Partialbrustbestrahlung nach Mammakarzinom

Zusammenfassung

Radioonkologischer Standard im Rahmen der Brusterhaltenden Therapie ist nach wie vor die postoperative Ganzbrustbestrahlung mit zusätzlicher Aufsättigung der ehemaligen Tumorregion. Zahlreiche Bestrahlungstechniken wurden mittlerweile entwickelt, um den strahlentherapeutischen Boost der ursprünglichen Tumorlokalisation in den operativen Eingriff zu integrieren oder ihn ihm unmittelbar anzuschließen. Neben dem INTRABEAM System werden weitere Modalitäten zur alleinigen Radiatio des Tumorbetts bzw. in Kombination mit Ganzbrustbestrahlung dargestellt.

Summary

Standard breast conserving surgery routinely entails adjuvant whole breast irradiation plus a boost to the original tumour site. A wide variety of techniques has been developed to integrate the boost into the operation or add it as a short radiation procedure to the initial therapy. This survey focuses on the INTRABEAM system and other modalities aimed at sterilizing the tumour cavity with and without additional irradiation of the whole breast.

Schlüsselwörter

Brusterhaltende Therapie - Akzelerierte Teilbrustbestrahlung - Intraoperative Strahlentherapie - Ganzbrustbestrahlung

Keywords

Breast conserving surgery - accelerated partial breast irradiation - intraoperative radiotherapy - whole breast irradiation

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