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The Management of Ovarium Cancer in Young Female Patient, Controversy between Conservative vs Radical Surgeries (Manajemen Kanker Ovarium pada Usia Muda Konservatif VS Radikal)

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Objective: To discuss the management of ovarian cancer in young female patients, particularly in respect to the controversy between conservative and radical surgeries. Design/Data identification: Literature study, data from clinical experience. Subjects, patients, participants: patients with ovarian cancer at young age at Dr. Cipto Mangunkusumo General Hospital Jakarta. Result: Ovarian cancer in young female patients showed more the type of nonepithelial cancer requires a special understanding because there exist the types with low malignancy (e.g. endodermal sinus tumor). The preparation for surgery is basically not different from that for the older patients with ovarian cancer. Ultrasonography with the avaluation of blood flow with colour doppler, in addition to the examination of tumor marker (Ca-125, AEP), can provide more accurate information on probability of malignancy. The psychological preparation on part of the patient and her family should be carefully done through informed consent, because it will be probable that a hysterectomy can be performed, Various surgical interventions might be conducted, i.e. only unilateral or bilateral cystectomy. Unilateral or bilateral salpingo-opharectomy, hysterectomy, omentectomy or cytoreduction. However, the main principle is to attempt a consereactive surgery if circumstances permit, because of the importance of preserving fertility. Chemotherapy could be considered to be provided because of certain indications (stage is more advanced than IA). The role of radiotherapy in dysgerminoma which is basically radiosensitive is not favorable to young women. Conclusion: The management of ovarian cancer at young age should be attempted with conservative surgery as far as possible. Schemotherapy could be provided at a stage higher than IA.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Majalah Obstetri dan Ginekologi Indonesia,20(4)199

Penerbit

: ., 1996

Deskripsi Fisik

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Bahasa

ISBN/ISSN

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Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

ovarium neoplasms

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

Lampiran Berkas

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