Die interdisziplinäre Behandlung von Hautkrebs

 

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Zusammenfassung

Die interdisziplinäre Behandlung von Hautkrebs im Kopf-Halsbereich erfordert die enge Zusammenarbeit zwischen verschiedenen Fachdisziplinen. Die häufigsten nicht-melanozytären Tumorentitäten sind das kutane Plattenepithelkarzinom und das Basalzellkarzinom sowie deren Vorläuferläsionen. Zu den eher selteneren Tumoren gehört das Merkelzellkarzinom, welches ebenfalls vornehmlich an den lichtexponierten Arealen auftritt und im Gegensatz zum Platten- und Basalzellkarzinom häufiger eine Metastasierung aufweist. Aufgrund der geringen Tendenz des Basalzellkarzinoms wie auch des kutanen Plattenepithelkarzinoms zur Metastasierung, kann eine Kuration häufig durch eine Operation erreicht werden. Überschreitet hier das Tumorwachstum entsprechende Grenzen kann eine Zusammenarbeit zwischen Dermatologie und HNO erforderlich sein. Das primäre Ziel dieser interdisziplinären Zusammenarbeit ist, neben dem Erreichen der Tumorfreiheit, ein funktionell sowie kosmetisch-ästhetisch ansprechendes Ergebnis. In Abhängigkeit von Tumorstadium und Klinik ist eine Vorstellung in der interdisziplinären Tumorkonferenz zu empfehlen, um ein vollumfängliches und fachlich adäquates sowie Patienten-individuelles Therapiekonzept festzulegen, welches die Bausteine Prävention, Therapie und Nachsorge eines jeden Patienten umfasst.

Publication History

Article published online:
02 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

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