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Lippen und Mundhöhle

  • Chapter
Strahlentherapie

Zusammenfassung

Der Anteil der malignen Mundhöhlentumoren an der Gesamthäufigkeit aller bösartigen Geschwülste beträgt weltweit ca. 8% bei Männern und 4% bei Frauen. Die Inzidenzraten schwanken regional und auch hinsichtlich der anatomischen Verteilung stark. Die höchste Inzidenzrate in Europa hat das Departement Bas-Rhin in Frankreich mit ca. 70 Neuerkrankungen pro 100 000 Einwohner/Jahr (Muir et al. 1987). Die Inzidenz nimmt mit steigendem Alter deutlich zu und erreicht im 6. Lebensjahrzehnt ein Plateau. Eine Inzidenzschätzung für Deutschland läßt das Krebsregister der DDR zu. In den Jahren 1978 bis 1982 wurde für die einzelnen Lokalisationen der Mundhöhle folgende Häufigkeitsverteilung einer Karzinomerkrankung registriert: 1178 Lippenkarzinome (954 Männer, 224 Frauen), 671 Zungenkarzinome (452 Männer, 219 Frauen), 242 Mundbodenkarzinome (203 Männer, 39 Frauen) und 128 Gingivakarzinome (78 Männer, 50 Frauen) (Mehnert et al. 1992). Es war eine Zunahme der Inzidenz der Mundhöhlentumoren im Beobachtungszeitraum von 1961 bis 1989 bei Männern um 150% zu beobachten. Auffällig war eine Verschiebung des Altersgipfels zu den jüngeren Jahren hin (Möhner et al. 1994).

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  1. M. Wannenmacher
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  2. P. Schraube
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  3. V. Rudat
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  1. Strahlenklinik, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

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Wannenmacher, M., Schraube, P., Rudat, V. (1996). Lippen und Mundhöhle. In: Scherer, E., Sack, H. (eds) Strahlentherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79432-2_14

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