Askep Cancer Ovarium

8/3/2019 Askep Cancer Ovarium

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ASKEP CANCER OVARIUM

http://www.trinoval.web.id/2010/05/askep-cancer-ovarium.html

A.PENDAHULUANCancer ovarium merupakan 20% dari semua keganasan alat reproduksi wanita. Insidensi

rata-rata dari semua jenis diperkirakan 15 kasus baru per 1.000.000 populasi wanita setahunnya.

Cancer ovarium merupakan kumpulan tumor dengan histiogenesis yang beraneka ragam, dapat

berasal dari ketiga dermoblast (ektodermal, entodermal, mesodermal) dengan sifat-sifat

histologis maupun biologis yang beraneka ragam. Oleh karena itu histiogenesis maupun

klasifikasinya masih sering menjadi perdebatan. Kira-kira 60% terdapat pada usia

perimenopausal, 30% dalam masa reproduksi, dan 10% pada usia jauh lebih muda. Tumor ini

dapat jinak (benigna), tidak jelas jinak tapi juga tidak pasti ganas (borderline malignancy atau

carcinoma of low malignant potential) dan yang jelas ganas (malignant).

B.PENGERTIAN

Kanker Indung telur atau Kanker ovarium adalah tumor ganas pada ovarium (indung

telur) yang paling sering ditemukan pada wanita berusia 50 70 tahun. Kanker ovarium bisa

menyebar ke bagian lain, panggul, dan perut melalui sistem getah bening dan melalui sistem

pembuluh darah menyebar ke hati dan paru-paru.

Kanker ovarium sangat sulit didiagnosa dan kemungkinan kanker ovarium ini merupakan

awal dari banyak kanker primer. (Wingo, 1995)

C.ETIOLOGI

Penyebab kanker ovarium belum diketahui secara pasti. Akan tetapi banyak teori yang

menjelaskan tentang etiologi kanker ovarium, diantaranya:

1.Hipotesis incessant ovulation

Teori menyatakan bahwa terjadi kerusakan pada sel-sel epitel ovarium untuk

penyembuhan luka pada saat terjadi ovulasi. Proses penyembuhan sel-sel epitel yang

terganggu dapat menimbulkan proses transformasi menjadi sel-sel tumor.

2.Hipotesis androgen

Androgen mempunyai peran penting dalam terbentuknya kanker ovarium. Hal ini

didasarkan pada hasil percobaan bahwa epitel ovarium mengandung reseptor androgen.

Dalam percobaan in-vitro, androgen dapat menstimulasi pertumbuhan epitel ovarium normaldan sel-sel kanker ovarium.

D.FAKTORRISIKO

1.Diet tinggi lemak

2.Merokok

3.Alkohol
http://www.trinoval.web.id/2010/05/askep-cancer-ovarium.htmlhttp://www.trinoval.web.id/2010/05/askep-cancer-ovarium.htmlhttp://www.trinoval.web.id/2010/05/askep-cancer-ovarium.html


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4.Penggunaan bedak talk perineal

5.Riwayat kanker payudara, kolon, atau endometrium

6.Riwayat keluarga dengan kanker payudara atau ovarium

7.Nulipara

8.Infertilitas

9.Menstruasi dini

10.Tidak pernah melahirkan

E.TANDA DAN GEJALA

Gejala umum bervariasi dan tidak spesifik. Pada stadium awal berupa :

1.Haid tidak teratur

2.Ketegangan menstrual yang terus meningkat

3.Menoragia

4.Nyeri tekan pada payudara

5.Menopause dini6.Rasa tidak nyaman pada abdomen

7.Dispepsia

8.Tekanan pada pelvis

9.Sering berkemih

10.Flatulenes

11.Rasa begah setelah makan makanan kecil

12.Lingkar abdomen yang terus meningkat

F.PATOFISIOLOGI

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fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff84848431313131313194

9c9cffffffffffff6363637b7b7be7e7e7212121cececeefefef5252529c9c9ce7e7e74a4a4aadadad949494e7e7

e79c9c9c848484cecece212121c6c6c6ffffffffffff848c8c5a635affffff000808bdc6c64a4a4aa5a5a5ffffff52525

2848c8cffffff6b6b6b4242421010106b6b6b8c8c8c7b7b7b949494bdbdbdf7f7f73131319c9c9cefefef9c9c9c

4a4a4affffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffe7e7e7cecece949494212121ffffffb5b5b5f7f7f78484844a

4a4affffff949494848484ffffffadadad737373cecece6b6b6b8484848484846b6b6bc6c6c6fffffffffffffffffffffffffffff


fffffff7b7b7b848484bdbdbdcececefffffff7f7f7ffffffe7e7e78484848c8c8ccecece000000636363e7e7e76b6b6

be7e7e7ffffff9494947b7b7b292929b5b5b5f7f7f76b6b6b525252efefefefe7e75a5a5affffff6b63638c8c8cf7f7

f78c8c8c4a4a4ae7e7e7ffffff949c9c737b7bdee7e7848484ced6d68484847b84847b7b7b848484adadad52

5252e7e7efd6d6de424a4a8c8c8c6b6b6beff7f7c6cece4a4a4a737373ffffff7b84847b7b7b8484847b7b7bfff

fffefefef7373734a4a4a525252efefef9c9c9c424242adadade7e7e75252529c9c9c636363bdbdbdfffffff7f7f7f

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffded

ede424242bdbdbdadadadf7f7f7ffffffffffffffffffbdbdbd7b7b7bd6d6d6bdbdbd5a5a5affffffefefef949494848484

ffffff525252dededec6c6c6525252636363ffffffb5b5b55252528484848c8c8cffffffa5a5a54a4a4a848484ffffff

6b6b6b9494947373739c9c9cfffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7b7b7b525252d6d6d6525252949c9cffffff737b7b

b5b5b5ffffff9c9c9c5a5a5ac6c6c68c8c8cdededed6d6d6636363ffffff4a4a4a949494ffffff8c8c8c5a5a5aa5a5

a5ffffffffffffffffff848484b5bdbdb5bdbd636363949494636363f7f7f7dedede000808424a4af7f7f7ffffffa5a5a57

37373efefef737373bdbdbdcecece393939e7e7e7cecece525252a5a5a5adadad9c9c9cfffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffffffffffff8c8c8c101010d6d6d6ffffffbdbdbdf7f7f7fffffffffffffffffffffffff7f7f7ffffffffffffffffffffffffffffffff

fffffffffff7f7f7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff636363a5a5a5ffffff8c8c8cdededeffffffffffffffffffefefefffffffffffffbdbdbde

7e7e7fffffff7f7f7ffffffffffffffffffffffff5252528c8c8cffffffffffffffffffffffffbdbdbd393939f7f7f7fffffffffffffffffffffffff7f7f7ffffff

fffffffffffff7f7f7fffffff7f7fffffffff7ffffffffffffffffffffffffffffffffffffffff9ca5a5525252fffffffffffffffffffffffffffffffffffffffffff7f7f7fffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7424242ffffffc6c6c69c9c9cfffffffffffffffffff

fffffefefefffffff737373636363ffffffffffffefefefffffffefefef313131d6d6d6ffffffffffffffffffffffff7b7b7b6b6b6bffffffffffffffff


6/29


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7b7b7b949494ffffff4a4a4a525a5afffffff7f7f7f7f7f

7ffffffffffffffffffffffffffffffffffffadadad424242fffffffffffffffffffffffffffffff7f7f7fffffffffffffffffffffffffffffff7ffffffffffffffffffffffffffffffffff

ffffff848484b5b5b5f7f7f7efefeffffffff7f7f7ffffff424242a5a5a5fffffff7f7f7fffffffffffff7f7f7fffffff7f7f7ffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffff8484840808089c9c9cffffffbdbdbd181818949494fffffffffffffffffffffffffffffffffffffffffff

ffffffffffffffffff7f7f7ffffff4a4a4a8c8c8cfffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffcecece212121292929ffffff6b6b6b000000bdbdbdffffff

ffffffffffffffffffffffffffffffffffffdedede292929cececeffffffffffffefefef212121a5a5a5ffffffffffffffffffffffff948c8c313131fff

7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff424a4a9c9c9cfffffff7f7f7fffffff7fffffffffff7f7f7ffffff63636b393939fffffff

7f7f7fffffffffffffffffffffffff7f7f7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffffffffffffffffffffffff

ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff73737

3000000949494e7e7e71010105a5a5af7f7f7ffffffffffffffffffffffff4a4a4a6b6b6bffffffffffffffffffffffffc6c6c6212121d

ededefffffffffffff7f7f7ffffff4a4a4a5a5a5afffffffffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffff

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7ffffffffffffffffffffffffffff

dedede292929292929525252292929d6dedeffffff525a5a737373ffffffffffffffffffffffff525252adadad7373734a4

a4afffffffffffffffffffffffffffffffffffff7f7f7ffffffffffffffffff7b7b7b5a5a5afffffffffffffffffffffffff7ffffffffffdedede737373212121b

5b5b5ffffffffffffe7e7e7292929adadadffffffffffffffffffffffffffffffffffff8c8c8c424242fffffffffffffffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

ffffffffffffffffffcececee7e7e7ffffffffffffefefefc6c6c6e7e7e7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7f


fffffffffffffffffffffffffffffffffffefefefdededed6d6d6efefefefefefd6d6d6efefefffffffffffffffffffffffffffffffffffffffffffffffffefefefffff

fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7fffffffffffffffffff7f7f7fffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffffffffffffffff

fffffffffff7fffffffffffffffffffffff7f7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffdededed6d6d6dededef7f7f7e7e7e7d6d6d6ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffeff7f7d6

dededededec6ceceeff7f7fffffffffffff7f7f7eff7f7fffffffffffffffffffffffff7f7f7fffffffffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffff

fffffffffffffffff7fffff7f7f7fffffffffffffffffff7ffffffffffffffffffffffd6d6d6dededefffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

ffffffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff




fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7fffffffffffffffffff
















7/29

ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff





ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffc6c6

c6dededeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffbdbdbde7e7e7ffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffe7e7e7b

dbdbdffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffdededec6c6c6fffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff1010106b6b6bfffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffff181818737373ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff4a4a4a292929ffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7b7373181818ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffb5b5b5000000212121efefeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffefefef

ffffffadadad000000211818ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffe7e7e7000000000000c6c6c6fffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7181818080000bdbdbdffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffff7f7f7ffffff212121080808000000848484fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f

7312929000000080808848484ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff636363000000000000424242ffffffffffffffffffffffffffffffffffffffffffffff



8/29


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff848484000000080000292929ffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffadadad080808000000080808292929efefeffffffffffffffffffffffffffffffffffffffffffffffffff



fffffadadad080808100808000000393131e7e7e7fffffff7f7f7fffffffff7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffdedede212121080808000000080808c6c6c6ffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff181818080808000000101010bdbdbdfffffff7f

7f7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffefefefe7e7e77373739c9c9ce7e7e7f7f7f7ffffffff

ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

ffffffffffffffffffffffffffffffffffffffffffffffe7e7e7efefef635a5ab5b5b5dededefff7f7fffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffefefefe7e7e79c9c9c7b7b7b

e7e7e7efefeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7efe7e79c9c9c847b7befe7

e7efe7e7fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff848484b5b5b5fffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff636363d6d6d6fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffb5b5b5848484fffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffadadad848484fffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff848484adadadfffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffff5a5a5ad6d6d6ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffa5a5a57b7b7bfffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff




9/29

fffffffffffffffffffffffffffffffffffffffffffffffffffffffff9c9c9c7b7b7bffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffff7b7b7badadadffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff636363cececefffff




fffffffffffffffffffffffffffffffadadad7b7b7bfffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffa5a5a5848484fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7b7b7

badadadffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff636363d6d6d6ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffadadad7b

7b7bffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff


ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffa5a5a58c8c8cfffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff737373adadadfffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffff636363cececeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffadadad7b7b7bfffffff7f7f7fffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffa5a5a57b7b7bfffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7b7b7badadadfffffff7f7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



5a5a5acececefffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



ffffffffffffffffffffffffffffffffffffffffffffffff7f7f7ffffffa5a5a57b7b7bffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff



fffffffffffffffffffffffffff7f7f7ffffffa5a5a5848484fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff

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Askep Cancer Ovarium

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