摘要
Objective: To study referral to hospital units and the clinical characteristic s of women with epithelial ovarian tumors in a prospective, population-based st udy. Methods: Clinical information on all women diagnosed with epithelial invasi ve (n=486) and borderline ovarian tumors (n=137) in Norway during 2002 was deriv ed from notifications to the Cancer Registry of Norway and medical, surgical and histopathological records. Results: Sixty-one percent of women with invasive o varian tumors were initially referred to gynecology units. The 38%of women refe rred to surgical and medical units were more likely to have symptoms as ‘bowel irregularity’, ‘pain outside the abdominal cavity’, ‘persisting fatigue’and ‘respiratory difficulties’. These women were older, had lower performance sta tus and had a delay in treatment of 20 and 24 days respectively compared to 11 a t gynecology units. Conclusion: Greater awareness of the symptoms of ovarian can cer might lead to earlier diagnosis and treatment and thus possibly improve surv ival.
Objective: To study referral to hospital units and the clinical characteristic s of women with epithelial ovarian tumors in a prospective, population-based st udy. Methods: Clinical information on all women diagnosed with epithelial invasi ve (n=486) and borderline ovarian tumors (n=137) in Norway during 2002 was deriv ed from notifications to the Cancer Registry of Norway and medical, surgical and histopathological records. Results: Sixty-one percent of women with invasive o varian tumors were initially referred to gynecology units. The 38%of women refe rred to surgical and medical units were more likely to have symptoms as ‘bowel irregularity’, ‘pain outside the abdominal cavity’, ‘persisting fatigue’and ‘respiratory difficulties’. These women were older, had lower performance sta tus and had a delay in treatment of 20 and 24 days respectively compared to 11 a t gynecology units. Conclusion: Greater awareness of the symptoms of ovarian can cer might lead to earlier diagnosis and treatment and thus possibly improve surv ival.
