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About Claes-Gustaf Nordquist, M.D.
Expertise
I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.

Experience
I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. Now in private practice in Stockholm, Sweden. I also answer questions about Oncology (General Cancer), General History, Military History, Breast Cancer, Colon Cancer.

 
   

You are here:  Experts > Health/Fitness > Cancer > Brain Tumors > Brain Tumor

Brain Tumors - Brain Tumor


Expert: Claes-Gustaf Nordquist, M.D. - 10/6/2009

Question
QUESTION: My mother-in-law was diagnosed with Brain tumor last month, following symptoms of memory loss, nausea, vomitting etc. A biopsy and surgery was done, and a lemon size tumor was removed from the back of the right lobe of brain. Surgery was successful and the report says is is Low grade 2, Glioma. No spread to other organs. After surgery, she has lost some recent memory (cannot recall whom she met earlier, or what she had for lunch etc), but does remember old things and do recognize people by face and name. She does not have much appetite and as such  the body is weak. She is bed-ridden and cannot sit up, walk or go to toilet. Limbs are moveable, but shows difficulty in balance and sitting up. Last week, she had a seizure. We did not take her for radiotherapy due to weak body. She is 70 yrs of age, and has high blood sugar. Please advice on any care that we can provide during the last stages of her life. Doctors have indicated a few more months with a potential to fall into coma. Appreciate any advice. Thank you

ANSWER: Actually if given full treatment (surgery, radiation therapy & chemotherapy) and if really this is a low grade glioma grade 2 she should be able to live several years. High grade gliomas have a much worse prognosis especially grade 4 where the patients pass away after around 1 year regardless of treatment. Please let me read her pathology report from her surgery so that I can evaluate this better before answering fully. You can copy it here.


---------- FOLLOW-UP ----------

QUESTION: Thank you for the information and advice. Just to clarify...she was not given full treatment. Only surgery has been done. Due to weakness of teh body, doctor suggested to delay radiation therapy.

Latest events. two days ago she had fit, and could not control even with medication for a long period. Now she is in a semi-coma stage, totally uncounscious, but all organs except brain is functioing. She is in the ICU and is under critical observation stage for 3 days. Doctors do not have hope for recovery, and have suggested not to put her on ventillation.  

Answer
Something must have happened like a stroke or a brain hemorrhage. Bleedings can happen in tumors so that may be the cause. Since she has diabetes she is at a higher risk of that too. With this her prognosis does change and I have unfortunately to agree with her doctors.


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