<s>[INST] Aged 52; Indian.height 58. Weight 78 K.G. diagnosed with Parotid tumor (in one of my salivary glands on my right face) with mild pulmonary metastases;had 2 course Radiation therapy in early 2010 and 2011. At this stage, do I need I need Chemotherapy to control the lungs and surgery to remove the Parotid tumor and reconstruction. I live in India and cannot afford the huge cost of treatment in USA. Can you suggest the best Institutions in India? [/INST] Hi, Thanks for writing in. Cancer is a challenging condition and treatment should be given as per the stage of the disease. If you have developed lung metastasis then please return to your doctor who has treated you earlier and then continue treatment for the parotid swelling and lung metastasis. As lung spread makes your condition stage 4 cancer therefore, attempts are to be made to control the progress by giving chemotherapy and radiation. As you have parotid cancer therefore the chances of treatment are better and many people can survive for a long time with proper treatment. There are many cancer treatment hospitals in India and you can choose to go to any of them. The best cancer hospital is Tata memorial hospital in Mumbai, and they provide cancer treatment at low cost. You can also ask your employer and try to write to philanthropic organizations seeking help for cancer treatment in the US if it is difficult to change your location. </s>