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Lebermetastasen: Chirurgische Therapie

  • S. Jonas
  • T. Steinmüller
  • P. Neuhaus

Zusammenfassung

Die chirurgische Therapie von Lebermetastasen ist am umfangreichsten für Metastasenkolorektaler Karzinome untersucht worden. Als bislang einzige potenziell kurative Therapieoption stellt die Leberteilresektion heutzutage dasStandardverfahren dar.Lebermetastasen kolorektaler Karzinome geltenhäufig wegen der vergleichsweise hohen Wahrscheinlichkeit eines auf die Leber begrenzten Wachstums als formal kurativresektabel. Umgekehrt spiegelt der metastatische Befall der Leber bei einer Reihe anderer primärer Malignome nur einen Ausschnitt des Spektrums weiterer Absiedelungenin andere Organe wider. Aufgrund der portalvenösen Drainage handelt essich häufig um gastroenteropankreatische Tumoren, deren Prognose dann grundsätzlichals ungünstig angesehen wird. Weitere Ausnahmen hiervon sind neben kolorektalenTumoren vor allem Hypernephrome, Nebennierenkarzinome, gonadale Teratomeund in einer zunehmenden Zahl von Berichten auch Mammakarzinome (Lemmens etal. 1994; Pocard et al. 2000).

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Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • S. Jonas
  • T. Steinmüller
  • P. Neuhaus

There are no affiliations available

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