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Vloga obsevanja pri zdravljenju raka dankeVelenik, VanejaZdravljenje lokalno napredovalega raka danke je izrazito multidisciplinarno in zajema tako lokalno (operacijo in obsevanje) kot tudi sistemsko zdravljenje (kemoterapijo). V primerjavi z operativnim ... zdravljenjem samim, pooperativna radiokemoterapija statistično značilno izboljša lokalno kontrolo in preživetje bolnikov. Nemška randomizirana raziskava je potrdila prednost predoperativne radiokemoterapije pred pooperativnim zdravljenjem v smislu manjše akutne in pozne toksičnosti, boljše lokalne kontrole ter večjega deleža bolnikov z ohranjeno kontinuiteto črevesa. Še vedno pa ostaja nepojasnjena vrsta vprašanj, med katerimi so vloga kratkega predoperativnega obsevanja, vloga pooperativne kemoterapije po neoadjuvantnem zdravljenju, ali lahko tip operacije prilagodimo odgovoru tumorja na predoperativno zdravljenje, ali bi agresivnejše sistemsko zdravljenje izboljšalo izid bolezni in bi se lahko celo izognili zdravljenju z obsevanju. V prispevku je opisana vloga radioterapije v kombiniranem zdravljenju raka danke.Source: Šola tumorjev prebavil, Ljubljana, 30. 11. 2012 (Letn. 17, št. 1, jun. 2013, str. 32-34, 75)Type of material - conference contributionPublish date - 2013Language - slovenianCOBISS.SI-ID - 1554299
source: Šola tumorjev prebavil, Ljubljana, 30. 11. 2012 (Letn. 17, št. 1, jun. 2013, str. 32-34, 75)
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Velenik, Vaneja | 21748 |
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