 Hospitals


Types of Breast Cancer Treatment in Piyavate Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Breast Cancer Treatment (Overall)6630 - 13216238445 - 481666
Surgery4535 - 8903162226 - 327139
Radiation Therapy89 - 2803138 - 10063
Chemotherapy333 - 77612037 - 28650
Targeted Therapy779 - 205427856 - 72231
Hormone Therapy89 - 2843162 - 9931
Immunotherapy3962 - 7914139397 - 280892
Palliative Care88 - 1723271 - 6145
  • Address: Piyavate Hospital, Khlong Samsen Road, Bang Kapi, Huai Khwang, Bangkok, Thailand
  • Facilities related to Piyavate Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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Types of Breast Cancer Treatment in Phyathai 2 International Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Breast Cancer Treatment (Overall)6834 - 13529238661 - 482462
Surgery4432 - 8863160292 - 318717
Radiation Therapy88 - 2763138 - 10041
Chemotherapy331 - 77812095 - 28475
Targeted Therapy798 - 205827779 - 72895
Hormone Therapy92 - 2823186 - 10080
Immunotherapy4016 - 7929139277 - 274897
Palliative Care91 - 1713218 - 6107
  • Address: Phyathai 2 Hospital, Phahonyothin Road, Phaya Thai, Thailand
  • Facilities related to Phyathai 2 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Breast Cancer Treatment in Bangpakok 9 International Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Breast Cancer Treatment (Overall)6611 - 13450237525 - 486298
Surgery4483 - 8825161267 - 325663
Radiation Therapy92 - 2813258 - 9993
Chemotherapy337 - 79611953 - 27497
Targeted Therapy803 - 198028268 - 71019
Hormone Therapy89 - 2803164 - 10015
Immunotherapy3983 - 7795137860 - 282185
Palliative Care88 - 1703258 - 6122
  • Address: Bangpakok 9 International Hospital, International Hospital, Rama II Road, Bang Mot, Chom Thong, Bangkok, Thailand
  • Facilities related to Bangpakok 9 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Breast Cancer Treatment in Bangkok Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Breast Cancer Treatment (Overall)6866 - 13387243609 - 489001
Surgery4443 - 9040157524 - 316785
Radiation Therapy91 - 2763208 - 10213
Chemotherapy340 - 79112208 - 27991
Targeted Therapy801 - 203827786 - 70805
Hormone Therapy90 - 2763172 - 9893
Immunotherapy3997 - 7927140522 - 278141
Palliative Care88 - 1693247 - 6099
  • Address: Bangkok Dusit Medical Services, Nong Prue, Bang Phli, Samut Prakan, Thailand
  • Facilities related to Bangkok Hospital: SIM, TV inside room, Accommodation, Choice of Meals

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Other Related Hospitals


Types of Breast Cancer Treatment in Apollo Hospitals Bannerghatta and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4555 - 8979373527 - 740892
Surgery2213 - 5699184548 - 463104
Radiation Therapy56 - 1724590 - 13968
Chemotherapy222 - 56418127 - 45149
Targeted Therapy567 - 170746890 - 135637
Hormone Therapy57 - 1724542 - 13744
Immunotherapy2240 - 5673188504 - 455505
Palliative Care56 - 1124589 - 9385
  • Address: Apollo Hospitals Bannerghatta Road - Best Hospital in bangalore, Krishnaraju Layout, Amalodbhavi Nagar, Panduranga Nagar, Bengaluru, Karnataka, India
  • Facilities related to Apollo Hospitals Bannerghatta: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Breast Cancer Treatment in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4079 - 8117332027 - 667626
Surgery2039 - 5058166420 - 416550
Radiation Therapy51 - 1524174 - 12450
Chemotherapy203 - 50716666 - 41465
Targeted Therapy506 - 152841639 - 125167
Hormone Therapy51 - 1534166 - 12483
Immunotherapy2031 - 5086167043 - 417238
Palliative Care51 - 1014148 - 8317
  • Address: Fortis Hospital, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of Breast Cancer Treatment in Zulekha Hospital Sharjah and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Breast Cancer Treatment (Overall)9048 - 1695632475 - 63034
Surgery5506 - 1110620652 - 42066
Radiation Therapy111 - 341414 - 1259
Chemotherapy445 - 11231660 - 4052
Targeted Therapy896 - 22473268 - 8125
Hormone Therapy110 - 342410 - 1213
Immunotherapy4536 - 917616330 - 32955
Palliative Care112 - 228415 - 815
  • Address: Zulekha Hospital - Sharjah - United Arab Emirates
  • Facilities related to Zulekha Hospital Sharjah: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Breast Cancer Treatment in Zulekha Hospital Dubai and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Breast Cancer Treatment (Overall)9009 - 1653132383 - 62655
Surgery5604 - 1126820905 - 40554
Radiation Therapy112 - 336410 - 1229
Chemotherapy449 - 11361674 - 4046
Targeted Therapy912 - 22213266 - 8120
Hormone Therapy111 - 334416 - 1259
Immunotherapy4569 - 892416553 - 32695
Palliative Care113 - 229410 - 834
  • Address: Zulekha Hospital Dubai - Dubai - United Arab Emirates
  • Facilities related to Zulekha Hospital Dubai: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Breast Cancer Treatment in HCG Kalinga Rao Road and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4080 - 8128334501 - 667132
Surgery2029 - 5085167036 - 417407
Radiation Therapy51 - 1524149 - 12522
Chemotherapy203 - 50616705 - 41478
Targeted Therapy506 - 152941702 - 124775
Hormone Therapy51 - 1524172 - 12509
Immunotherapy2040 - 5052165988 - 415006
Palliative Care51 - 1024143 - 8355
  • Address: HCG Hospital, 2nd Cross Road, KHB Block Koramangala, 5th Block, Koramangala, Bengaluru, Karnataka, India
  • Facilities related to HCG Kalinga Rao Road: SIM, TV inside room, Accommodation, Choice of Meals

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Types of Breast Cancer Treatment in Sarvodaya Hospital and Research Centre and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4073 - 8130333298 - 664278
Surgery2032 - 5061166052 - 415649
Radiation Therapy51 - 1524165 - 12427
Chemotherapy202 - 50816634 - 41811
Targeted Therapy509 - 152141428 - 124964
Hormone Therapy51 - 1524158 - 12426
Immunotherapy2028 - 5051166906 - 414694
Palliative Care51 - 1024165 - 8306
  • Address: Sarvodaya Hospital, Sector 8, Faridabad, Haryana, India
  • Facilities related to Sarvodaya Hospital and Research Centre: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of Breast Cancer Treatment in Apollo Spectra Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4059 - 8135334520 - 665363
Surgery2026 - 5087166470 - 417224
Radiation Therapy51 - 1524161 - 12531
Chemotherapy203 - 50716634 - 41585
Targeted Therapy509 - 151841761 - 124875
Hormone Therapy51 - 1524142 - 12463
Immunotherapy2038 - 5085167021 - 416028
Palliative Care51 - 1014146 - 8353
  • Address: Apollo Spectra Hospitals, Block 67, Karol Bagh, Delhi, India
  • Facilities related to Apollo Spectra Hospitals: TV inside room, Airport Transfer, SIM

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Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories


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Types of Breast Cancer Treatment in Yashoda Hospital, Malakpet and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Breast Cancer Treatment (Overall)4079 - 8152332382 - 667998
Surgery2027 - 5070166646 - 416686
Radiation Therapy51 - 1524171 - 12536
Chemotherapy202 - 50916635 - 41565
Targeted Therapy505 - 152241472 - 124689
Hormone Therapy51 - 1524170 - 12538
Immunotherapy2020 - 5053167014 - 414779
Palliative Care51 - 1014161 - 8357
  • Address: Yashoda Hospitals - Malakpet, Jamal Colony, Old Malakpet, Hyderabad, Telangana, India
  • Facilities related to Yashoda Hospital, Malakpet: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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Types of Breast Cancer Treatment in Anadolu Medical Center and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Breast Cancer Treatment (Overall)5509 - 11051170432 - 332682
Surgery3357 - 6680102036 - 205909
Radiation Therapy79 - 2252399 - 6892
Chemotherapy281 - 6798469 - 20517
Targeted Therapy661 - 169520730 - 51604
Hormone Therapy77 - 2232425 - 6724
Immunotherapy3325 - 6691101116 - 207302
Palliative Care79 - 1362375 - 4137
  • Address: Cumhuriyet Mahallesi, Anadolu Salk Merkezi, Cumhuriyet Cd., Gebze/Kocaeli, Turkey
  • Facilities related to Anadolu Medical Center: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer

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Types of Breast Cancer Treatment in I.A.U VM Medical Park Florya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Breast Cancer Treatment (Overall)5636 - 11460171818 - 334119
Surgery3373 - 6771102370 - 201280
Radiation Therapy78 - 2232397 - 6751
Chemotherapy276 - 6798537 - 20520
Targeted Therapy661 - 172320561 - 51228
Hormone Therapy80 - 2262389 - 6653
Immunotherapy3337 - 6856102255 - 199037
Palliative Care79 - 1362338 - 4059
  • Address: Beyol, .A.
  • Facilities related to I.A.U VM Medical Park Florya Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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About the Breast Cancer Treatment

Breast cancer is a type of cancer that originates in the cells of the breast. While it can occur in men as well, it is far more prevalent in women.

Following skin cancer, breast cancer stands as the second most frequently diagnosed cancer among women in the United States. However, it's crucial to recognize that breast cancer is not exclusive to women, as everyone is born with some breast tissue, making it a condition that can affect individuals of any gender.

Improved breast cancer screening techniques enable healthcare providers to detect the presence of breast cancer at an earlier stage. Early cancer detection greatly increases the chances of effective therapy and recovery.

The exact reason that causes breast cancer is unclear, even though every eighth woman suffers from it. However, several factors have been associated with the development of breast cancer. Some of the breast cancer risk factors include:

  • Prolonged use of birth control pills
  • Obesity
  • Use of hormone replacement therapy
  • High breast density
  • Alcohol addiction
  • No history of pregnancy
  • Pregnancy after 35
  • Exposure to radiation

The risk of breast cancer naturally increases as women age. The risk is also higher in women who have a family history of breast or ovarian cancer, possess BRCA1 and BRCA2 genes, or have had their periods before the age of 12.

The main types of breast cancer are based on where the cancer begins, whether it's in the ducts or lobules of the breast, and whether it has spread beyond its original location. The two broad categories are in situ (confined to the site of origin) and invasive (has spread beyond the original location). Here are some common types:

  • Ductal Carcinoma In Situ (DCIS): This is a non-invasive cancer where abnormal cells are found in the lining of a breast duct but have not invaded nearby tissues.
  • Lobular Carcinoma In Situ (LCIS): LCIS is a non-invasive condition where abnormal cells are found in the lobules, but they do not penetrate the lobular walls
  • Invasive Ductal Carcinoma (IDC): This is the most common type of breast cancer, representing about 80% of invasive cases. IDC begins in the milk ducts but then invades nearby tissues in the breast.
  • Invasive Lobular Carcinoma (ILC): ILC starts in the milk-producing glands (lobules) but can invade nearby tissues in the breast. It is the second most common type of invasive breast cancer.

How is Breast Cancer Treatment performed?

Most commonly, as a part of treatment for breast cancer, surgery is conducted to remove the cancerous lump or growth from the breasts. Depending on the extent of the cancer and its stage, surgery may be accompanied by another form of treatment as well, which is conducted either before or after the surgery.

The doctor decides upon a breast cancer treatment plan that is most suitable for the patient. The decision may depend upon the extent of spread, the overall health of the patient, the stage, and the type of breast cancer (inflammatory, cancer during pregnancy, lobular carcinoma, ductal carcinoma, and invasive breast cancer).

The team that conducts breast cancer treatment includes a surgeon, a medical oncologist, and a radiation oncologist. The different breast cancer treatment options are divided into two types:

Local Treatment: This type of treatment is localized, that is, it is only used to treat one specific location or primary site affected by cancer. It does not have any impact on the rest of the body.

The following are the two types of local treatment:

  1. Surgery: It is the most common form of treatment that targets to remove as much cancer from the primary location as possible. There are different types of surgeries, which can be selected by the doctor depending upon the requirement.
  • Mastectomy: In this type of breast cancer removal surgery, the entire breast is removed to eliminate cancer cells. It can involve either one or both breasts.
  • Breast-conserving surgery: In this type of surgery, only the part of the breast containing cancer is removed. The goal is to remove just cancer and some part of surrounding healthy tissues and leave the rest of the breast as is.
  • Lymph node removal: This type of surgery is sometimes conducted in addition to either of the first two types of surgeries, in case cancer has spread to the nearby lymph nodes.
  • Breast reconstruction: This type of surgery is conducted after the removal of cancer, in case the patient demands to improve the appearance of the breast mounds after the removal surgery.
  • Radiation therapy: Radiation is required by some breast cancer patients, mostly in addition to other types of treatment. It is typically used in the case of patients who have undergone mastectomy, breast-conserving surgery, or if cancer has spread to other parts of the body. Delivering high-dose radiation to the affected part of the body helps reduce the chances of cancer recurrence.

The radiation can either be delivered externally or by placing a small radioactive pallet in the affected area internally. The latter form of radiation therapy is known as brachytherapy.

II. Systemic Treatment: This type of treatment involves the use of drugs that can be administered either orally or intravenously. The choice of drugs depends on the type of systemic treatment opted for, which, in turn, is dependent upon the extent and the type of cancer.

  • Chemotherapy, targeted therapy, and hormone therapy are the three primary types of systemic therapy for breast cancer treatment. Among these, chemotherapy is the most frequently used. Chemotherapy is recommended before the surgery to reduce the size of the tumor and after the surgery to kill off the remaining cancer cells. It involves the intravenous administration of specific anti-cancer drugs.
  • Hormone therapy is most commonly used when the patient has tested HER-2 positive in the biopsy. Targeted therapy, on the other hand, is less commonly used.

Recovery from Breast Cancer Treatment

The recovery journey following breast cancer treatment, though generally less painful and traumatic than some other critical cancers, brings about certain adjustments for patients. These changes encompass various aspects of their physical and emotional well-being:

  1. Prolonged Medication Use: Post-treatment, patients may require continued medication for several years to prevent cancer cell regrowth. Recovery from the after-effects of cancer treatment can span months, necessitating patience and resilience.
  2. Management of Side Effects: The side effects of cancer treatment, including weakness, reduced appetite, weight loss, hair loss, and compromised immunity, present challenges. Symptoms like vomiting, nausea, headache, and joint pain are effectively addressed through appropriate medications.
  3. Menstrual Cycle Disruption: Breast cancer patients often undergo temporary menopause during chemotherapy and radiation therapy, lasting several months post-treatment. Symptoms akin to menopause, such as fatigue, mood swings, and hot flashes, may be experienced during this period.
  4. Impact on Fertility: Treatment can affect a woman's fertility, necessitating not only physical but also substantial emotional support during the recovery phase.
  5. Body Image and Confidence: Surgical removal of one or both breasts can impact a woman's self-confidence due to altered physical appearance.

Options like cosmetic surgery provide avenues for individuals to regain a sense of normalcy.The unique challenges that breast cancer survivors face underscore the importance of comprehensive support, encompassing physical, emotional, and psychological aspects. While the journey may have its complexities, addressing these changes with a tailored and holistic approach contributes to individuals' overall well-being and resilience in their recovery.

Patient Stories

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Frequently Asked Questions

How much does Breast Cancer Treatment cost in Thailand?

In Thailand, the average starting cost for Breast Cancer Treatment is USD 9500. Many multispeciality hospitals in Thailand that are Healthcare Accreditation Institute, JCI certified are approved and most sought after for treating international patients with Breast Cancer Treatment

What are the factors affecting the cost of Breast Cancer Treatment in Thailand?

Different hospitals have different pricing policy when it comes to the cost of Breast Cancer Treatment in Thailand. The Breast Cancer Treatment package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the Breast Cancer Treatment cost in Thailand.

Which are some of the best clinics in Thailand for Breast Cancer Treatmentt?

Breast Cancer Treatment in Thailand is offered by multiple hospitals across the country. Some of the most renowned hospitals for Breast Cancer Treatment in Thailand include the following:

  1. Phyathai 2 International Hospital
  2. Bangkok Dusit Medical Services
  3. Bangpakok 9 International Hospital (BPK 9)
How many days does it take to recover post Breast Cancer Treatment in Thailand?

Upon discharge from the hospital after Breast Cancer Treatment in Thailand, the patients are advised to stay for about 30 days for recovery. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.

How much are the other expenses in Thailand apart from the cost of Breast Cancer Treatment?

There are certain additional cost that the patient has to pay apart from the Breast Cancer Treatment cost. The per day extra expenses in Thailand per person are about USD 50 per person.

Which are the best cities in Thailand for Breast Cancer Treatment Procedure?

Breast Cancer Treatment in Thailand is offered in almost all metropolitan cities, including the following:

  • Krabi
  • Bangkok
Which are the best doctors offering Telemedicine for Breast Cancer Treatment in Thailand?

Patients who are interested in availing telemedicine consultation before they travel for Breast Cancer Treatment in Thailand can opt for the same. There are many Breast Cancer Treatment surgeons who offer video telemedicine consultation, including the following:

How many days does one have to spend in the hospital for Breast Cancer Treatment in Thailand?

After Breast Cancer Treatment, the patient is supposed to stay for about 4 days in the hospital for recovery and monitoring. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

How many hospitals offer Breast Cancer Treatment in Thailand?

There are more than 3 hospitals that offer Breast Cancer Treatment in Thailand. The above listed clinics are approved to perform the surgery and have proper infrastructure to handle Breast Cancer Treatment patients. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Thailand

Who are the best doctors for Breast Cancer Treatment in Thailand?

Some of the best doctors for Breast Cancer Treatment in Thailand are:

  1. Dr. Adisorn Boonyapiban
  2. Dr. Benjawan Limpwanaspong
  3. Dr. Wichit Arpornwirat