Analkarzinom View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018

AUTHORS

U. Bork , J. Weitz

ABSTRACT

Die Behandlung des Analkarzinoms wird in der Regel durch eine definitive Radiochemotherapie durchgeführt. Die früher übliche primäre Operation mittels abdominoperinealer Resektion (APR) und permanenter Kolostomie wird heute nicht mehr als primäre Standardtherapie empfohlen. Eine Ausnahme bilden gut differenzierte T1–2,N0-Analrandkarzinome, welche mittels lokaler Exzision mit ausreichendem Sicherheitsabstand behandelt werden. Bei ausbleibender vollständiger Remission nach Radiochemotherapie, fehlender Strahlenreserve nach vorangegangener Radiotherapie im Becken oder bei Rezidiven werden die Patienten einer Salvage-Operation, in der Regel mittels abdominoperinealer Resektion oder Beckenexenteration, zugeführt. Die Gesamtprognose des Analkarzinoms ist gut mit 5-Jahres-Überlebensraten zwischen 60 und 80 %. Hauptrisikofaktor für das Entstehen eines Analkarzinoms ist die Infektion mit humanen Papilloma-Viren (HPV). More... »

PAGES

253-268

Book

TITLE

Evidenzbasierte Viszeralchirurgie maligner Erkrankungen

ISBN

978-3-662-56532-2
978-3-662-56533-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-662-56533-9_12

DOI

http://dx.doi.org/10.1007/978-3-662-56533-9_12

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106158355


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