{"id":9710,"date":"2025-06-23T14:34:35","date_gmt":"2025-06-23T12:34:35","guid":{"rendered":"https:\/\/letscureacc.com\/izlijecimo-acc\/"},"modified":"2025-12-18T20:54:47","modified_gmt":"2025-12-18T19:54:47","slug":"izlijecimo-acc","status":"publish","type":"page","link":"https:\/\/letscureacc.com\/hr\/izlijecimo-acc\/","title":{"rendered":"Izlije\u010dimo ACC"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9710\" class=\"elementor elementor-9710 elementor-9676\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb8db6b elementor-section-full_width elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"fb8db6b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cfda8da\" data-id=\"cfda8da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f8d9f39 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"f8d9f39\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-dd9119d\" data-id=\"dd9119d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52ec02e elementor-widget elementor-widget-text-editor\" data-id=\"52ec02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAdrenokortikalni karcinom (ACC), ili karcinom kore nadbubre\u017ene \u017elijezde, rijedak je i agresivan oblik raka, od kojeg obolijeva jedna osoba na milijun. Informacije koje \u0107ete prona\u0107i o njemu mogu djelovati zastra\u0161uju\u0107e \u2013 rije\u010di poput \u201erijedak\u201c, \u201eagresivan\u201c i \u201elo\u0161a prognoza\u201c mogu zvu\u010dati obeshrabruju\u0107e. No, vi niste samo broj, i mi, kao pacijenti, ovdje smo da vam ka\u017eemo \u2013 postoji nada!<br><br>Let\u2019s Cure ACC (Izlije\u010dimo ACC) stvorili su pacijenti za pacijente. Ovo je va\u0161 prostor za povezivanje, dijeljenje iskustava i stjecanje znanja kako biste se mogli zalagati za vlastito zdravlje. I dok mi nismo zamjena za medicinske stru\u010dnjake, ovdje smo da vam pru\u017eimo resurse, smjernice i mre\u017eu podr\u0161ke kako biste znali postaviti prava pitanja i s povjerenjem kora\u010dali kroz svoje putovanje \u2013 i jo\u0161 mnogo toga. Na\u0161u udrugu priznaju cijenjene medicinske organizacije i partneri.<br><br>Ako \u017eelite podr\u017eati na\u0161e cjelokupno djelovanje, razmotrite u\u010dlanjenje u na\u0161u organizaciju \u2013 brojke su va\u017ene, i svi zajedno, ujedinjeni, mo\u017eemo ostvariti zna\u010dajne promjene kod nadle\u017enih tijela \u0161irom svijeta!<br>Svaka donacija tako\u0111er bi nam bila od velike pomo\u0107i budu\u0107i da se na\u0161e djelovanje oslanja isklju\u010divo na va\u0161u velikodu\u0161nost prilikom prikupljanja financijskih sredstava.<br><br>Dobrodo\u0161li u zajednicu koja je uz vas. Zajedno smo ja\u010di.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d2003eb\" data-id=\"d2003eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c16e61 elementor-widget elementor-widget-text-editor\" data-id=\"8c16e61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: center;\"><b>O ovoj stranici<\/b><\/h3><br><p style=\"text-align: left;\">Ova web-stranica dostupna je na hrvatskom jeziku kako bi vam pru\u017eila klju\u010dne informacije o ovoj rijetkoj bolesti na va\u0161em jeziku. Detaljnije i dodatne informacije dostupne su na sljede\u0107im jezicima: <a href=\"https:\/\/letscureacc.com\/hr\/\">engleski<\/a>,\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=fr\">francuski<\/a>,\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=de\">njema\u010dki<\/a>,\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=es\">\u0161panjolski<\/a>,\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=it\">talijanski<\/a>,\r\n<a href=\"https:\/\/letscureacc.com\/?lang=pt-pt\">portugalski<\/a>,\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=zh-hans\">kineski<\/a>\u00a0i\u00a0<a href=\"https:\/\/letscureacc.com\/?lang=ja\">japanski<\/a>. Govorite li neki od ovih jezika? Slobodno istra\u017eite\u2026<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-863db1b elementor-widget elementor-widget-heading\" data-id=\"863db1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Saznajte vi\u0161e o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0358bb4 elementor-widget elementor-widget-menu-anchor\" data-id=\"0358bb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5b01ff elementor-widget elementor-widget-text-editor\" data-id=\"f5b01ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\r\n \t<li><a href=\"#what\">\u0160to je ACC?<\/a><\/li>\r\n \t<li><a href=\"#team\">Va\u0161 medicinski tim<\/a><\/li>\r\n \t<li><a href=\"#support\">Prona\u0111ite podr\u0161ku<\/a><\/li>\r\n \t<li><a href=\"#options\">Mogu\u0107nosti lije\u010denja<\/a><\/li>\r\n \t<li><a href=\"#know\">\u0160to trebate znati o prognozi ACC-a<\/a><\/li>\r\n \t<li><a href=\"#kids\">ACC kod djece i tinejd\u017eera<\/a><\/li>\r\n \t<li><a href=\"https:\/\/lcaccnew.wpenginepowered.com\/about-lets-cure-acc\/\">O udruzi Let\u2019s Cure ACC<\/a><\/li>\r\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7fe024 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b7fe024\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-821872a\" data-id=\"821872a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc7be71 elementor-widget elementor-widget-heading\" data-id=\"bc7be71\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"what\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0160to je ACC?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c37afbf elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"c37afbf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7f11160\" data-id=\"7f11160\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3518a11 elementor-widget elementor-widget-text-editor\" data-id=\"3518a11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<b>Adrenokortikalni karcinom (ACC)<\/b>\u00a0rijetka je bolest kod koje se maligne (zlo\u0107udne) stanice razvijaju u vanjskom sloju nadbubre\u017ene \u017elijezde, odnosno u njenoj kori. U tijelu se nalaze dvije nadbubre\u017ene \u017elijezde. One su male, trokutastog oblika i smje\u0161tene iznad svakog bubrega. Adrenokortikalni karcinom mo\u017ee se pojaviti i kod odraslih i kod djece, ali se lije\u010denje kod djece razlikuje od lije\u010denja odraslih.<br><br>Nadbubre\u017ene \u017elijezde imaju va\u017enu ulogu u tijelu jer proizvode hormone (poput kortizola, DHEAs i aldosterona\u2026) koji poma\u017eu u regulaciji metabolizma, imunolo\u0161kog sustava, krvnog tlaka, reakcije na stres i drugih klju\u010dnih tjelesnih funkcija.<br>Zbog svoje rijetkosti, ACC se uglavnom otkrije slu\u010dajno prilikom rutinskih pregleda u\u010dinjenih iz drugih razloga, poput CT-a trbuha.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f269e77\" data-id=\"f269e77\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5212c72 elementor-widget elementor-widget-image\" data-id=\"5212c72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1.png\" class=\"attachment-large size-large wp-image-9636\" alt=\"\" srcset=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1.png 1024w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-300x300.png 300w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-150x150.png 150w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-768x768.png 768w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-570x570.png 570w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-500x500.png 500w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-1000x1000.png 1000w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/image1-700x700.png 700w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f8e23f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5f8e23f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03dc541 elementor-widget elementor-widget-heading\" data-id=\"03dc541\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><h3 style=\"text-align: center\"> Simptomi:&nbsp;<\/h3><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-60b2c47 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"60b2c47\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-57cb206\" data-id=\"57cb206\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5c869c elementor-widget elementor-widget-text-editor\" data-id=\"d5c869c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAdrenokortikalni karcinom mo\u017ee djelovati na jedan od dva na\u010dina, ovisno o karakteristikama tumora:<br><br>1. Mo\u017ee uzrokovati simptome povezane s veli\u010dinom tumora i pritiskom na okolne organe, ili<br><br>2. Mo\u017ee uzrokovati simptome povezane s hormonskom aktivno\u0161\u0107u tumora (npr. Cushingov sindrom)<br><br><b>Naj\u010de\u0161\u0107i simptom koji pacijenti s ACC-om prijavljuju je bol u le\u0111ima ili s bo\u010dne strane (u slabinskom dijelu). <\/b>Ova bol je \u010desta i ne upu\u0107uje nu\u017eno na bolest kore nadbubre\u017ene \u017elijezde. Mogu\u0107e je i da uop\u0107e ne osjetite bol. Ovaj simptom obi\u010dno nastaje zbog pritiska tumora na organe, \u017eivce i druge strukture oko nadbubre\u017ene \u017elijezde. Neki ljudi tako\u0111er osje\u0107aju sitost i gubitak apetita zbog pritiska na \u017eeludac i druge trbu\u0161ne organe.<br><br><b>ACC je \u010desto funkcionalni tumor (\u0161to zna\u010di da izlu\u010duje hormone), i u otprilike 40-60% slu\u010dajeva proizvodi vi\u0161ak kortizola, \u0161to dovodi do razvoja Cushingovog sindroma. Osim kortizola, ACC mo\u017ee lu\u010diti i druge hormone koji se ina\u010de normalno proizvode u kori nadbubre\u017ene \u017elijezde.<\/b>\u00a0Cushingov sindrom \u010desto je prvi znak da ne\u0161to nije u redu s va\u0161im nadbubre\u017enim \u017elijezdama (kada se isklju\u010di bolest hipofize).\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a63cb44\" data-id=\"a63cb44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-920bcfc elementor-widget elementor-widget-text-editor\" data-id=\"920bcfc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tNeki od simptoma Cushingovog sindroma su:<br><ul>\r\n \t<li>Pretilost<\/li>\r\n \t<li>Zaobljeno, crveno lice s punijim obrazima (tzv. \u201emjese\u010dasto lice\u201c)<\/li>\r\n \t<li aria-level=\"1\">Masna, zaobljena izbo\u010dina visoko na le\u0111ima, odmah ispod vrata (\u201ebivolja grba\u201c)<\/li>\r\n \t<li aria-level=\"1\">Virilizacija \u2013 pojava mu\u0161kih spolnih obilje\u017eja u \u017eena, uklju\u010duju\u0107i poja\u010danu tjelesnu dlakavost (osobito na licu), stidne dla\u010dice, akne, dublji glas i pove\u0107anje klitorisa<\/li>\r\n \t<li aria-level=\"1\">Pretjerano znojenje<\/li>\r\n \t<li aria-level=\"1\">Ljubi\u010daste strije, osobito na trbuhu, bedrima, dojkama i nadlakticama<\/li>\r\n \t<li aria-level=\"1\">Tanka, osjetljiva ko\u017ea koja se lako o\u0161te\u0107uje<\/li>\r\n \t<li aria-level=\"1\">Nepravilne ili izostale menstruacije kod osoba koje imaju menstrualni ciklus<\/li>\r\n \t<li aria-level=\"1\">Promjene raspolo\u017eenja<\/li>\r\n \t<li aria-level=\"1\">Usporeni rast (nizak rast)<\/li>\r\n<\/ul><br><p style=\"background-color: #fcfcfc;\">Simptomi poja\u010danog lu\u010denja aldosterona zbog posljedi\u010dno niske koncentracije kalija uklju\u010duju:<\/p><br><ul>\r\n \t<li>Gr\u010deve u mi\u0161i\u0107ima<\/li>\r\n \t<li>Slabost<\/li>\r\n \t<li>Bol u trbuhu<\/li>\r\n<\/ul><br><p style=\"background-color: #fcfcfc;\">Kod svih pacijenata s ACC-om potrebno je provesti opse\u017ene krvne pretrage kako bi se utvrdilo je li rije\u010d o funkcionalnom tumoru i koje hormone eventualno lu\u010di. Pacijenti s Cushingovim sindromom izazvanim ACC-om \u010desto imaju abnormalne razine vi\u0161e hormona nadbubre\u017ene \u017elijezde, ne samo kortizola. Klju\u010dne hormonske promjene naj\u010de\u0161\u0107e uklju\u010duju.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-22eee22 elementor-widget elementor-widget-text-editor\" data-id=\"22eee22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\n<table id=\"tablepress-4\" class=\"tablepress tablepress-id-4\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Pretraga<\/th><th class=\"column-2\">O\u010dekivana koncentracija u krvi osobe oboljele od funkcionalnog ACC-a<\/th><th class=\"column-3\">Razlog<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Estradiol (u mu\u0161karaca)<\/td><td class=\"column-2\">\u2191 Povi\u0161ena<\/td><td class=\"column-3\">Pretjerano lu\u010denje iz ACC-a<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">DHEA-S (Dehidroepiandrosteron sulfat)<\/td><td class=\"column-2\">\u2191 Povi\u0161ena (ponekad)<\/td><td class=\"column-3\">ACC mo\u017ee lu\u010diti i androgene hormone<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Aldosteron<\/td><td class=\"column-2\">Varijabilno<\/td><td class=\"column-3\">ACC u nekim slu\u010dajevima mo\u017ee poja\u010dano lu\u010diti aldosteron<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Kalij (K\u207a)<\/td><td class=\"column-2\">\u2193 Sni\u017eena (ako je poja\u010dano lu\u010denje aldosterona)<\/td><td class=\"column-3\">Hiperaldosteronizam dovodi do gubitka kalija<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Kortizol<\/td><td class=\"column-2\">\u2191 Povi\u0161ena<\/td><td class=\"column-3\">Overproduction by ACC tumor<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">ACTH<\/td><td class=\"column-2\">\u2193 Sni\u017eena<\/td><td class=\"column-3\">Poja\u010dano lu\u010denje kortizola negativnom povratnom spregom dovodi do smanjenog lu\u010denja ACTH iz hipofize<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Testosteron (u \u017eena)<\/td><td class=\"column-2\">\u2191 Povi\u0161ena<\/td><td class=\"column-3\">Ponekad ACC lu\u010di androgene hormone<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-4 from cache --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ccfe007 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"ccfe007\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-20a40a7\" data-id=\"20a40a7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5ff2a5 elementor-widget elementor-widget-heading\" data-id=\"c5ff2a5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"team\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Va\u0161 medicinski tim<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-832aecc elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"832aecc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d5f1652\" data-id=\"d5f1652\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ac95c1 elementor-widget elementor-widget-text-editor\" data-id=\"5ac95c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tACC je rijetka bolest u \u010dijem lije\u010denju sudjeluje tim medicinskih stru\u010dnjaka s iskustvom u ovom podru\u010dju \u2013 prvenstveno endokrinologa, onkologa, kirurga, radiologa, mo\u017eda i nutricionista. Oni sura\u0111uju i zajedno donose odluke o daljnjim koracima u va\u0161em lije\u010denju kao jedan jedinstven glas. Vi ste u voza\u010dkom sjedalu i trebate se osje\u0107ati ugodno i sigurno s njima. Drugo mi\u0161ljenje uvijek mo\u017ee pomo\u0107i, bilo u\u017eivo ili na daljinu \u2013 mo\u017eda ga va\u0161 medicinski tim i sam zatra\u017ei.<br><br><strong><i>Let\u2019s Cure ACC<\/i><\/strong>\u00a0ima kontakte s vi\u0161e od stotinu lije\u010dnika specijaliziranih za ACC u vi\u0161e od 40 zemalja, kako bismo vam pomogli prona\u0107i podr\u0161ku u va\u0161oj zemlji ili na va\u0161em jeziku. Ako trebate na\u0161u pomo\u0107 u povezivanju s nekim stru\u010dnjakom,\u00a0<a href=\"https:\/\/letscureacc.com\/hr\/kontaktirajte-nas\/\">slobodno nas kontaktirajte<\/a>.<br><br>Let\u2019s Cure ACC is in contact with more than a hundred of ACC doctors in more than 40 countries to help you find help in your country or in your language. If you need our help to be connected with an expert, do not hesitate to <a href=\"https:\/\/lcaccnew.wpenginepowered.com\/contact-us\/\">contact us<\/a>.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-daa21a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"daa21a4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d9638e\" data-id=\"0d9638e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-577c270 elementor-widget elementor-widget-heading\" data-id=\"577c270\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"support\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Podr\u0161ka u bolesti<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b8a8b37 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b8a8b37\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3484b32\" data-id=\"3484b32\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c59476 elementor-widget elementor-widget-text-editor\" data-id=\"3c59476\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAko ste ovdje, mo\u017eda se osje\u0107ate kao da ste jedina osoba koja se suo\u010dava s ovim rakom \u2013 mo\u017eda \u010dak i jedini slu\u010daj u svojoj zemlji. Taj osje\u0107aj usamljenosti mo\u017ee biti preplavljuju\u0107, ali niste sami. Ova me\u0111unarodna mre\u017ea postoji upravo zato da se mo\u017eete povezati s drugima koji zaista razumiju kroz \u0161to prolazite. Ovdje \u0107ete prona\u0107i ljude iz cijelog svijeta s istim pitanjima, istim izazovima i istom potrebom za podr\u0161kom.<br><br>Dijagnoza ACC-a ili bilo koje druge rijetke bolesti\/raka mo\u017ee izazvati cijeli niz emocija: ljutnju, tugu, strah\u2026 Sve va\u0161e emocije su razumljive i potpuno opravdane.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cbb9ee elementor-widget elementor-widget-image\" data-id=\"7cbb9ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"741\" height=\"456\" src=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people.png\" class=\"attachment-large size-large wp-image-9644\" alt=\"\" srcset=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people.png 741w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people-300x185.png 300w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/people-700x431.png 700w\" sizes=\"(max-width: 741px) 100vw, 741px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-61011c4\" data-id=\"61011c4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d013f0 elementor-widget elementor-widget-text-editor\" data-id=\"9d013f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tEvo nekoliko savjeta koji vam mogu pomo\u0107i:<br><ul>\r\n \t<li>Nemojte se bojati zatra\u017eiti pomo\u0107. Dajte obitelji i prijateljima konkretne zadatke \u2013 to je odli\u010dan na\u010din da dobijete pomo\u0107 i omogu\u0107ite va\u0161im bli\u017enjima da se osje\u0107aju korisno.<\/li>\r\n \t<li>Potra\u017eite pouzdane online izvore informacija o dijagnozi. Iako mi nismo lije\u010dnici, na\u0161a stranica nudi provjerene informacije i korisne resurse. Uvijek se savjetujte s kvalificiranim zdravstvenim djelatnikom.<\/li>\r\n \t<li>Budite blagi prema sebi. Ku\u0107a vam je u neredu jer ste umorni od lo\u0161ih vijesti ili terapije? U redu je!<\/li>\r\n \t<li>Odmorite kad vam je potrebno. Iscrpljivanje mo\u017ee pogor\u0161ati va\u0161e mentalno zdravlje.<\/li>\r\n \t<li>Istra\u017eite meditaciju i\u00a0<i>mindfulness\u00a0<\/i>tehnike.<\/li>\r\n \t<li>Ako tijekom lije\u010denja radite, provjerite kako vam poslodavac mo\u017ee iza\u0107i u susret.<\/li>\r\n \t<li>Bavite se aktivnostima koje volite i stvarajte sretne trenutke s voljenima rade\u0107i ono \u0161to vas ispunjava.<\/li>\r\n \t<li>Ako mo\u017eete vje\u017ebati, \u010dak i kratka \u0161etnja na otvorenom mo\u017ee pozitivno utjecati na va\u0161e mentalno zdravlje.<\/li>\r\n \t<li>Ako vas brinu va\u0161i osje\u0107aji ili mentalno zdravlje, podijelite to s voljenima i svojim medicinskim timom!<\/li>\r\n \t<li><a href=\"https:\/\/letscureacc.com\/hr\/kontaktirajte-nas\/\">Kontaktirajte nas<\/a>\u00a0ako \u017eelite razgovarati s drugim pacijentima o bilo kojoj temi.\u00a0<b>VI VI\u0160E NISTE SAMI!<\/b><\/li><br><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34689b9 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"34689b9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0a8efeb\" data-id=\"0a8efeb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4b7673 elementor-widget elementor-widget-heading\" data-id=\"a4b7673\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"options\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mogu\u0107nosti lije\u010denja<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b59aea3 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"b59aea3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-96cd0f0\" data-id=\"96cd0f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f6356d elementor-widget elementor-widget-text-editor\" data-id=\"4f6356d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Postoji nekoliko razli\u010ditih mogu\u0107nosti lije\u010denja ACC-a, a one ovise o dostupnosti zdravstvene za\u0161tite u va\u0161oj zemlji i o osobitostima va\u0161e dijagnoze. U nastavku je kratki pregled:<\/strong><br><br><b>1. Operacija:<\/b><br>Kirur\u0161ko lije\u010denje je najbolja opcija koja se preporu\u010da kad god je mogu\u0107e jer igra klju\u010dnu ulogu u prognozi i mo\u017ee imati pozitivan u\u010dinak na ishod lije\u010denja. Ovo vrijedi kako za uklanjanje primarnog tumora (i eventualnih metastaza), tako i za lokalne ili udaljene recidive. Operaciju bi trebao izvesti kirurg s iskustvom u lije\u010denju ACC-a.<br>Nakon operacije, temeljem nalaza patohistolo\u0161ke analize uklonjenog tumora, donosi se odluka o najprikladnijem daljnjem postupku lije\u010denja za svaki slu\u010daj pojedina\u010dno (vidi\u00a0<i>Prognoza kod ACC-a<\/i>).<br><br><b>2. Oralna kemoterapija \/ Adjuvantna terapija:<\/b><br>To zna\u010di uzimanje jedinog trenutno dostupnog lijeka na tr\u017ei\u0161tu,\u00a0<b>mitotana (Lysodren)<\/b>. Ova se terapija naziva adjuvantnom jer joj je cilj smanjiti rizik od povrata bolesti. Preporu\u010duje se kod adrenokortikalnog karcinoma s niskim, srednjim ili visokim rizikom od recidiva, kao i u uznapredovalim stadijima bolesti.<br>Potrebno je uzimati dozu koju mo\u017eete tolerirati, s ciljem postizanja terapijske razine izme\u0111u\u00a0<b>14 mg\/L i 20 mg\/L<\/b>, jer lijek najbolje djeluje unutar tog raspona. Budu\u0107i da se mitotan postupno nakuplja u tijelu, mo\u017ee pro\u0107i nekoliko mjeseci dok se ne postigne \u017eeljena razina. Neki pacijenti nikada ne\u0107e posti\u0107i terapijsku koncentraciju, ali to ne zna\u010di da lijek ne\u0107e djelovati \u2013 \u0161to su potvrdile i nedavne studije. Nuspojave se razlikuju od osobe do osobe, a pacijenti \u010desto dijele svoje savjete: slobodno nam se javite!<br><br><b>3. Kemoterapija:<\/b><br>Koristi se za uni\u0161tavanje stanica raka. Mo\u017ee imati razli\u010dite oblike, ali u slu\u010daju ACC-a, lijek se naj\u010de\u0161\u0107e daje\u00a0<b>intravenski<\/b>\u00a0(u venu). To je preporu\u010deni tretman za uznapredovale stadije ACC-a, ili u slu\u010daju povrata bolesti. Kombinacija\u00a0<b>EDP (etopozid, doksorubicin, cisplatina)<\/b>\u00a0\u010desto se koristi zajedno s mitotanom te daje najbolji u\u010dinak i smatra se\u00a0<b>standardnom terapijom<\/b>.<br>Na temelju klini\u010dkih ispitivanja, kombinacija\u00a0<b>gemcitabin\/kapecitabin<\/b>\u00a0sada se nudi kao terapija druge linije, posebno u nizozemskim i njema\u010dkim ekspertnim centrima.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3c4f33c\" data-id=\"3c4f33c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c60c20 elementor-widget elementor-widget-image\" data-id=\"3c60c20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"986\" height=\"1024\" src=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-986x1024.png\" class=\"attachment-large size-large wp-image-9652\" alt=\"\" srcset=\"http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-986x1024.png 986w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-289x300.png 289w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-768x798.png 768w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06-700x727.png 700w, http:\/\/letscureacc.com\/wp-content\/uploads\/2025\/06\/People-06.png 1333w\" sizes=\"(max-width: 986px) 100vw, 986px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0304bce elementor-widget elementor-widget-text-editor\" data-id=\"0304bce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>4. Radioterapija:<\/strong><br>Rije\u010d je o lokaliziranom pristupu u kojem se zra\u010denjem cilja odre\u0111eno podru\u010dje kako bi se uni\u0161tile stanice raka. Kao i kemoterapija, i zra\u010denje mo\u017ee djelovati i na zdrave stanice. Ponekad se preporu\u010da u kombinaciji s mitotanom nakon nepotpunog kirur\u0161kog uklanjanja tumora.<br><br><strong>5. Imunoterapija:<\/strong><br>Jedan je od najnovijih oblika lije\u010denja dostupnih pacijentima s ACC-om. Cilj imunoterapije je osna\u017eiti vlastiti imunolo\u0161ki sustav kako bi u\u010dinkovitije prepoznao i uni\u0161tio stanice raka u tijelu. Jedan od imunoterapijskih lijekova je pembrolizumab.<br><br><strong>6. Ciljana terapija:<\/strong><br>U tijeku su brojna istra\u017eivanja s ciljem razvoja novih terapija u budu\u0107nosti. Dostupna su i klini\u010dka ispitivanja lijekova, a va\u0161 medicinski tim vam mo\u017ee pomo\u0107i da se uklju\u010dite u neko od njih ako va\u0161 slu\u010daj odgovara uvjetima istra\u017eivanja.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4296b1b elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"4296b1b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b09daca\" data-id=\"b09daca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db0a4c5 elementor-widget elementor-widget-heading\" data-id=\"db0a4c5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"know\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0160to trebate znati o prognozi ACC-a<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c3f7875 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"c3f7875\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4aad5ea\" data-id=\"4aad5ea\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69f2afc elementor-widget elementor-widget-text-editor\" data-id=\"69f2afc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<b>Upozorenje:<\/b>\u00a0<b>Ovaj dio bi za vas mogao biti te\u017eak, pa ga slobodno presko\u010dite ako se ne osje\u0107ate spremno pro\u010ditati ga. Koliko god to bilo te\u0161ko, \u010dinjenice su \u010dinjenice i ne mo\u017eemo ih zaobi\u0107i, iako se fokusiramo na rje\u0161enja. Namjerno \u0107emo dati op\u0107eniti pregled temeljen na istra\u017eivanjima, ali kao i uvijek \u2013 posavjetujte se sa svojim lije\u010dnikom ili drugim kvalificiranim zdravstvenim djelatnikom u vezi svog zdravlja. Znanje je mo\u0107 \u2013 ali samo kad ste spremni to znanje prihvatiti.<\/b><br><br>ACC je agresivan oblik raka, i medicinska literatura \u010desto navodi da ima op\u0107enito lo\u0161u prognozu. No, vi niste statistika \u2013 va\u0161 na\u010din razmi\u0161ljanja i va\u0161a borbenost su tako\u0111er va\u017eni. Iako je petogodi\u0161nja stopa pre\u017eivljenja niska, ishodi se zna\u010dajno razlikuju ovisno o brojnim individualnim \u010dimbenicima. Svaki slu\u010daj ACC-a je jedinstven, a va\u0161 lije\u010dnik je najbolji izvor informacija koje se ti\u010du upravo vas.<br><br>Svog lije\u010dnika pitajte o ova\u00a0<b>4 klju\u010dna podatka<\/b>\u00a0kako biste bolje razumjeli svoju specifi\u010dnu situaciju i mogu\u0107nosti lije\u010denja:<br><br><b>1. Ishod resekcije<\/b><b>:<\/b><br>Pojam \u201cresekcija\u201d odnosi se na kirur\u0161ko uklanjanje tumora i dijeli se u 4 kategorije:\u00a0<b>R0, R1, R2 i Rx.<\/b>\u00a0Slovo \u201cR\u201d ozna\u010dava\u00a0<i>rezidualni<\/i>\u00a0(preostali) tumor.<br><br><b>&#8211; R0:<\/b>\u00a0Resekcija je potpuna, cijeli tumor je uspje\u0161no uklonjen s \u010distim rubovima.<br><br><b>&#8211; R1:<\/b>\u00a0Resekcija je nepotpuna, preostalo je tumorsko tkivo vidljivo mikroskopom koje se ne mo\u017ee ukloniti.<br><br><b>&#8211; R2:<\/b>\u00a0Resekcija je nepotpuna \u2013 u tijelu je ostalo tumorsko tkivo vidljivo golim okom.<br><br><b>&#8211; Rx:<\/b>\u00a0Status resekcije je nepoznat i nije ga mogu\u0107e odrediti.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-09926a5\" data-id=\"09926a5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cb6da95 elementor-widget elementor-widget-text-editor\" data-id=\"cb6da95\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>2. Weissov zbroj (Weiss Score):<\/strong> Ovaj se rezultat koristi kako bi se tumori nadbubre\u017ene \u017elijezde mogli klasificirati kao dobro\u0107udni ili zlo\u0107udni. Postoji devet kriterija, a prisutnost najmanje tri sugerira zlo\u0107udni potencijal. Ovaj se podatak izra\u010dunava nakon uklanjanja tumora, no te\u0161ko ga je objektivno procijeniti \u2013 lije\u010dnici i istra\u017eiva\u010di isti\u010du nedostatke u ovoj metodi. Ipak, rije\u010d je o va\u017enom pokazatelju te\u017eine bolesti i, kad god je mogu\u0107e, trebao bi biti uklju\u010den u medicinski nalaz nakon operacije.<br><br><strong>3. Ki67 \/ stupanj tumora:<\/strong> Ki67 je proliferacijski indeks koji slu\u017ei kao mjera brzine diobe tumorskih stanica i izra\u017eava se kao postotak (%). Jedan je od najva\u017enijih pokazatelja rizika od povrata bolesti. Visok Ki67 indeks zna\u010di da se stanice brzo dijele, \u0161to mo\u017ee upu\u0107ivati na br\u017ei rast i \u0161irenje raka. Temeljem vrijednosti Ki67 odre\u0111uje se i stupanj tumora:<br><br><b>&#8211; Stupanj 1<\/b>: Ki67 &lt;10%<br><br><b>&#8211; Stupanj 2<\/b>: Ki67 izme\u0111u 10\u201319%<br><br><b>&#8211; Stupanj 3<\/b>: Ki67 \u2265 20%<br><br><strong>4. Stadij raka:\r\n<\/strong><br><br>&#8211; Stadij I: Tumor manji od 5 cm, ograni\u010den na nadbubre\u017enu \u017elijezdu<br><br>&#8211; Stadij II: Tumor ve\u0107i od 5 cm, ali jo\u0161 uvijek unutar nadbubre\u017ene \u017elijezde<br><br>&#8211; Stadij III: Rak se pro\u0161irio na okolna podru\u010dja (donja \u0161uplja vena, bubre\u017ena vena)<br><br>&#8211; Stadij IV: Metastatska bolest (rak se pro\u0161irio na druge dijelove tijela)\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f55eeb elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"0f55eeb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-12b9890\" data-id=\"12b9890\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ab1ca4 elementor-widget elementor-widget-heading\" data-id=\"3ab1ca4\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"kids\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ACC kod djece i adolescenata<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-07e4205 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"07e4205\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-256e4a3\" data-id=\"256e4a3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a77d730 elementor-widget elementor-widget-text-editor\" data-id=\"a77d730\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Dojen\u010dad, djeca i adolescenti nisu samo \u201emali odrasli\u201d!<\/strong>\u00a0Posebne potrebe ove skupine bolesnika zahtijevaju pa\u017enju specijalista pedijatrije. Postoje zna\u010dajne razlike u razvoju i genetskim karakteristikama izme\u0111u tumora u djece i odraslih. Stoga se zaklju\u010dci koji vrijede za adrenokortikalni karcinom u odraslih ne mogu nekriti\u010dki primijeniti na djecu. S obzirom na to da rast tumora koji potje\u010du iz kore nadbubre\u017ene \u017elijezde obi\u010dno napreduje br\u017ee kod mla\u0111ih pacijenata, va\u017ena je uska suradnja pedijatara i tima stru\u010dnjaka koji lije\u010de tumore kod odraslih kako bi pru\u017eili sveobuhvatnu skrb. Tako\u0111er je klju\u010dno da se svaka sumnja na tumor zbrine \u0161to je ranije mogu\u0107e.<br><br>Izraz \u201c<strong>adrenokortikalni tumor (ACT)\u201d<\/strong>\u00a0koristi se u \u0161irem smislu i obuhva\u0107a\u00a0<em>benigne, zlo\u0107udne i grani\u010dne\/predzlo\u0107udne neoplazme<\/em>\u00a0nadbubre\u017ene \u017elijezde. Ovaj pojam uklju\u010duje i zlo\u0107udni oblik poznat kao\u00a0<strong>adrenokortikalni karcinom (ACC).<\/strong><br><br>ACC koji se javlja u dje\u010djoj dobi \u010desto je povezan s genetskim sindromima kod kojih oboljeli imaju genetsku sklonost (predispoziciju) za razvoj raka. U takvim slu\u010dajevima tumori se pojavljuju nasljedno i kod vi\u0161e \u010dlanova obitelji (kao \u0161to je, primjerice, slu\u010daj kod sindroma\u00a0<strong>Li-Fraumeni<\/strong>\u00a0ili\u00a0<strong>Beckwith-Wiedemann<\/strong>). Genetsko testiranje se\u00a0<strong>preporu\u010duje za svu djecu<\/strong>\u00a0kojoj je dijagnosticiran ACC. Ako se potvrdi genetska predispozicija, preporu\u010duje se testiranje \u010dlanova obitelji na odgovaraju\u0107i sindrom. To mo\u017ee pomo\u0107i u ranom otkrivanju i smanjenju rizika redovitim pra\u0107enjem.<br><br>Za razliku od adrenokortikalnog karcinoma u odraslih,\u00a0<strong>gotovo svi ovi tumori u dje\u010djoj dobi proizvode hormone<\/strong>\u00a0(hormonski su aktivni u 80% slu\u010dajeva). Uglavnom se lu\u010de stresni hormon\u00a0<strong>kortizol<\/strong>\u00a0i\u00a0<strong>mu\u0161ki hormonski prekursori<\/strong>. Oko 60% oboljele djece ima simptome hormonskog poreme\u0107aja zbog \u010dega potra\u017ee lije\u010dni\u010dku pomo\u0107. Glavne tegobe uklju\u010duju\u00a0<strong>Cushingov sindrom<\/strong>\u00a0(sa simptomima poput debljanja, visokog krvnog tlaka, promjena na ko\u017ei itd.),\u00a0<strong>preuranjeni pubertet<\/strong>\u00a0ili\u00a0<strong>bolove u trbuhu<\/strong>.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-910f262\" data-id=\"910f262\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50f5f0c elementor-widget elementor-widget-text-editor\" data-id=\"50f5f0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tFaktori koji se op\u0107enito smatraju povoljnima za prognozu kod djece s ACC-om:<br><ul>\r\n \t<li aria-level=\"1\">Dob ispod \u010detiri godine<\/li>\r\n \t<li aria-level=\"1\">Proizvodnja androgenih hormona<\/li>\r\n \t<li aria-level=\"1\">Potpuno uklanjanje tumora (R0 resekcija)<\/li>\r\n \t<li aria-level=\"1\">Nizak stadij tumora<\/li>\r\n \t<li aria-level=\"1\">Niska razina Ki67<\/li>\r\n \t<li aria-level=\"1\">Izostanak udaljenih metastaza<\/li>\r\n<\/ul><br>Ipak,\u00a0<b>svaki slu\u010daj treba razmatrati i procijeniti individualno.<\/b>\u00a0Nijedno dijete nije isto. Budu\u0107i da je ACC u dje\u010djoj dobi vrlo rijedak, stru\u010dnjaci diljem svijeta usko sura\u0111uju, i klini\u010dki i znanstveno. Za dje\u010dje tumore osnovana je\u00a0<b>me\u0111unarodna radna skupina \u201cKIDS\u201d<\/b>\u00a0pri\u00a0<b>ENS@T-PACT<\/b>, koja blisko sura\u0111uje s\u00a0<b>brazilsko-ameri\u010dkom skupinom IC-PACT<\/b>. Na taj na\u010din djeca diljem svijeta mogu imati koristi od medicinskog napretka \u2013 kako bi se bolest jednoga dana mogla izlije\u010diti kod svih.<br><br><a href=\"https:\/\/letscureacc.com\/hr\/kontaktirajte-nas\/\">Kontaktirajte nas<\/a>\u00a0ako \u017eelite da vas pove\u017eemo s jednom od ovih skupina za drugo mi\u0161ljenje u slu\u010dajevima ACT-a kod djece i adolescenata do 21. godine \u017eivota.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-11f20f4 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"11f20f4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2555b1a\" data-id=\"2555b1a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a5cd5f2 elementor-widget elementor-widget-heading\" data-id=\"a5cd5f2\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"resources\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Izvori<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-31512b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"31512b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4b8065b\" data-id=\"4b8065b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1283c8d elementor-widget elementor-widget-text-editor\" data-id=\"1283c8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/6152-adrenocortical-carcinoma\">Adrenocortical Carcinoma<\/a>\u201d by the Cleveland Clinic<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/adrenal-glands\">Adrenal Glands<\/a>\u201d by Johns Hopkins Medicine<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.rogelcancercenter.org\/files\/adrenal-patient-handbook.pdf\">A Patient\u2019s Guide to Adrenocortical Cancer<\/a>\u201d by Rogel Cancer Center &#8211; Michigan Medicine<\/li>\r\n \t<li aria-level=\"1\">\u201c<a href=\"https:\/\/www.mountsinai.org\/health-library\/diseases-conditions\/adrenocortical-carcinoma?_ga=2.107125313.255792733.1627598727-1373815667.1627598727\">Adrenocortical Carcinoma<\/a>\u201d by Mount Sinai<\/li>\r\n \t<li aria-level=\"1\"><a href=\"https:\/\/www.ensat.org\/\">ENSAT<\/a> (European Network for the Study of Adrenal Tumors)<\/li>\r\n<\/ul><br><b>Ako nas \u017eelite podr\u017eati u na\u0161em radu<\/b>, razmislite o tome da postanete\u00a0<a href=\"https:\/\/letscureacc.com\/register\/\">\u010dlan\u00a0<\/a><a href=\"https:\/\/letscureacc.com\/register\/\">na\u0161e organizacije<\/a>\u00a0\u2013 broj \u010dlanova je va\u017ean, i zajedno mo\u017eemo ostvariti stvarnu promjenu u odnosu vlasti prema ACC-u na globalnoj razini!<br><br>Tako\u0111er,\u00a0<b>svaka\u00a0<\/b><a href=\"https:\/\/www.paypal.com\/donate\/?hosted_button_id=JE889STJUBCQA\">donacija<\/a>\u00a0je od velike va\u017enosti i bit \u0107e izuzetno cijenjena jer na\u0161a organizacija\u00a0<b>ne prima nikakvu strukturiranu financijsku podr\u0161ku\u00a0<\/b>i u potpunosti se oslanja na velikodu\u0161nost pojedinaca.<br><br>Zahvaljujemo Ivani Dori Vodanovi\u0107, Darku Ka\u0161telanu i Anji Bara\u010d Neki\u0107 na njihovoj pomo\u0107i i na prijevodu na hrvatski jezik.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d87a43e elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"d87a43e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0a2a22\" data-id=\"f0a2a22\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9b444b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"9b444b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-0ddbbcc\" data-id=\"0ddbbcc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81852c2 elementor-widget elementor-widget-text-editor\" data-id=\"81852c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<em><b>Let\u2019s Cure ACC<\/b>\u00a0<\/em>jedina je\u00a0<b>me\u0111unarodna neprofitna organizacija<\/b>\u00a0koja se\u00a0<b>isklju\u010divo<\/b>\u00a0bavi ACC-om, posve\u0107ena slu\u017eenju cijeloj zajednici povezanoj s ovom bole\u0161\u0107u \u2013 uklju\u010duju\u0107i pacijente, lije\u010dnike svih specijalnosti i istra\u017eiva\u010de. Na\u0161a misija je povezivanje zajednice, pru\u017eanje pouzdanih informacija i psiholo\u0161ke podr\u0161ke pacijentima, podizanje svijesti o ACC-u i olak\u0161avanje pristupa financiranju istra\u017eivanja.<br><br>Radimo na\u00a0<b>volonterskoj osnovi<\/b>, a na\u0161 tim ambasadora sastoji se od pacijenata, istra\u017eiva\u010da i medicinskih stru\u010dnjaka koji govore vi\u0161e jezika kako bi mogli pomo\u0107i vama i svima koji nam se obrate. Ako \u017eelite saznati vi\u0161e o na\u0161em<a href=\"https:\/\/letscureacc.com\/about-our-board-members\/\">\u00a0upravnom odboru<\/a>\u00a0i\u00a0<a href=\"https:\/\/letscureacc.com\/our-ambassadors\/\">ambasadorima<\/a>\u00a0\u2013 i mo\u017eda nam se i pridru\u017eiti \u2013 posjetite na\u0161u stranicu!<br><br><em><strong>Let\u2019s Cure ACC<\/strong> <\/em>vodi\u00a0<b>stru\u010dno\u00a0<\/b><a href=\"https:\/\/letscureacc.com\/medical-advisory-board\/\">Medicinsko savjetodavno vije\u0107e (Medical Advisory Bord, MAB)<\/a>, sastavljeno od vode\u0107ih\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Adrenokortikalni karcinom (ACC), ili karcinom kore nadbubre\u017ene \u017elijezde, rijedak je i agresivan oblik raka, od kojeg obolijeva jedna osoba na milijun. Informacije koje \u0107ete prona\u0107i o njemu mogu djelovati zastra\u0161uju\u0107e \u2013 rije\u010di poput \u201erijedak\u201c, \u201eagresivan\u201c i \u201elo\u0161a prognoza\u201c mogu zvu\u010dati obeshrabruju\u0107e. No, vi niste samo&#8230;<\/p>\n","protected":false},"author":416,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"give_campaign_id":0,"inline_featured_image":false,"footnotes":""},"class_list":["post-9710","page","type-page","status-publish","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/pages\/9710","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/users\/416"}],"replies":[{"embeddable":true,"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/comments?post=9710"}],"version-history":[{"count":1,"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/pages\/9710\/revisions"}],"predecessor-version":[{"id":10080,"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/pages\/9710\/revisions\/10080"}],"wp:attachment":[{"href":"https:\/\/letscureacc.com\/hr\/wp-json\/wp\/v2\/media?parent=9710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}