Zusammenfassung
Als definitive Strahlentherapie in kurativer Intention hat die Radiotherapie einen hohen Stellenwert beim lokalisierten und lokal fortgeschrittenen Prostatakarzinom. Für Patienten mit lokal fortgeschrittenem Prostatakarzinom ist der Langzeitandrogenentzug zuzüglich Strahlentherapie der Prostata mit oder ohne Strahlentherapie der pelvinen Lymphknoten effektiver als der Androgenentzug allein. Bei anderen Tumorerkrankungen in der Uroonkologie, Hodentumoren, Harnblasenkarzinomen und retroperitonealen Weichteilsarkomen, hat die Strahlentherapie einen Stellenwert in kurativen Therapiekonzepten. Darüber hinaus bestehen Indikationen zur palliativen Strahlentherapie von Metastasen oder Lokalrezidiven der Malignome mit dem Ziel der Symptomkontrolle. Dieser Beitrag schildert neben Strahlentherapietechniken die Planung der konformalen perkutanen Strahlentherapie sowie die Dosis-Effekt-Abhängigkeit und beleuchtet die Bedeutung der Präzision bei der Lagerung/Positionierung bei der Durchführung.
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Stuschke, M., Schenck, M. (2014). Grundlagen der Radioonkologie. In: Rübben, H. (eds) Uroonkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35032-0_14
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