{"id":222,"date":"2020-07-30T15:14:21","date_gmt":"2020-07-30T15:14:21","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/?p=222"},"modified":"2020-07-30T15:14:21","modified_gmt":"2020-07-30T15:14:21","slug":"cordomes-base-del-crani","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/","title":{"rendered":"Cordomes de la base del crani: Qu\u00e8 s\u00f3n i en qu\u00e8 consisteix el tractament?"},"content":{"rendered":"<p>Els <strong>cordomes<\/strong> s\u00f3n un tipus rar de tumor que passa en els <strong><a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/tumors-de-la-base-del-crani\/\" target=\"_blank\" rel=\"noopener noreferrer\">ossos de la base de crani<\/a> i la columna vertebral<\/strong>. Aquests tumors sorgeixen de les restes del notocordi, una estructura flexible en forma de vareta que brinda suport a l&#8217;embri\u00f3 durant el seu desenvolupament Els <strong>cordomes<\/strong> s\u00f3n tumors molt complexos de tractar at\u00e8s que on s&#8217;originen existeixen estructures cr\u00edtiques com el tronc encef\u00e0lic, la medul\u00b7la espinal, i nervis i art\u00e8ries vitals. Al voltant del <strong>30 per cent de tots els cordomes es formen dins el centre del cap en una \u00e0rea anomenada <a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/tumors-de-la-base-del-crani\/\" target=\"_blank\" rel=\"noopener noreferrer\">base del crani<\/a><\/strong>, generalment en un os anomenat clivus. Els <strong>cordomes de la base del crani<\/strong> de vegades es consideren <a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/tumors-de-la-base-del-crani\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>tumors cerebrals<\/strong><\/a> perqu\u00e8 poden cr\u00e9ixer i comprimir el cervell.<\/p>\n<p><!--more--><\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h4 style=\"padding-left: 30px;\">ET POT INTERESSAR\u2026<\/h4>\n<h4 style=\"padding-left: 30px;\">\u00b7\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/tumors-de-la-base-del-crani\/\" target=\"_blank\" rel=\"noopener noreferrer\">Qu\u00e8 s\u00f3n els tumors de la base del crani?<\/a><\/h4>\n<h4 style=\"padding-left: 30px;\">\u00b7 <a href=\"https:\/\/www.barnaclinic.com\/ca\/neurocirugia\/tumor-cerebral-ca\/\" target=\"_blank\" rel=\"noopener noreferrer\">El tumor cerebral: s\u00edmptomes, diagn\u00f2stic i tractament<\/a><\/h4>\n<\/div>\n<h2>Epidemiologia dels cordomes<\/h2>\n<p>Els <strong>cordomas de clivus<\/strong> representen al voltant de l&#8217;1-4% dels tumors intracranials. S\u00f3n el segon <strong>tipus de condroma<\/strong> menys freq\u00fcent i, en global, tenen una incid\u00e8ncia de 0.51 casos \/ mili\u00f3 al nostre medi. En xifres brutes, <strong>300 pacients s\u00f3n diagnosticats amb cordoma cada any als Estats Units<\/strong>, i al <strong>voltant de 700 a tot Europa<\/strong>. La majoria dels pacients s\u00f3n diagnosticats en els seus 50 i 60 anys, per\u00f2 pot oc\u00f3rrer a qualsevol edat. Els <strong>cordomes de la base del crani<\/strong> ocorren amb major freq\u00fc\u00e8ncia en pacients m\u00e9s joves, mentre que els <strong>cordomes espinals<\/strong> s\u00f3n m\u00e9s problemes m\u00e9s habituals a la vida. <strong>El cordoma afecta gaireb\u00e9 a el doble d&#8217;homes que de dones<\/strong>. Si b\u00e9 el cordoma pot presentar-se en fam\u00edlies, aix\u00f2 \u00e9s molt rar.<\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204 alignleft\" src=\"http:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2020\/07\/cristobal-langdon-150x150-e1595230965902.png\" alt=\"Cristobal Langdon\" width=\"90\" height=\"90\" \/><\/strong><\/h4>\n<h4>&#8220;300 pacients s\u00f3n diagnosticats amb cordoma cada any als Estats Units, i al voltant de 700 a tot Europa. Els cordomas de la base del crani s\u00f3n m\u00e9s freq\u00fcents en pacients joves.&#8221;<\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\">Cristobal Langdon<\/a><\/p><\/blockquote>\n<h2>Causes dels cordomes<\/h2>\n<p>Aquests tumors es desenvolupen a partir de c\u00e8l\u00b7lules d&#8217;un teixit anomenat <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Notocordi\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>notocordi<\/strong><\/em><\/a>. El notocordi es dissol quan el fetus t\u00e9 aproximadament 8 setmanes d&#8217;edat, per\u00f2 algunes c\u00e8l\u00b7lules del notocordi romanen en els ossos de la columna vertebral i la <a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/tumors-de-la-base-del-crani\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>base del crani<\/strong><\/a>. Molt rarament, aquestes c\u00e8l\u00b7lules comencen a replicar-se formant l&#8217;anomenat <strong>cordoma<\/strong>. No se sap completament qu\u00e8 causa que les c\u00e8l\u00b7lules del notocordi es tornin canceroses en algunes persones, per\u00f2 els investigadors estan treballant per trobar les respostes.<\/p>\n<h2>Tipus de cordomes<\/h2>\n<p>Els <strong>tipus de cordomes<\/strong> es difer\u00e8ncies segons el seu aspecte a el microscopi:<\/p>\n<ul>\n<li>\n<h5>Cordoma convencional (o cl\u00e0ssic)<\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">El &#8220;convencional&#8221; \u00e9s <strong>el tipus de cordoma m\u00e9s freq\u00fcent<\/strong>. Es compon d&#8217;un tipus de c\u00e8l\u00b7lula distintiu que s&#8217;assembla a les c\u00e8l\u00b7lules notocordals i pot tenir \u00e0rees d&#8217;aparen\u00e7a condroide.<\/p>\n<ul>\n<li>\n<h5>Cordoma condroide<\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">\u00c9s un terme m\u00e9s comunament usat en aquells <strong>cordomes amb aparen\u00e7a condroide<\/strong> o amb <strong>caracter\u00edstiques similars a un <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2019\/07\/02\/cartilag-articular\/\" target=\"_blank\" rel=\"noopener noreferrer\">cart\u00edlag<\/a><\/strong>. En el passat era dif\u00edcil distingir el <strong>cordoma convencional<\/strong> del <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Condrosarcoma\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>condrosarcoma<\/strong><\/a>, per\u00f2 avui dia aix\u00f2 ja no \u00e9s un problema perqu\u00e8 la prote\u00efna &#8220;<a href=\"https:\/\/en.wikipedia.org\/wiki\/Brachyury\" target=\"_blank\" rel=\"noopener noreferrer\"><em>brachyury<\/em><\/a>&#8221; s&#8217;expressa en gaireb\u00e9 tots els <strong>cordomes convencionals<\/strong>, per\u00f2 no en altres <strong>tumors cartilaginosos com el condrosarcoma<\/strong>.<\/p>\n<ul>\n<li>\n<h5>Cordoma mal diferenciat<\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">\u00c9s un <strong>subtipus de cordoma<\/strong> recentment identificat. Pot ser m\u00e9s agressiu i de creixement m\u00e9s r\u00e0pid que el <strong>cordoma convencional<\/strong>. \u00c9s m\u00e9s com\u00fa en pacients pedi\u00e0trics i adults joves, aix\u00ed com en pacients amb <strong>afectaci\u00f3 de base de crani<\/strong> i cervicals. El diagn\u00f2stic es basa principalment perqu\u00e8 gaireb\u00e9 tots els <strong>cordomes mal diferenciats<\/strong> s\u00f3n negatius per al marcador cel\u00b7lular &#8220;<a href=\"https:\/\/pathinfo.fandom.com\/wiki\/INI-1\" target=\"_blank\" rel=\"noopener noreferrer\"><em>INI1<\/em><\/a>&#8220;, el que vol dir que no expressen la prote\u00efna &#8220;INI1&#8221;.<\/p>\n<ul>\n<li>\n<h5>Cordoma desdiferenciat<\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">El <strong>cordoma desdiferenciat<\/strong> \u00e9s m\u00e9s agressiu i generalment creix m\u00e9s r\u00e0pid que els altres <strong>tipus de cordoma<\/strong>, i \u00e9s m\u00e9s probable que faci met\u00e0stasi. Tamb\u00e9 pot tenir p\u00e8rdua de el gen INI1, per\u00f2 aix\u00f2 no \u00e9s freq\u00fcent. Aquest <strong>tipus de cordoma<\/strong> \u00e9s poc com\u00fa, ocorre en nom\u00e9s al voltant de el 5 per cent dels pacients i \u00e9s m\u00e9s com\u00fa en pacients pedi\u00e0trics.<\/p>\n<h2>Tractament dels cordomes de la base del crani<\/h2>\n<p>Avui dia, el <strong>tractament dels cordomes de la base del crani<\/strong> \u00f2ptim est\u00e0 encara en debat. L&#8217;objectiu \u00e9s oferir el major \u00edndex de resecci\u00f3, minimitzant la morbimortalitat intra- i post-operat\u00f2ria. El desenvolupament de la <strong>t\u00e8cnica endosc\u00f2pica endonasal<\/strong> durant els \u00faltims 15 anys ha aconseguit igualar els graus de resecci\u00f3 cl\u00e0ssics (mitjan\u00e7ant cirurgia oberta i microscopi) i fins i tot superar-los, associant a m\u00e9s una taxa complicacions menor.<\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204 alignleft\" src=\"http:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2020\/07\/cristobal-langdon-150x150-e1595230965902.png\" alt=\"Cristobal Langdon\" width=\"90\" height=\"90\" \/><\/strong><\/h4>\n<h4>&#8220;La cirurgia endosc\u00f2pica endonasal ofereix igual o millor resecci\u00f3 dels cordomas de la base del crani i moltes menys complicacions que la cirurgia oberta&#8221;<\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\">Cristobal Langdon<\/a><\/p><\/blockquote>\n<h2>Cirurgia dels cordomes de base del crani a barnacl\u00ednic+<\/h2>\n<p>El nostre centre t\u00e9 una \u00e0mplia experi\u00e8ncia en el maneig dels <strong>cordomes de base de crani<\/strong>. Per al seu tractament quir\u00fargic, utilitzem un <strong>abordatge endoscopi endonasal est\u00e8s<\/strong> (AEEE). La nostra <strong>Unitat de Base del Crani<\/strong> est\u00e0 formada per un equip multidisciplinari; els cirurgians responsables del <strong>tractament quir\u00fargic dels cordomes de base del crani<\/strong> s\u00f3n: Dr. <a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/36\/joaquim\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Joaquim Ense\u00f1at<\/strong><\/a>, de <a href=\"https:\/\/www.barnaclinic.com\/ca\/neurocirugia\/\" target=\"_blank\" rel=\"noopener noreferrer\">Neurocirurgia<\/a> i els Drs. <a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Cristobal Langdon<\/strong><\/a> i <a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/195\/isam\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Isam Alobid<\/strong><\/a>, d&#8217;<a href=\"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/\" target=\"_blank\" rel=\"noopener noreferrer\">Otorinolaringologia<\/a>.<\/p>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h1 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">VOL CONTACTAR\u00a0AMB LA UNITAT DE BASE DEL CRANI?<\/span><\/h1>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?especialidad=21\" target=\"_blank\" rel=\"noopener noreferrer\">DEMANAR CITA<\/a>\u00a0| <a class=\"button\" style=\"padding-left: 30px; padding-right: 20px;\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-televisita\/?especialidad=21\" target=\"_blank;\">SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Els cordomes s\u00f3n un tipus rar de tumor que passa en els ossos de la base de crani i la columna vertebral. Aquests tumors sorgeixen de les restes del notocordi, una estructura flexible en forma de vareta que brinda suport a l&#8217;embri\u00f3 durant el seu desenvolupament Els cordomes s\u00f3n tumors molt complexos de tractar at\u00e8s [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":38,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35,49,22,34,114],"tags":[37,142,143,144,145,146,147,148,149],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cordomes de la base del crani: Qu\u00e8 s\u00f3n i en qu\u00e8 consisteix el tractament? - Blog de Otorrinolaringolog\u00eda<\/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:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cordomes de la base del crani: Qu\u00e8 s\u00f3n i en qu\u00e8 consisteix el tractament? - Blog de Otorrinolaringolog\u00eda\" \/>\n<meta property=\"og:description\" content=\"Els cordomes s\u00f3n un tipus rar de tumor que passa en els ossos de la base de crani i la columna vertebral. Aquests tumors sorgeixen de les restes del notocordi, una estructura flexible en forma de vareta que brinda suport a l&#8217;embri\u00f3 durant el seu desenvolupament Els cordomes s\u00f3n tumors molt complexos de tractar at\u00e8s [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Otorrinolaringolog\u00eda\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-30T15:14:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2019\/01\/tumores-bases-del-craneo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/\",\"name\":\"Cordomes de la base del crani: Qu\u00e8 s\u00f3n i en qu\u00e8 consisteix el tractament? - Blog de Otorrinolaringolog\u00eda\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#website\"},\"datePublished\":\"2020-07-30T15:14:21+00:00\",\"dateModified\":\"2020-07-30T15:14:21+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/cordomes-base-del-crani\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cordomes de la base del crani: Qu\u00e8 s\u00f3n i en qu\u00e8 consisteix el tractament?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/\",\"name\":\"Blog de Otorrinolaringolog\u00eda\",\"description\":\"Este es el blog de Otorrinilaringolog\u00eda, rinolog\u00eda y cirug\u00eda de la base del cr\u00e1neo barnacl\u00ednic+. 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