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Update komplementäre Onkologie 2012

Update on complementary oncology 2012

  • In der Diskussion: Komplementäre Onkologie
  • Published:
Der Onkologe Aims and scope

Zusammenfassung

Der Versuch einer Prävention von Tumorerkrankungen durch Einnahme von Vitaminen und Spurenelementen ist nicht sinnvoll. Mangelzustände wie Vitamin-D- und Selenmangel sollten allerdings gezielt ausgeglichen werden. Verfahren der komplementären Medizin wie Qigong können vielfältige Beschwerden bei Tumorpatienten verbessern. 2011 erschienen eine Reihe klinischer Studien zu Heilpflanzen. Ingwer und Mariendistel (Silymarin) können unterstützend bei Übelkeit bzw. Leberschäden eingesetzt werden. Sie ersetzen ein leitliniengerechtes Vorgehen nicht. Trotz allen Interesses für chinesische Heilkräutermischungen bleiben die Daten wenig überzeugend – negative Wirkungen sind möglich. Die Wirkung von Granatapfel bei Prostatakarzinomen konnte auch klinisch belegt werden.

Abstract

Vitamins and trace elements as supplements do not prevent cancer. Nevertheless, vitamin D and selenium should be substituted if the serum level is below normal. Complementary treatments like Qigong are able to reduce various complaints in cancer patients. In 2011 several clinical studies with different herbs were published. Ginger and milk thistle can be used as supportive drugs against nausea and hepatotoxicity. However, they are no substitute for supportive treatment as specified in guidelines. Despite great interest in Chinese herbs, clinical evidence is not convincing and negative effects are possible. The efficiency of pomegranate against prostate cancer was demonstrated in a clinical study.

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Authors and Affiliations

  1. Palliativmedizin, Supportive und komplementäre Onkologie, Universitäres Centrum für Tumorerkrankungen (UCT), Johann Wolfgang-Goethe Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    J. Hübner

  2. Klinikum Lemgo, Lemgo, Deutschland

    R. Mücke

  3. Franziskus Hospital Bielefeld, Bielefeld, Deutschland

    O. Micke

  4. Universitätsklinikum Gießen, Gießen, Deutschland

    K. Münstedt

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  1. J. Hübner
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  2. R. Mücke
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  3. O. Micke
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  4. K. Münstedt
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Correspondence to J. Hübner.

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Hübner, J., Mücke, R., Micke, O. et al. Update komplementäre Onkologie 2012. Onkologe 18, 705–710 (2012). https://doi.org/10.1007/s00761-012-2286-y

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  • DOI: https://doi.org/10.1007/s00761-012-2286-y

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