Der Gynäkologe

, Volume 43, Issue 12, pp 989–995 | Cite as

Strahlentherapie nach brusterhaltender Therapie

Für die ältere Patientin obsolet?
Leitthema

Zusammenfassung

Die steigende Lebenserwartung stellt die Frage nach der besten Behandlungsform für ältere Brustkrebspatientinnen im Frühstadium nach brusterhaltender Operation. Im generellen Therapiekonzept des Brusterhalts nehmen die adjuvante Strahlentherapie seit über 20 Jahren und die antihormonelle Therapie einen festen Platz ein. Die Veröffentlichung der Studie von Hughes et al. auf dem ASCO-Kongress 2010 stellt die Notwendigkeit der etablierten adjuvanten Strahlentherapie bei der älteren Patientin infrage. Durch Vergleich verschiedener Untersuchungen soll versucht werden, Lösungsansätze für die Indikationsstellung zur adjuvanten Strahlentherapie zu ermöglichen. Dabei muss beachtet werden, dass es eine allgemein gültige Methode auch hier nicht gibt.

Schlüsselwörter

Mammakarzinom Geriatrie Strahlentherapie Intraoperative Strahlentherapie Akzelerierte partielle Brustbestrahlung (ABPI) Hormontherapie 

Radiotherapy after breast preserving therapy

Is it obsolete for elderly patients?

Abstract

The increase in life expectancy generates the question for the most suitable therapy concept in the setting of breast preserving therapy for early breast cancer in elderly patients. In general adjuvant radiotherapy of the remaining breast and thoracic wall and anti-hormonal therapy are established and approved concepts also in the treatment of elderly women. The recent publication by Hughes et al. at the annual ASCO meeting 2010 challenged the question of the necessity of adjuvant radiotherapy in the case of early breast cancer in elderly women. By a comparison of data from the literature this paper tries to find suitable approaches to the assessment of the indications for adjuvant radiotherapy. However, it has to be taken into account that there is no generally acceptable answer to the problem.

Keywords

Breast cancer Geriatrics Radiotherapy Intraoperative radiation therapy Accelerated partial breast irradiation  Hormonal therapy 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • B. Ataseven
    • 1
  • W. Eiermann
    • 1
  • M. Molls
    • 2
  • S. Pigorsch
    • 2
  1. 1.EUSOMA-BrustzentrumFrauenklinik, Rotkreuzklinikum MünchenMünchenDeutschland
  2. 2.Klinik und Poliklinik für Strahlentherapie und Radiologische OnkologieKlinikum rechts der Isar, Technische Universität MünchenMünchenDeutschland

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