5 research outputs found
CLINICAL RECOMMENDATIONS FOR DIAGNOSING, TREATMENT AND MONITORING OF PATIENTS WITH OVARIAN CANCER ā CROATIAN ONCOLOGY SOCIETY AND CROATIAN SOCIETY FOR GYNECOLOGY AND OBSTETRICS AS CROATIAN MEDICAL ASSOCIATION UNITS AND CROATIAN SOCIETY OF GYNECOLOGICAL ONCOLOGY
Rak jajnika i jajovoda po uÄestalosti je peta zloÄudna bolest žena u Hrvatskoj. HistoloÅ”ki je rak jajnika najÄeÅ”Äe epitelnog podrijetla, i to seroznog podtipa. RjeÄi su razliÄiti neepitelni malignomi jajnika, a posebnu skupinu Äine epitelni karcinomi niskoga zloÄudnog potencijala karakterizirani neinvazivnoÅ”Äu, kliniÄki indolentnim tijekom i dobrom prognozom te primarni rak potrbuÅ”nice i rak jajovoda. KliniÄki su ovi zloÄudni tumori u ranim stadijima razvoja uglavnom asimptomatski, zbog Äega se najÄeÅ”Äe dijagnosticiraju u kasnijim stadijima bolesti. Dijagnoza se potvrÄuje patohistoloÅ”kim nalazom, a iznimno citoloÅ”kim nalazom nakon provedene dijagnostiÄke obrade. O lijeÄenju odluÄuje multidisciplinarni tim uzimajuÄi u obzir dob, opÄe stanje i komorbiditete bolesnice, kao i obilježja samog tumora ukljuÄujuÄi stadij bolesti, histoloÅ”ki tip i gradus tumora. Principi lijeÄenja primarnog raka potrbuÅ”nice i jajovoda temelje se na principima lijeÄenja epitelnog raka jajnika koji obuhvaÄaju primjenu kirurÅ”kih zahvata, kemoterapije, imunoterapije i hormonske terapije, kao i suportivno-simptomatskih mjera tijekom cijelog lijeÄenja. Razlikuje se terapijski pristup rjeÄim, neepitelnim histoloÅ”kim tipovima tumora koji se ÄeÅ”Äe dijagnosticiraju u ranim stadijima bolesti, imaju indolentniji tijek pa se kod ovih bolesnica ÄeÅ”Äe primjenjuju poÅ”tedni kirurÅ”ki zahvati s ciljem oÄuvanja plodnosti. U tekstu koji slijedi predstavljene su kliniÄke upute s ciljem standardizacije postupaka i kriterija postavljanja dijagnoze, lijeÄenja te praÄenja bolesnica s rakom jajnika, jajovoda i potrbuÅ”nice u Republici Hrvatskoj.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
CLINICAL RECOMMENDATIONS FOR DIAGNOSING, TREATMENT AND MONITORING OF PATIENTS WITH UTERINE CERVICAL CANCER ā CROATIAN ONCOLOGY SOCIETY AND CROATIAN SOCIETY FOR GYNECOLOGY AND OBSTETRICS AS CROATIAN MEDICAL ASSOCIATION UNITS AND CROATIAN SOCIETY OF GYNECOLOGICAL ONCOLOGY
Rak vrata maternice, u odnosu na malignome drugih ginekoloÅ”kih sijela, jest bolest mlaÄih žena koja se može redovitim kontrolama i zdravstvenim odgojem prevenirati, a u sluÄaju pojave bolesti uÄinkovito lijeÄiti. Metode lijeÄenja ukljuÄuju kirurgiju, radioterapiju i kemoterapiju, ovisno o stadiju bolesti i opÄem stanju bolesnica. Odluku o lijeÄenju donosi multidisciplinarni tim. S obzirom na važnost ove bolesti, potrebno je definirati i provoditi standardizirani pristup u dijagnostici, lijeÄenju i praÄenju ovih bolesnica. U tekstu koji slijedi iznesene su kliniÄke smjernice s ciljem implementacije standardiziranih postupaka u radu s bolesnicama s rakom vrata maternice u Republici Hrvatskoj.Cervical cancer, in comparison with other gynecological malignancies, mainly affects younger women. It can be prevented trough educational programs, screening and early detection. It also can be efficiently treated when it appears. Treatment modalities include surgery, chemotherapy and radiotherapy, according to the stage of the disease and patient condition. Treatment decisions should be made after multidisciplinary team discussion. Due to the significance of this disease it is important to define and implement standardized approach for diagnostic, treatment and monitoring algorithm as well. 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 uterine cervical cancer in the Republic of Croatia
CLINICAL RECOMMENDATIONS FOR DIAGNOSING, TREATMENT AND MONITORING OF PATIENTS WITH ENDOMETRIAL CANCER ā CROATIAN ONCOLOGY SOCIETY AND CROATIAN SOCIETY FOR GYNECOLOGY AND OBSTETRICS AS CROATIAN MEDICAL ASSOCIATION UNITS AND CROATIAN SOCIETY OF GYNECOLOGICAL ONCOLOGY
Rak trupa maternice javlja se u veÄini sluÄajeva u poslijemenopauzalnih žena, a najÄeÅ”Äe se oÄituje ginekoloÅ”kim krvarenjem. Nakon raka jajnika i vrata maternice treÄi je uzrok smrti žena od raka spolnog sustava. Dijagnoza se postavlja patohistoloÅ”kim pregledom kiretmana ili bioptata, a definitivni stadij bolesti utvrÄuje se analizom uzoraka dobivenih histerektomijom i obostranom salpingoovariektomijom sa zdjeliÄnom i paraaortalnom limfadenektomijom. U tekstu koji slijedi sadržane su kliniÄke upute s ciljem standardizacije postupaka i kriterija postavljanja dijagnoze, lijeÄenja i praÄenja bolesnica s rakom trupa maternice u Republici Hrvatskoj.Uterine cancer occurs mainly in postmenopausal women, usually as vaginal bleeding. Following ovarian and cervical cancer it is the third most common cause of female reproductive system cancer death. Diagnosis is set by analyzing samples obtained via hysterectomy with salpingo-oophorectomy and pelvic / paraaortal lymphadenectomy. The following text presents the clinical guidelines in order to standardize the procedures and criteria for the diagnosis, treatment and monitoring of patients with uterine cancer in the Republic of Croatia
KliniÄke upute za dijagnostiku, lijeÄenje i praÄenje bolesnica oboljelih od raka jajnika Hrvatskoga onkoloÅ”kog druÅ”tva i Hrvatskog druÅ”tva za ginekologiju i opstetriciju Hrvatskoga lijeÄniÄkog zbora te Hrvatskoga ginekoloÅ”koonkoloÅ”kog druÅ”tva [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]
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