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Minimal-invasive Techniken zur Behandlung metastasierter Karzinome

Minimally invasive techniques for treatment of metastatic cancer

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Zusammenfassung

Zur Behandlung krebsbedingter Knochenmetastasen werden viele perkutane bildgeführte ablative Techniken eingesetzt. Sie werden in der palliativen und kurativen Therapie sowohl bei gutartigem als auch bei malignem Knochenkrebs immer wichtiger.

Dieser Artikel fasst die Prinzipien der Radiofrequenzablation und unsere Erfahrungen damit kurz zusammen. Dabei geht es auch um ihren Einsatz in Verbindung mit operativen Techniken. Weitere minimal-invasive Techniken wie Kryoablation und Osteoplastik zur Behandlung von Knochenmetastasen werden vorgestellt.

Abstract

Many percutaneous image-guided ablative techniques have been used in the treatment of cancer-related bone metastases. These techniques are rapidly becoming a focus in the palliative and curative treatment of patients with both benign and malignant bone cancer.

In this article we will briefly review the principles of radiofrequency ablation and our experience with this technique, including its use in combination with surgery; we will also discuss other minimally invasive techniques such as cryoablation and osteoplasty in the treatment of bone metastases.

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Authors and Affiliations

  1. Division of Orthopaedic Oncology and Reconstructive Surgery, Centro Traumatologico Ortopedico, Azienda Ospedaliera-Universitaria Careggi, Largo Palagi 1, I-50139, Florenz, Italien

    R. Capanna, P. De Biase & L. Sensi

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  1. R. Capanna
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  2. P. De Biase
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  3. L. Sensi
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Correspondence to R. Capanna.

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Capanna, R., De Biase, P. & Sensi, L. Minimal-invasive Techniken zur Behandlung metastasierter Karzinome. Orthopäde 38, 343–347 (2009). https://doi.org/10.1007/s00132-008-1378-2

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  • DOI: https://doi.org/10.1007/s00132-008-1378-2

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