{"id":1285,"date":"2017-03-06T10:05:06","date_gmt":"2017-03-06T10:05:06","guid":{"rendered":"https:\/\/garces-wp.ixole.es\/?page_id=1285\/"},"modified":"2017-03-29T16:52:59","modified_gmt":"2017-03-29T16:52:59","slug":"tractament-del-cancer-de-pell","status":"publish","type":"page","link":"https:\/\/garces-wp.ixole.es\/ca\/cancer-de-pell\/tractament-del-cancer-de-pell\/","title":{"rendered":"Tractament del c\u00e0ncer de pell"},"content":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1925&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div id=\"p_p_id_56_INSTANCE_5tRl_\" class=\"portlet-boundary portlet-boundary_56_ portlet-static portlet-static-end portlet-journal-content \">\n<div id=\"aui-3-2-0PR1-1174\" class=\"portlet-borderless-container\">\n<div id=\"aui-3-2-0PR1-1171\" class=\"portlet-body\">\n<div id=\"article_10131_139655_596915_1.0\" class=\"journal-content-article\">\n<div id=\"aui-3-2-0PR1-1166\" class=\"caja_contenido\">\n<div id=\"aui-3-2-0PR1-1163\" class=\"caja_texto\">\n<div id=\"texto\" class=\"texto\">\n<p>La major part dels c\u00e0ncers de pell poden ser extirpats mitjan\u00e7ant cirurgia sense requerir ni quimioter\u00e0pia ni radioter\u00e0pia, per\u00f2 el tractament dependr\u00e0 sempre de la tipologia de tumor, de la seva localitzaci\u00f3, de la profunditat a la que estigui arrelat i de les caracter\u00edstiques particulars del pacient.<\/p>\n<p>Pr\u00e8viament, es realitza una bi\u00f2psia del tumor, \u00e9s a dir, es pren una mostra del teixit del tumor per analitzar i determinar el tipus de tractament d&#8217;elecci\u00f3. En determinats casos de Melanoma, podria estar indicada la realitzaci\u00f3 <strong>d&#8217;una <a href=\"https:\/\/garces-wp.ixole.es\/ca\/screening-cutani-i-diagnostic-del-melanoma\/\">bi\u00f2psia del gangli sentinella<\/a><\/strong>, una prova diagn\u00f2stica que determina l&#8217;extensi\u00f3 del tractament dels melanomes.<\/p>\n<p>Un cop realitzades les <a href=\"https:\/\/garces-wp.ixole.es\/ca\/screening-cutani-i-diagnostic-del-melanoma\/\"><strong>proves diagn\u00f2stiques necess\u00e0ries<\/strong><\/a>, es definir\u00e0 el tractament a seguir.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row gap=&#8221;20&#8243; content_placement=&#8221;middle&#8221;][vc_column][vc_custom_heading text=&#8221;Tipus de tractament:&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<h3><strong>1. Destruir el tumor<\/strong><\/h3>\n<p>Hi ha un conjunt de m\u00e8todes pensats per destruir el tumor que s\u00f3n efica\u00e7os en tumors superficials o per a pacients que per algun motiu no es puguin sotmetre a una cirurgia.<\/p>\n<p>S\u00f3n t\u00e8cniques generalment ambulat\u00f2ries que no requereixen anest\u00e8sia general per\u00f2 que, per contra, tampoc permeten analitzar el tumor ni controlar els marges de destrucci\u00f3 que es realitzen durant el tractament. A causa d&#8217;aix\u00f2, no es pot assegurar que el tumor no reaparegui i es requereixen sempre controls peri\u00f2dics posteriors.<\/p>\n<ul>\n<li><strong>Destrucci\u00f3 f\u00edsica del tumor<\/strong><\/li>\n<\/ul>\n<p>Algunes d&#8217;aquestes t\u00e8cniques de destrucci\u00f3 f\u00edsica s\u00f3n la <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/crioterapia\/\"><strong>crioter\u00e0pia<\/strong><\/a>, el <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/laser\/\"><strong>l\u00e0ser<\/strong> <\/a>i la radioter\u00e0pia. La <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/terapia-fotodinamica\/\"><strong>Ter\u00e0pia Fotodin\u00e0mica<\/strong><\/a> \u00e9s la de m\u00e9s recent incorporaci\u00f3 i que ostenta l&#8217;\u00edndex de curaci\u00f3 m\u00e9s alt.<\/p>\n<ul>\n<li><strong>Destrucci\u00f3 qu\u00edmica del tumor<\/strong><\/li>\n<\/ul>\n<p>Algunes subst\u00e0ncies qu\u00edmiques s\u00f3n actives davant de les c\u00e8l\u00b7lules tumorals i desenvolupen una resposta immune per part del pacient contra les pr\u00f2pies c\u00e8l\u00b7lules malignes. El <em>imiquimod<\/em> aplicat al 5% en forma de crema, aconsegueix resultats propers al 80% de curaci\u00f3 en tumors seleccionats.<\/p>\n<p>Tamb\u00e9 pot ser usat com a tractament &#8220;destructiu&#8221; complementari a una t\u00e8cnica de destrucci\u00f3 f\u00edsica utilitzada pr\u00e8viament com la <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/terapia-fotodinamica\/\"><strong>Ter\u00e0pia Fotodin\u00e0mica<\/strong><\/a> o la <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/crioterapia\/\"><strong>Crioter\u00e0pia<\/strong><\/a>, millorant aix\u00ed la resposta o el grau de curaci\u00f3 de la t\u00e8cnica.<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>2. Extirpar el tumor<\/strong><\/h3>\n<p>L&#8217;\u00fas de cirurgia per a l&#8217;extirpaci\u00f3 del tumor \u00e9s la t\u00e8cnica recomanada sempre que sigui possible pel fet que \u00e9s curativa i permet assegurar la completa eradicaci\u00f3 del tumor.<\/p>\n<p>El tipus de cirurgia dependr\u00e0 de la tipologia de tumor, la seva profunditat i extensi\u00f3 i la possible afectaci\u00f3 de ganglis limf\u00e0tics propers.<\/p>\n<p>Concretament, en el cas del melanoma amb tend\u00e8ncia a disseminar, els marges de seguretat han de ser m\u00e9s amplis que en el cas de tumors s\u00f2lids locals. En aquest \u00faltim cas, ser\u00e0 suficient amb l&#8217;extracci\u00f3 d&#8217;un marge m\u00ednim per assegurar l&#8217;adequada eradicaci\u00f3 del tumor.<\/p>\n<p>La <a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/cirurgia-de-mohs\/\"><strong>Cirurgia de Moh<\/strong>s<\/a> permet extirpar el tumor per capes, analitzant els marges del tumor fins assegurar la seva completa eradicaci\u00f3.<\/p>\n<h4><a href=\"https:\/\/garces-wp.ixole.es\/ca\/dermatologia-quirurgica\/cirurgia-de-mohs\/\">\u00a0M\u00e9s informaci\u00f3 sobre la Cirurgia de Mohs<\/a><\/h4>\n<p>&nbsp;<\/p>\n<h3><strong>3.\u00a0Quimioter\u00e0pia<\/strong><\/h3>\n<p>Encara s&#8217;utilitza de manera molt selectiva, en alguns casos de c\u00e0ncer de pell disseminat, resistent a tractaments previs o inoperables, tenim un arsenal terap\u00e8utic de tractament oral amb quimioter\u00e0pia per a diferents tipus de tumors.<\/p>\n<p>A les subst\u00e0ncies cl\u00e0ssiques, recentment se li han afegit tractaments biol\u00f2gics de gran precisi\u00f3 pel tractament del melanoma, els sarcomes, el carcinoma escat\u00f3s o fins i tot per al carcinoma basocel\u00b7lular (Vismodegib, subst\u00e0ncia de recent comercialitzaci\u00f3 al nostre pa\u00eds).[\/vc_column_text][vc_separator][vc_empty_space][vc_empty_space][vc_empty_space][vc_cta h2=&#8221;Si vol demanar cita o m\u00e9s informaci\u00f3, contacti amb nosaltres&#8221; h2_font_container=&#8221;font_size:24|color:%23ffffff&#8221; h2_use_theme_fonts=&#8221;yes&#8221; add_button=&#8221;right&#8221; btn_title=&#8221;Contactar&#8221; btn_style=&#8221;classic&#8221; btn_color=&#8221;chino&#8221; btn_align=&#8221;right&#8221; css=&#8221;.vc_custom_1488903923752{background-color: #3b506b !important;}&#8221; use_custom_fonts_h2=&#8221;true&#8221; use_custom_fonts_h4=&#8221;true&#8221; btn_button_block=&#8221;true&#8221; btn_link=&#8221;url:https%3A%2F%2Fgarces-wp.ixole.es%2Fca%2Fcontactar%2F||&#8221;][\/vc_cta][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1925&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text] La major part dels c\u00e0ncers de pell poden ser extirpats mitjan\u00e7ant cirurgia sense requerir ni quimioter\u00e0pia ni radioter\u00e0pia, per\u00f2 el tractament dependr\u00e0 sempre de la tipologia de tumor, de la seva localitzaci\u00f3, de la profunditat a la que estigui arrelat i de les caracter\u00edstiques particulars del pacient. Pr\u00e8viament, es realitza [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1248,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1285","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tractament del c\u00e0ncer de pell - Dermatologia Garces<\/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:\/\/garces-wp.ixole.es\/ca\/cancer-de-pell\/tractament-del-cancer-de-pell\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tractament del c\u00e0ncer de pell - Dermatologia Garces\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1925&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text] La major part dels c\u00e0ncers de pell poden ser extirpats mitjan\u00e7ant cirurgia sense requerir ni quimioter\u00e0pia ni radioter\u00e0pia, per\u00f2 el tractament dependr\u00e0 sempre de la tipologia de tumor, de la seva localitzaci\u00f3, de la profunditat a la que estigui arrelat i de les caracter\u00edstiques particulars del pacient. 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