Radioterapia e chemioterapia dei carcinomi delle vie biliari

Name: Radioterapia e chemioterapia dei carcinomi delle vie biliari
Brand: Edizioni Sapienza
SKU: 9786630003833
Price: 5320.0 INR
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by Hanène Ben Salah , Jamel Daoud , Ines Ayedi

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ISBN13: 9786630003833
Binding: Paperback
Subject: N/A
Publisher: Edizioni Sapienza
Publisher Imprint: Edizioni Sapienza
Publication Date: May 26, 2026
Pages: 84
Original Price: GBP 42.0
Language: Italian
Edition: N/A
Item Weight: 123 grams
BISAC Subject(s): General

About The Book

L'asportazione chirurgica � il trattamento curativo dei carcinomi della cistifellea. La prima recidiva del carcinoma della cistifellea � a distanza. � difficile stabilire con certezza l'utilit� della radioterapia adiuvante in assenza di studi randomizzati. I dati disponibili in letteratura sembrano indicare un beneficio della radiochemioterapia concomitante in caso di R1 e N+. L'asportazione � lo standard anche per le vie biliari. Il tasso di recidiva isolata � del 60% dopo un'asportazione R0. Due meta-analisi che hanno valutato la chemioradioterapia adiuvante dopo un'asportazione curativa di un colangiocarcinoma hanno dimostrato un beneficio in termini di sopravvivenza globale per la radioterapia adiuvante in caso di asportazione R1 e in caso di coinvolgimento linfonodale. La radioterapia conformazionale 3D � la tecnica di riferimento. I volumi bersaglio sono il tumore o il letto tumorale e le aree linfonodali. La dose � di 45-50 Gy +/- boost di 15-20 Gy (frazioni da 2 Gy). La capecitabina sarebbe il nuovo standard in terapia adiuvante. La gemcitabina o le fluoropirimidine +/- radioterapia sono indicate a partire da pT2, N+ o R1. Gemcitabina - cisplatino � lo standard in situazione palliativa.

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