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Erschienen in: InFo Hämatologie + Onkologie 6/2019

13.06.2019 | Harnblasenkarzinom | Schwerpunkt

Schwerpunkt Urothelkarzinom

Perioperative Systemtherapie des muskelinvasiven Harnblasenkarzinoms

verfasst von: Dr. med. Christoph Oing, Gunhild von Amsberg, Carsten Bokemeyer, Stefanie Fischer

Erschienen in: InFo Hämatologie + Onkologie | Ausgabe 6/2019

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Zusammenfassung

Die radikale Zystektomie ist Goldstandard in der Behandlung des muskelinvasiven Harnblasen-karzinoms, jedoch erleiden 50 % der Patienten ein Rezidiv. Eine neoadjuvante Cisplatin-basierte Chemotherapie verbessert das Überleben signifikant, bleibt jedoch weiterhin vielen Patienten vorenthalten. Die Evidenz für die häufiger eingesetzte adjuvante Chemotherapie ist schwächer, aber auch hier scheint ein Überlebensvorteil gegeben. Für Cisplatin-ungeeignete Patienten gab es bislang keine Empfehlung zur perioperativen Systemtherapie. Neue Substanzen, inbesondere Checkpointinhibitoren, eröffnen zukünftig auch in dieser Situation perioperative Therapie-optionen.
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Metadaten
Titel
Schwerpunkt Urothelkarzinom
Perioperative Systemtherapie des muskelinvasiven Harnblasenkarzinoms
verfasst von
Dr. med. Christoph Oing
Gunhild von Amsberg
Carsten Bokemeyer
Stefanie Fischer
Publikationsdatum
13.06.2019
Verlag
Springer Medizin
Erschienen in
InFo Hämatologie + Onkologie / Ausgabe 6/2019
Print ISSN: 2662-1754
Elektronische ISSN: 2662-1762
DOI
https://doi.org/10.1007/s15004-019-6551-8

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