Mesothelioma Cancer Treatment Cost in India
Cost depends heavily on mesothelioma type, stage, and whether surgery, chemotherapy, or immunotherapy is required — here's a realistic breakdown, with a free individualised estimate for international patients within 48 hours.
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Mesothelioma Cancer Treatment Cost in India can range from approximately ₹4 lakh to ₹20 lakh ($4,700–$23,500) for many treatment plans. Pleural surgery: ₹3L–₹8L+. Pleurectomy/decortication: ₹5L–₹10L+. Extrapleural pneumonectomy: ₹7L–₹15L+. Chemotherapy: ₹50,000–₹2L+/cycle. Radiation: ₹2L–₹5L. Immunotherapy: ₹1.5L–₹5L+/cycle. HIPEC (peritoneal): ₹5L–₹12L+. The total expense can be considerably higher for advanced disease requiring major surgery, multiple chemotherapy cycles, immunotherapy, radiation therapy, or treatment for recurrence. These are indicative estimates — your actual cost depends on mesothelioma type, stage, and the treatment plan your oncology team recommends.
| Treatment Information | Details |
|---|---|
| Condition | Mesothelioma (Pleural, Peritoneal, Pericardial, Testicular — Stages I–IV) |
| Treatment Name | Pleurectomy & Decortication, Extrapleural Pneumonectomy, Chemotherapy, Radiation, Immunotherapy, HIPEC |
| Duration | 1–3 Weeks (Surgery & Recovery) to Several Months (Combined Systemic Treatment) |
| Treated By | Thoracic Surgeon, Medical Oncologist, Radiation Oncologist, Pulmonologist |
What Is Mesothelioma?
Mesothelioma is a cancer that develops in the mesothelium, a protective tissue layer surrounding several organs. The major forms include:
- Pleural mesothelioma — affects the lining around the lungs
- Peritoneal mesothelioma — affects the lining of the abdomen
- Pericardial mesothelioma — affects the lining around the heart
- Testicular mesothelioma — an extremely rare form involving the lining around the testicle
Pleural mesothelioma is the most common form and is often associated with symptoms involving the chest and lungs. The disease can be difficult to diagnose because symptoms such as chest pain, breathlessness, cough, fatigue, and fluid around the lungs can also occur with several other conditions.
Because mesothelioma is uncommon and treatment can involve several specialists, the final cost depends heavily on the type and stage of cancer, whether surgery is possible, the treatment approach, and the patient's overall health.

Mesothelioma Cancer Treatment Cost in India at a Glance
There is no single fixed package price for mesothelioma because patients may require very different combinations of treatment.
| Treatment | Approximate Cost in India | Approximate Cost in USD |
|---|---|---|
| Initial diagnosis and staging | ₹40,000 – ₹1.5 lakh | $470 – $1,800 |
| Mesothelioma biopsy | ₹20,000 – ₹70,000 | $235 – $825 |
| Pleural surgery | ₹3 lakh – ₹8 lakh+ | $3,500 – $9,400+ |
| Pleurectomy and decortication | ₹5 lakh – ₹10 lakh+ | $5,900 – $11,800+ |
| Extrapleural pneumonectomy | ₹7 lakh – ₹15 lakh+ | $8,200 – $17,600+ |
| Chemotherapy | ₹50,000 – ₹2 lakh+ per cycle | $590 – $2,350+ |
| Radiation therapy | ₹2 lakh – ₹5 lakh | $2,350 – $5,900 |
| Immunotherapy | ₹1.5 lakh – ₹5 lakh+ per cycle | $1,800 – $5,900+ |
| HIPEC for selected peritoneal disease | ₹5 lakh – ₹12 lakh+ | $5,900 – $14,100+ |
| Complete treatment | ₹4 lakh – ₹20 lakh+ | $4,700 – $23,500+ |
*These are indicative estimates intended for treatment planning. A hospital quotation can be higher or lower depending on the treatment protocol, medicines, surgeon, hospital, length of stay, ICU requirements, and complications.
What Determines the Overall Treatment Cost?
The Mesothelioma Cancer Treatment Cost in India can vary significantly between patients. Important factors include:
- Type of mesothelioma
- Cancer stage
- Tumour location
- Tumour size
- Whether the tumour can be surgically removed
- Lymph-node involvement
- Distant metastasis
- Histological subtype
- Patient's general health
- Surgical technique
- Chemotherapy regimen
- Number of chemotherapy cycles
- Radiation technology
- Immunotherapy requirements
- Hospitalisation period
- ICU requirements
- Treatment-related complications
A patient with early, localised pleural mesothelioma may be considered for aggressive multimodality treatment, while a patient with widespread disease may receive systemic treatment and symptom-focused care. NCI notes that surgery, chemotherapy, radiation and immunotherapy may be used in different combinations depending on whether the disease is localised, advanced, or recurrent.
Mesothelioma Treatment Cost by Stage
The mesothelioma treatment cost by stage is useful for estimating expenses, but stage alone does not determine the final price. The type of mesothelioma and whether surgery is possible are equally important.
Stage 1 Mesothelioma Treatment Cost
The stage 1 mesothelioma treatment cost may be approximately ₹4 lakh–₹10 lakh ($4,700–$11,800) when the disease is localised and the patient is considered suitable for surgery. Treatment may involve surgery followed by chemotherapy and/or radiation depending on the pathology and multidisciplinary treatment plan.
For selected localised pleural mesothelioma, surgical approaches can include pleurectomy and decortication or, in carefully selected circumstances, extrapleural pneumonectomy. NCI lists surgery and multimodality approaches among options for localised disease.
Stage 2 Mesothelioma Treatment Cost
The stage 2 mesothelioma treatment cost may range from approximately ₹6 lakh–₹14 lakh ($7,000–$16,500). Treatment may involve a combination of surgery, chemotherapy, radiation, or systemic therapy depending on the extent of disease. When the tumour involves more extensive areas of the chest or nearby lymph nodes, treatment can become more complicated and hospitalisation may be longer.
Stage 3 Mesothelioma Treatment Cost
The stage 3 mesothelioma treatment cost can be approximately ₹8 lakh–₹18 lakh ($9,400–$21,200) or more. Advanced local disease may not always be suitable for complete surgical removal. Chemotherapy, immunotherapy, radiation therapy, or selected surgery may be considered. NCI lists immunotherapy and combination chemotherapy among treatment options for advanced pleural mesothelioma.
Stage 4 Mesothelioma Treatment Cost
The stage 4 mesothelioma treatment cost may reach ₹10 lakh–₹25 lakh+ ($11,800–$29,400+), particularly when long-term systemic treatment is required. Stage IV disease may involve distant spread, making treatment more complex. The objective may be to control cancer growth, reduce symptoms, improve quality of life, and potentially extend survival. Treatment can include chemotherapy, immunotherapy, radiation for symptom control, drainage of pleural fluid, or other palliative procedures.
Pleural Mesothelioma Cancer Treatment Cost in India
Pleural mesothelioma is the most common form of the disease and develops in the pleural lining surrounding the lungs. The Pleural Mesothelioma Cancer Treatment Cost in India may range from approximately ₹4 lakh to ₹20 lakh+ ($4,700–$23,500+) depending on whether treatment involves surgery, chemotherapy, immunotherapy, radiation, or a combination.
For selected patients, surgery may be performed with the intention of removing as much visible cancer as possible. NCI describes both pleurectomy and decortication (P/D) and extrapleural pneumonectomy (EPP) as surgical approaches that may be used for mesothelioma in the chest.
Pleurectomy and Decortication Cost in India
Pleurectomy and decortication involves removing the pleural tumour and affected tissue around the lung while attempting to preserve the lung. The approximate cost may be ₹5 lakh–₹10 lakh+ ($5,900–$11,800+). The final price depends on the complexity of surgery, hospital, surgeon's expertise, ICU stay, pathology and postoperative care. P/D can sometimes be part of a multimodality treatment strategy that includes chemotherapy and radiation.
Extrapleural Pneumonectomy Cost in India
Extrapleural pneumonectomy is a much more extensive operation. It may involve removal of one lung, pleural lining, part of the diaphragm, and lining around the heart. The approximate extrapleural pneumonectomy cost in India may be ₹7 lakh–₹15 lakh+ ($8,200–$17,600+).
Because it is a major operation, patients may require prolonged hospitalisation and intensive postoperative monitoring. NCI notes that extrapleural pneumonectomy is used in selected patients and that surgical treatment should be considered carefully because of the complexity and risks associated with aggressive surgery.
Mesothelioma Chemotherapy Cost in India
The mesothelioma chemotherapy cost in India can vary depending on the drugs used, patient's body-surface area, number of cycles, hospital charges and supportive medicines. A broad estimate is ₹50,000–₹2 lakh+ ($590–$2,350+) per cycle. Several cycles may be needed, so the total chemotherapy expense can reach several lakh rupees.
Platinum-based chemotherapy combined with pemetrexed is an established treatment approach for advanced pleural mesothelioma. NCI also lists chemotherapy combinations involving platinum medicines and pemetrexed among treatment options.
Chemotherapy expenses can include cancer medicines, IV administration, blood tests, doctor fees, anti-nausea medicines, hydration, supportive medicines, and monitoring.
Mesothelioma Radiation Therapy Cost in India
The mesothelioma radiation therapy cost in India may range from approximately ₹2 lakh–₹5 lakh ($2,350–$5,900). Radiation can be used for selected localised disease, after surgery in some treatment plans, or to relieve symptoms such as pain caused by tumour involvement.
NCI notes that radiation therapy can be used as part of mesothelioma treatment and may also provide palliative relief when the goal is symptom control. The final radiation cost depends on number of sessions, radiation technique, treatment planning, imaging, machine used, hospital, and radiation oncologist.
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By submitting, you agree to be contacted by Azzocare's care team.Mesothelioma Immunotherapy Cost in India
Immunotherapy has become an important treatment option for advanced mesothelioma. The mesothelioma immunotherapy cost in India can be approximately ₹1.5 lakh–₹5 lakh+ ($1,800–$5,900+) per cycle, depending on the medicine.
NCI identifies nivolumab and ipilimumab among immunotherapy options for advanced mesothelioma. Biomarker testing may also be considered when determining whether certain immunotherapy approaches are appropriate. Because immunotherapy can continue over multiple treatment cycles, the total expense may become substantially higher than the price of one infusion.
Mesothelioma Biopsy Cost in India
A biopsy is generally necessary to establish the diagnosis and determine the type of mesothelioma. The mesothelioma biopsy cost in India may be approximately ₹20,000–₹70,000 ($235–$825).
Depending on the tumour location, doctors may use image-guided needle biopsy, thoracoscopic biopsy, VATS biopsy, endoscopic procedures, or abdominal biopsy for peritoneal disease. The total diagnostic bill can increase if immunohistochemistry, molecular testing, imaging, or additional pathology is required. Because mesothelioma can resemble other cancers under the microscope, accurate pathological evaluation is particularly important.
Peritoneal Mesothelioma Cancer Treatment Cost in India
Peritoneal mesothelioma develops in the lining of the abdominal cavity. The Peritoneal Mesothelioma Cancer Treatment Cost in India can range from approximately ₹5 lakh–₹15 lakh+ ($5,900–$17,600+) depending on disease extent and treatment.
Selected patients may undergo cytoreductive surgery followed by HIPEC, in which heated chemotherapy is circulated inside the abdominal cavity after visible tumour has been surgically removed. NCI identifies surgery followed by hyperthermic intraperitoneal chemotherapy as a treatment approach for selected peritoneal mesothelioma.
HIPEC Cost for Mesothelioma in India
HIPEC stands for Hyperthermic Intraperitoneal Chemotherapy. The approximate HIPEC cost for mesothelioma in India may be ₹5 lakh–₹12 lakh+ ($5,900–$14,100+). The cost can increase when extensive cytoreductive surgery is required.
A HIPEC treatment plan may involve preoperative imaging, major abdominal surgery, tumour removal, heated chemotherapy, ICU care, hospitalisation, pathology, and postoperative medicines. HIPEC is not suitable for every patient. Selection depends on disease distribution, overall health, tumour burden, and the treating team's assessment.
How Is Mesothelioma Diagnosed?
Diagnosis usually involves several investigations.
Doctors may recommend:
Imaging
Possible imaging tests include:
- Chest X-ray
- CT scan
- MRI
- PET-CT
Biopsy
A tissue sample is examined by a pathologist.
Pathology and Immunohistochemistry
Additional laboratory testing may be required to distinguish mesothelioma from other cancers.
Staging
Staging helps determine whether the disease is localised or has spread.
The diagnostic process can therefore contribute significantly to the initial treatment expense.
Symptoms of Mesothelioma
Symptoms vary according to the type of mesothelioma.
Pleural Mesothelioma Symptoms

Possible symptoms include:
- Persistent cough
- Chest pain
- Shortness of breath
- Fatigue
- Unexplained weight loss
- Difficulty breathing
- Pleural effusion
- Fever or sweating in some patients
Peritoneal Mesothelioma Symptoms

Possible symptoms include:
- Abdominal swelling
- Abdominal pain
- Loss of appetite
- Weight loss
- Nausea
- Constipation
- Ascites
- Feeling full quickly
Symptoms can be caused by many conditions and do not automatically indicate mesothelioma.
What Causes Mesothelioma?
One of the strongest known risk factors for mesothelioma is asbestos exposure.
Occupational exposure can occur in industries involving:
- Construction
- Shipbuilding
- Manufacturing
- Mining
- Insulation
- Automotive work
However, not every person diagnosed with mesothelioma has a known history of asbestos exposure.
The long latency period between exposure and diagnosis can also make the source of exposure difficult to identify.
City-Wise Mesothelioma Cancer Treatment Cost in India
The cost of mesothelioma treatment can vary between cities because of differences in hospital infrastructure, specialist availability, surgical expertise, ICU facilities and treatment technology.
| City | Approximate Cost in USD | Approximate Cost in INR |
|---|---|---|
| Mesothelioma Treatment Cost in Delhi | $5,000 – $23,500+ | ₹4.3 lakh – ₹20 lakh+ |
| Mesothelioma Treatment Cost in Mumbai | $5,000 – $23,500+ | ₹4.3 lakh – ₹20 lakh+ |
| Mesothelioma Treatment Cost in Bangalore | $5,000 – $23,500+ | ₹4.3 lakh – ₹20 lakh+ |
| Mesothelioma Treatment Cost in Chennai | $4,700 – $22,000+ | ₹4 lakh – ₹18.7 lakh+ |
| Mesothelioma Treatment Cost in Hyderabad | $4,700 – $22,000+ | ₹4 lakh – ₹18.7 lakh+ |
| Mesothelioma Treatment Cost in Kolkata | $4,700 – $22,000+ | ₹4 lakh – ₹18.7 lakh+ |
| Mesothelioma Treatment Cost in Pune | $4,700 – $20,000+ | ₹4 lakh – ₹17 lakh+ |
| Mesothelioma Treatment Cost in Ahmedabad | $4,700 – $20,000+ | ₹4 lakh – ₹17 lakh+ |
| Mesothelioma Treatment Cost in Gurgaon | $5,000 – $23,500+ | ₹4.3 lakh – ₹20 lakh+ |
These city-wise figures are broad estimates and should not be interpreted as fixed prices offered by individual hospitals.
Mesothelioma Cancer Treatment Cost in India Compared With Other Countries
Patients travelling internationally often compare treatment costs before choosing a cancer centre.
| Country | Approximate Cost in USD | Approximate Cost in INR |
|---|---|---|
| Mesothelioma Cancer Treatment Cost in India | $4,700 – $23,500+ | ₹4 lakh – ₹20 lakh+ |
| Mesothelioma Treatment Cost in USA | $50,000 – $150,000+ | ₹42.5 lakh – ₹1.28 crore+ |
| Mesothelioma Treatment Cost in UK | $35,000 – $90,000 | ₹30 lakh – ₹76.5 lakh |
| Mesothelioma Treatment Cost in Germany | $35,000 – $85,000 | ₹30 lakh – ₹72.3 lakh |
| Mesothelioma Treatment Cost in UAE | $25,000 – $60,000 | ₹21.3 lakh – ₹51 lakh |
| Mesothelioma Treatment Cost in Thailand | $20,000 – $50,000 | ₹17 lakh – ₹42.5 lakh |
| Mesothelioma Treatment Cost in Turkey | $10,000 – $30,000 | ₹8.5 lakh – ₹25.5 lakh |
| Mesothelioma Treatment Cost in Malaysia | $15,000 – $35,000 | ₹12.8 lakh – ₹29.8 lakh |
| Mesothelioma Treatment Cost in Singapore | $40,000 – $100,000 | ₹34 lakh – ₹85 lakh |
These country-wise figures are approximate planning ranges. Healthcare providers may include different procedures, medicines, hospitalisation and follow-up services in their quoted packages.
What Is Usually Included in a Mesothelioma Treatment Package?
Depending on the hospital, the treatment package may include:
- Initial specialist consultation
- Blood investigations
- Imaging
- Biopsy
- Pathology
- Surgery
- Anaesthesia
- Operating-room charges
- Hospital room
- ICU monitoring
- Chemotherapy administration
- Radiation therapy
- Medicines
- Follow-up consultations
However, patients should request an itemised estimate before treatment. A quoted surgery price may not include chemotherapy, immunotherapy, pathology, ICU care, additional scans, or treatment of complications.
Additional Expenses Patients Should Consider
The final Mesothelioma Cancer Treatment Cost in India can increase because of:
- Additional imaging
- Advanced pathology
- Molecular testing
- Longer ICU stay
- Extended hospitalisation
- Blood transfusions
- Antibiotics
- Treatment-related complications
- Additional chemotherapy cycles
- Immunotherapy
- Radiation
- Repeat surgery
- Rehabilitation
- Nutritional support
International patients should also plan for visa expenses, flights, accommodation, local transportation, food, attendant expenses, and extended stay in India.
Recovery After Mesothelioma Treatment
Recovery depends on the treatment received.
Patients undergoing major chest surgery may require a longer recovery period than those receiving systemic therapy alone.
Recovery may involve:
- Pain management
- Respiratory exercises
- Physiotherapy
- Nutritional support
- Wound care
- Follow-up imaging
- Oncology consultations
After extensive lung surgery, respiratory rehabilitation can become particularly important.
Patients should follow their cancer team's instructions regarding physical activity, nutrition, medication and follow-up.
Is Mesothelioma Curable?
Mesothelioma can be difficult to cure, particularly when it is diagnosed after the disease has spread.
However, selected patients with localised disease may undergo aggressive treatment with surgery and additional therapies.
NCI notes that treatment for localised mesothelioma may include surgery and multimodality therapy, while standard treatment for most non-localised disease is generally not considered curative.
For advanced disease, treatment may focus on controlling tumour growth, relieving symptoms and improving quality of life.
The prognosis varies according to:
- Stage
- Histological subtype
- Tumour location
- Overall health
- Response to treatment
- Ability to undergo surgery
Why a Specialist Mesothelioma Centre Matters
Because mesothelioma is rare and treatment can be complex, patients may benefit from a multidisciplinary team, which may include:
- Thoracic surgeon
- Medical oncologist
- Radiation oncologist
- Pulmonologist
- Pathologist
- Radiologist
- Critical-care specialist
- Nutritionist
- Physiotherapist
NCI notes that the rarity and complexity of mesothelioma make treatment at centres with established expertise particularly important when considering aggressive multimodality approaches. Explore Hospitals →
How Azzocare Helps International Patients
Azzocare connects international patients with verified thoracic surgeons, surgical oncologists, and medical oncologists across Delhi NCR, coordinating every step at no extra cost:
- Free medical opinion and itemised cost estimate within 48 hours of sharing your reports
- Medical visa documentation and travel planning support
- Airport pickup and accommodation arranged near your hospital
- Interpreter support throughout consultations and admission
- A dedicated case manager from first contact through follow-up care
Whether you're comparing pleurectomy versus extrapleural pneumonectomy, exploring HIPEC for peritoneal disease, or looking into immunotherapy options for advanced mesothelioma, our care team can help shortlist the right hospital and specialist for your case before you travel.
Questions to Ask Before Starting Treatment
- What type of mesothelioma do I have?
- Is it pleural or peritoneal mesothelioma?
- What is my exact stage?
- Can the tumour be surgically removed?
- Which surgery is recommended?
- Will chemotherapy be required?
- How many chemotherapy cycles are expected?
- Is immunotherapy appropriate?
- Will radiation therapy be required?
- Is HIPEC an option for peritoneal disease?
- How long will I stay in the hospital?
- What is included in the treatment package?
- Could ICU care increase the cost?
- What follow-up tests will I need?
- What is the estimated total cost in INR and USD?
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Frequently Asked Questions
What is the average Mesothelioma Cancer Treatment Cost in India?
The Mesothelioma Cancer Treatment Cost in India can be approximately ₹4 lakh–₹20 lakh ($4,700–$23,500) for many treatment plans. Complex surgery or advanced systemic treatment can increase the cost.
What is the stage 1 mesothelioma treatment cost?
The stage 1 mesothelioma treatment cost may be approximately ₹4 lakh–₹10 lakh ($4,700–$11,800) when surgery and selected additional treatment are appropriate.
What is the stage 2 mesothelioma treatment cost?
The stage 2 mesothelioma treatment cost may range from approximately ₹6 lakh–₹14 lakh ($7,000–$16,500) depending on surgery, chemotherapy and radiation.
What is the stage 3 mesothelioma treatment cost?
The stage 3 mesothelioma treatment cost can be approximately ₹8 lakh–₹18 lakh ($9,400–$21,200) or more when systemic therapy and prolonged treatment are required.
What is the stage 4 mesothelioma treatment cost?
The stage 4 mesothelioma treatment cost can reach ₹10 lakh–₹25 lakh+ ($11,800–$29,400+), depending on immunotherapy, chemotherapy, radiation and supportive treatment.
What is the mesothelioma chemotherapy cost in India?
The mesothelioma chemotherapy cost in India may be approximately ₹50,000–₹2 lakh+ ($590–$2,350+) per cycle, depending on the drugs and treatment protocol.
What is the mesothelioma radiation therapy cost in India?
The mesothelioma radiation therapy cost in India may range from approximately ₹2 lakh–₹5 lakh ($2,350–$5,900).
What is the mesothelioma biopsy cost in India?
The mesothelioma biopsy cost in India may be approximately ₹20,000–₹70,000 ($235–$825), although additional pathology and immunohistochemistry can increase the diagnostic cost.
What is the cost of mesothelioma surgery in India?
Mesothelioma surgery may cost approximately ₹3 lakh–₹15 lakh+ ($3,500–$17,600+), depending on the procedure. Major operations such as extrapleural pneumonectomy are generally more expensive than less extensive procedures.
Is mesothelioma curable?
Some localised cases may be treated aggressively with surgery and multimodality therapy, but advanced mesothelioma is generally difficult to cure. Treatment goals depend on stage and individual patient factors.
Is chemotherapy used for mesothelioma?
Yes. Chemotherapy is an important treatment option, particularly for advanced pleural mesothelioma. Platinum-based chemotherapy combined with pemetrexed is one established approach.
Is immunotherapy available for mesothelioma?
Yes. Immunotherapy drugs such as nivolumab and ipilimumab are among treatment options for advanced mesothelioma.
Is HIPEC used for mesothelioma?
HIPEC may be used in selected patients with peritoneal mesothelioma, generally after cytoreductive surgery. It is not appropriate for every patient.
Can mesothelioma return after treatment?
Yes. Mesothelioma can recur after treatment. Management of recurrent disease depends on previous treatments, location of recurrence, overall health and whether additional local or systemic treatment is possible.
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The costs mentioned on this page are approximate figures based on published estimates for mesothelioma treatment costs in India as of 2026. Actual pricing depends on the hospital chosen, the city, the type and stage of mesothelioma, the specific treatment plan, and each patient's individual medical needs. This page is for general information only and is not a substitute for personalised medical advice. All costs are approximate estimates and may change according to hospital, city, treatment protocol, medicines, disease stage, exchange rates and individual patient requirements. For an accurate, individualised estimate, please consult your oncology team or reach out to our care team directly.

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Dr. Md Ehsanullah is a physician with 4+ years of clinical experience in internal and general medicine. He completed his MBBS and MD from Asian Medical University, Kyrgyzstan, and currently practices at VMMC & Safdarjung Hospital, New Delhi. He reviews Azzocare's healthcare content for clinical accuracy, ensuring medical information aligns with current best practices and E-E-A-T principles.
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