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Radiology in the Nazi Mitteilungen der Fachgesellschaften Strahlenther Onkol 2014 ∙ 190:607–620 Redaktion: DOI 10.1007/s00066-014-0673-6 Prof. Dr. Rolf Sauer, Erlangen © Springer-Verlag Berlin Heidelberg 2014 Adressen Deutsche Gesellschaft für Medizinische Physik, www.dgmp.de Prof. Dr. K. Zink, Institut für Medizinische Physik und Strahlenschutz, IMPS TH Deutsche Gesellschaft für Radioonkologie e.V., www.degro.org Mittelhessen, Wiesenstr. 14, D-35390 Gießen, Telefon (+49/641) 309 2574 DEGRO-Geschäftsstelle, Hindenburgdamm 30, D-12200 Berlin, Telefon (+49/30) 8441-9188, Fax -9189 Hellenic Society of Radiation Oncology, www.eeao.f2s.com Präsident: Prof. Dr. M. Baumann, Klinik für Strahlentherapie und Radioonkologie Dr. P. Pantelakos, Karneadou Str. 44–46, GR-10676 Athen, und OncoRay-Zentrum für Medizinische Strahlenforschung und Onkologie, Telefon/Fax (+30/1) 7244117 Dresden Romanian Society of Radiotherapy and Medical Oncology, Österreichische Gesellschaft für Radioonkologie, Radiobiologie www.srrom.ro und Medizinische Radiophysik, www.oegro.com Prof. Dr. N. Ghilezan, 34–36, Republicii Str., 400015 Cluj-Napoca, Univ.-Prof. Dr. K.S. Kapp, Universitätsklinik für Strahlentherapie-Radioonkologie, Rumänien, Telefon (+40/264) 598361 (ext. 106), Auenbruggerplatz 32, 8036 Graz, Fax (+40/264) 598815, E-Mail: [email protected] Telefon (+43/316) 385-12639 Slovak Society of Radiation Oncology, www.srobf.szm.com Scientific Association of Swiss Radiation Oncology, www.sasro.ch MUDr. Pavol Dubinský, PhD.; Východoslovenský onkologický ústav, a.s.; PD Dr. Damien C. Weber, Service de radio-oncologie, Rastislavova 43, 04191 Košice, Slowakei; Hôpital Cantonal Universitaire, CH - 1211 Genève Telefon (+421/55) 6135-501(-511, -502), Fax -504; E-Mail: [email protected] Hungarian Society of Radiation Oncology, www.oncol.hu Dr. J. Lövey, National Institute of Oncology, Berufsverband Deutscher Strahlentherapeuten e.V., www.bvdst.de Ráth György u. 7–9, H-1121 Budapest Prof. Dr. F.-J. Prott, Radiologische Gemeinschaftspraxis am St.-Josefs-Hospital, E-Mail: [email protected] Beethovenstr. 20, D-65189 Wiesbaden, E-Mail: [email protected] Jubilare Symposium BENIGN RELOADED 2 „Strahlentherapie nichtmaligner Erkrankungen“ Die Fachgesellschaften von der AG Gutartige Erkrankungen der Deutschen Gesellschaft für Strahlentherapie und Onkologie gratulieren zum Geburtstag: Radioonkologie e.V. Bad Hersfeld, 18.10.2014 10.06.2014 Gelsenkirchen: 11.06.2014 Bedburg: Ort der Veranstaltung: Dr. Marlis Martin-Malberger Dr. Udo Brückner Stadthalle Bad Hersfeld, 65 Jahre 85 Jahre Wittastr. 5, 36251 Bad Hersfeld 12.06.2014 HB Nijmegen: 15.06.2014 München: Wissenschaftliche Leitung und Organisation: Prof. Dr. Jan Willem Leer Dr. Annemarie Wuttge Prof. Dr. med. O. Micke PD Dr. med. R. Mücke 65 Jahre 89 Jahre Prof. Dr. med. U. Schäfer Prof. Dr. med. M. H. Seegenschmiedt Prof. Dr. med. H. J. Feldmann PD Dr. med. H. D. Weitmann Information und Anmeldung: Kongresssekretariat Anmeldung Strahlentherapie Klinikum Bad Hersfeld, Seilerweg 29, 36251 Bad Hersfeld Tel.: 06621-881370, Fax: 06621-881375 E-mail: [email protected] Kursgebühren (inklusive Pausenverpflegung): Facharzt: 80,- € Arzt in Weiterbildung: 50,- € MTRA, MPE: 30,- € Anmeldung erbeten bis spätestens: 30. September 2014 Strahlentherapie und Onkologie 6 · 2014 | 607 Mitteilungen der Fachgesellschaften Aggressive B-Zell Lymphome: Internationale Studie bestätigt bessere Ergebnisse Personalia durch eine ergänzende Strahlentherapie zur allgemein üblichen Chemotherapie München bei ausgedehnten Tumoren Prof. Dr. med. Stephanie E. Combs, bisher leitende Oberärztin an Besonders aggressive B-Zell- rapie überhaupt verzichtet wer- der Klinik für Radioonkologie und Strahlentherapie am Univer- Lymphome, eine Untergruppe den kann. sitätsklinikum Heidelberg, leitet seit 1. April dieses Jahres die Kli- der Non-Hodgkin-Lymphome, Bei 166 Patienten mit ag- nik für RadioOnkologie und Strahlentherapie am Klinikum rechts die vor allem bei älteren Men- gressiven B-Zell-Lymphomen der Isar der TU München. Sie trat damit die Nachfolge von Herrn schen auftreten, wurden lange wurde auf die Strahlentherapie Prof. Dr. med. Michael Molls an, der nach 22 Jahren als Leiter Zeit mit einer Kombination aus verzichtet. Dieser Verzicht er- der Klinik in den Ruhestand ging. Nach ihrem Medizinstudium Chemo- und Strahlentherapie höhte trotz Rituximab die Rate in Heidelberg, San Antonio (Texas, USA) und Norfolk (Virginia, behandelt. In letzter Zeit wur- an lokalen Rückfällen im Ver- USA) promovierte Frau Combs im Jahr 2003 in der Neuroanato- de auf die Radiotherapie aller- gleich mit den bestrahlten Pa- mie. 2009 schloss sie ihre Facharztausbildung für Strahlenthera- dings immer häufiger verzich- tienten deutlich erhöht. Umge- pie ab und habilitierte sich im Fach Radioonkologie und Strahlen- tet, stattdessen setzten die inter- kehrt wurde der Anteil an Pa- therapie. Aus Heidelberg bringt Frau Combs jahrelange Experti- nistischen Onkologen vielver- tienten, bei denen der Krebs se in der Behandlung mit Partikelstrahlen (Schwerionen, Proto- sprechende neue Medikamen- in den ersten drei Jahren nicht nen) mit, von der auch die Patienten am Klinikum rechts der Isar te ein. Zwar konnten monoklo- weiter fortgeschritten war, profitieren sollen. nale Antikörper Ergebnisse ver- durch die Radiotherapie von 62 bessern. Jedoch wurde in einer auf 88 % gesteigert. Der Anteil aktuellen Studie (Held et al.) ge- der überlebenden Patienten er- Gabriele Moser zeigt, dass vor allem bei ausge- höhte sich von 65 auf 90 %. Die Institute for History and Ethics of Medicine, University of Heidelberg, dehnten Tumoren die Lang- teilnehmenden Zentren haben Heidelberg, Deutschland zeiterfolge durch eine zusätzli- bereits die Konsequenzen gezo- che Strahlentherapie noch wei- gen und bieten für die meisten ter optimiert werden können. Patienten mit „bulky disease“ Bei aggressiven Varianten wieder eine Strahlentherapie Radiology in the des B-Zell-Lymphoms kommt an. Eine Dosis von 36–40 Gy ist es häufig zu einem ausgedehn- zwar relativ niedrig, wird damit Nazi era: part 3 ten Befall der Lymphknoten, aber gut vertragen. bei dem die Tumorgröße von Prof. Michael Baumann, Roentgen studies and national mehr als 7,5 cm als „bulky di- der Präsident der DEGRO, sease“ bezeichnet wird. Hier hat stellt fest: „Der Verzicht auf die health: radiology and roentgenology der Tumor häufig die Grenzen Radiotherapie in RICOVER- der Lymphknoten überschrit- noRTh hat die Verträglichkeit in the Nazi eugenics policy ten. Die Therapie bestand lan- nicht verbessert. Die Stu die ge Zeit nur in einer Chemothe- zeigt, dass die Radiotherapie rapie mit CHOP. Patienten mit bei ausgewählten Patienten mit In addition to promoting, sum- of national hygiene [Volkshy- „bulky disease“ erhielten teil- malignen Lymphomen auch in marizing and evaluating spe- giene] in mass screenings and weise aber auch eine Bestrah- Zukunft einen hohen Stellen- cialist scientific work, the arti- to prevention of detrimental ef- lung. Vor einigen Jahren wurde wert haben wird.“ cles of association of the Ger- fects in the area of eugenics.”1 In CHOP durch den monoklona- man Roentgen Association this way, traditional medical ac- len Antikörper Rituximab er- Berlin, März 2014 (DRG) defined one of the DRG’s tivity—focused on curing indi- gänzt, der gezielt B-Zellen an- tasks as “consulting and support viduals—was extended by a per- greift. In einer früheren Stu- Literatur for the Reich Physicians’ Cham- spective involving population die (RICOVER-60) konnte fest ber in the use of Roentgen stud- medicine. Section 1 of the Reich 1. Held, G. et al.: “Role of Radiothera- gestellt werden, dass mit die- py to Bulky Disease in Elderly Patients ies and radiological research to- Physicians’ Regulations, dated ser Therapie die Behandlungs- With Aggressive B-Cell Lymphoma” in: wards serving national health.” December 13, 1935 (Reichsge- ergebnisse deutlich verbessert JOURNAL OF CLINICAL ONCOLOGY, However, this technical support Published Ahead of Print on February wurden. Es ergab sich deshalb 3, 2014 as 10.1200/JCO.2013.51.4505, explicitly related not only to in- 1 Deutsche Röntgen-Gesellschaft: die Frage, ob auf eine Radiothe- http://jco.ascopubs.org/content/ear- dividual radiodiagnostic and ly/2014/02/03/JCO.2013.51.4505 Geschäftsbericht für das Kalender- radiotherapeutic patient care jahr 1936. Satzung und Mitglieder- in free medical practice and at Verzeichnis, Stand vom Juli 1937, hospitals, but also “to purposes Leipzig 1937, p. 6. 608 | Strahlentherapie und Onkologie 6 · 2014 setzblatt, RGBl, Reich Law Ga- On this count, the Ordinance sures like commitment of the cidents and even fatalities oc- zette I, p. 1433) codified this of the Reich Ministers of the so-called “hereditarily dis- curring quite frequently. Since outlook for members of medi- Interior and Justice pertaining eased” to asylums, the ban on implementation of the GzVeN, cal professions with the formula to implementation of the Law marriages and particularly by which was considered to be the “service to the health of the in- for the Prevention of Offspring the elimination of the ability of “biopolitical basic law” of Na- dividual and of the entire [Ger- with Hereditary Diseases (Ge- persons with certain psychiatric tional Socialism and was to be man] people.” setz zur Verhütung erbkranken illnesses deemed to be heredi- kept from falling into public In the field of medicine Nachwuchses, GzVeN) dated tary to reproduce. Sterilization disrepute at all costs, the search and public health, this princi- December
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