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Erschienen in: Die Pathologie 5/2023

05.06.2023 | Kolonkarzinom | Schwerpunkt: Kolorektales Karzinom - die Rolle der Pathologie

Molekularpathologie kolorektaler Karzinome

verfasst von: Christine Woischke, Marlies Michl, Prof. Dr. med. Dr. med. univ. Jens Neumann

Erschienen in: Die Pathologie | Ausgabe 5/2023

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Zusammenfassung

Die Therapie des kolorektalen Karzinoms hat in den letzten Jahren eine zunehmende Individualisierung erfahren. Neben dem bereits fest in der Routinediagnostik etablierten RAS- und BRAF-Mutationsstatus ergeben sich für Patienten abhängig vom MSI- und HER2-Status sowie der Tumorlokalisation neue therapeutische Optionen. Die zunehmende Individualisierung erfordert neue evidenzbasierte Entscheidungsalgorithmen für Zeitpunkt und Umfang der molekularpathologischen Diagnostik, um für die Patient*innen eine optimierte und leitlinienkonforme Therapie zu ermöglichen. Neue zielgerichtete Therapien, die zum Teil kurz vor der Zulassung stehen und für die die Pathologie neue molekularpathologische Biomarker anbieten muss, werden zudem in Zukunft eine immer wichtigere Rolle spielen.
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Metadaten
Titel
Molekularpathologie kolorektaler Karzinome
verfasst von
Christine Woischke
Marlies Michl
Prof. Dr. med. Dr. med. univ. Jens Neumann
Publikationsdatum
05.06.2023
Verlag
Springer Medizin
Erschienen in
Die Pathologie / Ausgabe 5/2023
Print ISSN: 2731-7188
Elektronische ISSN: 2731-7196
DOI
https://doi.org/10.1007/s00292-023-01201-9

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GI-Tumore und die Rolle von Angiogenesehemmern

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Entdecken Sie mit praxisrelevanten Patientenfällen, kompakten Studieninhalten, informativen Experteninterviews und weiteren spannenden Inhalten, wie Sie den vielseitigen Herausforderungen bei GI-Tumoren begegnen können. Hier erfahren Sie mehr! PP-RB-DE-2009

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Bei Immuntherapien das erhöhte Thromboserisiko beachten

Unter modernen Systemtherapien versechsfacht sich das VTE-Risiko. Warum diese Daten relevant für die Behandlung krebsassoziierter Thrombosen sind, erläutert Prof. F. Langer im Interview. So kann es durch Immuntherapien zu inflammatorischen Syndromen z.B. im GI-Trakt kommen. Nebenwirkungen wie Durchfall oder Mukositis haben dann Einfluss auf die Wirksamkeit oraler Antikoagulantien. Aber auch in punkto Blutungsrisiko ist Vorsicht geboten. Wann hier bevorzugt NMH eingesetzt werden sollten, erläutert Prof. Langer im Interview.

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CAT-Management ist ganz einfach – oder doch nicht?

Krebsassoziierte venöse Thromboembolien (CAT) haben in den vergangenen Jahren stetig zugenommen. Was hat der Anstieg mit modernen Antitumortherapien zu tun? Venöse Thromboembolien sind relevante Morbiditäts- und Mortalitätsfaktoren in der Onkologie. Besonders hoch sind die Risiken bei Tumoren des Abdominalraums. Eine antithrombotische Primärprophylaxe ist daher gerade bei gastrointestinalen (GI-) Tumoren auch im ambulanten Setting wichtig.

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Management von Thromboembolien bei Krebspatienten

Die Thromboembolie ist neben Infektionen die zweithäufigste Todesursache bei Krebspatienten. Die Behandlung der CAT (cancer associated thrombosis) ist komplex und orientiert sich am individuellen Patienten. Angesichts einer Vielzahl zur Verfügung stehender medikamentöser Behandlungsoptionen finden Sie hier Video-Experteninterviews, Sonderpublikationen und aktuelle Behandlungsalgorithmen zur Therapieentscheidung auf Basis von Expertenempfehlungen.

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