{"id":54,"date":"2022-03-22T06:57:52","date_gmt":"2022-03-22T05:57:52","guid":{"rendered":"http:\/\/localhost\/hjernerehab\/?p=54"},"modified":"2022-09-12T05:54:33","modified_gmt":"2022-09-12T05:54:33","slug":"klassifikation-af-tumorer","status":"publish","type":"post","link":"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/22\/klassifikation-af-tumorer\/","title":{"rendered":"Tumorgrad"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Alle CNS-tumorers type bliver identificeret og klassificeret i forhold til en firetrins model fra WHO (Verdenssundhedsorganisationen). De fire niveauer fort\u00e6ller prim\u00e6rt hvor aggressiv tumoren er. Grad I &amp; II er benigne (godartede) tumorer, mens grad III og IV er maligne (ondartede), og s\u00e5 kalder man det pludselig kr\u00e6ft. Bem\u00e6rk, at selvom nogle tumorer kaldes &#8216;benigne&#8217;, er de ikke spor gode at have inden for kraniet. For alle tumorer vokser &#8211; bare ikke lige hurtigt &#8211; og s\u00e5 trykker de p\u00e5 den raske hjerne. Nogle steder pr\u00f8ver man at undg\u00e5 brugen af &#8216;godartet&#8217;, for ingen tumorer er som sagt gode. S\u00e5 taler man i stedet om lavgrads- og h\u00f8jgradstumorer.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"654\" src=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-1024x654.png\" alt=\"Skema, der viser hvad graderne i WHO's firegradskategorisering af CNS-tumorer betyder.\" class=\"wp-image-541\" srcset=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-1024x654.png 1024w, https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-300x192.png 300w, https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-768x491.png 768w, https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-1536x981.png 1536w, https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/05\/WHOGrader-1-2048x1308.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Selvom ens tumor er diagnosticeret og har en eller anden WHO.grad, har den ikke n\u00f8dvendigvis alle de n\u00e6vnte karakteristika. F.eks. har jeg et medulloblastom. Det er en grad IV-tumor. Den er berygtet for at sprede sig ned i rygmarven, men det har den tilsyneladende ikke gjort, selvom den havde rigtig god tid til at g\u00f8re det (min udredning tog 3,5 \u00e5r), s\u00e5 den er heller ikke enormt hurtigt voksende. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alle tumorer er celler der vokser og deler sig uh\u00e6mmet. Om det kaldes kr\u00e6ft eller ej er et sp\u00f8rgsm\u00e5l om, hvor aggressiv den er. Det er de samme l\u00e6ger (onkologerne), der behandler dig. Det er de samme v\u00e6rkt\u00f8jer, de bruger: Operation, str\u00e5leterapi og kemoterapi. Og immunterapi som et nyt v\u00e6rkt\u00f8j. Betegnelsen &#8216;kr\u00e6ft&#8217; er en definitionssag, og WHO-grad og type er hovedsageligt noget, der har betydning for behandlingen og forsikringen. Man skal selvf\u00f8lgelig forholde sig til WHO&#8217;s forventninger til prognose, og for nogle typer kr\u00e6ft, er prognosen s\u00e5 kort i tidshorisont, at det ikke g\u00f8r den store forskel, hvis man falder mange procent uden for WHO&#8217;s forventninger, men hvis tidshorisonten er lidt l\u00e6ngere, skal man huske, at WHO&#8217;s forventninger er gennemsnit, der d\u00e6kker over ret stor variation. Med andre ord er <a referrerpolicy=\"origin\" href=\"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/22\/normalkurven\/\" data-type=\"post\" data-id=\"96\">normalfordelingen<\/a> i spil her. Det er normalfordelt, hvor godt din tumor reagerer p\u00e5 behandlingen. Det er normalfordelt, hvor godt du t\u00e5ler behandlingen. Det er normalfordelt, hvor lang levetid patienterne i WHO&#8217;s statistik har haft. Osv.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Med andre ord skal du lade v\u00e6re med at dv\u00e6le for l\u00e6nge over, hvordan andre patienter har haft det. Det er <strong>baggrundsviden<\/strong>. Hvad der betyder noget er, hvordan du <em>selv<\/em> har det. Det er <strong>viden<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alle CNS-tumorers type bliver identificeret og klassificeret i forhold til en firetrins model fra WHO (Verdenssundhedsorganisationen). De fire niveauer fort\u00e6ller prim\u00e6rt hvor aggressiv tumoren er. Grad I &amp; II er benigne (godartede) tumorer, mens grad III og IV er maligne (ondartede), og s\u00e5 kalder man det pludselig kr\u00e6ft. Bem\u00e6rk, at selvom nogle tumorer kaldes &#8216;benigne&#8217;, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[6],"tags":[44,43,12,15],"class_list":["post-54","post","type-post","status-publish","format-standard","hentry","category-viden","tag-cancer","tag-grad","tag-klassifikation","tag-who"],"_links":{"self":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/54","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=54"}],"version-history":[{"count":7,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/54\/revisions"}],"predecessor-version":[{"id":942,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/54\/revisions\/942"}],"wp:attachment":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=54"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=54"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=54"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}