Dr. Mert Gol

Dr. Mert Gol

Cancer Specialist - Gynecologist Laproscopic Surgeon,Surgical Oncologist,Gynecologist

  Medicana Camlica, Istanbul, Turkey

  23 Years of experience

BIOGRAPHY

Dr. Mert Gol is one of the finest Cancer Specialist in Turkey. He is an experienced Surgical Oncologist in the Turkey. The Medical practitioner has been associated with various reputed hospitals in the Turkey. The physician is currently working as a Gynecologic Oncology, Medicana Camlica, Turkey. The doctor is a well-reputed and sought after medical expert and is

  • Ege University Faculty of Medicine, Obstetrics and Gynecology Specialist 2001
  • Ege University Faculty of Medicine, Gynecological Oncology Surgery Specialist 2011

qualified. Dr. Mert Gol has been associated with many hospitals over the course of his illustrious and experienced career.

The hospitals include:

  • Ege University Faculty of Medicine Research Assistant 1996 - 2001
  • Dokuz Eylul University Faculty of Medicine 2001 - 2006
  • Canakkale Onsekiz Mart University Head of Department 2007 - 2011
  • Izmir University Faculty of Medicine Head of Department 2011 - 2015
  • Istinye University Faculty of Medicine Liv Hospitals 2016 - 2018

Dr. Mert Gol has more than 23 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Breast Cancer Treatment
  • Cervical Cancer Treatment
  • Fibroid Removal Surgery
  • Hysterectomy
  • Laparoscopic Abdominal Hysterectomy
  • Mastectomy
  • Microwave Endometrial Ablation
  • Ovarian Cancer Treatment
  • Polycystic Ovarian Syndrome (PCOS) Treatment
  • General Surgery
  • Gynecology
  • Oncology
Procedures
Breast Cancer Treatment

The recent advances made in breast cancer treatment have revolutionized the way how women from this rare disorder are diagnosed and suggested a personalized treatment plan. These advances have made it easier for the doctors to arrive at a treatment plan, which is most suitable for the patient as per their individual characteristics and needs.

Different breast cancer treatment options help destruct complex mixture of cancer cells, which are otherwise difficult to treat using conventional breast cancer treatment. The treatment is started by the doctors handling the case as soon as the breast cancer diagnosis is confirmed.

Before the article delves into the different breast cancer treatment options, lets first take a look at how breast cancer develops and what are its symptoms and diagnosis methods.

Breast cancer: What do the statistics say?

Breast cancer primarily affects females aged above 40. However, that does not mean that it does not affect women aged below 40. Breast cancer can also affect males, although rarely.

Breast cancer starts in the cells of either one or both the breasts. It accounts for more than 16 percent of female cancer and contributes to 18.2 percent of all deaths that take place around the world because of cancer.

In the US alone, breast cancer affects more than 232,000 females and 2,200 males each year. It leads to death of more than 39,000 breast cancer patients in a year.

Breast Cancer Symptoms

The symptoms of breast cancer can be easily identified at home through breast self-examination. You should consult your physician on how to conduct this exam at home.

The most common breast cancer symptoms include:

  • Change in the size or shape of the breast
  • Lump in the breast
  • Swelling in armpit
  • Change in colour and shape of the nipples
  • Rash, redness or pitting on the breast skink
  • Pain in the breast or armpits
  • Abnormal discharge from the nipples

In case of more aggressive breast cancer called inflammatory breast cancer, severe redness and itching may be present.

The patients are advised to contact their physician as soon as they notice any of the symptoms of breast cancer. The physician is the best person to diagnose whether it is normal or inflammatory best cancer, and accordingly, suggest treatment for breast cancer.

Breast Cancer Causes

The exact reason that causes breast cancer is unclear, despite the fact that every eighth woman suffers from it. However, there are several factors that have been associated with the development of breast cancer. Some of the breast cancer risk factors include:

  • Prolonged use of birth control pills
  • Obesity
  • Use of hormone replacement therapy
  • High breast density
  • Alcohol addiction
  • No history of pregnancy
  • Pregnancy after 35
  • Exposure to radiation

The risk of breast cancer naturally increases as women age. The risk is also higher in women who have a family history of breast or ovarian cancer, possess BRCA1 and BRCA2 genes or who have had their periods before the age of 12.

Cervical Cancer Treatment

Cervical cancer is an abnormal growth of cancer cells that starts in the cervix. The cervix is the narrow part of the lower uterus. It is the entrance of the uterus, often referred to as the neck of the womb. Cervical cancer is the fourth most common type of cancer in women around the world. It is the fourth leading cause of death caused by cancer in women. However, the important thing to note is that cervical cancer is also one of the most preventable types of cancer and early diagnosis of the disease can improve the mortality rate amongst patients.

A dramatic reduction in cervical cancer occurrence is primarily due to the widespread use of advanced screening tests such as pap tests to detect cervical abnormalities and allow for early treatment.

Where does cervical cancer take place?

Under normal circumstances, the ectocervix is covered with flat, thin cells called squamous cells and the endocervix is made up of another kind of cells called columnar cells. The area where these cells meet is called the transformation (T) zone. The T zone is the most likely location for cervical cancer cells to develop.

Cervical Cancer Causes

A majority of cervical cancer cases occur because of a virus called human papillomavirus (HPV). HPV is a sexually transmitted virus. It can transfer through a sexual contact with an infected male partner.

There are many types of the HPV virus and not all types of HPV cause cervical cancer. Some of the HPV may cause genital warts. Some other cervical cancer risk factors include smoking, weak immune system, oral contraceptives, and multiple pregnancies.

Cervical Cancer Types

More than 90 percent of the cervical cancers are squamous cell carcinoma. The second most common type of cervical cancer is adenocarcinoma. Adenosquamous carcinomas or mixed carcinomas are some of the rare types of cervical cancer.

Cervical Cancer Symptoms

Usually, there are no early signs of cervical cancer, but several cervical cancer symptoms may appear as the tumor grows in size. Some of the common cervical cancer symptoms include the following:

  • Bleeding between periods
  • Bleeding during sexual intercourse
  • Bleeding after menopause
  • Smelly or blood-filled vaginal discharge
  • Pelvic pain, back pain, and swollen legs
  • Weight loss
  • Fatigue 
Fibroid Removal Surgery

Uterine fibroids are one of the most common causes of infertility and may cause pain and excessive bleeding during menstruation. They have also been linked to infertility in women.

Genetic changes, hormonal imbalance, extracellular matrix, and other growth factors are responsible for the presence of fibroids. The growth rate and size of the fibroids may vary from one woman to the other. There are times when fibroids may even shrink on their own.

Depending on the location of the fibroid in the uterus, they may be categorized into subserosal, mucosal, pedunculated, or fundal fibroids.

However, it is possible to get rid of troubling uterine fibroids with the help of a surgery. Fibroid removal surgery is of different types and is most commonly known as myomectomy.

Depending on the size, location, and shape of fibroid, fibroid removal surgery could be performed using any of the following two techniques:

  • Laparoscopic fibroid removal surgery
  • Open fibroid removal surgery
  • Hysteroscopic fibroid removal surgery

If there is a single, small fibroid, the specialist may choose non-surgical fibroid removal (uterine fibroid embolization or radiofrequency ablation) to remove the growth. However, if the size of the fibroid is large or if there are multiple uterine fibroids, surgery is often considered to be the best solution.

Minimally invasive myomectomy or fibroid removal surgery is nowadays most common and can be performed with much ease and success.

Who needs to undergo Fibroid Removal Surgery?

Not all of the women need to undergo a surgery to get rid of the fibroids. It is only when there are certain issues that need to be taken care of when the surgery is recommended.

The following are the appropriate candidates for fibroid removal surgery:

  • Women who experience painful periods and heavy bleeding
  • Women who wish to get pregnant in the future
  • Women suffering from infertility due to fibroids
  • Women for which alternative treatments such as drugs and non-invasive treatment has not worked before
  • Women suffering from other health issues due to fibroid such as low back pain and urinary tract or bowel issues
Hysterectomy

Hysterectomy is a surgical procedure conducted to remove the uterus, also known as the womb. It is an organ that holds and protects the fetus during pregnancy. The hysterectomy surgery also involves removal of the other parts of the reproductive system such as ovaries (where eggs are produced), fallopian tubes (which carry the eggs to the uterus), and the cervix (neck of the uterus).

The hysterectomy surgery can be performed through the vagina (vaginal hysterectomy) or through the abdomen (abdominal hysterectomy), with or without the use of laparoscopy. After having a hysterectomy, the woman is not able to conceive.

Vaginal hysterectomy is the surgical procedure to remove the uterus (womb) through the vagina. Depending on the patient’s condition, the doctor will choose which part is to be removed by hysterectomy surgery.

In which conditions would the doctor suggest hysterectomy procedure?

There are many reasons why a doctor recommends this type of surgery. The general condition where hysterectomy is recommended are:

  • Cancer of ovaries
  • Cancer of the uterus or cervix
  • Uterine prolapse – when the uterus slips from its normal position into the vagina
  • Abnormal tissue growth
  • In some cases, irregular or heavy menstrual flow and discomfort may make hysterectomy an important treatment option.

You should know that removal of the uterus and other reproductive organs is a serious condition and there may be several hysterectomy side effects, and it can make significant changes in your life. A vaginal hysterectomy may be contraindicated in patients with uterine cancer, big size of the uterus, and narrow vagina.

Laparoscopic Abdominal Hysterectomy

Hysterectomy is the surgical procedure to remove your uterus, also called as womb. It is the organ that holds and protects the fetus during pregnancy. The surgical hysterectomy procedure also involves removal of the other parts of the reproductive system such as ovaries (where eggs are produced), fallopian tubes (which carry the eggs to the uterus), and the cervix (neck of the uterus). The hysterectomy procedure can be performed through the vagina (vaginal hysterectomy) or through the abdomen (abdominal hysterectomy), or by laparoscopy. After having a hysterectomy, you will not be able to conceive.

In which conditions would the doctor suggest hysterectomy procedure?

There are many reasons why a doctor recommends this type of surgery. The general condition where hysterectomy is recommended are:

  • Cancer of ovaries
  • Cancer of the uterus or cervix
  • Uterine prolapse –when uterus slips from its normal position into the vagina
  • Abnormal tissue growth
  • In some cases, irregular or heavy menstrual flow, and discomfort may make hysterectomy an important treatment option.

You should know that removal of the uterus and other reproductive organs is a serious condition and there may be several hysterectomy side effects, and it can make significant changes in your life.  

Mastectomy

Mastectomy refers to the partial or complete surgical removal of one or both the breasts. This surgery is most often indicated for breast cancer.

A lump in the breast or armpits is one of the earliest signs of breast cancer. It can cause a change in the shape, size, or color of the breast or nipple. Nipple tenderness, inward folding of the nipple, discharge from the nipple, and orange peel appearance of the skin of the breast are the other signs of breast cancer. Patients who observe any of the above-mentioned signs must see their physician immediately.

Who are advised to undergo breast cancer mastectomy?

Your physician may recommend you to undergo a partial or full mastectomy in the following conditions:

  • If you have a massive malignant tumor in the breast or invasive ductal carcinoma
  • If you have had a recurrent breast cancer after initial lumpectomy
  • If you are pregnant and have been diagnosed with breast cancer and radiation therapy is contraindicated
  • If you have a medical history of scleroderma and have been diagnosed with breast cancer
  • If you are diagnosed with breast cancer and have a lump in the armpits

Additionally, if you have a family history of breast cancer or deleterious mutation of BRCA 1 and BRCA 2 genes, you are advised preventive mastectomy.

Microwave Endometrial Ablation

Endometrial ablation is an outpatient procedure that is used to remove the endometrial lining in the uterus of a woman suffering from unusually high menstrual bleeding. During the procedure, the endometrium is ablated or destroyed with the help of laser or microwave.

Endometrial ablation surgery is not recommended for women who wish to conceive in the future. This is because this procedure may permanently damage the layers of the uterus and the endometrium may no longer be suitable for the attachment of the developing fetus.

Uterine ablation is most commonly recommended for women who suffer from heavy menstrual bleeding and do not wish to undergo hysterectomy or the surgical removal of the uterus. This procedure is either conducted at the doctor’s office or at a hospital. It can be conducted under local or light anesthesia or general or spinal anesthesia.

Uterine ablation is not recommended for patients who have:

  • Uterine, cervical, or vaginal infection
  • Pelvic inflammatory disease (PID)
  • Endometrial, uterine, or cervical cancer
  • An intrauterine device (IUD)
  • Pregnancy
Ovarian Cancer Treatment

Ovarian cancer refers to the abnormal growth of cells in the ovaries, which are an important part of the female reproductive system. Ovaries are two small glands, located on either side of the uterus. They help produce female sex hormones and store or release eggs. An ovarian tumor is it is the eighth most common type of cancer among women. It is the fifth most common cause of cancer deaths in women around the world. Ovarian cancer can be life-threatening if not diagnosed and treated on time, however, the chances of survival are great in the case of early diagnosis.

Ovarian cancer forms when normal ovarian cell growth fails, and there is an uncontrolled growth of cells. Most of the ovarian cancers arise from the lining cells (epithelium) of the ovary. The ovarian tumor can metastasize and spread to other organs of the body.

Ovarian Cancer: Causes

There is no identified and known cause of ovarian cancer. However, there are some risk factors associated with the disease. Family history (genetics) of ovarian cancer, older age, breast cancer, obesity, and endometriosis are some of the known ovarian cancer risk factors. Other than these, menstrual cycles play a major role in ovarian cancer. The high number of total lifetime ovulations, greater the risk of ovarian cancer.  That is, women who have had their periods before the age of 12 are at an increased risk of ovarian cancer.

The risk of ovarian cancer is also high in women suffering from familial melanoma, which is characterized by the presence of certain genes. These genes are inherited from parents and mostly occurs when two or more relatives suffer from the aggressive form of melanoma or skin cancer.

Signs of Ovarian Cancer

Typically, the symptoms of ovarian cancer are subtle during the early stage. However, the patients may experience signs of ovarian cancer once the cancer advances and starts to grow. The following are some of the ovarian cancer symptoms:

  • Pain in the pelvis or belly

  • Bloating

  • Frequent and urgent urination

  • Changes in bowel habits

  • Nausea and fatigue

  • Weight loss

  • Breathlessness

  • Loss of appetite

These signs of ovarian cancer can be confused with those of ovarian cyst. However, patients must know that ovarian cysts are far more common and primarily affects women during their childbearing age.

Polycystic Ovarian Syndrome (PCOS) Treatment

Women suffering from polycystic ovarian syndrome may show different symptoms. Therefore, polycystic ovarian syndrome treatment for them may differ depending on their concerns.

For example, some women suffering from PCOS could be overweight, therefore, weight loss and diet monitoring may be advised to them initially. Some women with PCOS may have a normal body mass index (BMI), however, they could be suffering from other symptoms such as cystic acne or excessive facial hair. Therefore, she may be put on birth control pills for a while to negate the symptoms.

The following are some of the most common forms of polycystic ovarian syndrome treatment available worldwide:

For women not planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Hormonal: Birth control pills

For women planning a pregnancy

  • Self-care: Weight loss, lifestyle modifications, and physical exercising
  • Medications: Anti-diabetic medications (metformin), statins, and hormone and hair inhibitors
  • Ovarian stimulation: Gonadotropins, letrozole, and Clomid
  • Surgery: Laparoscopic ovarian drilling (ovarian diathermy)

In laparoscopic ovarian drilling, two to three minor incisions are made in the lower abdomen to pass the laparoscope and instruments through which the laser is passed. The ovarian cysts producing high amounts of androgens are ruptures with the help of heat generated by the laser. This lowers the LH and testosterone levels and therefore, the hormone imbalance is temporarily restored.

Symptoms of Polycystic Ovarian Syndrome

The following are some of the symptoms of polycystic ovarian syndrome:

  • Irregular periods
  • Absence of periods
  • Difficulty getting pregnant
  • Excessive hair growth (hirsutism) mainly on the neck, face, back, and chest
  • Weight gain
  • Male-type baldness
  • Hair thinning
  • Cystic acne
  • Oily skin
  • Depression and mood swings
  • Severe premenstrual syndrome (PMS)

Diagnosis for PCOS

Irregular periods or absence of periods is one common sign that may indicate that the woman may have a polycystic ovarian syndrome. However, it can only be confirmed with the help of ultrasound during a regular visit to the gynecologist.

The following tests are performed to confirm PCOS:

  • Ultrasound (abdominal or transvaginal)
  • Blood work-up: LH, FSH, blood sugar, TSH, free testosterone, and Prolactin

Who all can get PCOS Treatment?

Not all women suffering from the polycystic ovarian syndrome are a candidate for treatment. The following women are advised to seek treatment for the polycystic ovarian syndrome:

  • Those with irregular or missing periods
  • Women with severe symptoms such as cystic acne, hair loss or thinning, and considerable weight gain
  • Women trying to conceive but are unable to due to irregular ovulation
Frequently Asked Questions
What area of specialization does Dr. Mert Gol have?
Dr. Mert Gol is specialized in Turkey and of the most sought after doctors in Cancer Specialist.
Does Dr. Mert Gol offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Mert Gol have?
Dr. Mert Gol is one of the most sought after specialists in Turkey and has over 23 Years years of experience.
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