{"id":274,"date":"2019-04-10T13:18:31","date_gmt":"2019-04-10T11:18:31","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/?p=274"},"modified":"2019-04-10T13:18:31","modified_gmt":"2019-04-10T11:18:31","slug":"quist-al-pancrees","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/quist-al-pancrees\/","title":{"rendered":"Tinc un quist al p\u00e0ncrees, m’he de preocupar?"},"content":{"rendered":"

Un dels motius de consulta m\u00e9s freq\u00fcent en\u00a0cirurgia pancre\u00e0tica<\/strong><\/a>\u00a0durant els \u00faltims anys \u00e9s l’aparici\u00f3, moltes vegades de forma incidental, d’un\u00a0quist al p\u00e0ncrees<\/a><\/strong>.\u00a0\u00c9s aleshores, quan el pacient es pregunta: \u00c9s important?<\/span>\u00a0M’he de preocupar?<\/span>\u00a0\u00bfM’haur\u00e9 de operar?<\/span><\/p>\n

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Post relacionat (en castell\u00e0):<\/small><\/h4>\n

–\u00a0Quiste de p\u00e1ncreas: Tipos y caracter\u00edsticas<\/a><\/h4>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

PER QU\u00c8 \u00c9S IMPORTANT UN DIAGN\u00d2STIC EXHAUSTIU DEL QUIST DE P\u00c0NCREES?<\/span><\/h2>\n

At\u00e8s\u00a0l’envelliment<\/strong>\u00a0general de la poblaci\u00f3,\u00a0juntament amb que\u00a0cada vegada amb m\u00e9s freq\u00fc\u00e8ncia els pacients s\u00f3n sotmesos a\u00a0proves d’imatge amb m\u00e9s resoluci\u00f3,<\/strong>\u00a0el descobriment de forma fortu\u00efta d’una\u00a0lesi\u00f3 qu\u00edstica en el p\u00e0ncrees<\/strong><\/a>\u00a0\u00e9s relativament freq\u00fcent.<\/span>\u00a0Si b\u00e9 cal insistir que\u00a0hi ha una gran quantitat de\u00a0lesions qu\u00edstiques<\/strong>\u00a0que poden apar\u00e8ixer en el\u00a0p\u00e0ncrees<\/strong><\/a>\u00a0, determinats tipus de quists poden tenir una gran import\u00e0ncia, at\u00e8s que en alguns casos poden ser precursors d’una malaltia com el\u00a0c\u00e0ncer de p\u00e0ncrees.<\/strong><\/span><\/p>\n

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\"Dr.<\/a><\/strong><\/em><\/h4>\n

“Hi ha una gran quantitat de tipus de\u00a0quist al<\/strong>\u00a0p\u00e0ncrees.\u00a0<\/strong><\/span>Determinats tipus de poden tenir una gran import\u00e0ncia, at\u00e8s que poden ser precursors d’una malaltia m\u00e9s greu”<\/span><\/h4>\n

Dr. Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

El m\u00e9s important davant el\u00a0diagn\u00f2stic d’una<\/strong>\u00a0lesi\u00f3 qu\u00edstica en el p\u00e0ncrees<\/strong><\/a>\u00a0\u00e9s acudir a un especialista <\/a>que pugui valorar les proves d’imatge i, si ho considera necessari, realitzar m\u00e9s proves complement\u00e0ries per arribar, en la mesura del possible, a un diagn\u00f2stic final .<\/p>\n

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Post relacionat (en castell\u00e0):<\/small><\/h4>\n

–\u00a0\u00bfQu\u00e9 hacer tras el diagn\u00f3stico de un quiste en el p\u00e1ncreas?<\/a><\/h4>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

\u00bfAMB QUINS TIPUS DE QUIST AL P\u00c0NCREES CAL ESTAR ATENTS?<\/span><\/h2>\n

Com a norma, aquelles lesions el contingut sigui\u00a0mucin\u00f3s<\/em>\u00a0tenen capacitat de poder degenerar a un\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>\u00a0.<\/span>\u00a0\u00d2bviament, \u00e9s fonamental que el diagn\u00f2stic es faci abans que el proc\u00e9s de degeneraci\u00f3 maligna s’hagi completat.<\/span>\u00a0Sent la correcta identificaci\u00f3 d’aquests\u00a0quists pancre\u00e0tics<\/strong>\u00a0i el seu tractament una oportunitat \u00fanica d’anticipaci\u00f3 a una malaltia tan seriosa com el\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>.<\/span><\/p>\n

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\"Dr.<\/a><\/strong><\/em><\/h4>\n

“\u00c9s fonamental que el diagn\u00f2stic del quist al p\u00e0ncrees es faci abans que el proc\u00e9s de degeneraci\u00f3 maligna s’hagi completat”<\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

QUAN CAL OPERAR UN QUIST AL P\u00c0NCREES?<\/span><\/h2>\n

D’altra banda,\u00a0no s’han d’intervenir tots els pacients,<\/strong>\u00a0ja que la\u00a0cirurgia del p\u00e0ncrees<\/a><\/strong>\u00a0s’associa, en un percentatge gens menyspreable de pacients, a complicacions que poden arribar a ser molt importants.<\/span>\u00a0En aquest sentit, la correcta selecci\u00f3 del quist que haur\u00e0 de ser sotm\u00e8s a un tractament quir\u00fargic vindr\u00e0 determinada per l’aplicaci\u00f3 dels criteris de consens actualment vigents (Criteris de Fukuoka<\/a> i els criteris de consens europeus).<\/span>\u00a0Si se segueixen aquestes normes de selecci\u00f3,\u00a0es tractar\u00e0 als pacients amb un major risc degeneraci\u00f3 maligna<\/strong>\u00a0i, darrerament, es podr\u00e0 tractar de forma profil\u00e0ctica l’aparici\u00f3 d’un\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>, optant per un seguiment peri\u00f2dic aquells pacients amb un risc de degeneraci\u00f3 sota\u00a0<\/span><\/p>\n

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\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

“No s’han d’intervenir tots els pacients,<\/strong>\u00a0ja que la\u00a0cirurgia pancre\u00e0tica<\/strong>\u00a0s’associa a complicacions en un percentatge gens menyspreable de pacients”<\/span>\u00a0\u00a0<\/strong><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

Un altre aspecte interessant ressaltar \u00e9s el fet que els pacients amb\u00a0lesions qu\u00edstiques pancre\u00e0tiques premalignes,<\/strong>\u00a0com ara el\u00a0TPMI<\/a>,<\/em>\u00a0tenen un risc elevat de presentar m\u00e9s lesions d’aquest tipus en una altra localitzaci\u00f3 del\u00a0p\u00e0ncrees<\/strong><\/a>\u00a0i fins i tot un risc m\u00e9s gran que la poblaci\u00f3 general de presentar un\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong>\u00a0no associat a aquesta\u00a0lesi\u00f3 qu\u00edstica.<\/strong><\/p>\n

QUAN S’HA D’ESTUDIAR UN QUIST AL P\u00c0NCREES?<\/span><\/h2>\n

En conclusi\u00f3, i\u00a0sense necessitat d’alarmar, qualsevol lesi\u00f3 d’aspecte qu\u00edstic que aparegui en el p\u00e0ncrees ha de ser\u00a0estudiada per un especialista<\/a><\/strong>\u00a0en la mat\u00e8ria que podr\u00e0 determinar la necessitat de tractament quir\u00fargic o de seguiment en el temps d’aquesta lesi\u00f3.<\/span>\u00a0Sens dubte, com passa en altres \u00e0rees de la medicina,\u00a0\u00e9s molt millor anticipar-se a la situaci\u00f3 d’intentar\u00a0tractar un c\u00e0ncer de p\u00e0ncrees<\/a><\/strong>\u00a0a causa de la\u00a0superviv\u00e8ncia que comporta<\/a>.<\/span><\/p>\n

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\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

“Sense necessitat d’alarmar, qualsevol lesi\u00f3 qu\u00edstica en el p\u00e0ncrees ha de ser estudiada per un especialista”<\/strong><\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

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<\/p>\n

VOL CONTACTAR\u00a0AMB EL DR. SANTIAGO S\u00c1NCHEZ CAB\u00daS?<\/span><\/h1>\n

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

Un dels motius de consulta m\u00e9s freq\u00fcent en\u00a0cirurgia pancre\u00e0tica\u00a0durant els \u00faltims anys \u00e9s l’aparici\u00f3, moltes vegades de forma incidental, d’un\u00a0quist al p\u00e0ncrees.\u00a0\u00c9s aleshores, quan el pacient es pregunta: \u00c9s important?\u00a0M’he de preocupar?\u00a0\u00bfM’haur\u00e9 de operar?<\/p>\n","protected":false},"author":2,"featured_media":271,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[44,74],"tags":[50,46,75,76,77,78],"yoast_head":"\nTinc un quist al p\u00e0ncrees. \u00c9s greu? 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