IX.
DIAGNOSTIEK EN BEHANDELING VAN HET GEMETASTASEERDE MAMMACARCINOOM
Op
afstand gemetastaseerd mammacarcinoom moet worden beschouwd als een niet
curabele ziekte. De mediane overleving na vaststelling van de metastasering is
1,5-2 jaar.1,2 Er is echter een
grote heterogeniciteit in overleving; de marge kan variëren van enkele maanden
tot vele jaren.1-4 De belangrijkste doelstelling bij de behandeling van het gemetastaseerde
mammacarcinoom is het handhaven of
verbeteren van de kwaliteit van leven door het bestrijden van klachten.
1.
Diagnostiek
Metastasering
komt bij 75% van de patiënten aan het licht naar aanleiding van klachten.5 De diagnostiek
is gericht op de aard van de klachten van de patiënte en op de bevindingen bij
lichamelijk onderzoek.

2. Behandeling


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