{"id":8674,"date":"2015-05-26T17:05:39","date_gmt":"2015-05-26T15:05:39","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8674"},"modified":"2024-02-26T17:11:41","modified_gmt":"2024-02-26T16:11:41","slug":"cancer-de-pancrees","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/cancer-de-pancrees\/","title":{"rendered":"C\u00e0ncer de P\u00e0ncrees"},"content":{"rendered":"

El tipus de c\u00e0ncer de p\u00e0ncrees m\u00e9s freq\u00fcent (95%) \u00e9s l’anomenat Carcinoma ductal i deriva de les c\u00e8l\u2022lules dels conductes pancre\u00e0tics.<\/p>\n

El c\u00e0ncer de p\u00e0ncrees \u00e9s la quarta causa m\u00e9s freq\u00fcent de mort per c\u00e0ncer en els pa\u00efsos occidentals. La superviv\u00e8ncia global als 5 anys des del moment del diagn\u00f2stic \u00e9s inferior al 5%. Aproximadament el 80% dels pacients es diagnostiquen en estadis avan\u00e7ats de la malaltia.<\/p>\n

L’edat mitjana en el diagn\u00f2stic se situa en la setena d\u00e8cada de la vida i s’han descrit els seg\u00fcents factors de risc: el tabac, el consum de carns “vermelles”, l’obesitat, la diabetis i la pancreatitis cr\u00f2nica.<\/p>\n

Un 5-10% dels pacients presenten agregaci\u00f3 familiar que es manifesta en tres formes: c\u00e0ncer de p\u00e0ncrees familiar, c\u00e0ncer de p\u00e0ncrees associat a altres s\u00edndromes hereditaris i antecedent de pancreatitis heredit\u00e0ria.<\/p>\n

Es recomana realitzar estudi de despistatge de c\u00e0ncer de p\u00e0ncrees en els individus d’alt risc amb una base gen\u00e8tica mitjan\u00e7ant Ecoendosc\u00f2pia<\/a> o Colangiografia per Resson\u00e0ncia magn\u00e8tica.<\/p>\n

Els s\u00edmptomes varien segons la localitzaci\u00f3 al p\u00e0ncrees, per\u00f2 amb freq\u00fc\u00e8ncia presenten pigmentaci\u00f3 groga de la pell i els ulls, cansament, falta de gana, p\u00e8rdua de pes, mal d’esquena, depressi\u00f3, n\u00e0usees o debut recent de diabetis.<\/p>\n

Si un pacient presenta els s\u00edmptomes descrits s’ha de fer un esc\u00e0ner abdominal (TC multitall amb contrast) que informi de la localitzaci\u00f3 del tumor, la mida, la seva relaci\u00f3 amb els vasos abdominals i \u00f2rgans ve\u00efns, aix\u00ed com la pres\u00e8ncia de malaltia a dist\u00e0ncia del tumor ( met\u00e0stasi).<\/p>\n

De vegades es necessita complementar l’estudi amb una Ecoendosc\u00f2pia que a m\u00e9s permet la realitzaci\u00f3 de punci\u00f3 de la lesi\u00f3 per a estudi al laboratori d’anatomia patol\u00f2gica.<\/p>\n

Amb la informaci\u00f3 d’aquestes proves, el c\u00e0ncer de p\u00e0ncrees es classifica en resecable, resecable “marginalment” (en el l\u00edmit de resecci\u00f3), localment avan\u00e7at (irresecable) i metast\u00e0sic (amb malaltia a dist\u00e0ncia).<\/p>\n

\u00c9s molt important el diagn\u00f2stic preco\u00e7 i el tractament coordinat dels diferents especialistes (digestiu, cirurgi\u00e0, radi\u00f2leg, onc\u00f2leg, …) per realitzar un maneig adequat a l’estadi de la malaltia.<\/p>\n

En els tumors resecables (15-20% dels tumors), el tractament recomanat \u00e9s la resecci\u00f3 quir\u00fargica, associada a quimio-radioter\u00e0pia despr\u00e9s de la cirurgia (adjuvant) o pr\u00e8via a la mateixa (neoadjuvant). La superviv\u00e8ncia als 5 anys \u00e9s del 15-20%. Els factors pron\u00f2stics m\u00e9s importants s\u00f3n la grand\u00e0ria del tumor, el nombre de ganglis afectats i la invasi\u00f3 vascular i dels fascicles nerviosos peripancre\u00e0tics.<\/p>\n

El tumor es localitza amb m\u00e9s freq\u00fc\u00e8ncia en el cap del p\u00e0ncrees i la cirurgia m\u00e9s habitual \u00e9s la duodenopancreatectomia cef\u00e0lica, on s’extirpa el cap del p\u00e0ncrees, part de l’est\u00f3mac, el duod\u00e8, el conducte biliar i la ves\u00edcula biliar.<\/p>\n

La majoria dels pacients es diagnostiquen en estadis avan\u00e7ats, podent rebre quimioter\u00e0pia-radioter\u00e0pia pal\u2022liativa i \/ o tractaments per al control dels s\u00edmptomes. La superviv\u00e8ncia \u00e9s aproximadament de 10 mesos.
\nActualment s’investiga intensament en nous tractaments del c\u00e0ncer de p\u00e0ncrees.<\/p>\n","protected":false},"excerpt":{"rendered":"

El tipus de c\u00e0ncer de p\u00e0ncrees m\u00e9s freq\u00fcent (95%) \u00e9s l’anomenat Carcinoma ductal i deriva de les c\u00e8l\u2022lules dels conductes pancre\u00e0tics. El c\u00e0ncer de p\u00e0ncrees \u00e9s la quarta causa m\u00e9s freq\u00fcent de mort per c\u00e0ncer […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7817,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8674","page","type-page","status-publish"],"yoast_head":"\nC\u00e0ncer de P\u00e0ncrees - Servidigest<\/title>\n<meta name=\"description\" content=\"C\u00e0ncer de P\u00e0ncrees\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/cancer-de-pancrees\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e0ncer de P\u00e0ncrees - Servidigest\" \/>\n<meta property=\"og:description\" content=\"C\u00e0ncer de P\u00e0ncrees\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/cancer-de-pancrees\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-26T16:11:41+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/cancer-de-pancrees\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/cancer-de-pancrees\/\",\"name\":\"C\u00e0ncer de P\u00e0ncrees - 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