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Erschienen in: Die Urologie 10/2008

01.10.2008 | Leitthema

Der Stellenwert der Tageted-Therapie beim Peniskarzinom

verfasst von: Prof. Dr. A. Heidenreich, D. Thüer, D. Pfister

Erschienen in: Die Urologie | Ausgabe 10/2008

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Zusammenfassung

Das Peniskarzinom ist in Westeuropa mit einer Inzidenz von 0,1–0,9/100.000 Männer/Jahr ein seltener maligner Tumor des Urogenitaltrakts. Zum Zeitpunkt der Erstdiagnose weisen bis zu 45% der Patienten Lymphknoten- und/oder systemische Metastasen auf, die einer weitergehenden systemischen Therapie bedürfen. Die Behandlungsergebnisse der Systemtherapie des metastasierten Peniskarzinoms sind bei einer Remissionsrate von ca. 30% und einer 3-Jahres-Überlebensrate von <10% deprimierend gering. Die Identifikation geeigneter „Targets“ zur Etablierung molekular getriggerter Therapieansätze könnte dazu beitragen, die ungünstige Prognose der Patienten zu verbessern.
Zielsetzung der vorliegenden Arbeit ist es, mögliche molekulare „Targets“ zu identifizieren und Therapieansätze aufzuzeigen. Basierend auf den molekularen Grundlagen der Metastasierung erscheinen beim Peniskarzinom die Addition von Bevacizumab oder COX-2-Inhibitoren zur Standardtherapie Erfolg versprechend. Aktuelle klinische Studien zur Targeted-Therapie sind nicht existent, sollten in Form überregionaler Netzwerkstrukturen realisiert werden.
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Metadaten
Titel
Der Stellenwert der Tageted-Therapie beim Peniskarzinom
verfasst von
Prof. Dr. A. Heidenreich
D. Thüer
D. Pfister
Publikationsdatum
01.10.2008
Verlag
Springer-Verlag
Erschienen in
Die Urologie / Ausgabe 10/2008
Print ISSN: 2731-7064
Elektronische ISSN: 2731-7072
DOI
https://doi.org/10.1007/s00120-008-1749-7

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