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Rezidivdiagnostik bei gynäkologischen Tumoren

  • Conference paper
Kernspintomographie der Abdominal- und Beckenorgane

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Zusammenfassung

Es muß damit gerechnet werden, daß etwa 35% aller Patientinnen mit invasiven Zervixkarzinomen einen Rezidivtumor entwickeln. Die überwiegende Mehrzahl dieser Rezidivtumoren tritt innerhalb von 36 Monaten und etwa ein Anteil von 80% innerhalb der ersten zwei Jahre nach Therapiebeginn auf (Abb. 1) [3, 4, 18]. Das Intervall zwischen primärer Behandlung eines Endometriumkarzinoms und eines Rezidivtumors ist meist kurz [25]. Angaben über Lokalrezidivraten nach alleiniger Strahlentherapie von Zervixkarzinomen sind von Perez und Mitarb. (1983) und anderen Autoren in großen Serien mitgeteilt [17, 20]. Danach treten in den ersten 12 Monaten beim Stadium Ib Karzinom in 2%, beim Stadium IIa in 8%, beim Stadium IIb in 12% und beim Stadium III in etwa 25% in den ersten 12 Monaten Lokakrezisive auf. Lokalrezidivraten beim Karzinom des Korpus uteri wurden von Yoonesi und Mitarb. (1979) für Stadium I and II Tumoren mitgeteilt [25]; das durchschnittliche zeitliche Intervall von Primärtherapie zur klinischen Diagnose eines Rezidivtumors betrug für Korpuskarziname mit dem histologischen Grading I 38 Monate, für Tumoren mit histologischen Grading II 21 Monate und für Grad III Tumoren 14 Monate.

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Authors
  1. F. Ebner
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  2. F. Flückiger
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  3. K. Arian-Schad
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  4. R. Einspieler
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  5. G. Ranner
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  6. E. Justich
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Editors and Affiliations

  1. Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln, Joseph-Stelzmann-Straße 9, D-5000, Köln 41, Deutschland

    Wolfgang Steinbrich  & Gabriel Paul Krestin  & 

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© 1990 Springer-Verlag Berlin Heidelberg

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Ebner, F., Flückiger, F., Arian-Schad, K., Einspieler, R., Ranner, G., Justich, E. (1990). Rezidivdiagnostik bei gynäkologischen Tumoren. In: Steinbrich, W., Krestin, G.P. (eds) Kernspintomographie der Abdominal- und Beckenorgane. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93460-5_16

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  • DOI: https://doi.org/10.1007/978-3-642-93460-5_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-93461-2

  • Online ISBN: 978-3-642-93460-5

  • eBook Packages: Springer Book Archive

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