{"id":6651,"date":"2015-04-08T16:11:20","date_gmt":"2015-04-08T14:11:20","guid":{"rendered":"http:\/\/www.clinicaginecologica.org\/?page_id=6651"},"modified":"2017-11-29T13:15:25","modified_gmt":"2017-11-29T12:15:25","slug":"cirurgia-de-mama","status":"publish","type":"page","link":"https:\/\/www.clinicaginecologica.org\/ca\/tractaments\/cirurgia-de-mama\/","title":{"rendered":"Cirurgia de mama"},"content":{"rendered":"<h2><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-10859 aligncenter\" src=\"http:\/\/www.clinicaginecologica.org\/ca\/wp-content\/uploads\/sites\/2\/2017\/10\/mujer-pecho-cancer-mama.jpg\" alt=\"\" width=\"287\" height=\"284\" srcset=\"https:\/\/www.clinicaginecologica.org\/ca\/wp-content\/uploads\/sites\/2\/2017\/10\/mujer-pecho-cancer-mama.jpg 700w, https:\/\/www.clinicaginecologica.org\/ca\/wp-content\/uploads\/sites\/2\/2017\/10\/mujer-pecho-cancer-mama-300x297.jpg 300w, https:\/\/www.clinicaginecologica.org\/ca\/wp-content\/uploads\/sites\/2\/2017\/10\/mujer-pecho-cancer-mama-100x100.jpg 100w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/h2>\n<h2>Tumors benignes i malignes a la mama<\/h2>\n<p>La pres\u00e8ncia d&#8217;un tumor en la mama no vol dir que vost\u00e8 tingui c\u00e0ncer, ja que la majoria de tumors que es produeixen a la mama s\u00f3n benignes. Poden ser quists &#8211; bosses de l\u00edquid &#8211; o fibroadenomes, que es produeixen quan el teixit de la mama es desenvolupa de forma anormal. Els quists, especialment si s\u00f3n de grans dimensions, poden ser dolorosos. Es poden tractar eliminant el l\u00edquid a trav\u00e9s d&#8217;una punci\u00f3.<\/p>\n<p>Aquest tipus de tumors no s\u00f3n perillosos i no es poden estendre a altres \u00f2rgans del cos. Els ginec\u00f2legs de l&#8217;equip, el <a href=\"\/ca\/equip\/dr-javier-del-pozo\/\">Dr. Del Pozo<\/a> o la <a href=\"\/ca\/equip\/dra-teresa-gomez\/\">Dra. G\u00f3mez<\/a>, juntament amb la pacient, seran els qui decidiran si \u00e9s necessari extirpar el tumor o deixar-lo.<\/p>\n<p>En els tumors cancerosos, un diagn\u00f2stic preco\u00e7 \u00e9s fonamental per assegurar la curaci\u00f3 de la pacient. El tractament dependr\u00e0 de l&#8217;estadi en el qu\u00e8 es trobi el c\u00e0ncer i del tipus de tumor, ja que hi ha m\u00e9s de 50 tipus de tumors de mama. En tot cas, tal com comenta el <a href=\"\/ca\/equip\/dr-javier-del-pozo\/\">Dr. Del Pozo<\/a>, el tractament ser\u00e0 personalitzat i el m\u00e9s adequat al perfil de la pacient.<\/p>\n<h2>Extirpaci\u00f3 del tumor<\/h2>\n<p>En la majoria de casos, el c\u00e0ncer es diagnostica abans que s&#8217;hagi disseminat a altres \u00f2rgans (met\u00e0stasi), de manera que el tractament inclour\u00e0 cirurgia per extirpar el tumor.<\/p>\n<p>La cirurgia de mama actual tendeix a ser conservadora i no tan agressiva com anys enrere. Actualment, a dos ter\u00e7os de les pacients se&#8217;ls s&#8217;extirpa el tumor i poden conservar la mama, mentre que a la resta cal extirpar la mama. La <a href=\"\/ca\/equip\/dra-teresa-gomez\/\">Dra. G\u00f3mez<\/a> fa \u00e8mfasi en el fet que s&#8217;ofereix a les pacients la possibilitat de reconstruir la mama durant la mateixa intervenci\u00f3 d&#8217;extirpaci\u00f3 del tumor. Un cirurgi\u00e0 pl\u00e0stic ser\u00e0 l&#8217;encarregat de reconstruir la mama de la pacient, si aix\u00ed ho desitja. L&#8217;elecci\u00f3 de l&#8217;equip de Cirurgia Pl\u00e0stica ser\u00e0 una decisi\u00f3 consensuada entre pacient i el metge.<\/p>\n<h2>Tipus d&#8217;intervenci\u00f3<\/h2>\n<p>Les intervencions quir\u00fargiques varien segons la mida del tumor:<\/p>\n<ul>\n<li><strong>Lumpectomia<\/strong> o <strong>tumorectomia<\/strong>: se sol realitzar en tumors detectats en una mamografia que s\u00f3n de mida petita (d&#8217;1 mm a 3 mm).<\/li>\n<li><strong>Quadrantectomia<\/strong>: extirpaci\u00f3 d&#8217;un quart de la mama.<\/li>\n<li><strong>Mastectomia simple<\/strong>: S&#8217;extirpa la totalitat de la mama. \u00c9s habitual en casos en qu\u00e8 el c\u00e0ncer s&#8217;ha est\u00e8s als conductes mamaris.<\/li>\n<li><strong>Mastectomia radical modificada<\/strong>: s&#8217;extirpa la totalitat de la mama, alguns ganglis de sota el bra\u00e7 i una secci\u00f3 del m\u00fascul pectoral.<\/li>\n<li><strong>Mastectomia radical<\/strong>: s&#8217;extirpen el tumor, la totalitat de la mama, tots els ganglis de sota el bra\u00e7 i m\u00fasculs pectorals subjacents.<\/li>\n<\/ul>\n<h2>An\u00e0lisi del gangli sentinella<\/h2>\n<p>El tractament quir\u00fargic del c\u00e0ncer de mama inclou tractar els ganglis limf\u00e0tics axil\u00b7lars, situats sota el bra\u00e7 de la mama afectada. En la cirurgia conservadora que es realitzava anys anteriors s\u2019extirpaven sistem\u00e0ticament aquests ganglis, encara que no es conegu\u00e9s si estaven afectats.<\/p>\n<p>Actualment, una bi\u00f2psia de l&#8217;anomenat &#8220;gangli sentinella&#8221; permet saber si hi ha c\u00e8l\u00b7lules canceroses en els ganglis axil\u00b7lars. El &#8220;gangli sentinella&#8221;, subratlla el <a href=\"\/ca\/equip\/dr-javier-del-pozo\/\">Dr. Del Pozo<\/a>, \u00e9s el primer gangli d&#8217;una cadena limf\u00e0tica que drena un conjunt de teixits. Si aquest cont\u00e9 c\u00e8l\u00b7lules canceroses, significar\u00e0 que estan afectats altres ganglis, per la qual cosa s\u2019hauran d\u2019extirpar. En cas contrari, podran conservar-se.<\/p>\n<h2>Limfedema<\/h2>\n<p>Al cap d&#8217;un temps de la intervenci\u00f3 quir\u00fargica, ja siguin mesos o fins i tot anys, la pacient es pot veure afectada per un linfedema, que \u00e9s l&#8217;acumulaci\u00f3 de l\u00edquid en els teixits tous del cos perqu\u00e8 el sistema limf\u00e0tic est\u00e0 danyat. Aquesta inflamaci\u00f3 pot causar dolor i p\u00e8rdua de mobilitat al bra\u00e7. Aix\u00ed doncs, despr\u00e9s de l&#8217;operaci\u00f3 ha d&#8217;evitar carregar pesos i realitzar exercicis que li provoquin tensi\u00f3 al bra\u00e7.<\/p>\n<p>Per prevenir aquest problema cal que cuidi i hidrati el bra\u00e7 afectat per la intervenci\u00f3 quir\u00fargica, i eviti qualsevol tipus de cops i tensi\u00f3 en aquesta zona. En cas d&#8217;inflor, enrogiment o erupci\u00f3 al bra\u00e7 \u00e9s important que consulti el seu metge o infermera.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tumors benignes i malignes a la mama La pres\u00e8ncia d&#8217;un tumor en la mama no vol dir que vost\u00e8 tingui c\u00e0ncer, ja que la majoria de tumors que es produeixen a la mama s\u00f3n benignes. Poden ser quists &#8211; bosses de l\u00edquid &#8211; o fibroadenomes, que es produeixen quan el teixit de la mama es [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":10859,"parent":9226,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-6651","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cirurgia de mama - Cl\u00ednica Ginecol\u00f2gica<\/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.clinicaginecologica.org\/ca\/tractaments\/cirurgia-de-mama\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirurgia de mama - Cl\u00ednica Ginecol\u00f2gica\" \/>\n<meta property=\"og:description\" content=\"Tumors benignes i malignes a la mama La pres\u00e8ncia d&#8217;un tumor en la mama no vol dir que vost\u00e8 tingui c\u00e0ncer, ja que la majoria de tumors que es produeixen a la mama s\u00f3n benignes. 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