Avtor/Urednik		Jančar, Boris
Naslov		Napredovali rak kože
Prevedeni naslov		Advanced skin cancer
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 43, št. Suppl 3
Leto izdaje		2004
Obseg		str. 175-7
Jezik		slo
Abstrakt		The incidence of skin cancer is increasing worldwide as well as in Slovenia, which ranks second in the world for this cancer incidence. Skin cancer is a disease mainly contracted by elderly people in their sixties or seventies. At this age, the general health status of patients is usually poor, and the occurrence of cardiovascular diseases, blood disorders, and other diseases is rather high. In the light of the above, surgery as a treatment modality may often be risky or dangerous, which renders it impossible. As a rule, surgery of large tumours is most complicated because of their bulkiness and infiltration into neighbouring organs, which additionally restricts the chances for surgical treatment. In the treatment of large advanced skin tumours, radiotherapy is frequently the only choice. Radiotherapy is often applied with curative purposes in elderly patients regardless of their old age and poor performance status. Application of palliative radiotherapy can also be successful in reducing the complications related to tumour growth and ensuring long-term remission.
Izvleček		Incidenca kožnega raka narašča tako v svetu kot v Sloveniji, kjer je po pogostosti na drugem mestu. Karcinom kože je bolezen poznih desetletij življenja, najbolj pogost je v šestem in sedmem desetletju. V starosti je splošna kondicija bolnikov zmanjšana, zato so v tem obdobju bolj pogosta tudi srčnožilna, krvna in druga obolenja, zaradi katerih je operacijsko zdravljenje tvegano ali celo nemogoče. Veliki tumorji so že zaradi samega obsega težavni za operacijo, pogosto se razraščajo preko več anatomskih predelov, kar še dodatno omejuje možnosti za operacijsko zdravljenje. Pri velikih napredovalih tumorjih kože je zato obsevanje pogosto edini način zdravljenja. Kljub visoki starosti in slabemu splošnemu stanju bolnika obsevanje pogosto uporabljamo s kurativnim namenom. Tudi s paliativnim obsevanjem lahko dosežemo zmanjšanje težav, ki jih povzroča rast tumorja, ter dolgotrajno zazdravitev bolnika.
Deskriptorji		SKIN NEOPLASMS NEOPLASM STAGING DISEASE PROGRESSION LYMPHATIC METASTASIS INCIDENCE SLOVENIA