Browsing by Author "Božanović, T. (57200447516)"

Objectives: To determine weather structural changes by a tumor board made any difference in quality of treatment for oncology patients. Material and Method: Current management of our hospital initiated structural changes in the tumor board in January 2010 and improvement was measured through comparing the clinical staging of cervical cancer to previous tumor board results. Results: 365 patients were seen by a multidisciplinary tumor board from January to December of 2010. There were 146 cases of cervical cancer, 87 were staged as Ib-IIa for radical surgery, 59 patients were staged as advanced stage of disease and RT was proposed as well as combined radio-chemo therapy in some cases. Conclusion: Structural changes in the tumor board have made a significant improvement in the oncology care of our patients, primarily because of a multidisciplinary approach to gynecological malignancies and additional imaging performed in all cases of cervical cancer for better insight in the spread of the disease.

Granulosa cell tumors are sex-cord stromal tumors, and since their incidence is very low, it is difficult to design treatment and evaluate its efficacy. In these cases it is very difficult and challenging to give any advice regarding future pregnancies. In the present case, since treatment of granulosa cell tumor was affected by decision to have another pregnancy, one is inevitably concerned whether the pregnancy and hormonal status regarding pregnancy could change prognostic factors regarding the tumor itself. After the pregnancy the patient declined hysterectomy and her reasons were mainly that she felt safe because the second look during cesarean section showed no evidence of the disease. There are no sufficient data in the literature regarding planned pregnancies during the course of follow up for granulosa cell tumors.