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Cura del cancro del retto senza chirurgia mutilante by Jean-Pierre Gerard

Cura del cancro del retto senza chirurgia mutilante

by Jean-Pierre Gerard
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Book cover type: Paperback
  • ISBN13: 9786209549779
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Edizioni Sapienza
  • Publisher Imprint: Edizioni Sapienza
  • Publication Date:
  • Pages: 64
  • Original Price: GBP 38.19
  • Language: Italian
  • Edition: N/A
  • Item Weight: 100 grams
  • BISAC Subject(s): General

Il cancro del retto viene diagnosticato ogni anno a 12.000 pazienti in Francia. In quasi tutti i casi il trattamento curativo richiede un intervento chirurgico che comporta sempre la rimozione dell'intero retto con conseguente compromissione della funzione intestinale e talvolta la necessit� di una colostomia permanente ("sacca"). Da alcuni anni sembra possibile un nuovo approccio. L'obiettivo � quello di utilizzare la radioterapia e la chemioterapia per ottenere la scomparsa totale del tumore del retto, la cosiddetta risposta clinica completa (cCR), ed evitare qualsiasi intervento chirurgico mutilante. Questa strategia � stata avviata negli anni '70 da Papillon in Francia utilizzando un'originale brachiterapia a contatto con raggi X (CXB) e da Habr Gama, un chirurgo di San Paolo che ha proposto alla sua paziente una strategia di "osservazione e attesa" senza intervento chirurgico quando � stata osservata una cCR dopo la chemioradioterapia. Uno studio clinico randomizzato ha dimostrato l'efficacia di tale trattamento combinato. Grazie alle moderne tecniche di radioterapia che utilizzano la CXB e l'acceleratore lineare in combinazione con la chemioterapia orale, le possibilit� di successo sono aumentate notevolmente negli ultimi tempi e centri specializzati utilizzano tali trattamenti in Francia, Regno Unito, Svezia e Svizzera.

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