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Ovarialcancer

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Sakkunnig:
Definition:
Ovarialcancer omfattar flera tumörtyper och indelas grovt i epiteliala tumörer och icke epiteliala tumörer.
Förekomst:
13 av 100 000 kvinnor insjuknar årligen i ovarialcancer i Sverige. Kvinnor i alla åldrar kan drabbas med högst incidens i 70-årsåldern
Symtom:
I tidiga stadier ger sjukdomen få symtom. Lindriga och ospecifika bukbesvär kan förekomma. Sådana symtom som uppsvälld och utspänd buk, underlivsblödning, nedsatt aptit, frekvent blåstömning, buksmärtor och rektal blödning är associerad med förekomst av ovarialcancer, men det prediktiva värdet för enskilda symtom är mycket låg.
Kliniska fynd:
Palpabel tumör i adnexa. Hård, oregelbunden, fixerad resistens tyder på malignitet. Välgrundad misstanke enligt standardiserat vårdförlopp, se kortversion för primärvården (RCC). 
Diagnostik:
Diagnosen ställs vid gynekologisk undersökning med ultraljud tillsammans med blodprover och bildundersökningar, eventuellt biopsi.
Behandling:
Kirurgi är huvudbehandlingen. Cytostatika kan vara aktuellt.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Barbro Larson, docent och specialist i gynekologi och obstetrik, Stockholm
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL