Primäre Lebertumoren

Silvio Nadalin; Alfred Königsrainer; Ivan Capobianco; Nisar P. Malek; Ruben R. Plentz

doi:10.1055/s-0042-106699

Interventionelle Radiologie Scan, Inhaltsverzeichnis

Interventionelle Radiologie Scan 2016; 04(02): 159-171
DOI: 10.1055/s-0042-106699

Fortbildung

Primäre Lebertumoren^[*]

Therapiestrategien beim Cholangiokarzinom und hepatozellulären Karzinom

Silvio Nadalin

,

Alfred Königsrainer

,

Ivan Capobianco

,

Nisar P. Malek

,

Ruben R. Plentz

Abstract

Zusammenfassung

Zu den primären Tumoren der Leber gehören das Cholangiokarzinom (CCA) und das hepatozelluläre Karzinom (HCC). Beide Tumorarten sind in Deutschland zunehmend verbreitet und daher aus chirurgischer sowie gastroonkologischer Sicht sehr bedeutsam. Nur unter Berücksichtigung der anatomischen Gegebenheiten sowie Tumor-Scores, einschließlich Berücksichtigung der Leberfunktion, gelingt es, für den Patienten eine individuelle Therapie festzulegen. Die Herausforderung dabei ist, stets Patienten mit dem gewählten Vorgehen nicht zu schaden, sondern wenn möglich eine kurative Therapie zu ermöglichen. Die chirurgische Resektion bzw. Lebertransplantation (LT) bleiben derzeit aber sowohl beim CCA als auch beim HCC die einzigen kurativen Optionen. Beim inoperablen CCA oder HCC sind neben der klassischen Chemotherapie auch lokoregionäre Therapien in unterschiedlichem Ausmaß einsetzbar und nehmen an Häufigkeit zu.

Volltext

Referenzen

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Primäre Lebertumoren[*]

Primäre Lebertumoren^[*]