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Erschienen in: HNO 9/2010

01.09.2010 | CME Weiterbildung · Zertifizierte Fortbildung

Brachytherapie für die Behandlung von Kopf-Hals-Karzinomen

Erschienen in: HNO | Ausgabe 9/2010

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Zusammenfassung

Die Image-Adaptierte Brachytherapie (IABT) ist eine moderne interdisziplinäre Weiterentwicklung der Strahlentherapie, welche die Applikation einer hohen Strahlendosis unter Minderung von schweren Toxizitäten ermöglicht und auf diese Weise die Prognose unserer Patienten verbessern kann. Indikationen im Bereich der Kopf-Hals-Karzinome (HNSCC, „head and neck squamous cell cancer“) finden sich bei Tumoren der Mundhöhle, des Gesichts, der Nasennebenhöhlen, des Naso- und Oropharynx. Zudem ist die IABT auch eine gute Therapieform für die Rezidivsituationen oder Non-in-sano-Resektionen an wichtigen Strukturen, die einen Organerhalt fordern. Die Applikationsform kann alleinig kurativ, adjuvant, perioperativ als Boost zur lokalen Dosisaufsättigung mit und ohne eine externe Strahlentherapie (EBRT, „external beam radiation therapy“) oder aber in palliativer Intention erfolgen. Die erzielten Erfolge ermutigen, die IABT als einen festen Bestandteil in der Therapie von Kopf-Hals-Karzinomen zu etablieren und dadurch die Prognose und Lebensqualität unserer Patienten weiter auszubauen.
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Metadaten
Titel
Brachytherapie für die Behandlung von Kopf-Hals-Karzinomen
Publikationsdatum
01.09.2010
Erschienen in
HNO / Ausgabe 9/2010
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI
https://doi.org/10.1007/s00106-010-2161-3

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