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Innovationen der gynäkologischen Onkologie

Blick in die Klinik

Innovations in gynecological oncology

View of clinical aspects

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Der Gynäkologe Aims and scope

Zusammenfassung

„Innovation“ bedeutet wörtlich „Neuerung“ oder „Erneuerung“. Die gynäkologische Onkologie durfte in den letzten Jahren nicht nur Zeuge, sondern v. a. Motor einer Vielzahl von Innovationen sein, die von der Primärprävention, wie der Humanen-Papillomvirus(HPV)-Vakzinierung, bis hin zu bislang ungeahnten Langzeitremissionen durch die zielgerichtete Therapie des metastasierten Mammakarzinom reicht. Solche Entwicklungen kritisch zu begleiten und aktiv mitzugestalten, ist einer der besten Garanten für die erfolgreiche Positionierung und Zukunftssicherung des Faches. In diesem Beitrag werden exemplarisch 4 Beispiele genannt, die demonstrieren sollen, dass die Gynäkologie in der Lage ist, Neuerungen des medizinischen Fortschritts aktiv zu gestalten und international Akzente zu setzen, aber auch durch die notwendige kritische Auseinandersetzung mit den neuen Methoden bislang erzielte Therapieergebnisse nicht in Gefahr zu bringen. Gerade in der interdisziplinären Zusammenarbeit liegt eine wesentliche Chance für die Gynäkologie, eine führende Rolle als Innovationsmotor einzunehmen.

Abstract

“Innovation” literally means “improvement” or “renewal”. In recent years gynecological oncology was witness to a multitude of innovations which ranged from primary prevention, such as human papillomavirus (PV) vaccination, to previously unimagined long-term remission by targeted therapy of metastasized breast cancer. One of the best guarantees for successful positioning and securing the future of this discipline is to critically accompany and actively participate in such developments. In this article four examples are named to demonstrate that gynecology has the ability to actively participate in innovations in medical progress and to set international accents but by the critical appraisal of the new methods not to endanger previously achieved therapy results. Especially in interdisciplinary cooperation gynecology has a major chance to play a leading role as a driver of innovation.

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Danksagung

Die Autoren bedanken sich bei Prof. Dr. F. Kainer und Prof. Dr. J. Krüssel für deren Einschätzungen zu zukünftigen Innovationen in den Bereichen Geburts- und Reproduktionsmedizin.

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Correspondence to W. Janni.

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Janni, W., Fleisch, M., Huober, J. et al. Innovationen der gynäkologischen Onkologie. Gynäkologe 45, 669–677 (2012). https://doi.org/10.1007/s00129-012-2962-4

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