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Kopf-Hals-Tumoren beim alten und geriatrischen Patienten

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Geriatrische Onkologie

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Zusammenfassung

Jährlich erkranken in Deutschland in etwa 15.000 Patienten an einem Plattenepithelkarzinom des Kopf-Halses mit steigender Inzidenz in den letzten Jahren. Im Vergleich zu anderen Tumoren sind die Patienten meist etwas jünger; dennoch sind in etwa die Hälfte der Patienten über 65 Jahre alt. Zu den klassischen Risikofaktoren zählen Nikotin- und Alkoholabusus, die zusätzlich auch die Entwicklung von Komorbiditäten wie kardiovaskuläre und pulmonale Erkrankungen begünstigen. Dies erschwert die Therapie insbesondere von älteren Patienten mit Kopf-Hals-Tumoren erheblich, da häufig nur durch aggressive multimodale Therapiekonzepte eine Heilung erreicht werden kann. Eine Herausforderung wird es daher zukünftig sein, altersadaptierte Therapiekonzepte zu entwickeln, um auch die Prognose ältere Patienten mit Kopf-Hals-Tumoren zu verbessern. Hierfür ist eine enge multidisziplinäre Zusammenarbeit zwischen Operateuren, Strahlentherapeuten, Onkologen aber auch Palliativmedizinern, Psychoonkologen und Ernährungsspezialisten notwendig.

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  1. Westdeutsches Tumorzentrum/Innere Klinik (Tumorforschung), Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland

    Stefan Kasper

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Correspondence to Stefan Kasper .

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  1. II. Medizinische Klinik, Universitätsmedizin Mannheim, Mannheim, Germany

    Matthias Ebert

  2. II. Medizinische Klinik, Universitätsmedizin Mannheim, Mannheim, Germany

    Nicolai Härtel

  3. Klinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany

    Ulrich Wedding

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  1. Interdisziplinäres Tumorzentrum, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland

    Nicolai Härtel

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Kasper, S. (2018). Kopf-Hals-Tumoren beim alten und geriatrischen Patienten. In: Ebert, M., Härtel, N., Wedding, U. (eds) Geriatrische Onkologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48727-3_23

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