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Câncer de Ovário

Considerado o mais grave entre os tumores ginecológicos, o câncer de ovário é também de difícil diagnóstico. De acordo com o oncologista clínico Gilberto Lopes, do Centro Paulista de Oncologia (CPO) – Grupo Oncoclínicas a população ainda conhece pouco sobre a doença e seus sintomas, o que geralmente pode levar a confundir os sinais com outras de gravidade menor, como distúrbios gastrointestinais e dor abdominal ou pélvica, por exemplo.

A especialista avalia que a falta de informação e a dificuldade de acesso ao sistema de saúde contribuem para o diagnóstico tardio, reduzindo as chances de um tratamento curativo. “Precisamos vencer esses desafios com mais informação e acesso para poder identificar no estágio inicial e, consequentemente, melhorar o prognóstico das pacientes e a eficácia da terapêutica” explica Mariana.

No Brasil, a estimativa para 2018 e 2019 é de mais de 6 mil novos casos. Destes, 1.590 previstos para o estado de São Paulo, o que equivale a aproximadamente 26% do total nacional, conforme o levantamento divulgado pelo Instituto Nacional do Câncer. No mundo, aproximadamente 250 mil mulheres são diagnosticadas com a doença.

Segundo o movimento “World Ovarian Cancer Day” (Dia Mundial do Câncer de Ovário, na tradução), responsável pela campanha de conscientização que acontece todos os anos no dia 8 de maio, os dados estatísticos indicam que apenas 45% das mulheres com câncer de ovário têm probabilidades de sobreviver durante cinco anos, em comparação com 89% das mulheres com câncer de mama. Tanto em países desenvolvidos quanto em desenvolvimento.

O índice de mortalidade ocasionado pela doença é alto, sendo responsável pela morte de 140 mil mulheres por ano no mundo. Embora a taxa seja elevada, um estudo publicado no Journal of Obstetrics and Gynecology  apontou que um em cada três pacientes pode sobreviver 10 anos ou mais. Entre os fatores que levantaram esta perspectiva prognóstica estão a idade e diagnóstico do tumor em estágio inicial. Os pesquisadores do estudo acreditam que ampliar a comunicação sobre o câncer de ovário, seus sinais e fatores de risco podem auxiliar no tratamento da doença.

Após descobrir se há o tumor, a oncologista pontua que as opções de conduta incluem abordar a doença com um ou mais procedimentos, entre cirurgia; quimioterapia; terapia hormonal; terapia-alvo; e, terapia de radiação.

Conheça os principais sintomas conforme aponta a American Cancer Society(Associação Americana de Câncer): 

  • Volume abdominal aumentado e/ou inchaço persistente;
  • Dificuldade para comer e/ou sentir-se estufado rapidamente;
  • Dor abdominal ou pélvica;
  • Urgência e/ou aumento da frequência miccional.

Lopes esclarece ainda que, quando a mulher apresentar um ou mais sinais citados em um período de três semanas, é fundamental relatar o quadro a um médico.

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