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Zusammenfassung

Im Gegensatz zu vielen anderen Geschwülsten bot das Lebercarcinom und -sarkom bisher keinerlei bedeutsame strahlentherapeutische Aspekte. Nur selten wird ein Strahlentherapeut in die Lage versetzt, einen bösartigen Lebertumor zu behandeln, und in der Regel wird er diese Behandlung mit dem stichhaltigen Argument ablehnen, daß mit Sicherheit für den Kranken kein Nutzen, sondern nur eine zusätzliche Belastung zu erwarten sei, zumal die Leber als Stoffwechselorgan durchaus strahlenempfindlich ist. Es bleibt aber die Frage, ob dieser völlig ablehnende Standpunkt angesichts der neuen strahlentherapeutischen Möglichkeiten, wie sie durch die Bewegungsbestrahlung, die Supervoltgeräte und die Anwendung künstlich radioaktiver Isotope gegeben sind, nicht einer Revision bedarf. Es scheint uns daher berechtigt, daß der Strahlentherapeut das Problem der Lebertumoren wieder aufgreift, um durch erneute Erarbeitung der klinischen und pathologisch-anatomischen Grundlagen sowie durch Einbeziehung der Fortschritte der Leberchirurgie möglicherweise zu gewissen, wenn auch sehr begrenzten Indikationsstellungen für eine radiologische Behandlung zu gelangen. Aus diesem Grunde haben wir die Klinik und Pathologie an dieser Stelle breiter als gewöhnlich behandelt, so daß der spezielle strahlentherapeutische Abschnitt dann räumlich kurz erscheinen wird, vielleicht aber doch einige neue Aspekte zu eröffnen vermag.

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  • E. Scherer

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