{"id":1161,"date":"2020-12-02T12:50:55","date_gmt":"2020-12-02T12:50:55","guid":{"rendered":"http:\/\/profmunteanu.ro\/?p=1161"},"modified":"2023-09-05T08:50:38","modified_gmt":"2023-09-05T07:50:38","slug":"tumorile-maligne-oculare-melanomul-uveal","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/de\/tumorile-maligne-oculare-melanomul-uveal\/","title":{"rendered":"B\u00f6sartige Erkrankungen des Auges - Aderhautmelanom"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. Simptomele pot ap\u0103rea \u00een stadiile avansate \u0219i pot include modific\u0103ri ale vederii, viziune \u00eence\u021bo\u0219at\u0103 \u0219i apari\u021bia unor pete \u00eentunecate \u00een ochi. Cauzele exacte ale melanomului uveal nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 exist\u0103 unele factori de risc, precum expunerea la radia\u021bii UV \u0219i anumite anomalii genetice. Tratamentul melanomului uveal poate implica diverse op\u021biuni, precum radioterapia, terapia cu laser, chimioterapia sau chiar \u00eendep\u0103rtarea chirurgical\u0103 a ochiului afectat, \u00een func\u021bie de stadiul \u0219i localizarea tumorii.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Introducere<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sie ist die h\u00e4ufigste prim\u00e4re intraokulare Malignit\u00e4t bei Erwachsenen. Es handelt sich haupts\u00e4chlich um die Aderhaut (85%), den Ziliark\u00f6rper (5-8%) oder die Iris (3-5%). &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>28-37%<\/strong> von Aderhautmelanomen <strong>werden bei der ersten Untersuchung nicht diagnostiziert und zeigen m\u00f6glicherweise keine Symptome!<\/strong>&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Das Erscheinungsbild ist das einer Tumormasse\nerhaben, gleichm\u00e4\u00dfig\/gleichm\u00e4\u00dfig pigmentiert, mit vaskul\u00e4ren Ver\u00e4nderungen, +\/-\nlokale Komplikationen (Netzhautabl\u00f6sung, Blutungen, chorioretinale Falten).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daher ist es wichtig, dass <strong>bei jeder Beratung<\/strong> durchgef\u00fchrt zu werden <strong>Retinographie<\/strong> wenn <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/profmunteanu.ro\/de\/ecografia-oculara\/\" target=\"_blank\">okul\u00e4rer Ultraschall <\/a><\/strong>&nbsp;um das Vorhandensein eines intraokularen Tumors auszuschlie\u00dfen. Dann, <a href=\"https:\/\/profmunteanu.ro\/de\/angiofluorografia-retiniana\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Angiofluorographie<\/strong> <\/a>ist f\u00fcr die Unterscheidung zwischen Naevus (gutartig) und Aderhautmelanom (b\u00f6sartig) obligatorisch.<\/p>\n\n\n\n<figure class=\"wp-block-gallery aligncenter has-nested-images columns-1 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" data-id=\"6391\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-1024x397.png\" alt=\"Tumorile maligne oculare - Melanomul uveal, oftalmologie\" class=\"wp-image-6391\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Abordari terapeutice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Es ist ein komplexer diagnostischer Ansatz erforderlich, bei dem die Dicke, der Basisdurchmesser, die genaue Lage und die Art des Tumors bestimmt werden, um die Wahl der <strong>therapeutischer Ansatz<\/strong> <strong>optimal:<\/strong>&nbsp;&nbsp;    <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Transpupill\u00e4re Thermotherapie (TTT) - <em><strong>bald in unserer Klinik erh\u00e4ltlich<\/strong><\/em><\/li>\n\n\n\n<li>Protonentherapie<\/li>\n\n\n\n<li>Brachytherapie &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/li>\n\n\n\n<li>Stereotaktische Strahlentherapie - CyberKnife. <\/li>\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de <a href=\"https:\/\/www.youtube.com\/@profmunteanu\">YouTube<\/a>.<\/em><\/h3>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Prof. Univ. Dr. M. Munteanu, MD PhD FEBO<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"http:\/\/profmunteanu.ro\/wp-content\/uploads\/2019\/05\/dr_munteanu-682x1024.png\" alt=\"\" class=\"wp-image-126\" width=\"105\" height=\"157\"\/><\/figure>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. Simptomele pot ap\u0103rea \u00een stadiile avansate \u0219i pot include modific\u0103ri ale vederii, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-1161","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tumorile maligne oculare - Melanomul uveal - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/de\/tumorile-maligne-oculare-melanomul-uveal\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tumorile maligne oculare - Melanomul uveal - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. 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