Radioterapia e quimioterapia dos carcinomas biliares

Name: Radioterapia e quimioterapia dos carcinomas biliares
Brand: Edicoes Nosso Conhecimento
SKU: 9786630014075
Price: 5319.0 INR
Availability: InStock

by Hanène Ben Salah , Jamel Daoud , Ines Ayedi

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ISBN13: 9786630014075
Binding: Paperback
Subject: N/A
Publisher: Edicoes Nosso Conhecimento
Publisher Imprint: Edicoes Nosso Conhecimento
Publication Date: May 26, 2026
Pages: 80
Original Price: GBP 42.0
Language: Portuguese
Edition: N/A
Item Weight: 118 grams
BISAC Subject(s): General

About The Book

A ressec��o cir�rgica � o tratamento curativo dos carcinomas da ves�cula biliar. A primeira recidiva do carcinoma da ves�cula biliar ocorre � dist�ncia. � dif�cil determinar o benef�cio da radioterapia adjuvante na aus�ncia de estudos aleat�rios. Os dados dispon�veis na literatura parecem indicar um benef�cio da radioquimioterapia concomitante nos casos de R1 e N+. A excis�o � tamb�m o tratamento padr�o para as vias biliares. A taxa de recidiva isolada � de 60% ap�s uma excis�o R0. Duas meta-an�lises que avaliaram a quimiorradioterapia adjuvante ap�s uma excis�o curativa de um colangiocarcinoma demonstraram um benef�cio na sobrevida global para a radioterapia adjuvante nos casos de excis�o R1 e de invas�o linfonodal. A radioterapia conformacional 3D � a t�cnica de refer�ncia. Os volumes-alvo s�o o tumor ou o leito tumoral e as �reas linfonodais. A dose � de 45-50 Gy +/- refor�o de 15-20 Gy (fra��es de 2 Gy). A capecitabina seria o novo padr�o no tratamento adjuvante. A gemcitabina ou as fluoropirimidinas +/- radioterapia s�o indicadas a partir de pT2, N+ ou R1. A gemcitabina-cisplatina � o padr�o em situa��es paliativas.

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