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Strahlentherapie im Alter

Welche Besonderheiten sind zu berücksichtigen?

Radiation therapy in the elderly

Which characteristics must be considered?

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Forum Aims and scope

Zusammenfassung

Neben Operation und Chemotherapie stellt die Strahlentherapie eine wichtige Säule in der Tumortherapie dar. Mehr als zwei Drittel aller Krebspatienten werden auch radioonkologisch behandelt. Durch die rasante technologische Entwicklung einerseits und die Kombination von Strahlentherapie mit radiosensibilisierenden Substanzen andererseits hat die Effektivität der Strahlenbehandlung deutlich zugenommen, während die akuten und späten Nebenwirkungen seltener geworden sind. Dennoch zeigen insbesondere ältere Patienten eine gewisse Empfindlichkeit bei Radio- oder Radio-Chemo-Therapie. Im vorliegenden Beitrag werden das breite Spektrum der Indikationen für eine Strahlentherapie bei älteren Patienten und deren Besonderheiten diskutiert.

Abstract

In addition to surgery and chemotherapy, radiation therapy is an important component in the therapy of tumors. More than two thirds of cancer patients receive treated radiation oncology treatment. Due to the rapid technological development and the combination of radiation therapy with radiosensitizing substances, the effectiveness of radiation treatment has greatly increased whereas the acute and delayed side effects have become less frequent. Nevertheless, there is a certain degree of sensitivity to radiotherapy or chemoradiotherapy, especially in elderly patients. In this article the broad spectrum of indications for radiation therapy in elderly patients and their characteristics will be discussed.

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Correspondence to A.-L. Grosu.

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Grosu, AL., Henne, K. Strahlentherapie im Alter. Forum 28, 170–175 (2013). https://doi.org/10.1007/s12312-013-0942-9

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