zurück | HNO-Tumoren: Therapie des Rezidivs | ||||||||||||||||||||||||||||||||||||||||||||||||||
allgemeines | Lokalrezidive nach Bestrahlung oder Radiochemotherapie sind schwierig zu behandeln. | ||||||||||||||||||||||||||||||||||||||||||||||||||
Radiochemotherapie |
Viele Patienten profitieren von einer erneuten Radiochemotherapie, z. B. mit 30-40Gy und 30mg Taxol/qm 2x pro Woche. Das Zielvolumen kann klein gehalten werden, um das Komplikationsrisiko zu vermindern. | ||||||||||||||||||||||||||||||||||||||||||||||||||
Studien |
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Brachytherapie |
Bei Lokalrezidiven nach einer primären Strahlentherapie kann mit einer Brachytherapie eine Verbesserung der lokalen Kontrolle erzielt werden (6). | ||||||||||||||||||||||||||||||||||||||||||||||||||
Quellen |
1.). Spencer SA, Harris J, Wheeler RH, et al.: Final report of RTOG 9610, a multi-institutional trial of re-irradiation and chemotherapy for unresectable recurrence squamous cell carcinoma of the head and neck. Head Neck 2008;30:281-288. 2.) Langer CJ, Harris J, Horwitz EM, et al.: Phase II study of low-dose paclitaxel and cisplatin in combination with split course concomitant twice daily reirradiation in Recurrent squamous cell carcinoma of the head and neck: Results of RT oncology group protocol 9911. J Clin Oncol 2007;25:4800-4805. 3.) Vermorken JB, Mesia R, Rivera F, et al.: Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med 2008;359:1116-1127. 4.) Lartigau EF, Tresch E, Thariat J, et al.: Multi institutional phase II study of concomitant stereotactic reirradiation and cetuximab for recurrent head and neck cancer. Radiother Oncol 2013;109:281-285. 5.) Vargo JA, et al.: A Prospective Phase 2 Trial of Reirradiation With Stereotactic Body Radiation Therapy Plus Cetuximab in Patients With Previously Irradiated Recurrent Squamous Cell Carcinoma of the Head and Neck. Int J Radiation Oncol Biol Phys 2015; 91:480-488. http://dx.doi.org/10.1016/j.ijrobp.2014.11.023 6.) Strnad V, et al.: Reirradiation for recurrent head and neck cancer with salvage interstitial pulsed-dose-rate brachytherapy. Long-term results. Strahlenther Onkol 2015;191:495–500. DOI 10.1007/s00066-014-0809-8 | ||||||||||||||||||||||||||||||||||||||||||||||||||
Impressum Zuletzt geändert am 05.12.2015 20:49