{"id":163,"date":"2025-02-20T10:24:37","date_gmt":"2025-02-20T08:24:37","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/?p=163"},"modified":"2026-01-16T11:36:43","modified_gmt":"2026-01-16T09:36:43","slug":"tumor-neuroendocri-de-pancrees","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/tumor-neuroendocri-de-pancrees\/","title":{"rendered":"Tumor Neuroendocr\u00ed de P\u00e0ncrees: Qu\u00e8 \u00e9s, s\u00edmptomes, tractament i esperan\u00e7a de vida"},"content":{"rendered":"

Una consulta relativament freq\u00fcent \u00e9s el descobriment, generalment incidental, d’un tumor en el p\u00e0ncrees<\/a><\/strong> en una prova d’imatge. Davant d’aquest diagn\u00f2stic, el primer que pensa el pacient \u00e9s en un c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>, per\u00f2, tanmateix, \u00e9s classificat pel radi\u00f2leg com un tumor neuroendocr\u00ed de p\u00e0ncrees<\/strong>. De qu\u00e8 es tracta? \u00c9s maligne? Cal fer alguna cosa?<\/p>\n

Origen del Tumor Neuroendocr\u00ed de P\u00e0ncrees<\/h2>\n

El tumor neuroendocr\u00ed de p\u00e0ncrees<\/strong> (TNEp) forma part d’un grup de tumors l’origen dels quals \u00e9s diferent del c\u00e0ncer de p\u00e0ncrees<\/strong>. El p\u00e0ncrees<\/strong> presenta en el seu interior diferents tipus de c\u00e8l\u00b7lules, per\u00f2 fonamentalment podr\u00edem dividir-les entre les c\u00e8l\u00b7lules responsables de la secreci\u00f3 d’enzims digestius i les c\u00e8l\u00b7lules encarregades de produir diferents hormones, entre elles la insulina<\/em><\/a> i el glucag\u00f3<\/em><\/a>, que regulen els nivells de sucre en sang<\/a>. Doncs b\u00e9, quan es forma un tumor a partir del primer grup de c\u00e8l\u00b7lules es tracta generalment del conegut c\u00e0ncer de p\u00e0ncrees<\/strong><\/a> i quan es forma un tumor a partir del segon tipus de c\u00e8l\u00b7lules parlem d’un tumor neuroendocr\u00ed de p\u00e0ncrees<\/strong>. Per tant, l’origen de cada tipus de tumor \u00e9s molt diferent i les implicacions tamb\u00e9.<\/p>\n

Tipus de Tumor Neuroendocr\u00ed del P\u00e0ncrees<\/h2>\n

At\u00e8s que l’origen del TNEp<\/strong> s\u00f3n c\u00e8l\u00b7lules amb capacitat de produir hormones, existeix la possibilitat que aquest tipus de tumors facin el mateix, \u00e9s a dir, produeixin hormones. No obstant aix\u00f2, la major part dels casos, o b\u00e9 no produeixen hormones, o les produeixen en poca quantitat i no provoquen cap quadre cl\u00ednic al pacient. No obstant aix\u00f2, determinats tipus de tumor neuroendocr\u00ed de p\u00e0ncrees<\/strong> s’associen a un quadre cl\u00ednic secundari a causa de la producci\u00f3 excessiva d’hormones. Els primers es diuen TNEp no funcionants<\/strong> mentre que els segons s\u00f3n TNEp funcionants<\/strong>.<\/p>\n

S\u00f3n tumors malignes o benignes?<\/h2>\n

Davant la pregunta de si es tracta de lesions malignes o benignes, els TNEp cobreixen un espectre que va des de lesions completament benignes en les quals no cal fer res, fins a lesions extremadament agressives amb comportament biol\u00f2gic semblant al d’un tumor de p\u00e0ncrees<\/strong><\/a>. \u00c9s fonamental que el metge especialista en patologia pancre\u00e0tica<\/a> sol\u00b7liciti les proves necess\u00e0ries per poder esclarir el tipus de tumor que es tracta i com a conseq\u00fc\u00e8ncia realitzar el millor tractament.<\/p>\n

Els tumors neuroendocrins benignes<\/strong> del p\u00e0ncrees, encara que menys comuns, tamb\u00e9 existeixen. Aquests tumors benignes del p\u00e0ncrees<\/strong> no s\u00f3n propensos a un r\u00e0pid creixement ni a la met\u00e0stasi, i poden desenvolupar-se a partir d’estructures productores d’hormones, teixit vascular o nervi\u00f3s. Exemples de tumors pancre\u00e0tics benignes<\/strong> inclouen l’insulinoma, el glucagonoma i el cistoadenoma ser\u00f3s.<\/p>\n

\n

La majoria d’aquests tumors al final no necessitaran cap tipus de tractament, nom\u00e9s seguiment.<\/h4>\n<\/blockquote>\n

Quan cal operar un TNEp?<\/h2>\n

Com a norma general, cal intervenir quir\u00fargicament els pacients amb tumor neuroendocr\u00ed del p\u00e0ncrees<\/strong> funcionants<\/strong>. Els TNEps funcionants produeixen una simptomatologia que, en ocasions, t\u00e9 un impacte molt evident en la qualitat de vida i perqu\u00e8 \u2013a excepci\u00f3 de l’insulinoma<\/em>– s\u00f3n lesions malignes<\/strong>. En el cas dels TNEp no funcionants<\/strong>, hi ha un consens generalitzat que cal extirpar aquelles lesions superiors als 2 cm de di\u00e0metre, ja que es tracta de lesions amb m\u00e9s capacitat de presentar met\u00e0stasi als ganglis limf\u00e0tics. I per descomptat, \u00e9s imprescindible que aquestes intervencions es duguin a terme en el marc d’un centre amb experi\u00e8ncia<\/strong><\/a> en el tractament d’aquestes lesions.<\/p>\n

\n

Hi ha altres on s\u00ed \u00e9s important tenir una actitud agressiva des del punt de vista quir\u00fargic, de vegades fins i tot a nivell de quimioter\u00e0pia.<\/h4>\n

Esperan\u00e7a de vida del tumor neuroendocr\u00ed de p\u00e0ncrees<\/h2>\n<\/blockquote>\n

L’esperan\u00e7a de vida dels pacients amb tumor neuroendocr\u00ed de p\u00e0ncrees<\/strong> varia considerablement segons diversos factors. En general, els tumors neuroendocrins tenen una major esperan\u00e7a de vida en comparaci\u00f3 amb els tumors pancre\u00e0tics exocrins<\/strong> a causa del seu creixement m\u00e9s lent i menor potencial metast\u00e0tic. La taxa de superviv\u00e8ncia a 5 anys pot superar el 90% en casos localitzats<\/strong>, per\u00f2 disminueix significativament si hi ha met\u00e0stasis hep\u00e0tiques, amb taxes de superviv\u00e8ncia a 5 anys d’al voltant del 20-30%. Altres factors que afecten l’esperan\u00e7a de vida inclouen l’edat del pacient, el seu estat general de salut, la resposta al tractament i el grau del tumor.<\/p>\n

\n
\n

VOLS CONTACTAR AMB LA UNITAT DE MALALTIES DEL P\u00c0NCREES I DE LES VIES BILIARS?<\/span><\/h3>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Una consulta relativament freq\u00fcent \u00e9s el descobriment, generalment incidental, d’un tumor en el p\u00e0ncrees en una prova d’imatge. Davant d’aquest diagn\u00f2stic, el primer que pensa el pacient \u00e9s en un c\u00e0ncer de p\u00e0ncrees, per\u00f2, tanmateix, \u00e9s classificat pel radi\u00f2leg com un tumor neuroendocr\u00ed de p\u00e0ncrees. De qu\u00e8 es tracta? \u00c9s maligne? Cal fer alguna cosa? […]<\/p>\n","protected":false},"author":2,"featured_media":602,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[44,177],"tags":[50,46,178,57,185,179,180,181,45,182,146,184,183],"yoast_head":"\nTumor neuroendocr\u00ed de p\u00e0ncrees: Qu\u00e8 \u00e9s? 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