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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.

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Brain Tumors - gbm lV

Expert: Claes-Gustaf Nordquist, M.D. - 11/1/2009

Question
my brother 43 had a stroke on June 17 2007 ,he was in a coma for 3 weeks he then woke up and couldn't move his right side ,well after rehab and many MRI. he remains in a wheelchair, in Nov of that year he started having seizures the MRI showed a tumor he had surgery and went through rad/chemo (temadar) he is doing well. this month will be 2 years but he is showing signs of being very tired lately lots of naps but seems rested afterwards,my question is could the stroke have been a blessing since it killed the tissue where the tumor is . and will it grow back some where else ? or is it the swelling of the brain the cause death

Answer
GBM IV tumors usually have a very bad prognosis. It is very doubtful if a stroke - in combination with surgery, radiation therapy & chemotherapy - could improve the prognosis very much. GBM IV tumors usually grow back and that is what causes the late brain swelling leading to death. The skull is more or less a closed space so growing tumors inside there will cause an increased pressure that eventually will disturb and hinder blood supply.

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