Liječnički vjesnik, Vol. 135 No. 9-10, 2013.
Stručni rad
CLINICAL RECOMMENDATIONS FOR DIAGNOSING, TREATMENT AND MONITORING OF PATIENTS WITH OVARIAN CANCER – CROATIAN ONCOLOGY SOCIETY AND CROATIAN SOCIETY FOR GYNECOLOGY AND OBSTETRICS AS CROATIAN MEDICAL ASSOCIATION UNITS AND CROATIAN SOCIETY OF GYNECOLOGICAL ONCOLOGY
Višnja Matković
Herman Haller
Eduard Vrdoljak
Ante Ćorušić
Tihana Boraska Jelavić
Tomislav Strinić
Ružica Karnjuš-Begonja
Dubravko Barišić
Snježana Tomić
Vlastimir Kukura
Marija Ban
Ranka Štern Padovan
Mate Matić
Suzana Lide Škalec
Zlatko Topolovec
Milanka Mrčela
Joško Zekan
Ana Fröbe
Adem Hajredini
Damir Babić
Ozren Mamula
Alemka Brnčić-Fischer
Željko Vojnović
Dinka Šundov
Sažetak
Ovarian cancer together with fallopian tube represents the fifth most common female cancer in the Republic of Croatia. Epithelial ovarian cancer, serous subtype, encompasses most of malignant ovarian neoplasms. Less common are various non-epithelial ovarian malignancies. A special group consists of epithelial carcinomas of low malignant potential with clinically indolent flow, good prognosis and no invasion, and primary cancer of the peritoneum and fallopian tube cancer. Clinically, these malignant tumors are generally asymptomatic in early stages, and usually diagnosed in advanced stages. The diagnosis is confirmed by pathological examination, and occasionally, cytological findings after completing diagnostic procedures. Multidisciplinary team makes treatment decisions, taking into account age, general condition and comorbidities of the patient and characteristics of the tumor itself, including disease stage, histological type and grade of the tumor. The principles of treatment of primary peritoneal and fallopian tube cancer are based on the principles of treatment of epithelial ovarian cancer involving surgery, chemotherapy, immune and hormone therapy, and symptomatic-supportive care throughout the treatment. Less common histological types have a different treatment approach being more frequently diagnosed in the early stages of the disease, have more indolent flow, so in these patients conservative surgeries with the goal of preserving fertility are more often employed. The following text presents the clinical guidelines in order to standardize the procedures and criteria for the diagnosis, management, treatment and monitoring of patients with ovarian carcinoma, fallopian tube and primary peritoneal cancer in the Republic of Croatia.
Ključne riječi
Ovarian neoplasms – diagnosis, pathology, therapy; Practice guidelines as topic; Croatia
Hrčak ID:
172495
URI
Datum izdavanja:
30.10.2013.
Posjeta: 2.977 *