Argumentare Chirurgia în aceste cazuri creşte supravieţuirea cu IIb aproximativ 2 ani. Argumentare Deşi este un tratament paliativ, s-a observat o IIa creştere a supravieţuirii şi o stopare a progresiunii bolii semnificative.
Argumentare După tratament, supravieţuirea este de 8 — 11 luni.
Treating Endometrial Cancer: Loyola's Team Approach
IIa 90 — 96 Standard endometrial cancer radiation therapy Dacă tumora are receptori progesteron -prima B secvenţă terapeutică trebuie să fie chimioterapia. Argumentare Chimioterapia creşte supravieţuirea şi intervalul IIa liber de boală. Odată cu trecerea timpului, riscul de recidivă scade. Argumentare Metastaza pulmonară este cea mai frecventă, iar IIb descoperirea precoce a acesteia favorizează tratamentul chirurgical.
Argumentare CA crescut anunţă recidiva, fără a oferi IIb informaţii despre localizare şi extindere.
Standard Pentru tratamentul cancerului de endometru medicul E trebuie să colaboreze cu oncologul chimioterapeut, radiologşi anatomopatolog. Standard Medicul trebuie să îndrume pacientele diagnosticate E cu cancer de endometru pre- sau post-tratament, către consiliere psihologică. Standard Spitalele în care se realizează tratamentul E pacientelor diagnosticate cu cancer endometrial trebuie să aibă un laborator anatomo-patologic funcţional.
Laboratorul de anatomie patologică trebuie să asigure: — examinarea la parafină a piesei tumorale şi a ganglionilor Standard În cazul în care în spitalul în care s-a practicat endometrial cancer radiation therapy E tratamentul chirurgical nu există laborator de anatomie patologică, medicul trebuie să trimită piesele chirurgicale către un laborator anatomopatologic, să obţină rezultatul şi endometrial cancer radiation therapy informeze pacienta asupra acestuia.
Standard În cazul în care în spitalul în care s-a practicat E tratamentul chirurgical nu există posibilitatea chimioterapiei postoperatorii, medicul trebuie să îndrume pacienta către o unitate specializată. Cancer statistics, CA Cancer J Clin ; Impact of hysterectomy on endometrial carcinoma rates in the United States. J Natl Cancer Inst ; Henderson, BE.
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Radical surgical approach for invasive cancer of the vagina in a young patient
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Ghidul clinic pentru cancerul de endometru
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La lymphadnectomie comporte les ganglions iliaques externes sous-veineux, les ganglions de la bifurcation iliaque et ventuellement les ganglions situs plus haut. Micro-invasif microscopique. Invasif clinique. Sans infiltration des paramtres.
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