Vårdprogram
Vårdprogram
Vårdprogram
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INNEHÅLLSFÖRTECKNING<br />
MEDLEMMAR I SYDÖSTSVENSKA PROSTATACANCERGRUPPEN .................. 4<br />
ANSVARIGA FÖR RAPPORTERING........................................................................... 4<br />
FÖRORD TILL 11:E UPPLAGAN ................................................................................. 5<br />
FLÖDESSCHEMA – Utredning av prostatacancer ......................................................... 6<br />
BEHANDLING AV PROSTATACANCER - ÖVERSIKT ............................................ 7<br />
A. Lokaliserad organbegränsad cancer..................................................................... 7<br />
B. Lokalt avancerad cancer utan fjärrmetastaser ...................................................... 7<br />
C. Metastaserad cancer ............................................................................................. 7<br />
D. Endokrinresistent cancer...................................................................................... 7<br />
BAKGRUND ................................................................................................................... 8<br />
Prostatacancerpatientens behov och speciella livssituation....................................... 9<br />
Pågående studier i regionen och framtidsperspektiv ............................................... 10<br />
MÅLSÄTTNING ........................................................................................................... 11<br />
TNM-Klassifikation ....................................................................................................... 11<br />
UTREDNING OCH DIAGNOS .................................................................................... 12<br />
A. Lokal tumörutredning ........................................................................................ 12<br />
B. Radiologisk utredning och operativ exploration................................................ 13<br />
C. Laboratorieprover............................................................................................... 14<br />
TERAPI .......................................................................................................................... 14<br />
A. Lokaliserad organbegränsad cancer................................................................... 14<br />
B. Lokalt avancerad cancer utan fjärrmetastaser ..................................................... 16<br />
Extrakapsulär cancer med eller utan metastaser i regionala lymfkörtlar................. 16<br />
C. Metastaserad cancer (fjärrmetastaser)............................................................ 17<br />
D. Endokrinresistent cancer.................................................................................... 20<br />
E. Spinal metastasering - "akut rygg"..................................................................... 22<br />
UPPFÖLJNING.............................................................................................................. 23<br />
Kliniska kontroller ................................................................................................... 23<br />
RAPPORTERING.......................................................................................................... 24<br />
Redovisning ............................................................................................................. 25<br />
REFERENSER ............................................................................................................... 26<br />
VETENSKAPLIGA PUBLIKATIONER ...................................................................... 27<br />
BILAGOR ...................................................................................................................... 31<br />
07-05-16 3
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