### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, One of my friends have been diagnosed with Adenoid Cystic Carcinoma in the year of 2009 in his Nasal cavity and he went for a major surgery and 80% of his Nasal has been removed. No Radiation & No Chemo Given after surgery. Periodic checkup was done on every 6 months. After 3 years on November recurrence was found on his right eye canthus later after biopsy doc confirmed it Adenoid Cystic Carcinoma. We have consulted the major hospitals in India and he was suggested to go for a major surgery which is opening the skull and there is no guarantee for his eye . So we have been gone through most of the alternate treatments like ayurveda, siddha and chemo and nothing has worked for him. Can you please let me know if there is any possibility to cure his tumor without loosing his eye. Regards Paul YYYY@YYYY

### output:

Hi, Thanks for writing in. The cancer might have become locally aggressive and that is the reason the doctors have suggested major surgery. A surgery being possible is a curative approach. I am not sure of the position of his eyes as reports are not available but however if surgery is not done then risk to life persists. If there is risk of loss of vision in one eye then I think it is worth to take a chance with surgical treatment. This time it is suggested to have detailed discussion and also take complete treatment like chemotherapy or radiation therapy if required after the surgery. It is less likely for alternate treatment to work at this stage. I suggest that he does not waste more time in decision-making and proceeds with a surgery at a good cancer hospital. Hopefully his eye will be safe. Please do not worry.