Download e-book for iPad: Controversies in Uro-Oncology: 5th International Symposium by T ed. Wiegel

By T ed. Wiegel

ISBN-10: 3805572174

ISBN-13: 9783805572170

During the last few years, large growth has been made within the improvement of treatments for prostate and bladder melanoma. subsequently, enormously more suitable surgical recommendations in addition to new different types of radiotherapy, chemotherapy and hormonal treatment are actually on hand. This interdisciplinary process is mirrored within the extensive scope of this quantity, which goals to supply an outline of present remedy techniques for bladder and prostate melanoma. the 1st a part of the ebook discusses the optimization of radiation concepts like 3D making plans or IMRT and makes a speciality of definitive radiotherapy without or with adjuvant or neoadjuvant hormonal manipulation. the standard of existence after remedy is one other very important factor. extra chapters care for radical cystectomy and organ upkeep by way of radio-chemotherapy in addition to the therapy of T1G3 melanoma. within the final half, the emphasis lies on brachytherapy, which has develop into more and more vital for the therapy of prostate melanoma.

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4 Gy and successfully treated 40 patients without an increase in acute toxicities [unpubl. data]. The urinary toxicity with IMRT was not reduced compared to the 3D-CRT. This finding may result from the parameters used in the inverse planning optimization program for the dose to the bladder wall. There is some indication that urinary symptoms from prostate radiotherapy may be associated with radiation- Debus/Zierhut/Didinger/Schlegel/Wannenmacher 32 induced damage to the urethra rather than the bladder [32].

We have shown that inverse planning of large base of skull tumors produces superior results especially in large target volumes. An example of an inverse treatment plan is shown in figure 2. This plan was computed with our inverse-planning program KONRAD. KONRAD uses the target volumes and organs at risk, designed with the conventional 3D treatment planning (in our case the TOMAS target delineation program within VOXEPLAN), but then has its own strategy to determine the treatment technique by using an iterative algorithm which was described by Bortfeld et al.

Mayo Clin Proc 1994;69:613–619. Syndikus I, Pickles T, Kostashuk E, Sullivan LD: Postoperative radiotherapy for stage pT3 carcinoma of the prostate: Improved local control. J Urol 1996;155:1983–1986. Van Cangh PJ, Richard F, Lorge F, Castille Y, Moxhon A, Opsomer R, de Visscher L, Wese FX, Scalliet P: Adjuvant radiation therapy does not cause urinary incontinence after radical prostatectomy: Results of a prospective randomized study. J Urol 1998;159:164–166. Van den Ouden D, Bentvelsen FM, Boeve ER, Schröder FH: Positive margins after radical prostatectomy: Correlation with local recurrence and distant progression.

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Controversies in Uro-Oncology: 5th International Symposium on Special Aspects of Radiotherapy, Berlin, Germany, May 11-13, 2000 (Frontiers of Radiation Therapy & Oncology) by T ed. Wiegel


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