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Bronchuskarzinom: Strahlentherapie

  • H.-P. Heilmann
Conference paper
Part of the Langenbecks Archiv für Chirurgie Gegründet 1860 Kongreßorgan der Deutschen Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1990)

Zusammenfassung

Eine routinemäßige adjuvante postoperative Bestrahlung radikal operierter nicht-kleinzelliger Bronchuskarzinome verbesserte in allen bisherigen Studien die Überlebensraten trotz Verringerung der Lokalrezidivrate nicht, wahrscheinlich aufgrund von strahlenbedingten Komplikationen. Bei Verbesserung der Bestrahlungstechnik, Reduzierung der Dosis und Beschränkung der Bestrahlung auf Fälle mit hohem Risiko (N2, T4) lassen sich in dieser prognostisch ungünstigen Gruppe 5-Jahres-Überlebensraten von knapp 20% erzielen, wie in 191 Fällen dargestellt werden konnte.

Schlüsselwörter

Ca Strahlentherapie postoperative Bestrahlung Risikofälle 

Lung Cancer: Radiotherapy

Summary

Postoperative radiotherapy as a routine procedure has failed to show any benefit in prospective randomized studies. Local failure was diminished, but survival rates remained unchanged, probably because of radiation complications. By improvement of radiation techniques, however, reduction of single doses and total dose and focusing postoperative irradiation of lung cancer to high risk cases (N2, T4) survival rates with postoperative irradiation are about 20% after 5 years. The results of 191 treated patients are demonstrated.

Key words

Lung cancer Radiotherapy Postoperative irradiation High risk cases 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • H.-P. Heilmann
    • 1
  1. 1.AK St. GeorgHermann-Holthusen-Institut für StrahlentherapieHamburgDeutschland

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