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Erschienen in: Die Gastroenterologie 1/2023

04.01.2023 | Photodynamische Therapie | Schwerpunkt

Endoskopisch gesteuerte Diagnostik und Therapie von Cholangiokarzinomen

verfasst von: Prof. Dr. med. Ulrike Denzer, Prof. Dr. med. Alexander Dechêne

Erschienen in: Die Gastroenterologie | Ausgabe 1/2023

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Zusammenfassung

Cholangiokarzinome sind insgesamt seltene gastrointestinale Tumoren, die nur in der Minderzahl kurativ behandelbar sind. Klassifiziert werden sie nach extra- oder intrahepatischer Position, wobei Symptome eher spät im Krankheitsverlauf auftreten. Zur Art- und Ausbreitungsdiagnostik sind neben Schnittbild-radiologischen Verfahren insbesondere endoskopische Methoden entscheidend, wobei zur Festlegung von Art und Stadium des Tumors häufig ein Mosaik verschiedener Verfahren zusammengesetzt werden muss. Die Gewebegewinnung aus Cholangiokarzinomen ist aufgrund der meist hypozellulären Tumoren herausfordernd. Im (häufigen) Fall einer palliativen Behandlung kommen neben der Systemtherapie verschiedene lokaltherapeutische Verfahren zum Einsatz, die einen positiven Einfluss auf das Überleben selektionierter Patienten haben.
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Metadaten
Titel
Endoskopisch gesteuerte Diagnostik und Therapie von Cholangiokarzinomen
verfasst von
Prof. Dr. med. Ulrike Denzer
Prof. Dr. med. Alexander Dechêne
Publikationsdatum
04.01.2023
Verlag
Springer Medizin
Erschienen in
Die Gastroenterologie / Ausgabe 1/2023
Print ISSN: 2731-7420
Elektronische ISSN: 2731-7439
DOI
https://doi.org/10.1007/s11377-022-00667-y

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