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Bronchialkarzinom

Chirurgische Diagnostik

Bronchial cancer

Surgical diagnostics

  • Leitthema
  • Published:
Der Pneumologe Aims and scope

Zusammenfassung

Neue Ansätze zur Behandlung des nichtkleinzelligen Bronchialkarzinoms außerhalb von Chemotherapie, Strahlentherapie und Operation sind momentan nicht zu erwarten. Für die Verfahrenwahl ist das exakte prätherapeutische Staging der entscheidende Faktor. Eines seiner wesentlichen Ziele ist die Unterscheidung zwischen potenziell resezierbaren und nichtresezierbaren Tumoren. Die chirurgisch-diagnostischen Verfahren [Mediastinoskopie, videoassistierte Thorakoskopie (VATS), offen-chirurgisch Verfahren] sind für die T-, N- und M-Stadien etabliert. Eingebunden in einen sinnvollen Algorithmus vervollständigen sie die radiologischen und neueren, mit endoluminalem Ultraschall ergänzten, endoskopischen Untersuchungsverfahren für ein möglichst exaktes prätherapeutisches Tumorstaging.

Abstract

In the absence of any substantial new breakthroughs in the treatment of lung cancer, precise tumour staging becomes the most important single treatment factor in each case. Staging lung cancer determines the extent of disease and stratifies patients into similar therapeutic and prognostic categories. One of the primary goals of staging is to separate patients with potential resectable disease from those with diseases that are unresectable. Therefore, surgical diagnostic tools [different methods of mediastinoscopy, video-assisted thoracic surgery (VATS) and open approaches] are established for every part of the TNM classification. Integrated in a diagnostic algorithm surgical methods complete the different radiological and the newer endoscopic techniques for the most doable exact pretherapeutic tumour stage.

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  1. Klinik für Thoraxchirurgie, Lungenzentrum, Klinikum Bremen-Ost

    E. Hecker

  2. Klinik für Thoraxchirurgie, Lungenzentrum, Klinikum Bremen-Ost, Züricher Straße 40, 28235 , Bremen

    E. Hecker

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Correspondence to E. Hecker.

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Hecker, E. Bronchialkarzinom. Pneumologe 2, 92–101 (2005). https://doi.org/10.1007/s10405-005-0035-2

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  • DOI: https://doi.org/10.1007/s10405-005-0035-2

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