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Integrative Women's Cancer Care Information Doctor Vasilev,Gynecologic Cancer Care
  
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Empowerment through information, Dr Vasilev gynecologic oncologist
 
 
 
 
Imiquimod: Effective for Vulvar Dysplasia
A common treatment for vulvar pre-malignant conditions is surgery, which can be disfiguring and painful. Alternatives to surgery have long been sought but none have been effective and easy to use. Investigators at several Netherlands institutions, reporting in this week's New England Journal of Medicine, looked at the effectiveness of imiquimod 5% cream, a topical immune-response modulator, for the treatment of this condition.
Read more...
 
Clear Cell Ovarian Cancer: Worse Prognosis?

Dr. Teoh and colleagues from UCSF, Stanford and UCI reviewed the SEER database between 1988 and 2001 to try to answer this question.  The National Cancer Institute's SEER, Surveillance Epidemiology and End Results, is the largest registry of data available and compiles data from all reporting tumor registries from hospitals nationwide. Their review was presented at the latest Society of Gynecologic Oncologists meeting this month in Tampa Florida.

During the period reviewed there were 28,082 women registered with epithelial ovarian cancer. Of these, 5% had clear cell, 49% papillary serous, 13% endometriod, 10% mucinous and 23% unspecified.  

The conclusions? Women with clear cell ovarian cancer are diagnosed at an earlier age, are more likely to be Asian, and have a worse prognosis compared to women with serous cancers (the most common type).  

 

 
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Results 1 - 3 of 32
  • treatment choices 2:00 - 23.07.2008

    Does anyone know of successful treatments for Ovarian Cancer? I have already done chemo. How about something to avoid breast cancer. I have the BRCA 1 gene?Thanks for your time and help,lynne

  • Swollen Belly / Severe Pain 2:00 - 23.07.2008

    Hi, my name is Julie.I am new to the message-board community; and was diagnosed with pre-ovarian cancer 2-3 years ago. I am 25 & just currently received my grant to go to school. I do not have insurance; and was treated at a clinic here in Alabama. A procedure in which they take a kind of scraper & attempt to scrape away pre-cancer cells inside the uterus. Again, this was about 2-3 yrs. ago.The thing is, I still have chronic reoccuring pain / bloating & nothing is really able to relieve it. The first day of my mentrual cycle is usually the worst of it. Pain killers do not relieve it; and I am supposedly "cancer-free" at this time.Today, I woke up debilitated; I found I could not stand or reach to far without having my belly cramp to the point of tears.I wanted to see if any of this sounds familiar to anyone? As these were some of the symtoms I'd had, before being diagnosed the first time. I was having my fiance' bringing me boiling hot compresses to lay on my belly; and this would only work for maybe a min. or two & then I would have to dip the rag again (and basically repeating this all day).I've noticed that the heat seems to be the best remedy & by that, what I mean is the hot compresses & lying in boiling hot water for maybe 1 hr. or 2. Anyway, as said the pain is debilitating; I don't really know how to hold down a job; as well as having to worry how this might affect my education. I have already lost one job over this condition; and yet the last pap-smear I received (maybe 3-5 months ago now); they told me everything was fine.Does this sound familiar to anyone?What should I do at this point?

  • option for fatigue...I have one 2:00 - 22.07.2008

    Yeah my wife has stage IV ovarian cancer.Right now she is about 70lbs,and has tumors everywhere from her diaphragm,to her lymph nodes..and yes edema has set in,to her intestines,and liver,and also lungs which have to be tapped once a week.But we found a solution for her fatigue about 1 year ago,that I thought I would share with the rest of you.She takes Adderall which is used for ADD. It is speed,but since it is not abused there is no problem.It doesn't interfere with the dilodid she is on..nothing serious.It allows her to be awake,and able to carry on a conversation for a few hours,and be alive,afterwards of course she gets tired,and then later on in the day,i give her another one,and she is able to visit and hang out for a few hours.I think it has been such a life saver,because she hasn't slept her life away,she can actually interact with me,and her family for a short time.

  • The fight to live past cancer of the ovaries. 2:00 - 21.07.2008

    I keep reading sites about this Zeolite does it work for ovarian cancer? I would like to know if any one out there has or know of someone that hastried this befor? THANK YOU!!  

  • LEEP-2nd opinion help 2:00 - 21.07.2008

    Can anyone please tell me the proper procedure for getting a 2nd opinion.  I had an abnormal pap in april...a colposcopy and another abnormal pap in June.  The results of my colposcopy showed "scant minute detached squamous fragments w/ atypical features consistent w/ high-grade squamous intraepithelial lesion...these fragments are minute and detached which hampers for evaluation for grade but the findings are consistent w/ high grade squamous intraepithelial lesion".  Goes on to say part of surface is eroded but features are consistent w/ CIN-II or CIN-III.  Well....I am scared ot going into this LEEP procedure.  This is my 1st abnormal pap...and I had to call my dr's office to get my colposcopy results..talked w/ the nurse who then told me the dr wanted to perform LEEP.  I was nervous and scared so I made the appt.  Then I came across this website...and all the stories..so I cancelled the appt, made a consultation appt w/ him (which I think he should have wanted to make one b4 throwing this LEEP stuff my way).  In the meantime, I am seriously considering getting a 2nd opinion.  My question is - I have my lab reports (obviously from above description), do I need to just have a consultation w/ new dr and have her review the records, or make an appt for another pap or colposcopy?  I am confused and frightened.  Please advise.

  • How to deal with my mom's cancer 2:00 - 21.07.2008

    This is the first time I ever write about this.The reason I discovered the website is when my mother was rushed to the hospital a couple of hours ago to get some pain killers because she was in so much pain.I sat on her couch and cried so hard, then I talked to friends, then I thought, maybe I can find something online.My mom was diagnosed with ovarian cancer in May 2006, I was writing my thesis for my undergrad the month she was diagnosed, and she insisted on me studying while she was undergoing an operation and her first round of chemo.I graduated and was admitted to gradschool with a full scholarship that same month, and my mother insisted that I moved to DC (my mom lives abroad with my family). In sept, my mom told me her CT scan was great and she is done with cancer.A few months later, in February, she has a relapse. Ever since then she has been trying different kinds of chemo, taking breaks. Now she is on a break because she lost so much weight. My heart has been broken ever since. My mom is my best friend and I never thought one could feel pain like that. Mom wouldn't let me leave school and come back home, she is insisting on all of us resuming our normal lives. I come here in the summer for three and a half months to be with her, and when I'm in the US I call her every single day. My mother is surrounded by my aunts and her friends who take care of her 24/7. My mom is very brave, her life was not easy as our single mother and she worked so hard for us to have everything we want. She wants me to go back to my last year of graduate school and write my thesis.I'm so tired, I'm only here for three months and I feel so consumed. I'm only 24 and I feel so old. I know I'm brave for going back and doing well at school, and I know it makes her so happy. But I'm torn.I think I'm writing this because I need to communicate with people who are going through this. I have wonderful friends but sometimes they just don't understand and they don't know how to deal with it.Despite everything, the other day I was sitting on the couch near her, and I put my head on her stomach where the cancer is, and all I could hear were her heartbeats. Nothing beats the heart.

  • re: LEEP.....EEP! 2:00 - 20.07.2008

    Hi Everyone! Once again, Im quite greatful to have found this site. Here is my story: I have had 2 colposcopies and abnormal tests for about 3 years.  Thinking the abnormalities would go away, my doctor and I waited. I recently got a pap test again, and it turned out to be moderate dysplasia (CIN II) or the 2nd step out of 4.   I am going in this thursday to get the leep procedure and am deathly afraid of what will happen.  Does anyone have insight?  I am going to take 800mg of ibuprofen before I go in.  They will be using a local anesthetic (lidocaine) to numb me, as they do not offer general anesthesia.  Please help as I can't sleep because of this!!!

  • Cone Biopsy 2:00 - 20.07.2008

    I am glad I read the messages posted on this site regarding cone biopsy. I have had abnormal paps and colposcopies for years. They come and go, and some paps are normal some come back abnormal. I just went through a colposcopy and the results came back at a moderate level. I am scheduled to have a cone biopsy in 2 weeks and I am really nervous. Even  more so, as I am reading up on this procedure. I am scared that 1. it could be cervical cancer, and 2. that the risks involed can lead me to becoming infertile. What are the percentages of these risks and results?  

  • My Daughter has Cervical Cancer 2:00 - 17.07.2008

    My 28 year old daughter has cervical cancer.  we have known for 2 years now.  She did some chemo treatments but should have had several more.  Sometimes she says she doesn't want the treatments.  Sometimes she does, but has no insurance and medicaid can really be a problem at times.  Her husband walked away from her.  She and our 2 little granddaughters live with us.  I'm afraid that the cancer is spreading.  I know she hurts, although she never complains.  She keeps her medical treatment and dr visits very private and we respect her wishes, but I wish sometimes I could ask someone questions.  I don't know what to expect, I find sometimes that I am numb with no emotions at all, other times, I am scared and paniced.  Sometimes, I am so weary of this and very angry.  I love my daughter so much.  I don't know how to help her.  I would love to talk/email with someone that might be going through something similar.

  • LEEP Procedure 6 weeks after... 2:00 - 17.07.2008

    I have read so many comments and stories on this site for months now... ever since I was diagnosed with stage 3 dysplasia roughly 6 months ago. It's my turn to tell my story. Just an FYI for all of you out there - you have every right to request a second or third pap once you are diagnosed with displasia if you don't feel comfortable jumping right into the LEEP procedure. I requested a second pap, it came back even more abnormal than the first one, so I had a colposcopy and biopsy done in the office. It was uncomfortable, but very quick, which is great since I have no tolerance for pain at all. The results came back as stage 3 so I knew I had to move forward with the LEEP procedure asap, which I'm so glad I did. Since I have no tolerance for pain, I elected to go under general anesthsia in the out-patient ambulatory center, in a hospital my doctor is affiliated with. I must admit, it was an extensive process... I had to avoid eating or drinking anything for at least 12 hours, I had to go through pre-surgical testing, and the day of my procedure, the room that was booked for me had a prior surgery that ran late, so guess to had to wait!! I sat there for 2 hours wearing a cap and gown, watching crappy tv shows with an i.v. hanging out of my right arm. It was annoying, to put it politely. They finally walked me into the room, which looked a bit scary. It was a very large, bright white room with a bed right in the center. When I laid down they strapped me in and asked me to relax. The staff were so professional, thank goodness my doctor knows how nervous I get so he kept making me laugh. Once they administered the anesthia I was out like a light. When I woke up, my mom and fiance were there with me. I felt FINE!! A little tired and groggy, but they give you food and drink to help you along. I had some cramping and discharge for a few days, but with a little bit of over the counter meds I felt fine. To be honest, getting my wisdom teeth removed was a HECK of a lot worse. If the LEEP procedure is the worst thing anyone ever has to go through, you should consider yourself a VERY lucky woman. It has been roughly 6 weeks. I went for a check up with my doctor one week after the procedure and he said I'm healing just fine. He also got my results back from the lab pretty quickly, and he said all of the pre-cancerous cells are gone. Obviously there is always a risk it will come back, but what are the alternatives - risking your life? It's not worth thinking that way. And, miscarriages are scary, obviously, but this is a slight risk when dealing with any type of cervical cancer, and anyone avoiding the LEEP procedure for that reason needs to get over that fear. Early pregnancies are ok as long as the baby comes out healthy... Some women have said they worry about not being able to deliver normally due to scar tissue build-up... so, you'll have a c-section. It's not the end of the world.  All in all I had a fairly good experience, and I feel fortunate that this procedure even exists so that my dysplasia did not turn into full blown cancer. The rest of the risks can and will be dealt with. I hope reading about my experience helped someone get over their fear of having it done. Oh and by the way, I just had sex with my fiance for the first time in 6 weeks 2 nights ago, and it was fine. No pain, no bleeding, everything was perfect. Next pap in 4 months! Cheers to happy vaginas =)