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Springer Neue Konzepte der Diagnostik und Therapie des Mammakarzinoms: Bericht über die 1. wissenschaftliche Tagung der Deutschen Gesellschaft für Senologie: Vor- und Frühstadien des Mammakarzinoms

black & white illustrations, bibliograph

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Description

Vor einiger Zeit fand in Heidelberg die Gründungstagung der Deutschen Ge sellschaft für Senologie statt. Tagungsthema war "Diagnose und Therapie der Vor- und Frühstadien des Mammakarzinoms". Das Interesse war groß und re flektierte sich in der hohen Zahl von über 500 Kongreßteilnehmern. In zweifacher Hinsicht stellte dieser Anlaß einen Markstein in der senologi sehen Landschaft dar. Einerseits unterstreicht die Gründung einer organzen trierten, fachübergreifenden und interdisziplinären wissenschaftlichen Gesell schaft - und das dadurch geweckte breite Interesse - die Komplexität der an stehenden Probleme und die Notwendigkeit echter interdisziplinärer Zusam menarbeit. Andererseits wurden zum ersten Mal im deutschen Sprachbereich die Perspektiven und Hoffnungen, aber auch die Unsicherheiten und Verwir rungen, die sich mit der Vorverlegung der Malignomdiagnose in zeitlich frü here Stadien und der Möglichkeit organkonservierender Therapieformen erge ben, in breitem Rahmen diskutiert. Es zeigte sich, daß neue therapeutische Perspektiven für das Mammakarzi nom im Spannungsfeld zwischen der lebensbedrohlichen Natur der Erkran kung und dem psycho-sozial mutilierenden Charakter bewährter herkömmli cher Therapie den Therapeuten ebenso faszinieren wie verunsichern. Mit dem vorliegenden Buch wird von namhaften Vertretern der Chirurgie, Gynäkologie, Radiologie, Pathologie und Inneren Medizin ein Gesamtüber blick zum aktuellen Stand der Diagnostik und der Behandlung der präinvasi ven und frühinvasiven Mammakarzinoms gegeben. Dabei geht es Autoren und Herausgebern vor allem darum, neben Empfehlungen auf gesicherter Grund lage auch die Brennpunkte der Kontroversen darzustellen~ Dazu zählen z. B. der Wert der subkutanen Mastektomie, Verzicht auf Radikaloperation und Nutzen und Risiken der adjuvanten Chemotherapie.

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