Total laryngectomy or larynx-preservation strategy? Current treatment approaches
نویسندگان
چکیده
Pacienti s operabilnĂm karcinomem hrtanu mohou bĂ˝t lĂŠÄeni larynx-zĂĄchovnĂ˝mi postupy nebo totĂĄlnĂ laryngektomiĂ. Larynx zĂĄchovnĂŠ jsou standardem v ÄasnĂ˝ch stadiĂch a zahrnujĂ larynx-ĹĄetĹĂcĂ chirurgickĂ˝ vĂ˝kon (endoskopickĂ˝ zevnĂ parciĂĄlnĂ laryngektomii), kterĂ˝ je preferovĂĄn, radioterapii. U lokoregionĂĄlnÄ pokroÄilĂ˝ch stadiĂ obvykle zvaĹžovĂĄn nechirurgickĂ˝ postup, zaloĹženĂ˝ na kombinaci radioterapie chemoterapie, laryngektomie pooperaÄnĂ radioterapiĂ radiochemoterapiĂ. DĹĂve bÄĹžnĂĄ lĂŠÄebnĂĄ strategie, indikace konkomitatnĂ radiochemoterapie u vĹĄech stadiĂ, se opouĹĄtĂ lĂŠÄebnĂŠ moĹžnosti rĂĄmci multidisciplinĂĄrnĂho tĂ˝mu zvaĹžovĂĄny individuĂĄlnÄ zĂĄkladÄ parametrĹŻ onemocnÄnĂ, pĹedlĂŠÄebnĂŠ funkce hrtanu, faktorĹŻ stranÄ pacienta (vĂ˝konnostnĂ stav, vÄk, vedlejĹĄĂ onemocnÄnĂ atd.) jeho preferencĂ.
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ژورنال
عنوان ژورنال: Onkologie
سال: 2021
ISSN: ['1803-5345', '1802-4475']
DOI: https://doi.org/10.36290/xon.2021.012