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Strahlentherapie bei Knochentumoren

Radiotherapy for bone tumors

  • Leitthema
  • Published:
Der Onkologe Aims and scope

Zusammenfassung

Bei den Knochentumoren ist die vollständige operative Resektion die Lokaltherapie der Wahl. Nur bei Ewing-Tumoren kann mit definitiver Radiotherapie und konventionellen Bestrahlungsdosen eine hohe lokale Kontrolle erzielt werden. Alle weiteren Knochentumoren benötigen zur lokalen Kontrolle eine hohe Strahlendosis, die vielfach mit konventionellen Bestrahlungstechniken nicht erzielt werden kann. Hier kommen Spezialtechniken wie z. B. die Protonentherapie zum Einsatz, die die Applikation entsprechender Bestrahlungsdosen erlauben und damit den lokalen Effekt der Bestrahlung verbessern können.

Abstract

In bone sarcoma, the local treatment of choice is complete surgical resection. Only in Ewing tumors does definitive radiotherapy with conventional radiation doses achieve satisfactory local control rates. All other bone tumors need very high radiation doses, which often cannot be obtained with conventional radiotherapy. In such cases, special techniques, such as proton therapy, which allow the application of very high doses to the target are frequently used.

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Authors and Affiliations

  1. Klinik für Radioonkologie und Strahlentherapie, Universitätsklinik Heidelberg

    D. Schulz-Ertner

  2. Klinik für Strahlentherapie — Radioonkologie, Universitätsklinikum Münster

    A. Schuck

  3. Klinik für Strahlentherapie — Radioonkologie, Universitätsklinikum, Albert-Schweitzer-Straße 33, 48 129, Münster

    A. Schuck

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  1. D. Schulz-Ertner
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Correspondence to A. Schuck.

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Schulz-Ertner, D., Schuck, A. Strahlentherapie bei Knochentumoren. Onkologe 12, 158–166 (2006). https://doi.org/10.1007/s00761-005-1006-2

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