Frechen D, Krüger S, Cornelissen C, Bruners P, Mahnken A H
Medizinische Klinik I, Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum der RWTH Aachen.
Pneumologie. 2011 Sep;65(9):525-31. doi: 10.1055/s-0030-1256503. Epub 2011 Jul 1.
Interventional radiological procedures for the treatment of primary and secondary pulmonary malignancies have become increasingly important. In addition to thermally ablative treatment, selective chemoembolisation by a vascular access allows localised therapy. These treatments are considered to be palliative for patients in a reduced general condition which does not allow systemic chemotherapy. In functionally inoperable patients especially the ablative procedures are potentially curative alternatives to surgery. This article provides an overview of the currently used interventional radiological procedures in lung oncology and assesses their importance. Further studies are needed to show whether interventional radiological procedures, which are promising due to their favourable risk-benefit ratio, may represent an alternative to radiotherapy or be effective in multimodal approaches.
用于治疗原发性和继发性肺恶性肿瘤的介入放射学程序变得越来越重要。除了热消融治疗外，通过血管通路进行的选择性化疗栓塞可实现局部治疗。这些治疗被认为是对一般状况较差、无法进行全身化疗的患者的姑息治疗。对于功能上无法手术的患者，尤其是消融手术，可能是手术的潜在治愈性替代方案。本文概述了目前在肺部肿瘤学中使用的介入放射学程序，并评估了它们的重要性。需要进一步研究以表明，由于其良好的风险效益比而颇具前景的介入放射学程序，是否可以替代放射治疗或在多模式治疗方法中有效。
