{"id":4003,"date":"2023-04-04T08:40:16","date_gmt":"2023-04-04T06:40:16","guid":{"rendered":"http:\/\/berlin-boehm.de\/Kanty\/?p=4003"},"modified":"2023-04-04T08:40:17","modified_gmt":"2023-04-04T06:40:17","slug":"duenndarm-tumor","status":"publish","type":"post","link":"http:\/\/berlin-boehm.de\/Kanty\/archive\/4003","title":{"rendered":"D\u00fcnndarm -Tumor"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_full-7acc1372e522d1472d3487e02738ae1c\">\n.flex_column.av-av_one_full-7acc1372e522d1472d3487e02738ae1c{\nbackground-color:#22689e;\n}\n<\/style>\n<div  class='flex_column av-av_one_full-7acc1372e522d1472d3487e02738ae1c av_one_full  avia-builder-el-0  el_before_av_hr  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3\">\n#top .av-special-heading.av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3{\nmargin:20px 20px 20px 20px;\npadding-bottom:0;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3 .av-special-heading-tag{\npadding:5px 5px 5px 5px;\n}\n.av-special-heading.av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lg1w4f04-4eca0e9f099592ad90ff7da5d81483d3 av-special-heading-h3 custom-color-heading blockquote classic-quote  avia-builder-el-1  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >D\u00fcnndarm &#8211; Tumor<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-2  el_after_av_one_full  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p>\n<section  class='av_textblock_section av-lg1w52mg-0bf2cb8ee68b69b3d425996dbba1cbe3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Gutartige D\u00fcnndarmtumore sind sehr selten. Es handelt sich meistens um asymptomatische Leiomyome oder Lipome. Wie im Kolon treten auch hier Adenome auf, die entarten k\u00f6nnen und deshalb durch eine sparsame Resektion vollst\u00e4ndig beseitigt werden sollten.<\/p>\n<p>Maligne Tumoren sind \u00fcberwiegend Adenokarzinome, die deutlich seltener sind als im Dickdarm. Sie sind bevorzugt im oberen Abschnitt (Duodenum und proximales Jejunum) lokalisiert. Ihre TNM-Klassifikation \u00e4hnelt der des Kolons. Insgesamt ist die Prognose dieser Tumoren schlechter, weil sie meistens erst im fortgeschrittenen Stadium diagnostiziert werden. Ein kurativer Behandlungsversuch umfasst immer die En-bloc-Resektion des tumortragenden Darmsegmentes mit region\u00e4rer Lymphadenektomie.<\/p>\n<p>Das T-Stadium entspricht der Tiefenausdehnung des Tumors.<\/p>\n<table class=\"bas\">\n<tbody>\n<tr>\n<td>T1-Stadium<\/td>\n<td>Infiltration der Submukosa<\/td>\n<\/tr>\n<tr>\n<td>T2-Stadium<\/td>\n<td>Infiltration der Muskularis propria<\/td>\n<\/tr>\n<tr>\n<td>T3-Stadium<\/td>\n<td>Infiltration der Subserosa oder perikolisches\/perirektales Fettgewebe um weniger als 2 cm<\/td>\n<\/tr>\n<tr>\n<td>T4-Stadium<\/td>\n<td>Infiltration viszerales Peritoneum (a) oder anderer\u00a0Organe\u00a0um mehr als 2 cm (b)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Das N-Stadium entspricht der Ausbreitung entlang der Lymphknoten.<\/p>\n<table>\n<tbody>\n<tr>\n<td>N0-Stadium<\/td>\n<td>Keine Lymphknotenmetastasen<\/td>\n<\/tr>\n<tr>\n<td>N1-Stadium<\/td>\n<td>In\u00a0einem LK (a), in 2-3 LK (b) oder in Satellitenzellen in der Subserosa ohne LK (c)<\/td>\n<\/tr>\n<tr>\n<td>N2-Stadium<\/td>\n<td>Mehr 4-5 LK (a) oder mehr als 6 LK (b)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Das M-Stadium entspricht der Fernmetastasierung.<\/p>\n<table>\n<tbody>\n<tr>\n<td>M0-Stadium<\/td>\n<td>Keine Fernmetastasen<\/td>\n<\/tr>\n<tr>\n<td>M1-Stadium<\/td>\n<td>Fernmetastasen<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Spezielle Gegebenheiten werden in der TNM-Formel durch Suffixe angegeben:<br \/>\nc &#8211; Klinisches Stadium<br \/>\np &#8211; histologisch gesichertes Stadium<br \/>\ny &#8211; Stadium w\u00e4hrend oder nach onkologischer Vorbehandlung<br \/>\nr\u00a0 &#8211; Stadium eines Rezidivtumors<br \/>\nm &#8211; multifokale L\u00e4sionen<\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4003","post","type-post","status-publish","format-standard","hentry","category-chirurgie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>D\u00fcnndarm -Tumor - Berliner Gelassenheit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4003\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00fcnndarm -Tumor - Berliner Gelassenheit\" \/>\n<meta property=\"og:url\" content=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4003\" \/>\n<meta property=\"og:site_name\" content=\"Berliner Gelassenheit\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-04T06:40:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-04T06:40:17+00:00\" \/>\n<meta name=\"author\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003#article\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003\"},\"author\":{\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"headline\":\"D\u00fcnndarm -Tumor\",\"datePublished\":\"2023-04-04T06:40:16+00:00\",\"dateModified\":\"2023-04-04T06:40:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003\"},\"wordCount\":726,\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"articleSection\":[\"Chirurgie\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003\",\"name\":\"D\u00fcnndarm -Tumor - Berliner Gelassenheit\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\"},\"datePublished\":\"2023-04-04T06:40:16+00:00\",\"dateModified\":\"2023-04-04T06:40:17+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4003#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"D\u00fcnndarm -Tumor\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\",\"name\":\"Berliner Gelassenheit\",\"description\":\"Heiterkeit und Widerspr\u00fcche\",\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\",\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"logo\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/image\\\/\"},\"description\":\"Prof. Dr. med. 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