Vårdprogram för ovarialcancer

Innehållsförteckning
Vårdprogram för ovarialcancer, 2005
1. Incidens/Epidemiologi ....................................................................................................5
2. Etiologi ............................................................................................................................5
3. Hereditet ..........................................................................................................................6
4. Screening .........................................................................................................................9
5. Prognostiska faktorer .......................................................................................................9
6. Symtom .........................................................................................................................10
7. Diagnostik/Preoperativ utredning .................................................................................10
8. Kirurgi ...........................................................................................................................12
9. Postoperativ handläggning ............................................................................................18
10. Cytostatikabehandling ...................................................................................................18
11. Borderlinetumörer .........................................................................................................22
12. Peritonealcancer ............................................................................................................22
13. Tubarcancer ...................................................................................................................22
14. Radioterapi ....................................................................................................................23
15. Patologi – Epiteliala tumörer .........................................................................................24
16. Icke epiteliala ovarialtumörer ........................................................................................28
17. Patologi – Icke epiteliala tumörer .................................................................................31
18. Uppföljning efter behandling av malign ovarialtumör ..................................................35
19. Biverkningar av cytostatikabehandling .........................................................................36
20. Hormonell substitutionsbehandling (HRT) ...................................................................36
21. Referenser ......................................................................................................................37
APPENDIX I RECIST – Kriterier ...............................................................................45
APPENDIX II Behandling av akuta allergiska reaktioner .............................................47
APPENDIX III Antiemetika vid cytostatikabehandling..................................................51
APPENDIX IV Premedicinering vid Taxanbehandling (Docetaxel och Paclitaxel) ......53
APPENDIX V Gradering av toxicitet (CTCAE 3.0) .....................................................54
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