Author/Editor		Dovšak, David
Title		Problematika kirurškega zdravljenja obsevanih bolnikov s karcinomom v ustni votlini
Translated title		Problems associated with surgical management of previously irradiated patients with oral cancer
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. Suppl 3
Publication year		2004
Volume		str. 293-7
Language		slo
Abstract		Early stage oral cancer (T1 and T2) can be equally well controlled with single-modality treatment consisting of either surgery or irradiation. For several reasons, primary surgical therapy is preferred for both early stage and advanced stage oral cancers, where surgery is followed by radiotherapy and is sometimes combined with chemotherapy. Organ preservation should not be the primary goal of oral cancer treatment if it compromises an adequate locoregional control of the disease. The quality of life has been greatly improved with new reconstruction techniques. Surgical treatment of previously irradiated patients can be risky and postoperative healing is also compromised.
Summary		Manjše karcinome (T1 in T2) v ustni votlini lahko dokaj enakovredno pozdravimo bodisi z obsevanjem bodisi z operacijo. Če je le mogoče, se odločimo samo za eno vrsto zdravljenja. Iz več razlogov ima operativno zdravljenje prednost pred obsevalnim. Tudi pri napredovalem karcinomu ustne votline se zavzemamo za primarno kirurško zdravljenje, ki mu sledi obsevanje, včasih v kombinaciji s kemoterapijo. Ohranjanje organov in njihove funkcije ne sme biti vodilo pri zdravljenju karcinomov ustne votline, če gre na račun neadekvatnega zdravljenja. Z novimi rekonstrukcijskimi tehnikami se je kvaliteta življenja operiranih bolnikov precej izboljšala in je dolgoročno nemalokrat boljša, kot če se bolnika zdravi z obsevanjem. Pri že obsevanih bolnikih je tvegan tako sam kirurški poseg, kot tudi pooperativno celjenje ran.
Descriptors		MOUTH NEOPLASMS QUALITY OF LIFE NEOPLASM STAGING TREATMENT OUTCOME