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- Gideonsson, Ida, et al.
(författare)
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Long-term follow-up of tamoxifen treatment and the use of imaging in psammocarcinoma : a case report, review of the literature and discussion of diagnostic and therapeutic challenges
- 2023
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Ingår i: Current Oncology. - : MDPI. - 1198-0052 .- 1718-7729. ; 30:12, s. 10260-10271
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Tidskriftsartikel (refereegranskat)abstract
- Psammocarcinoma (PsC) represents a rare form of low-grade serous tumor of the ovary or peritoneum. Although ovarian cancer generally has a poor prognosis in its late stages, PsC seems to have a more indolent course. We present a patient with a history of unspecific abdominal pain for more than a year, with sudden acute onset of severe inguinal pain. On admission to the hospital, a computed tomography (CT) revealed a pelvic mass of suspected ovarian origin. Radical surgery was attempted but not achieved due to widespread tumor growth. Histopathological evaluation revealed estrogen receptor-positive stage III PsC. Tamoxifen treatment was thus initiated, still maintaining stable disease 10 years later. The patient has undergone extensive radiological work-up, including CT, chest X-ray, 18F-fluoro-deoxy-glucose positron emission tomography (PET)/CT, 99mTc- hydroxymethylene diphosphonate (HDP) bone scintigraphy, 18F-fluoro-thymidine (FLT) PET/CT, Tc-99m depreotide scintigraphy and magnetic resonance imaging. In conclusion, we demonstrate that PsC has characteristic radiological features and different imaging modalities can be suitable in different clinical situations. In contrast to most other ovarian cancers, PsC does not always warrant adjuvant chemotherapy, even in advanced stages. This emphasizes the need for a deeper knowledge of the biological behavior of this rare tumor, to select the optimal treatment strategy.
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| 2. |
- Runge, Ida, 1976-
(författare)
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"Jag vill gärna ha hjälp, men ta inte mina barn" : Föräldraskap hos föräldrar med intellektuell funktionsnedsättning
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Parents with intellectual disabilities are seldomly heard in research about parenting. Based on the parents’ own voices, this thesis contributes to deepened knowledge about parenting among persons with intellectual disability. By listening to twenty-three parents, my purpose has been to illuminate how parents themselves understand their parenting. The study is mainly based on an interactionist perspective and focuses on how parenting is done. To deal with the stigmatizing perceptions and to ward off a perceived threat that the children may be taken from them, the parents use several strategies. These strategies function as a way of counteracting the questioning of their parenting, but above all the parents emphasize giving their children a good childhood. In general, the parents experience that their care practices work well when children’s needs are practical and arise in a routinized close to everyday reality. With higher demands on the ability to improvise and financial resources, care is perceived as a greater challenge. Experiences of being listened to and receiving support can counteract feelings of being made suspicious and can promote autonomy and security. But the support can also give rise to feelings of dependence. This is especially valid for women.
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