Therapeutische Strategien bei lokoregionalen Rezidiven gastrointestinaler Tumoren
作者： J. R. Siewert , F. Lordick , K. Ott , B. L. D. M. Brücher , R. Rosenberg
DOI: 10.1007/S00104-006-1163-X
关键词:
摘要: Lokoregionale Rezidive stellen ein relevantes Problem in der chirurgischen Onkologie dar. Intraluminale Lokalrezidive sind vielen Fallen Ausdruck einer unzureichenden Primarresektion, die mit nicht ausreichenden Sicherheitsabstanden durchgefuhrt wurde. Die Nachresektion stellt, wann immer moglich, das Therapieverfahren Wahl Das Auftreten eines Rezidivs im Tumorbett ist nach optimaler primarer Resektion bereits primar lokal weit fortgeschrittenen Erkrankung. Indikation zur hier sehr kritisch abzuwagen. Aussicht auf langerfristige Tumorkontrolle besteht nur, wenn Zweitresektion residualtumorfrei werden kann und sie sinnvoll multimodales Behandlungskonzept eingebettet ist. Fur Bereich Lymphabstrombahn, sog. 4. Dimension, Regel keine zweite kurative Behandlungsoption.
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