Tumoren van lever, galwegen en pancreas View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2011

AUTHORS

T. M. van Gulik , D. J. Richel , D. J. Gouma

ABSTRACT

De lever en intrahepatische galwegen vormen een anatomische eenheid. De extrahepatische galwegen, met name de d. choledochus, verloopt door de kop van het pancreas en komt in de papil van Vater uit in het duodenum (fig. 19.1). Deze anatomische verhoudingen maken dat aandoeningen in lever, galwegen en pancreas veel met elkaar gemeen hebben. Maligne tumoren in deze organen, ook wel het hepato-pancreato-biliaire (HPB-)gebied genoemd, vormen een belangrijk deel van de maligne tumoren van de tractus digestivus. Ook op het gebied van symptomatologie (obstructie-icterus!), diagnostiek, en behandeling tonen deze maligniteiten veel overeenkomsten. De diagnostiek en behandeling van deze tumoren is bij voorkeur in handen van een multidisciplinair, specialistisch team waarin ervaren radiologen, maag-darm-leverartsen, medisch-oncologen en chirurgen nauw met elkaar samenwerken. Deze multidisciplinaire aanpak, die meestal alleen in gespecialiseerde centra kan worden aangeboden, heeft er in het afgelopen decennium toe bijgedragen dat de mogelijkheden voor behandeling van deze patiënten, hetzij in curatieve of palliatieve zin, aanzienlijk zijn verbeterd. More... »

PAGES

361-374

Book

TITLE

Oncologie

ISBN

978-90-313-6231-8
978-90-313-8476-1

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-90-313-8476-1_19

DOI

http://dx.doi.org/10.1007/978-90-313-8476-1_19

DIMENSIONS

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