Zentralblatt fur Chirurgie · 2012
[Extrahepatic cholangiocarcinoma: current state of palliation therapy].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Wolkersdörfer G W, Berr F, Nawara C, Emmanuel K
Аннотация
INTRODUCTION: Decompression of bile ducts is the priority objective in the non-curative stage of hilar cholangiocarcinoma. Only this will prevent or slow down infectious complications and secondary biliary cirrhosis thereby sustaining the quality of life. KEY STATEMENTS: At present, photodynamic therapy combined with insertion of an endoprosthesis seems to be best documented and most appropriate therapy.
METHODS: Data from a selective literature search combined with our clinical experience were evaluated.
CONCLUSIONS: Therapeutic measures should match the dissemination and stage of the tumor: in locally advanced or progressing disease (stage III) a local ablating therapy, in systemically progressing disease (stage IV) systemic chemotherapy should be utilised.
METHODS: Data from a selective literature search combined with our clinical experience were evaluated.
CONCLUSIONS: Therapeutic measures should match the dissemination and stage of the tumor: in locally advanced or progressing disease (stage III) a local ablating therapy, in systemically progressing disease (stage IV) systemic chemotherapy should be utilised.