Interventionelle onkologische Therapieverfahren bei Lebermetastasen des kolorektalen Karzinoms

Zusammenfassung

Interventionelle onkologische Therapiemaßnahmen zur palliativen, symptomatischen, neoadjuvanten sowie auch kurativen Therapie von Lebermetastasen werden vorgestellt, wobei eine Übersicht über die Therapieprinzipien, die Indikationen und die Ergebnisse gegeben wird. Die jeweilige Entscheidung zur Durchführung einer interventionellen onkologischen Therapiemaßnahme muss abgestimmt werden mit der primär onkologischen Gesamtsituation.

Minimal-invasive Therapien zur Behandlung von Tumoren in soliden Organen wie der Leber oder der Lunge basieren auf verschiedenen intravaskulären Techniken wie z. B. der transarteriellen Chemoperfusion (TACP), der transarteriellen Chemoembolisation (TACE) oder auf thermischen Techniken wie der Laser-induzierten Thermotherapie (LITT), der Radiofrequenzablation (RFA), der Mikrowellenablation (MWA) oder der Kryoablation. Hinzu kommen radioaktive Techniken wie die SIRT.

Summary

Interventional oncological therapy strategies for palliative, symptomatic, neoadjuvant as well as curative therapies of liver metastases are introduced by presenting an overview of therapy principles, indications and results. The decision for performing the respective interventional oncological treatment should be based on the general oncological condition of the patient.

Minimal invasive therapies for treating tumors of solid organs such as liver or lung are based on different intravascular techniques such as transarterial chemoperfusion (TACP), transarterial chemoembolization (TACE) or on thermal techniques such as laser-induced thermotherapy (LITT), radiofrequency ablation (RFA), microwave ablation (MWA), or cryoablation. In addition, there are radioactive techniques such as selective internal radiation therapy (SIRT).

Schlüsselwörter

Lebermetastasen - minimal-invasive Therapie - lokale Ablation - transarterielle Chemoembolisation

Keywords

liver metastases - minimal-invasive therapy - local ablation - transarterial chemoembolization

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