Möglichkeiten der palliativen Therapie des Rektumkarzinoms

作者: J. Stöhlmacher , C. Bokemeyer

DOI: 10.1007/S00761-005-0916-3

关键词:

摘要: Die Moglichkeiten zur Behandlung des fortgeschrittenen rektalen Karzinoms sind in den letzten Jahren spurbar gewachsen. folgende Ubersicht stellt die aktuellen Therapiemodalitaten der palliativen Situation zusammenfassend dar. Fokussiert wird dabei auf chemotherapeutischen Optionen mit Irinotecan, Oxaliplatin und Fluoropyrimidinen sowie Stellenwert sog. Targeted-Therapie. Hierbei finden besondere Berucksichtigung Inhibitor epidermalen Wachstumsfaktor-Rezeptors (EGFR) Cetuximab Prozesse Angiogenese eingreifende Antikorper Bevacizumab. Des Weiteren werden primaren sekundaren Metastasektomie im Gesamtkonzept Bedeutung Strahlentherapie Tumors diskutiert.

参考文章(28)
J. E. Hartley, R. A. Lopez, P. B. Paty, W. D. Wong, A. M. Cohen, J. G. Guillem, Resection of Locally Recurrent Colorectal Cancer in the Presence of Distant Metastases: Can It Be Justified? Annals of Surgical Oncology. ,vol. 10, pp. 227- 233 ,(2003) , 10.1245/ASO.2003.05.039
Jackson Sai-Yiu Wu, Rebecca Wong, Mary Johnston, Andrea Bezjak, Timothy Whelan, Cancer Care Ontario Practice Guidelines Initiative Supportive Care Group, None, Meta-analysis of dose-fractionation radiotherapy trials for the palliation of painful bone metastases International Journal of Radiation Oncology Biology Physics. ,vol. 55, pp. 594- 605 ,(2003) , 10.1016/S0360-3016(02)04147-0
T. Lehnert, H. P. Knaebel, M. Dück, H. Bülzebruck, C. Herfarth, Sequential hepatic and pulmonary resections for metastatic colorectal cancer. British Journal of Surgery. ,vol. 86, pp. 241- 243 ,(2003) , 10.1046/J.1365-2168.1999.01010.X
A. Grothey, K. Jordan, O. Kellner, C. Constantin, G. Dietrich, H. Kroening, L. Mantovani, C. Schlichting, H. Forstbauer, H.J. Schmoll, 295 Capecitabine plus irinotecan (CAPIRI) vs capecitabine plus oxaliplatin (CAPOX) as first-line therapy of advanced colorectal cancer (ACRC): updated results of a randomized phase II trial Ejc Supplements. ,vol. 1, ,(2003) , 10.1016/S1359-6349(03)90328-4
Gerald F. Farnell, Jan C. Buckner, Terrence L. Cascino, Michael J. O'Connell, Paula J. Schomberg, Vera Suman, Brain metastases from colorectal carcinoma. The long term survivors. Cancer. ,vol. 78, pp. 711- 716 ,(1996) , 10.1002/(SICI)1097-0142(19960815)78:4<711::AID-CNCR3>3.0.CO;2-H
C. Pozzo, M. Basso, A. Cassano, M. Quirino, G. Schinzari, N. Trigila, M. Vellone, F. Giuliante, G. Nuzzo, C. Barone, Neoadjuvant treatment of unresectable liver disease with irinotecan and 5-fluorouracil plus folinic acid in colorectal cancer patients Annals of Oncology. ,vol. 15, pp. 933- 939 ,(2004) , 10.1093/ANNONC/MDH217
Daniel T. Ruan, Robert S. Warren, Liver-directed therapies in colorectal cancer Seminars in Oncology. ,vol. 32, pp. 85- 94 ,(2005) , 10.1053/J.SEMINONCOL.2004.09.025
R. Adam, E. Avisar, A. Ariche, S. Giachetti, D. Azoulay, D. Castaing, F. Kunstlinger, F. Levi, F. Bismuth, Five-Year Survival Following Hepatic Resection After Neoadjuvant Therapy for Nonresectable Colorectal [Liver] Metastases Annals of Surgical Oncology. ,vol. 8, pp. 347- 353 ,(2001) , 10.1007/S10434-001-0347-3
Eloy Tejero, Rosa Fernández-Lobato, Antonio Mainar, Carmen Montes, Isabel Pinto, Luis Fernández, Esther Jorge, Ricardo Lozano, Initial results of a new procedure for treatment of malignant obstruction of the left colon Diseases of The Colon & Rectum. ,vol. 40, pp. 432- 436 ,(1997) , 10.1007/BF02258387