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Zentralbl Gynakol 2005; 127(2): 71-75
DOI: 10.1055/s-2005-836356
Übersicht

© Georg Thieme Verlag Stuttgart · New York

Behandlung von zerebralen Metastasen beim Mammakarzinom

Treatment of Breast Cancer Patients with Brain MetastasesM. Friedrich1 , M. Löning1 , A. Schultze-Mosgau1 , D. Diesing1 , N. Fersis2 , S. D. Costa3 , P. Dall4
  • 1Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
  • 2Klinik für Frauenheilkunde und Geburtshilfe mit Poliklinik des Universitätsklinikums Heidelberg
  • 3Universitäts-Frauenklinik der Otto von Guericke Universität zu Magdeburg
  • 4Universitäts-Frauenklinik der Heinrich Heine Universität Düsseldorf
Further Information

Publication History

Publication Date:
30 March 2005 (online)

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Zusammenfassung

Die Behandlung von Mammakarzinompatientinnen mit Hirnmetastasen stellt eine interdisziplinäre Herausforderung dar. Sie erfordert eine differenzierte Indikationsstellung unter Berücksichtigung der therapeutischen Optionen. In Abhängigkeit der individuellen prognostischen Faktoren sollten strahlentherapeutische, operative und onkologische Modalitäten zum Einsatz kommen. Bei multiplen Hirnmetastasen ist die Ganzhirnbestrahlung und bei singulären oder solitären Hirnmetastasen die operative Metastasenentfernung mit nachfolgender Ganzhirnbestrahlung als etablierter Standard zu sehen.

Abstract

Treatment of patients with brain metastases is based on an interdisciplinary approach. It is essential to perform a differenziated indication for procedures with consideration of all therapeutical options like modalities of radiotherapy, surgery and oncology. In the case of multiple brain metastases the whole brain radiotherapy is the standard of treatment, while in case of a single or solitary brain metastasis surgical procedures followed by radiotherapy should be preferred.

Schlüsselwörter

Mammakarzinom - zerebrale Metastasen

Key words

Breast cancer - brain metastases

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Priv.-Doz. Dr. med. Michael Friedrich

Klinik für Frauenheilkunde und Geburtshilfe · Universitätsklinikum Schleswig-Holstein · Campus Lübeck

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23538 Lübeck