Die Strahlenbehandlung der gutartigen gynäkologischen Erkrankungen (ohne Blutungen)
Radiation therapy for benign gynecological conditions like fibroids and endometriosis has declined but remains useful when other treatments fail or are not practical.
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This German-language chapter reviews radiotherapy for benign gynecologic diseases (excluding bleeding problems), including uterine fibroids, endometriosis, mastitis, adnexal and pelvic-cell inflammatory diseases, and genital/peritoneal tuberculosis, and it contrasts radiotherapy with then-current alternatives such as surgery and hormonal or antituberculous treatments. It reports that radiotherapy has largely lost its earlier priority status, with fibroids and many other conditions now preferentially managed by surgery, and with non-tuberculous adnexal inflammations largely excluded from radiotherapy indications due to effective bacteriostatic/anti-inflammatory drugs. For non-operable endometriosis, the chapter states that hormonal therapy dominates and “almost always” achieves the intended goal, while it notes there may be cases where radiotherapy could be more advantageous and effective. Limitations acknowledged include that the discussion is mainly justified by historical interest and by cases where contemporary therapy fails or is impractical, rather than a unified modern evidence synthesis. This paper is centrally about endometriosis — it discusses radiotherapy’s historical and comparative role versus hormonal therapy for non-operable endometriosis.
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