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Strahlentherapeutische Behandlung von Knochenmetastasen bei Tumorschmerzen

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Praktische Schmerzmedizin

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Zusammenfassung

Die perkutane Strahlentherapie ist eine wirksame Maßnahme zur Reduktion der lokalen inflammatorischen Reaktion sowie zur Inaktivierung proliferativer Eigenschaften des Tumors. Daher verfügt sie über eine messbare Effektivität bei Schmerzen, die durch Knochenmetastasen hervorgerufen werden. Knochenmetastasen entstehen durch hämatogene Tumorzelldissemination in das Knochenmark und sind eigentlich Metastasen des Knochenmarks. Die dort wachsenden Tumorzellen können die Skelett- und Kalziumhomöostase stören und sekundäre Knochenveränderungen hervorrufen, die als Tumorosteopathien bezeichnet werden.

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Author information

Authors and Affiliations

  1. Klinik für Strahlentherapie u. Radio-Onkologie Marienhospital Herne, Ruhr-Universität Bochum, Herne, Deutschland

    Irenäus A. Adamietz

  2. Klinik u. Poliklinik für Radioonkologie/Strahlentherapie, Johannes-Gutenberg-Universität Mainz, Mainz, Deutschland

    Heinz Schmidberger

Authors
  1. Irenäus A. Adamietz
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  2. Heinz Schmidberger
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Corresponding author

Correspondence to Irenäus A. Adamietz .

Editor information

Editors and Affiliations

  1. Klinik für Neurologie, Neurozentrum, Universitätsklinikum Kiel, Kiel, Germany

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Germany

    Wolfgang Koppert

  3. Göttingen, Germany

    Michael Strumpf

  4. Schmerzmedizin, Universitätsmedizin Göttingen, Göttingen, Germany

    Anne Willweber-Strumpf

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Adamietz, I.A., Schmidberger, H. (2019). Strahlentherapeutische Behandlung von Knochenmetastasen bei Tumorschmerzen. In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57487-4_17

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  • DOI: https://doi.org/10.1007/978-3-662-57487-4_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57486-7

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