Mea Kākau: Louise Ward
Lā O Ka Hana: 10 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
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ʻO nā ovaries he ʻelua wahine hānau hānau e hana i ka ova, a i ʻole nā ​​hua manu. Hoʻokumu pū lākou i nā homone wahine estrogen a me ka progesterone.

Ma kahi o 21,750 mau wahine ma ʻAmelika Hui Pū ʻIa e loaʻa ai kahi ʻōpala maʻi ʻaʻai ovarian ma 2020, a ma kahi o 14,000 mau wahine e make ai ia.

Ma kēia ʻatikala ʻike ʻoe i ka ʻike e pili ana i ka maʻi ʻaʻai ovarian me:

  • ʻōuli
  • ʻano
  • nā pilikia
  • kālailai
  • pae anuu
  • lapaau
  • ʻimi noiʻi
  • nā helu ola

He aha ka maʻi ʻaʻai ovarian?

ʻO ka maʻi ʻaʻai ʻōvarian ke hoʻomaka ka nui o nā hunaola i ka ovary mai ka kaohi a hana i kahi tumo. Inā haʻalele ʻole ʻia, hiki i ka tumo ke pāhola i nā ʻāpana ʻē aʻe o ke kino. Kapa ʻia kēia ka maʻi ʻaʻai ovarian metastatic.

He hōʻailona hōʻailona ko ka maʻi ʻōpio ʻo Ovarian, akā ʻo nā ʻōuli mua loa he maopopo ʻole a maʻalahi hoʻi e hoʻopau. Iwakāluakūmālua pākēneka o nā maʻi ʻaʻai ovarian i ʻike ʻia i kahi wā mua.

He aha nā hōʻailona mua o ka maʻi ʻaʻai ovarian?

He mea maʻalahi ke nānā ʻole i nā ʻōuli mua o ka maʻi ʻaʻai ovarian no ka mea like lākou me nā maʻi maʻamau ʻē aʻe a i ʻole ke hele a hele. ʻO nā ʻōuli mua e:


  • ʻōpū o ka ʻōpū, kaomi, a me ka ʻeha
  • piha piha ma hope o ka ʻai ʻana
  • paʻakikī i ka ʻai ʻana
  • he mahuahua o ka urination
  • he mahuahua koi e mimi

Hiki i ka maʻi ʻaʻai ʻōiwi ke kumu i nā ʻōuli ʻē aʻe, e like me:

  • luhi
  • hoʻomālō
  • puʻuwai puʻuwai
  • kōpaʻa
  • ʻeha kua
  • nā hana kūpono o ka menstrual
  • moekolohe ʻeha
  • dermatomyositis (kahi maʻi maʻi laha ʻole e hiki ai ke hōʻeha i ka ʻili, nāwaliwali o nā mākala, a me nā mākala i hoʻā ʻia.

Kūpono kēia mau ʻōuli no kekahi mau kumu. ʻAʻole pono lākou ma muli o ka maʻi ʻaʻai ovarian. Nui nā wahine i kekahi o kēia mau pilikia i kekahi manawa a i ʻole.

ʻO kēia mau ʻano o nā hōʻailona he manawa pōkole wale nō a pane i nā hana maʻalahi i ka hapanui o nā hihia.

E mau nā ʻōuli inā pili lākou i ka maʻi ʻaʻai ovarian. ʻOi aku ka paʻakikī o nā ʻōuli ma ke ulu ʻana o ka tumo. I kēia manawa, ua pālahalaha pinepine ka maʻi ʻaʻai ma waho o nā ovaries, e ʻoi ana ka paʻakikī o ka mālama pono ʻana.


Eia hou, mālama maikaʻi ʻia nā maʻi ʻaʻai ke ʻike koke ʻia. E ʻoluʻolu e launa me kāu kauka inā ʻike ʻoe i nā hōʻailona hou a ʻano ʻole.

Nā ʻano o ka maʻi ʻaʻai ovarian

Hana ʻia nā ovaries i ʻekolu ʻano o nā hunaola. Hiki i kēlā me kēia keena ke ulu aʻe i kahi ʻano tumo ʻokoʻa:

  • Nā kūpale epithelial palapala i ka papa o kaʻa ma waho o nā ovaries. Ma kahi o 90 pākēneka o nā maʻi ʻaʻai ovarian he ʻōpani epithelial.
  • Nā kūpuna Stromal ulu i nā hunaola e hana ana i ka hormone. ʻEhiku pākēneka o nā maʻi ʻaʻai ovarian he mau tumomoma stromal.
  • ʻO nā tumele kele hoʻomohala i nā hunaola hua hua. Kākaʻikahi nā ʻōpala kele germ.

ʻO nā cyst ovarian

ʻAʻole ka maʻi ʻaʻai ka hapa nui o nā cista ovarian. Kapa ʻia kēia mau mea he cist benign. Eia nō naʻe, hiki i kahi helu liʻiliʻi loa ke lilo i maʻi maʻi maʻi.

ʻO kahi cyst ovarian kahi hōʻuluʻulu o ka wai a i ʻole ka ea e hoʻomohala i loko a i ʻole a puni ka ovary. ʻO ka hapa nui o nā cist ovarian e hana ma ke ʻano he mahele maʻamau o ka ovulation, ʻo ia ka manawa e hoʻokuʻu ai ka ovary i kahi hua manu. Hoʻokumu wale lākou i nā ʻōuli mālie, e like me ka momona, a hele aku me ka ʻole o ka lapaʻau.


ʻOi aku ka hopohopo o Cist inā ʻaʻole ʻoe e hoʻoipoipo. Kū ka wahine i ka ovulate ma hope o ka menopause. Inā kū kahi cyst ovarian ma hope o ka menopause, makemake paha kāu kauka e hana hou i nā hoʻokolohua e ʻike ai i ke kumu o ka cyst, keu hoʻi inā nui a ʻaʻole hele i loko o kekahi mau mahina.

Inā ʻaʻole hele ka cyst, hiki i kāu kauka ke koi aku i ke ʻoki e wehe iā ia inā wale nō. ʻAʻole hiki i kāu kauka ke hoʻoholo inā he maʻi ʻaʻai ia a hiki i ka wā e wehe ai lākou iā ia me ke kauka.

Nā kumu pilikia no ka maʻi ʻaʻai ovarian

ʻAʻole ʻike ʻia ke kumu kūpono o ka maʻi ʻaʻai ovarian. Eia nō naʻe, hiki i kēia mau mea ke hoʻonui i kou makaʻu:

  • kahi moʻolelo ʻohana o ka maʻi ʻaʻai ovarian
  • nā hoʻololi kūlohelohe o nā genes e pili ana i ka maʻi ʻaʻai ovarian, e like me BRCA1 a i ʻole BRCA2
  • kahi moʻolelo pilikino o ka umauma, uterine, a i ʻole kolona maʻi ʻaʻai
  • momona
  • ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau hoʻohua a i ʻole nā ​​hoʻoponopono hormonone
  • ʻaʻohe moʻolelo o ka hāpai keiki
  • endometriosis

ʻO nā makahiki ʻelemakule kekahi mea pilikia ʻē aʻe. ʻO ka hapa nui o nā maʻi ʻaʻai ovarian e ulu ma hope o ka menopause.

Hiki ke loaʻa i ka maʻi ʻaʻai ovarian me ka ʻole o kekahi o kēia mau kumu pilikia. Pēlā nō, ʻo ka loaʻa ʻana o kekahi o kēia mau kumu pilikia ʻaʻole ia he kumu e hoʻomohala ai ʻoe i ka maʻi ʻaʻai ovarian.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai ovarian?

ʻOi aku ka maʻalahi o ka mālama ʻana i ka maʻi ʻaʻai ovarian ke ʻike ke kauka iā ia i ka wā mua. Eia naʻe, ʻaʻole maʻalahi ke ʻike.

Aia kou mau ovaries i ka hohonu i loko o ka ʻōpū o ka ʻōpū, no laila ʻaʻole ʻoe e ʻike i kahi tumo. ʻAʻole loaʻa kahi kānana diagnostical maʻamau no ka maʻi ʻaʻai ovarian. ʻO ia ke kumu he mea nui iā ʻoe e hōʻike i nā hōʻailona maʻamau a hoʻomau ʻole paha i kāu kauka.

Inā hopohopo kāu kauka ua loaʻa ʻoe i ka maʻi ʻaʻai ovarian, e ʻōlelo paha lākou i kahi hōʻike pelvic. Ke hana nei i kahi hoʻokolohua pelvic hiki ke kōkua i kāu kauka e ʻike i nā kūlike ʻole, akā paʻakikī loa ka ʻike ʻana i nā tumors ovarian liʻiliʻi.

Ke ulu nei ka tumo, kaomi ia i ka maʻi ʻaʻai a me ka pololei. Hiki paha i kāu kauka ke ʻike i nā kūleʻa i ka wā o ka rectovaginal pelvic examin.

Hana paha kāu kauka i kēia mau hoʻokolohua:

  • Transvaginal ultrasound (TVUS). ʻO TVUS kahi ʻano hoʻokolohua kiʻi e hoʻohana i nā nalu kani e ʻike ai i nā tumors i loko o nā mea hānau, me nā ovaries. Eia nō naʻe, ʻaʻole hiki i ka TVUS ke kōkua i kāu kauka e hoʻoholo inā he maʻi kōkō nā tumors.
  • ʻO ka scanʻana o ka ʻōpū a me ka pelvic CT. Inā maʻi ʻoe i ka kala, kauoha paha lākou i kahi pelvis MRI scan.
  • E hoʻāʻo i ke koko e ana i nā pae antigen cancer 125 (CA-125). ʻO kahi hōʻike CA-125 kahi biomarker i hoʻohana ʻia e loiloi i ka pane o ka mālama ʻana no ka maʻi ʻaʻai ovarian a me nā maʻi ʻoki hānau ʻē aʻe. Eia nō naʻe, menstruation, uterine fibroids, a me uterine cancer hiki ke hoʻopili i nā pae CA-125 i ke koko.
  • ʻO Biopsy. Hoʻopili kahi biopsy i ka hemo ʻana i kahi hāpana liʻiliʻi o nā mea mai ka ovary a me ke kālailai ʻana i ka hāpana ma lalo o kahi microscope.

He mea nui e hoʻomaopopo, ʻoiai ʻo kēia mau hoʻokolohua āpau e hiki ke kōkua i ke kauka i kāu ʻike, ʻo kahi biopsy ke ala hoʻokahi e hōʻoia ai kāu kauka inā loaʻa ʻoe i ka maʻi ʻaʻai ovarian.

He aha nā pae o ka maʻi ʻaʻai ovarian?

Hoʻoholo kāu kauka i ke kahua ma muli o ke ākea o ka maʻi ʻaʻai. ʻEhā pae, a he nui nā pae o kēlā me kēia pae:

Kahua 1

ʻEkolu mau mahele o ka maʻi ʻaʻai ovarian ʻekolu:

  • Kahua 1A.Ua kaupalena ʻia ka maʻi ʻaʻai, a i ʻole he kamaʻāina paha.
  • Kahua 1B. Aia ka maʻi ʻaʻai i nā ovaries ʻelua.
  • Kahua 1C. Aia kekahi mau pūnana maʻi maʻi ma waho o ka ovary.

Kahua 2

I ka pae 2, ua pālahalaha ka tumo i nā hale pelvic ʻē aʻe. ʻElua kāna mau huahana:

  • Kahua 2A. Ua pālahalaha ka maʻi ʻaʻai i ka kōpū a i ʻole nā ​​paipu fallopian.
  • Kahua 2B. Ua pālahalaha ka maʻi ʻaʻai i ka maʻi ʻaʻai a i ʻole ke kiko.

Kahua 3

ʻEkolu mau mahele haʻahaʻa o ka maʻi ʻaʻai ovarian pae:

  • Kahua 3A. Ua hohola ka maʻi ʻaʻai i microscopically ma ʻō aku o ka pelvis i ka uhi o ka ʻōpū a me nā lymph node i loko o ka ʻōpū.
  • Kahua 3B. Ua hohola ʻia nā hunaola maʻi ʻaʻai ma ʻō aku o ke pelvis a hiki i ka pale o ka ʻōpū a ʻike ʻia e ka maka ʻōlohelohe akā ke ana ʻia ma lalo o 2 cm.
  • Kahua 3C. ʻO nā waiho o ka maʻi ʻaʻai ma ka liʻiliʻi ʻo 3/4 o ka ʻīniha e ʻike ʻia ma ka ʻōpū a i ʻole ma waho o ka ʻāpala a me ke ake. Eia nō naʻe, ʻaʻole ka maʻi ʻaʻai i loko o ka maʻi kōlea a i ʻole ke ake.

Kahua 4

I ke kahua ʻehā, ua metastasized ka tumo, a pāhola paha, ma ʻō aku o ke pelvis, ʻōpū, a me nā lymph node i ke akepaʻa a i ʻole nā ​​ake māmā. ʻElua mau mea i ka pae 4:

  • I loko o pae 4A, nā hunaola maʻi ʻino i loko o ka wai a puni nā akemāmā.
  • I loko o pae 4B, ke anuu holomua loa, ua hōʻea nā hunaola i loko o ka lepe a i ʻole ke ake a i ʻole nā ​​mea mamao ʻē aʻe e like me ka ʻili a me ka lolo.

Pehea e mālama ʻia ai ka maʻi ʻaʻai ovarian

Pili ka lāʻau i ka lōʻihi o ka palahalaha ʻana o ka maʻi ʻaʻai. E hoʻoholo kahi hui o nā kauka i kahi papa hana e pili ana i kāu kūlana. E hoʻokomo paha ia i ʻelua a ʻoi paha o kēia mau mea:

  • chemotherapy
  • ʻoki kino e hoʻokumu i ka maʻi ʻaʻai a hemo i ka tumo
  • hoʻomālama mākaukau
  • lāʻau hoʻoikaika kino

ʻOki kino

ʻO ke ʻoki kino ka lapaʻau nui no ka maʻi ʻaʻai ovarian.

ʻO ka pahuhopu o ke kaha ʻana e wehe i ka tumo, akā he hysterectomy, a i ʻole hemo piha ʻana o ka uterus, pono pinepine ia.

Hiki paha i kāu kauka ke koi aku e hemo i nā ovaries a me nā paipu fallopian, nā wahi lymph kokoke, a me nāʻiʻo pelvic ʻē aʻe.

He paʻakikī ka hoʻomaopopo ʻana i nā wahi tumo āpau.

I hoʻokahi noiʻi, ua noiʻi nā kānaka noiʻi i nā ala e hoʻomaikaʻi ai i ke kaʻina hana i mea e maʻalahi ai ka lawe ʻana i nā mea maʻi maʻi maʻi āpau.

Pahuhopu kau ʻia

Hoʻopilikia nā therapies i kuhi ʻia, e like me chemotherapy, i nā hunaola maʻi ʻaʻai ʻoiai e hana iki ana i ka hōʻino ʻana i nā hunaola maʻamau i ke kino.

ʻO nā lāʻau lapaʻau e hoʻomākaukau hou ʻia e mālama i ka maʻi ʻaʻai ovarian epithelial holomua e komo pū me nā mea kūloko PARP, ʻo ia nā lāʻau e ālai i kahi enzyme i hoʻohana ʻia e nā hunaola e hoʻoponopono hou i ka pōʻino i kā lākou DNA.

Ua ʻae ʻia ka mea kāohi PARP mua i ka makahiki 2014 no ka hoʻohana ʻana i ka maʻi ʻaʻai ovarian holomua i mālama mua ʻia me ʻekolu mau laina o ka chemotherapy (ʻo ia hoʻi ma kahi o ʻelua mau hanana hou).

Loaʻa nā mea kāohi PARP ʻekolu i kēia manawa:

  • olaparib (Lynparza)
  • niraparib (Zejula)
  • rucaparib (Rubraca)

ʻO ka hoʻohui o kahi lāʻau ʻē aʻe, bevacizumab (Avastin), ua hoʻohana pū ʻia me ka chemotherapy ma hope o ke kahakaha ʻana.

Ka mālama ʻana i ka momona

Hiki i nā mālama ʻana i ka maʻi ʻaʻai, me chemotherapy, radiation, a me nā ʻoki ʻana, ke hōʻino i kāu ʻōnaehana hoʻohua, paʻakikī i ka hāpai ʻana.

Inā makemake ʻoe e hāpai i ka wā e hiki mai ana, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau. Hiki iā lākou ke kūkākūkā i kāu mau koho no ka mālama ʻana i kāu momona.

ʻO nā koho mālama mālama kūpono e hiki ke hoʻopili ʻia:

  • Paʻa hau ʻaʻ Embryo. Hoʻopili kēia i ka hau ʻana i kahi hua manu momona.
  • Paʻa hau ʻaʻ Oxyte. Hoʻopili kēia kaʻina hana i ka hau ʻana i kahi hua manu ʻole.
  • ʻOki kino e mālama i ka momona. I kekahi mau hihia, hiki ke hana i ke kaha ʻoki wale i hoʻokahi ovary a mālama i ka ovary olakino. Hiki wale nō kēia i ka maʻi ʻaʻai ovarian mua.
  • Ka mālama ʻana i ka ʻaola ovarian. Hoʻopili kēia i ka hoʻoneʻe ʻana a me ka paʻa ʻana i kaʻiʻo ovarian no ka hoʻohana i ka wā e hiki mai ana.
  • Kaohi kaomi ovarian. Hoʻopili kēia i ka lawe ʻana i nā hormoni e kāohi i ka hana ovarian no ka manawa pōkole.

Ke noiʻi a me ka noiʻi ʻana i ka maʻi ʻaʻai ʻōvarian

Hoʻopaʻa ʻia nā mālama hou ʻana no ka maʻi ʻaʻai ovarian i kēlā me kēia makahiki.

Ke ʻimi pū nei nā kānaka noiʻi i nā ala hou e mālama ai i ka maʻi ʻaʻai ovarian kūpaʻa i ka platinum. Ke kū nei ke kūpaʻa platinum, kūpono ʻole nā ​​lāʻau chemotherapy laina maʻamau e like me carboplatin a me cisplatin.

ʻO ka wā e hiki mai ana o nā mea kāohi PARP i ka ʻike ʻana i nā mea i hiki ke hoʻohana ʻia i nā lāʻau ʻē aʻe me lākou e mālama i nā tumors e hōʻike i nā ʻano kū hoʻokahi.

I kēia mau lā, ua hoʻomaka kekahi mau lāʻau lapaʻau hoʻohiki i nā hoʻokolohua hoʻokolohua e like me kahi lāʻau lapaʻau hiki ke kūʻē i nā maʻi ʻōpala ovarian hou e hōʻike i ka protein ola.

I ka Mei 2020, ua paʻi ʻia no kahi hiki ke hoʻohui i kahi lāʻau anti-drug conjugate (ADC) hou e mālama ai i ka maʻi ʻaʻa ovarian kūpaʻa i ka platinum.

Ke aʻo ʻia nei nā lāʻau lapaʻau hou i kuhi ʻia, e like me ka antibody navicixizumab, ka ATR mea hoʻopaʻa AZD6738, a me ka Wee1 mea hōʻoki adavosertib. Ua hōʻike nā mea āpau i nā hōʻailona o ka hana anti-tumor.

kau i nā gen a ke kanaka e mālama a hoʻōla i ka maʻi. I ka makahiki 2020, ua hoʻomau ʻia kahi hoʻokolohua pae III no ka gen therapy VB-111 (ofranergene obadenovec) me nā hopena i hoʻohiki ʻia.

I ka makahiki 2018, ua alualu wikiwiki ʻo ka FDA i kahi protein protein i kapa ʻia ʻo AVB-S6-500 no ka maʻi ʻaʻa ovarian kūpaʻa i ka platinum. Kuhi kēia i ka pale ʻana i ka ulu tumo a me ka maʻi ʻaʻai e laha ʻia e ke ālai ʻana i kahi ala molekiola kī.

ʻO ka hoʻāʻo hoʻokolohua hoʻomau e hoʻohui nei i ka immunotherapy (ka mea e kōkua ai i ka pale pale o ke kanaka e kūʻē i ka maʻi ʻaʻai) me nā ʻano lāʻau i ʻae ʻia i hōʻike ʻia i hoʻohiki ʻia

Ninaninau ʻia i mālama ʻia no nā mea me nā pae holomua o kēia maʻi ʻaʻai.

ʻO ka lāʻau lapaʻau Ovarian cancer ka mea nui i ka ʻoki kino e hemo ai nā ovaries a me ka uterus a me ka chemotherapy. ʻO ka hopena, e ʻike kekahi mau wahine i nā hōʻailona menopause.

Ua nānā kahi ʻatikala 2015 i ka chemotherapy intraperitoneal (IP). Ua ʻike ʻia kēia noiʻi ua loaʻa i ka poʻe i loaʻa iā IP therapy kahi ola waena o 61.8 mau mahina. He hoʻomaikaʻi kēia i ka hoʻohālikelike ʻia me 51.4 mau mahina no ka poʻe i loaʻa ka chemotherapy maʻamau.

Hiki ke pale ʻia ka maʻi ʻaʻai ovarian?

ʻAʻohe ala i hōʻoia ʻia e hoʻopau loa ai i kāu makaʻu o ka ulu ʻana i ka maʻi ʻaʻai ovarian. Eia nō naʻe, aia nā ʻanuʻu hiki iā ʻoe ke lawe e hoʻohaʻahaʻa i kou makaʻu.

Nā mea i hōʻike ʻia e hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻai ovarian me:

  • ka lawe ʻana i nā lāʻau hoʻomake hānau waha
  • hānai umauma
  • hāpai keiki
  • ʻoki lāʻau kaʻina hana ma kāu hānau nā meaola (e like me ka tubal ligation a i ʻole hysterectomy)

He aha ka kuanaʻike?

Aia kāu nānā i nā ʻano like ʻole, e like me:

  • ke kahua o ka maʻi ʻaʻai ma ka hōʻoia
  • kou olakino holoʻokoʻa
  • pehea kāu pane i ka lāʻau

He kū hoʻokahi kēlā me kēia kanesa, akā ʻo ke kahua o ka maʻi ʻaʻai ka hōʻailona nui o ka nānā.

Helu ola

ʻO ka helu ola ke pākēneka o nā wahine i ola i kekahi mau makahiki i kahi manawa i ʻike ʻia.

ʻO kahi laʻana, ʻo ka helu ola 5 mau makahiki ka pākēneka o nā mea maʻi i loaʻa i kahi hōʻailona ma kekahi manawa a ola ma kahi o 5 mau makahiki ma hope o kā lākou kauka i hōʻoia ai iā lākou.

Lawe pū ka helu ola i ka helu o ka make i manaʻo ʻia no ka poʻe ʻaʻohe maʻi ʻaʻai.

ʻO ka maʻi ʻaʻai ovarian Epithelial ka ʻano maʻamau o ka maʻi ʻaʻai ovarian. Hiki ke ʻokoʻa nā helu ola ma muli o ke ʻano o ka maʻi ʻaʻai ovarian, ka holomua o ka maʻi ʻaʻai, a me ka hoʻomau ʻana i ka holomua i nā mālama ʻana.

Hoʻohana ka ʻAmelika Hui Pū ʻIa ʻAmelika i ka ʻike mai ka waihona SEER a ka National Cancer Institute (NCI) e mālama ai e koho i ka helu ola e ola ai no kēia ʻano maʻi ʻaʻai ovarian.

Eia pehea e hoʻokaʻawale ai ʻo SEER i kēia manawa i nā pae ʻokoʻa:

  • Kūloko. ʻAʻohe hōʻailona o ka maʻi ʻaʻai i laha ma waho o nā ovaries.
  • ʻĀpana āpana. Ua pālahalaha ʻia ka maʻi ʻaʻai ma waho o nā ovaries i nā hale kokoke a i ʻole nā ​​lymph node.
  • Mamao loa. Ua pālahalaha ka maʻi ʻaʻai i nā wahi mamao o ke kino, e like me ke akepaʻa a me nā akemāmā.

5-makahiki pili ola no ka maʻi ʻaʻai ovarian

ʻO ka maʻi ʻaʻai ovarian epithelial invasive

Pae SEER5-makahiki pili ola ana
Kūloko92%
ʻĀpana āpana76%
Mamao loa30%
Nā pae āpau47%

ʻO nā tumors stromal ovarian

Pae SEER5-makahiki pili ola ana
Kūloko98%
ʻĀpana āpana89%
Mamao loa54%
Nā pae āpau88%

ʻO nā tumors cell germ o ka ovary

Pae SEER5-makahiki pili ola ana
Kūloko98%
ʻĀpana āpana94%
Mamao loa74%
Nā pae āpau93%

E hoʻomaopopo e pili ana kēia ʻikepili mai nā noiʻi i hiki ma kahi o 5 mau makahiki a ʻoi paha.

Ke ʻimi nei nā kānaka ʻepekema i nā ala hou aʻe i hoʻomaikaʻi ʻia a me ka hilinaʻi e ʻike koke ai i ka maʻi ʻaʻai ovarian. Hoʻonui ka holomua o ka mālama ʻana, a me ia, ka kuanaʻike no ka maʻi ʻaʻai ovarian.

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