Die Therapie von Tumorrezidiven bzw. Zweitkarzinomen in vorbehandeltem Gebiet ist nicht mit der Primärtherapie in nicht-vorbehandeltem Gewebe gleichzusetzen – eine Übersicht

Zusammenfassung

Bei der Behandlung von lokalen bzw. lokoregionären Rezidiven, Zweitkarzinomen oder Residuen von Plattenepithelkarzinomen der Kopf-Hals-Region nach einer Primärtherapie ergeben sich unterschiedliche Ausgangsituationen. Bei der Mehrzahl der Patienten mit lokoregionären Rezidiven ist eine Vorbehandlung bestehend aus Operation und/oder postoperativer Radio- bzw. Radiochemotherapie oder eine primäre Radio- bzw. Radiochemotherapie erfolgt. In jedem Fall handelt es sich um ein erneutes Tumorwachstum in vorbehandeltem Gebiet, das in besonderer Weise für die Therapieentscheidung berücksichtigt werden muss. Die biologischen Hintergründe sind vielfältig und werden in der vorliegenden Arbeit näher beschrieben und klinisch eingeordnet.

Abstract

There are different initial situations in the treatment of local or locoregional recurrences, secondary carcinomas or residual squamous cell carcinomas of the head and neck region after primary therapy. The majority of patients with locoregional recurrences have had prior treatment consisting of surgery and/or postoperative radiotherapy or radiochemotherapy or primary radiotherapy or radiochemotherapy. In any case, it is a matter of new tumor growth in a previously treated area, which must be taken into account for the therapy decision. The biological backgrounds are diverse and are described in more detail and clinically classified in the present work.

Schlüsselwörter

Rezidivtherapie - Kopf-Hals-Karzinom - Plattenepithelkarzinom Kopf-Hals - Rebestrahlung - Salvage-Chirurgie

Key words

recurrence therapy - head and neck carcinoma - squamous cell carcinoma head and neck - re-irradiation - salvage surgery

Publication History

Article published online:
11 September 2023

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