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About Claes-Gustaf Nordquist, M.D.
Expertise
Questions concerning Cancer, Oncology, radiation Therapy, Tumours, Chemotherapy, Cytotoxic Drugs, Hormonal Therapy, Radiation Protection.
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 in these other categories: General History,
Military History,
Brain Tumors,
Breast Cancer,
Colon Cancer
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You are here: Experts > Health/Fitness > Medical Specialists > Oncology (General Cancer) > Adnexal Mass - Ovarian Malignancy?
Expert: Claes-Gustaf Nordquist, M.D. - 10/30/2009
Question
Hello-
After seeing an allergist for chronic urticaria, a GI specialist for what I thought was IBS, a CT Scan finally revealed that I have 9cm right adnexal loculated cyst. A follow-up ultrasound had similar findings and noted that the large mass had two other cysts and a "daughter cyst with low impedance in the daughter cyst and in the cyst wall". I was referred to a gynocological oncologist who is recommending surgical removal of the cyst, radical hysterectomy and possibly more tissue removals depending on the findings during surgery. This surgeon is wanting to perform the surgery laparoscopically. I'm concerned as I've read that this can be risky if the mass is indeed malignant.
My questions are first of all, how likely is a mass with these characteristics (the cyst was not present in an ultrasound from 10 months ago and is now the size of a softball) to be malignant? The oncologist would not give me any predictions... Is it safe to do a laparoscopic surgery with a mass of this size and with the possibility of malignancy?
Another complication --- I have a great deal of scar tissue as a result of a previous laparotomy to repair a perforated uterus (D%26C gone wrong after attempted removal of retained placenta) and a classic C-Section two years thereafter. Would this history also call for a laparotomy rather than laparoscopy??
Any advice is greatly appreciated as I feel this surgery is a complicated and big decision that could have serious consequences if not approached cautiously...
Thanks in advance-
Answer
Well laparascopy is supposed to be more cautious than a laparatomy. However your gynecologist could do the laparascopy first in order to inspect your ovary and take a biopsy and then decide what to do next. If indeed this is malignant it has to go as soon as possible! And it is quite possible that this is malignant. It seems to me that it would be best for you to get rid of of your uterus too.
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