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Prof. 0,. Med. MICHAEL C. nuss, DIREKTOR DER UROlOGIS(HEN KllNIK DES KliNIKUMS DORTMUNO:
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IST DAS PROSTATAKARZINOM HEILBAR? Das PrOSlala~arzirlOm iSI der häufigste Tumor des Mannes,
Ent'>Cheidend fur eIne HeIlung ist die frohzeitIge Erkennung des PrOst.lM!<arzinoms, Ein nicht unerheblicher Anteil der Prostata<arZirlOme ISI ohne KrankheitsWchen und bleibt lunachst unerkannt, Therapeuti'>Ch stehen ver'>Chit'den!' {)perationsverfahren, Strahlentherapien sowie mt'di!<amentÖ\e Beh.lndlungsverfahren (z,B. Horr'l'lOf'\bet\andlungl 2ur Verfügung und haben jeweil~ in be\trmmten Stadien der Erkr~nkung ihre Berecht igung, Wichtige Faktoren fur dre Eingrenzung der mögli<hen 6ehandlungsoptionen sind das Alter, Vorerkrankungen 126. Hefz-Kreislduferkiankurrgenl, Voropt'fahonen, das klinische TumorSladium, der P$A-Wert (I'rostataspt'zifisches AI1tigen) sowie der Befund der Gewebeprobef1,
Geradefür d~ fn.j her! Eoo ankurtg$s t.ldien sind die Hei lungsaussichten im Vergleich zu anderen Krebserkrankungen hervorragend. Die frühe Er'<ennung und dann die Behandlung mittels OperallOfl oder Strah~therapie Ist entSCheidend für den Hei· lungserfolg des ProstatakarziTlOfTlS.lst der Tumor nur innerhalb der Kapsel MChwe;sbar,die die Prostata umtlülll.Jiegt die Langzeitheilungswahr'>Cheinlichk.e11 bei uber 9O'Il hat der Tumor die Kapsel durchbrochen bei etwa SO'lll. Der Tumor 1St ni<ht mehr heilb<lr, wenn Ab$ied lungen in den Lymphlmott'f1 OOer anderen Organen vorliegen. Dennoch kann durch modeme Formen der Hormonbehandlung der TumOf noch mehrere Jahre am W.l<:hstum gehindert werden
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