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Erschienen in: HNO 8/2015

01.08.2015 | CME

Maligne Melanome im Kopf-Hals-Bereich

Teil 2: Therapie

verfasst von: Prof. Dr. C. Pföhler, T. Vogt, C.S.L. Müller

Erschienen in: HNO | Ausgabe 8/2015

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Zusammenfassung

Die Exzision maligner Melanome muss im Kopf-Hals-Bereich insbesondere im Hinblick auf die notwendigen Sicherheitsabstände oft an die anatomischen Gegebenheiten angepasst werden. Bei Vorliegen dickerer Primärtumoren bzw. nach vollständiger Entfernung etwaiger lokoregionärer Lymphknotenmetastasen kann eine adjuvante Therapie mit Interferon-α durchgeführt werden, ggf. ist auch eine adjuvante Strahlentherapie indiziert. Sofern eine inoperable Lymphknoten- oder Fernmetastasierung aufgetreten ist, besteht die Notwendigkeit zur systemischen Therapie. Hierfür stehen neben den etablierten Mono- und Polychemotherapien bei Vorhandensein spezifischer Mutationen im Tumorgewebe auch zielgerichtete Therapien mit z. B. BRAF-Inhibitoren (Vemurafenib, Dabrafenib), Mitogen-aktivierte Proteinkinasen (MEK)-Inhibitoren (Trametinib, Binimetinib und Cobimetinib) und Kinaseinhibitoren (Imatinib, Sunitinib, Nilotinib, Dasatinib) zur Verfügung.
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Metadaten
Titel
Maligne Melanome im Kopf-Hals-Bereich
Teil 2: Therapie
verfasst von
Prof. Dr. C. Pföhler
T. Vogt
C.S.L. Müller
Publikationsdatum
01.08.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
HNO / Ausgabe 8/2015
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI
https://doi.org/10.1007/s00106-015-0034-5

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