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Alternative Verfahren beim Nierenzellkarzinom

  • Chapter
Alternative operative Therapien in der Uroonkologie

Zusammenfassung

Durch die fast flächendeckende Anwendung bildgebender Diagnostik wie Ultraschall, Magnetresonanz- oder Computertomographie wird eine zunehmende Anzahl von Nierentumoren in einem frühen, lokal begrenzten, oft symptomlosen Stadium diagnostiziert. Aus bisherigen Beobachtungsstudien weiß man, dass diese kleinen, inzidenten Nierentumoren einerseits zwar in bis zu 87 % der Fälle maligne sind, andererseits jedoch meist nur sehr langsam wachsen und sehr selten metastasieren, weswegen auch diese Tumoren zunehmend nierenerhaltend operiert werden. Als Alternative stehen die folgenden bildgestützten, lokalablativen Verfahren zur Verfügung: Radiofrequenzablation, Kryoablation, bildgeführte interstitielle Hochdosisratenbrachytherapie sowie die Mikrowellenablation, die Laserablation und die Ablation durch hochintensiven, fokussierten Ultraschall. Alle Techniken sind entweder minimalinvasiv perkutan oder laparoskopisch anwendbar und weisen niedrigere Komplikationsraten als die Nierenteilresektion auf.

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Authors and Affiliations

  1. Klinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg A. ö. R., Leipziger Straße 44, 39120, Magdeburg

    Dr. med. B. Friebe & Dr. med. T. Bretschneider

  2. Klinik für Radiologie, Universitätsklinikum Magdeburg A. ö. R., Leipziger Straße 44, 39120, Magdeburg

    Prof. Dr. med. J. Ricke

  3. Klinik für Urologie und Kinderurologie, Universitätsklinikum Magdeburg A. ö. R., Leipziger Straße 44, 39120, Magdeburg

    Priv.-Doz. Dr. med. habil. U.-B. Liehr & Dr. med. J. J. Wendler

  4. Urologische Abteilung mit Kompetenz-Zentrum für Kinderurologie, Wilhelminenspital, Wiener KAV, Montleartstraße 37, 1160, Wien, Österreich

    Prof. Dr. med. H. C. Klingler

  5. Univ. Klinik für Pathologie, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    Prof. Dr. med. M. Susani

  6. Univ. Klinik für Urologie, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    Dr. med. S. Sevcenco

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  1. Dr. med. B. Friebe
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  2. Dr. med. T. Bretschneider
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  4. Priv.-Doz. Dr. med. habil. U.-B. Liehr
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  5. Dr. med. J. J. Wendler
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  6. Prof. Dr. med. H. C. Klingler
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  7. Prof. Dr. med. M. Susani
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  8. Dr. med. S. Sevcenco
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  1. Urologische Klinik, Zertifiziertes Prostatakrebszentrum, Universitätsklinikum Magdeburg A.ö.R., Magdeburg

    Martin Schostak

  2. Klinik für Urologie und Kinderurologie, Klinikum Fürth, Fürth

    Andreas Blana

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Friebe, B. et al. (2016). Alternative Verfahren beim Nierenzellkarzinom. In: Schostak, M., Blana, A. (eds) Alternative operative Therapien in der Uroonkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44420-7_2

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  • DOI: https://doi.org/10.1007/978-3-662-44420-7_2

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