Radioterapia i chemioterapia nowotworów dróg żólciowych

Name: Radioterapia i chemioterapia nowotworów dróg żólciowych
Brand: Wydawnictwo Nasza Wiedza
SKU: 9786630011517
Price: 5320.0 INR
Availability: InStock

by Hanène Ben Salah , Jamel Daoud , Ines Ayedi

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ISBN13: 9786630011517
Binding: Paperback
Subject: N/A
Publisher: Wydawnictwo Nasza Wiedza
Publisher Imprint: Wydawnictwo Nasza Wiedza
Publication Date: May 26, 2026
Pages: 84
Original Price: GBP 42.0
Language: Polish
Edition: N/A
Item Weight: 123 grams
BISAC Subject(s): General

About The Book

Resekcja chirurgiczna stanowi leczenie radykalne nowotwor�w pęcherzyka ż�lciowego. Pierwszy nawr�t nowotworu pęcherzyka ż�lciowego ma charakter odlegly. Trudno jest jednoznacznie określic korzyści plynące z radioterapii uzupelniającej w związku z brakiem badań z randomizacją. Dane dostępne w literaturze wydają się wskazywac na korzyści plynące ze stosowania r�wnoczesnej radiochemioterapii w przypadku R1 i N+. Resekcja jest r�wnież standardem w przypadku dr�g ż�lciowych. Wskaźnik nawrotu izolowanego wynosi 60% po resekcji R0. Dwie metaanalizy oceniające uzupelniającą radiochemioterapię po radykalnej resekcji raka dr�g ż�lciowych wykazaly korzyśc w zakresie przeżycia calkowitego dla radioterapii uzupelniającej w przypadku resekcji R1 oraz w przypadku zajęcia węzl�w chlonnych. Radioterapia konformalna 3D jest techniką referencyjną. Obszary docelowe to guz lub loże guza oraz obszary węzl�w chlonnych. Dawka wynosi 45-50 Gy +/- dawka wzmacniająca 15-20 Gy (frakcje po 2 Gy). Kapecytabina wydaje się byc nowym standardem w leczeniu uzupelniającym. Gemcytabina lub fluoropirymidyny +/- radioterapia są wskazane od stopnia pT2, N+ lub R1. Gemcytabina - cisplatyna to standard w leczeniu paliatywnym.

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