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Supravesikale Harnableitung

  • Conference paper
Tagung 14.–17. Oktober 1987, Stuttgart

Part of the book series: Verhandlungsbericht der Deutschen Gesellschaft für Urologie ((VBDGUROLOGIE,volume 39))

  • 23 Accesses

Zusammenfassung

Die Behandlungsergebnisse von Harnblasenkarzinomen sind nach wie vor unbefriedigend. Das hat u. E. u. a. folgende Ursachen:

  • Der endoskopisch sichtbare Tumor ist nur der umschriebene Wachstumsexzeß des sich überwiegend intra- und extramural vollziehenden Neubildungsvorganges über dessen zytogenetisches und biologisches Verhalten praetherapeutisch detaillierte Informationen fehlen.

  • Mehr als 50% der Übergangszellkarzinome haben einen sehr unterschiedlichen, schwer kalkulierbaren, mit der Tiefeninfiltration rasch zunehmenden Malignitätsgrad.

  • Ein dichtes Lymphgefäßsystem der Harnblasenwand, dessen feinkapilläre Aufzweigungen schon in der Submukosa beginnen, sorgt dafür, daß bei jeder Detrusorkontraktion sehr frühzeitig Tumorzellen über Interzellulärspalten, die die Endothelzellen trennen, schließlich in die Sammelgefäße der Adventitia einmünden.

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Author information

Authors and Affiliations

  1. Urologische Klinik - Weidenplan, BKH Halle/Saale, Weidenplan 6, DDR - 4020, Halle, Deutschland

    Prof. Dr. L. Albert

  2. Urologische Klinik Verbandskrankenhaus Schwelm Lehrstuhl für Urologie, Universität Witten-Herdecke, Dr. Moeller Str.15, D-5830, Schwelm, Deutschland

    Prof. Dr. F. Schreiter

  3. Urologische Universitätsklinik und Poliklinik, Prittwitzstr.43, D-7900, Ulm, Deutschland

    Priv.-Doz. Dr. med. D. Frohneberg

  4. Klinik für Urologie, Städtische Kliniken Kassel, Mönchebergstr. 41/43, D-3500, Kassel, Deutschland

    Dr. med. Ch. Spehr

  5. Urologische Universitätsklinik Inselspital, CH-3010, Bern, Deutschland

    Priv.-Doz. Dr. med. U. E. Studer

  6. Urologische Universitätsklinik und Poliklinik Inselspital, CH-3010, Bern, Deutschland

    Prof. Dr. E. J. Zingg

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  1. Moorenstr. 5, D-4000, Düsseldorf, Deutschland

    Rolf Ackermann (Direktor der Urologischen Klinik und Poliklinik der Universität Düsseldorf) (Direktor der Urologischen Klinik und Poliklinik der Universität Düsseldorf)

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© 1988 Springer-Verlag Berlin Heidelberg

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Albert, L. et al. (1988). Supravesikale Harnableitung. In: Ackermann, R. (eds) Tagung 14.–17. Oktober 1987, Stuttgart. Verhandlungsbericht der Deutschen Gesellschaft für Urologie, vol 39. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83404-2_39

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  • DOI: https://doi.org/10.1007/978-3-642-83404-2_39

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  • Online ISBN: 978-3-642-83404-2

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