ovarial- och tubarcancer - Karolinska Sjukhuset

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Beställningsadress ess Onkologiskt Centrum, S3:00 Karolinska sjukhuset 171 76 STOCKHOLM Tfn 08-517 746 84 Fax 08-34 86 40 E-post onkologiskt.centrum@karolinska.se Onkologiskt Centrum ingår i Karolinska Universitetssjukhuset Vårdprogrammet kan även laddas ner från Onkologiskt Centrums hemsida: www.karolinska.se/oc Vårdprogram för ovarial- och tubarcancer 2004 © Onkologiskt Centrum Stockholm-Gotland Edita Norstedts tryckeri, Stockholm, januari 2004
INNEHÅLL VÅRDPROGRAM FÖR OVARIALCANCER 1. Inledning ............................................................................................................................... 3 1.1 Vårdprogramgrupp .................................................................................................... 3 2. Epidemiologi ............................................................................................................................ 5 3. Etiologi – hereditär ovarialcancer ............................................................................................ 10 3.1 Etiologi ................................................................................................................... 10 3.2 Hereditär ovarialcancer ............................................................................................. 10 3.3 Fertilitet – stimulering ............................................................................................. 11 4. Prevention ............................................................................................................................ 12 4.1 Medicinsk prevention .............................................................................................. 12 4.2 Profylaktisk ooforektomi ........................................................................................ 12 4.3 Screening ................................................................................................................. 12 5. Symtom – diagnostik – preoperativ utredning .......................................................................... 14 5.1 Symtom .................................................................................................................. 14 5.2 Diagnostik – preoperativ utredning .......................................................................... 14 5.3 Remitteringsvägar .................................................................................................... 16 6. Patologi ................................................................................................................................ 17 6.1 Patologi ovarium ..................................................................................................... 17 6.2 Patologi tuba ........................................................................................................... 18 7. Prognostiska faktorer ............................................................................................................... 20 7.1 Stadieindelning ........................................................................................................ 20 8. Borderlinetumör (lågmalign ovarialcancer) .............................................................................. 21 9. Terapi ....................................................................................................................................22 9.1 Kirurgi .................................................................................................................... 22 9.2 Kemoterapi ............................................................................................................. 22 9.3 Strålbehandling ........................................................................................................ 24 9.4 Hormonterapi ......................................................................................................... 25 10. Resultat ................................................................................................................................ 26 11. Speciella ovarialtumörer.......................................................................................................... 27 12. Tubarcancer .......................................................................................................................... 29 12.1 Bakgrund ................................................................................................................ 29 12.2 Symtom .................................................................................................................. 29 12.3 Diagnostik och utredning ........................................................................................ 29 12.4 Stadieindelning ........................................................................................................ 29 12.5 Prognostiska faktorer ............................................................................................... 30 12.6 Behandling .............................................................................................................. 30 13. Uppföljning .......................................................................................................................... 31
Page 1: VÅRDPROGRAM 2004 OVARIAL- OCH TUBA
Page 5 and 6: 1. Inledning Cancervården i Sverig
Page 7 and 8: 2. Epidemiologi Frekvensen av ovari
Page 9 and 10: 40 Åldersstandardiserad incidens p
Page 11 and 12: 1,0 Kumulativ överlevnad 0,9 0,8 0
Page 13 and 14: erna för ärftlig ovarialcancer oc
Page 15 and 16: hög grad utslag vid mätning av CA
Page 17 and 18: Under senare år har det skett en k
Page 19 and 20: 6. Patologi 6.1 PATOLOGI OVARIUM Ma
Page 21 and 22: Tubarcancerns histopatologiska type
Page 23 and 24: 8. Borderlinetumör (lågmalign ova
Page 25 and 26: tens allmäntillstånd vara påverk
Page 27 and 28: 9.4 HORMONTERAPI Vid recidiv kan ho
Page 29 and 30: 11. Speciella ovarialtumörer Denna
Page 31 and 32: Tubarcancer är en sällsynt och my
Page 33 and 34: Så gott som samtliga patienter som
Page 35 and 36: detaljerad information ges om behan
Page 37 and 38: 15. Rehabilitering 15.1 MÅLSÄTTNI
Page 39 and 40: 16. Omvårdnad vid behandling En ca
Page 41 and 42: • undvika permanentning, blekning
Page 43 and 44: Extern strålbehandling är den van
Page 45 and 46: 17. Palliativ behandling och omvår
Page 47 and 48: • byt bandage ofta. Tvätta och f
Page 49 and 50: Blödningar Tumör kan växa igenom
Page 51 and 52: 18. Studier 1. TEC/TC-studien: En s
Page 53 and 54:
SMÄRTKLINISK KONSULTVERKSAMHET BIL
Page 55 and 56:
BILAGA IV CANCERPROFILERADE GERIATR
Page 57 and 58:
ONKOLOGISK KONSULTVERKSAMHET BILAGA
Page 59 and 60:
CANCERUPPLYSNINGEN BILAGA VIII Beho
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