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info@medigocare.comLast Updated: July 2026 | Reviewed by: MediGoCare Medical Affairs & Oncology Coordination Team
A breast cancer diagnosis changes everything overnight. If you or someone you love has just received one, and you're based in Nairobi, Dar es Salaam, Kampala, or anywhere else across East Africa, you're probably asking the same question we hear constantly: is there somewhere I can get complete, world-class treatment without waiting months or spending a fortune?
For a lot of East African families, the answer has been India. We coordinate breast cancer care for patients across the region, and this guide covers what actually matters — real costs, real treatment options, what makes HER2-positive cases different, and exactly how the journey works from Nairobi, Dar es Salaam, or Kampala.
It helps to start here, because it shapes everything that follows.
In Kenya, breast cancer is the most commonly diagnosed cancer among women, making up roughly 23% of all female cancer cases. In Tanzania, it's the second most common, at around 14–15% of female cancers. And across the region, women are often diagnosed younger than in Europe or the US — which changes real decisions, like whether to discuss fertility preservation before chemotherapy starts.
There's also a harder truth worth saying plainly. Diagnosis often comes later here. Screening access is part of it. So is a genuine shortage of radiotherapy machines across the region. That's not a criticism of local doctors — they're working within real capacity limits. It's simply why so many families end up looking beyond their home country for treatment.
If your pathology report mentions "HER2-positive," this section is for you specifically.
HER2-positive breast cancer makes up somewhere between 20% and 25% of all breast cancer cases. It tends to be more aggressive than other types, but here's the important part: the targeted drug trastuzumab has transformed outcomes for HER2-positive patients when it's given consistently, for the full recommended course.
And that word — consistently — is where the real problem sits. A 2022 study from Moi Teaching and Referral Hospital in Eldoret, Kenya, looked at 95 HER2-positive patients. Only 33.6% completed all 18 recommended cycles of trastuzumab. Nearly half received just 4 cycles. That's the number Kenya's national insurance scheme covers. They stopped there — not because their doctor recommended it, but because the funding ran out. Almost a quarter never started the drug at all.
We're not telling you this to alarm you. We're telling you because it's the honest reason full-course HER2 treatment is worth planning for properly. Hoping insurance stretches far enough isn't a plan.
Here's where India fits in. Since 2014, India has approved several biosimilar versions of trastuzumab. Indian manufacturers make them, under strict regulatory approval. Biosimilars aren't a lesser version of the drug. They're clinically equivalent. In Indian hospitals, most HER2-positive patients now get treated with them rather than the original branded product. What changes is the price. It drops substantially compared to the originator drug.
We want to be straight with you here, though. Even at biosimilar pricing, a full trastuzumab course is real money. This isn't a "problem solved" story. It's a "meaningfully more within reach, but still needs a proper plan" story. That's exactly why we give you a full, written estimate before you commit to anything. You should know precisely what a complete course costs. You shouldn't start treatment and just hope you can afford to finish it.
Depending on the type and stage, your treatment plan may include:
For younger patients specifically, it's worth raising fertility preservation with your medical team before chemotherapy begins. It's not something every clinic brings up unprompted, so ask directly if it matters to you.
| Treatment | Cost (USD) | Approx. (KES) | Approx. (TZS) | Approx. (UGX) |
|---|---|---|---|---|
| Full course — surgery + chemotherapy | $5,000 – $12,000 | KES 645,000 – 1,548,000 | TZS 13.2m – 31.6m | UGX 18.5m – 44.4m |
| Lumpectomy (breast-conserving surgery) | $2,500 – $5,000 | KES 322,500 – 645,000 | TZS 6.6m – 13.2m | UGX 9.3m – 18.5m |
| Mastectomy | $3,500 – $7,000 | KES 451,500 – 903,000 | TZS 9.2m – 18.4m | UGX 13.0m – 25.9m |
| Chemotherapy, per cycle | $400 – $1,000 | KES 51,600 – 129,000 | TZS 1.1m – 2.6m | UGX 1.5m – 3.7m |
| Radiation therapy, full course | $2,500 – $6,000 | KES 322,500 – 774,000 | TZS 6.6m – 15.8m | UGX 9.3m – 22.2m |
| Targeted therapy (trastuzumab biosimilar), full course | $6,000 – $12,000 | KES 774,000 – 1,548,000 | TZS 15.8m – 31.6m | UGX 22.2m – 44.4m |
| Breast reconstruction | $2,500 – $6,000 | KES 322,500 – 774,000 | TZS 6.6m – 15.8m | UGX 9.3m – 22.2m |
*These are estimates. Your actual cost depends on stage, receptor status, hospital, and whether HER2-targeted therapy or reconstruction is needed. We give you a written, case-specific estimate after reviewing your reports, at no charge.
Direct and one-stop connections exist from all three East African capitals into Delhi, Mumbai, or Chennai, with several major carriers operating the route. If you're travelling from Dar es Salaam specifically, our own branch office is right there — MediGoCare Tanzania operates out of Dar es Salaam, so you can start this conversation with someone in your own city and time zone, before you've booked a single flight.
We work closely with hospitals in the Gurugram cluster — Medanta and Fortis Memorial Research Institute — both of which run full breast oncology units covering surgery, medical oncology, and radiation under one roof. For select complex cases, we also coordinate with Tata Memorial Centre in Mumbai, which handles tens of thousands of oncology patients a year.
We only name hospitals and specialists we've directly confirmed as active partners. If your case needs care outside our current network, we'll say so and help you find the right route regardless.
We're based in Gurugram, right next to the hospitals we recommend, and we have a branch office in Dar es Salaam for East African families specifically. We won't promise a number we can't back up, and we won't tell you a full HER2 course is simple to afford when it genuinely isn't — we'll give you the real figure, help you plan around it, and stay involved through every step of treatment and the months of follow-up after.
A full course of surgery and chemotherapy typically runs $5,000–$12,000. HER2-positive cases needing targeted therapy cost more, usually an additional $6,000–$12,000 for the full trastuzumab course. We provide a written estimate specific to your diagnosis at no charge.
HER2-positive means your cancer has a higher level of a protein called HER2, which tends to make it more aggressive. It also means trastuzumab — a targeted drug — is part of standard treatment, and that adds a specific, separate cost to your plan.
Yes. India has approved several biosimilar versions since 2014, which are clinically equivalent to the original drug and significantly less expensive than it. That said, a full course is still real money — we recommend planning for it specifically rather than assuming insurance or savings will stretch to cover it as you go.
Often, yes, depending on the tumour's size and location. Your specialist team will tell you honestly whether breast-conserving surgery is a safe option for your specific case, or whether mastectomy is the better path.
Sometimes, yes — particularly for immediate reconstruction done at the same time as mastectomy. In other cases, it's staged as a second procedure later. We'll walk through both options with you.
This is worth raising directly with your medical team before treatment starts, since chemotherapy can affect fertility. Ask about it early — it's easier to plan for before your first cycle than after.
It depends on your treatment plan. Surgery alone might mean two to three weeks. A radiation course usually needs several weeks of daily sessions. We'll give you a realistic timeline specific to your case before you travel.
Up to two, on a linked Medical Attendant Visa.
Your biopsy or pathology report — including hormone receptor status (ER, PR) and HER2 status if tested — any imaging you have, and a brief summary from your treating doctor. If you're missing your receptor status, send what you have; we'll flag what's still needed.
This varies a lot by policy and provider, so we can't say in general. What we can do is give you a clear, written estimate you can take to your insurer to check what they'll cover.
We coordinate most closely with Medanta and Fortis Memorial Research Institute in Gurugram, and with Tata Memorial Centre in Mumbai for certain complex cases.
We coordinate a handover to your local oncologist, including your discharge summary and scan results, and help arrange tele-consultations with your Indian specialist where useful — particularly important for hormone therapy, which often continues for years after you return.
Send your diagnosis and reports through WhatsApp or Email. We'll respond within 48 hours with an honest, written cost estimate. No obligation, no charge for the review.
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Email: info@medigocare.com
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