Comprehensive Gynecological Cancer Program

Every woman is at risk for a gynecologic cancer and the risk only increases with age. It is important that any woman experiencing pelvic and/or abdominal pain is seen by her doctor and these symptoms are not ignored. A cancer diagnosis is a scary moment in one’s life but at Middlesex Hospital Cancer Center, we try to make your treatment as quick and less stressful as possible for you. At Middlesex Hospital we take a multidisciplinary approach with your care. You will have a team composed of a GYN oncologist surgeon, medical oncologist, radiation oncologist, pathologist, and a nurse navigator.

We are fortunate enough to have three Gynecological Oncologist Surgeons on our team. We have Dr. Molly Brewer who specializes laparoscopic Gynecological surgery, Gynecologic Oncology surgery. Dr. Brewer is board certified in the American Board of Obstetrics and Gynecology, ABOG Gynecologic Oncology, and ABOG Hospice and Palliative Medicine. Dr. Jonathan Cosin who specializes in da Vinci Robot-Assisted Gynecological Surgery, Gynecologic Oncology Surgery. Dr. Cosin is board certified in American Board of Obstetrics and Gynecology and ABOG Gynecologic Oncology. Dr. Angela Kueck who specializes in da Vinci Robot-Assisted Gynecological Surgery, Gynecologic Oncology Surgery. Dr. Kueck is board certified in American Board of Obstetrics and Gynecology and ABOG Gynecologic Oncology.

Our Gynecological Oncology Surgeons also assist and perform difficult gynecologic surgeries for benign gynecologic diseases as well. Some of these gynecologic diseases’ may have been previously treated with surgery unsuccessfully. Examples of these diseases’ are large uterine fibroids (leiomyomas), recurrent ovarian cyst, and endometriosis.

Monthly Cancer Conferences are held to specifically discuss your individual needs.   A multidisciplinary team of healthcare professionals meet to plan the best treatment for you, using the latest technology and cutting edge treatment.

At Middlesex Hospital Cancer Center provide support  throughout your cancer journey. Our supportive staff consist of the GYN nurse navigator, social worker, behavioral health APRN, oncology dietitian,  as well as integrative medicine.   After receiving a cancer diagnosis you will be referred to the GYN Nurse Navigator, Amanda Recchini. Our GYN Nurse Navigator is here to help to coordinate your care as well as to provide continued support, education and guidance to you and your family.

Amanda Recchini, RN, BSN
GYN  Nurse Navigator

Cervical Cancer

For most, Cervical Cancer cases are caused by the Human Papillomavirus Virus (HPV). This virus can be passed from person to person through genital contact. Your chances of getting HPV increases if you have had multiple partners. The risk factors for cervical cancer are as follows: if you’re a smoker, have HIV, immunocompromised, or do not have regular Pap test. If your pap test comes back positive the doctor may suggest another test such as a colposcopy. This test allows the doctor to take a closer look at the cells of the cervix and vagina.

Cervical cancer symptoms include vaginal bleeding, unusual vaginal discharge, and pelvic pain.  All cervical cancer symptoms should be discussed with your doctor.

Ovarian Cancer

Ovarian cancer occurs in the ovaries which are part of the female reproductive system located in the pelvis. There can be noncancerous (cysts) or cancerous tumor growths in the ovaries which may spread to other areas of the body. This type of cancer causes more deaths than any other cancer of the reproductive system. The reason for this may be that ovarian cancer usually has no symptoms until the disease is at an advanced stage. Ovarian cancer is known as the silent killer, since it often has no recognizable symptoms.  when present, common symptoms may include, persistent abdominal bloating, indigestion or nausea, loss of appetite or feeling full sooner, feelings of pressure in the pelvis or lower back, needing to urinate more frequently, and feeling tired more often.   Risk factors for ovarian cancer includes: familial incidence, age, and obesity. Risk reduction factors would be using oral contraceptives for 5 consecutive years or longer, childbearing, and breastfeeding.

Endometrial Cancer

Endometrial cancer begins in the lining of the uterus and is the most common cancer of the female reproductive system. Typically this type of cancer occurs after menopause and the most common symptom is postmenopausal bleeding. Common risk factors for endometrial cancer are obesity, long term use of of high dosages of menopausal estrogens, nulliparity, smoking, and older age.

Vulvar and Vaginal Cancers

These types of cancers are uncommon and the exact etiologies are unknown. Vulvar and Vaginal cancers seems to be common in women who are 60 or older. Risk factors for Vulvar cancers seem to include: Sexually transmitted infections, chronic medical illnesses, and chronic inflammatory diseases. Smoking is considered a risk factor for vulvar cancer, particularly in women who have already been infected with a high-risk HPV virus. Vulvar cancer patients typically present with itching, bleeding, burning, pain, and/or enlarging mass on the vulva. Vaginal cancer patients typically present with abnormal vaginal discharge/bleeding that is painless an abnormal pap smear, or pain during intercourse.




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Middletown, CT 06457

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