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Chirurgische Therapie von Lungenmetastasen

  • Living reference work entry
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Kompendium Internistische Onkologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die pulmonale Metastasektomie ist im onkologischen Alltag etabliert. Die Indikation zu diesem Lokalverfahren wird individuell und interdisziplinär anhand von Prognosefaktoren gestellt. In Abhängigkeit der Tumorentität und der systemtherapeutischen Alternativen existieren variable Therapiekonzepte. Unabhängig vom Lebensalter ist sie mit geringer Morbidität, Mortalität und gutem Langzeitüberleben möglich. Zur vollständigen Metastasektomie gehören die Resektion aller Parenchymmetastasen und die systematische Lymphknotendissektion. Ziele sind ein längeres Überleben bis hin zur Kuration oder eine verdiente Systemtherapiepause für den Patienten. Durch die Kombination aus Resektion und Systemtherapie können Patienten langfristig profitieren. Zur Weiterentwicklung dieses Ansatzes bedarf es neuer Erkenntnisse in Tumorbiologie und Genetik von Primarius, Metastase und Rezidivmetastase. Der Fortschritt dieses onkologischen Therapiekonzepts wird hierdurch erreicht werden.

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  1. Klinik für Thoraxchirurgie, Agaplesion Markus Krankenhaus, Frankfurt, Deutschland

    Stefan Sponholz & Moritz Schirren

  2. Chefarzt/Facharzt für Innere Medizin Hämatologie und Onkologie Sozialmedizin, Dr. Ebel Fachkliniken GmbH & Co. Klinik Reinhardshöhe GmbH, Bad Wildungen, Deutschland

    Oliver Rick

  3. Chefarzt der Klinik für Thoraxchirurgie, LungenClinic Grosshansdorf GmbH, Großhansdorf, Deutschland

    Christian Kugler

  4. Leiter der Thoraxchirurgie, Campus Virchow-Klinikum, Charité – Universitätsmedizin Berlin, Berlin, Deutschland

    Jens Neudecker

  5. Direktor der Klinik für Thoraxchirurgie, Agaplesion Markus Krankenhaus, Frankfurt, Deutschland

    Joachim Schirren

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Sponholz, S., Schirren, M., Rick, O., Kugler, C., Neudecker, J., Schirren, J. (2022). Chirurgische Therapie von Lungenmetastasen. In: Schmoll, HJ. (eds) Kompendium Internistische Onkologie . Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46764-0_194-1

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