{"id":7174,"date":"2021-02-15T09:37:19","date_gmt":"2021-02-15T09:37:19","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=7174"},"modified":"2021-02-15T09:39:19","modified_gmt":"2021-02-15T09:39:19","slug":"noi-orizonturi-in-tratamentul-cancerului-mamar","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/noi-orizonturi-in-tratamentul-cancerului-mamar\/","title":{"rendered":"Noi orizonturi \u00een tratamentul cancerului mamar"},"content":{"rendered":"

\"\"<\/p>\n

Dr. Cristian-Gabriel Vii\u0219oreanu<\/span> este medic specialist chirurgie general\u0103, supra-specializat \u00een chirurgie oncologic\u0103 \u0219i ecografie interven\u021bional\u0103. Cu o experien\u021b\u0103 vast\u0103\u00a0 \u00een chirurgia patologiilor mamare, Dr. Vii\u0219oreanu a adus inova\u021bie \u00een chirurgia cancerului mamar, fiind promotorul tehnicii ganglionului santinel\u0103 \u00een mediul privat din Rom\u00e2nia. Este fondatorul unui centru integrat \u2013 Institutul S\u00e2nului – \u00een care pacientele sale beneficiaz\u0103 de toate serviciile care \u00eenchid cercul unui tratament complet: diagnostic, plan de tratament, chirurgie oncologic\u0103, chimioterapie, radioterapie, chirurgie onco-plastic\u0103 reconstructiv\u0103, suport psihologic, kinetoterapie \u0219i consiliere de nutri\u021bie. De asemenea, Dr. Vii\u0219oreanu a adus o contribu\u021bie semnificativ\u0103 \u00een r\u00e2ndul educa\u021biei femeilor din Rom\u00e2nia cu privire la metodele de preven\u021bie, prin nenum\u0103rate programe de informare, work-shop-uri \u0219i discu\u021bii deschise pe tema acestor patologii.<\/strong><\/p>\n

Cancerul mamar reprezint\u0103, \u00een Rom\u00e2nia, cea mai frecvent\u0103 cauz\u0103 de cancer la femei, cu o rat\u0103 de 9.629 cazuri noi diagnosticate anual (conform ultimei statistici, din anul 2019, CNEPSS) \u0219i peste 2 milioane la nivel mondial. De\u0219i prognosticul acestei boli s-a \u00eembun\u0103t\u0103\u021bit semnificativ \u00een ultimii ani, cancerul mamar r\u0103m\u00e2ne a doua cauz\u0103 deces prin cancer \u00een r\u00e2ndul femeilor, \u00een mare parte de vin\u0103 fiind diagnosticarea tardiv\u0103.<\/strong><\/p>\n

Cancerul mamar reprezint\u0103 un grup de boli maligne ce afecteaz\u0103 celulele care c\u0103ptu\u0219esc canalele galactofore \u0219i lobii s\u00e2nului. \u00cen func\u021bie de evolu\u021bia sa, cancerul poate fi neinvaziv, atunci c\u00e2nd se limiteaz\u0103 numai la canalele galactofore \u0219i lobuli, sau in situ, sau c\u00e2nd acesta s-a extins prin canalele galactofore \u00een \u021besutul conjunctiv sau adipos, acest tip de cancer fiind invaziv. O important\u0103 preocupare a oamenilor de \u0219tiin\u021b\u0103 a fost, pentru mul\u021bi ani, cum se declan\u0219eaz\u0103 cancerul?<\/p>\n

Cum ne \u00eemboln\u0103vim de cancer?<\/u><\/strong><\/p>\n

Dr. Gabriel Cristian Vii\u0219oreanu, <\/strong>medic specialist chirurgie oncologic\u0103: \u201eDescoperirea acidului dezoxiribonucleic (ADN), \u00een anii \u201850, a reprezentat un pas uria\u0219 \u00een \u00een\u021belegerea biologiei cancerului, oamenii de \u0219tiin\u021b\u0103 av\u00e2nd astfel posibilitatea de a studia genele. Astfel, s-a descoperit c\u0103 bolile oncologice sunt declan\u0219ate de o func\u021bionare defectuoas\u0103 a genelor, care \u00een final provoac\u0103 o diviziunea necontrolat\u0103 a celulelor. Pe m\u0103sur\u0103 ce rata acestor diviziuni cre\u0219te, \u0219ansa de producere a erorilor celulare cre\u0219te, de asemenea. \u00cens\u0103 transformarea unei celule normale \u00eentr-una canceroas\u0103 nu se rezum\u0103 numai la at\u00e2t, ci presupune suprapunerea mai multor alter\u0103ri genetice \u0219i ac\u021biunea unor factori externi.\u201d<\/em><\/p>\n

Dou\u0103zeci de ani mai t\u00e2rziu, tratamentul cancerului mamar se baza pe cura chirurgical\u0103 radical\u0103, adic\u0103 extirparea \u00eentregului s\u00e2n, a ganglionilor limfatici, a mu\u0219chilor de sub s\u00e2n, pacientele urm\u00e2nd tratament adjuvant prin chimioterapie. Ast\u0103zi, lucrurile s-au schimbat, prognosticul s-a \u00eembun\u0103t\u0103\u021bit iar tratamentul chirurgical a devenit mai pu\u021bin debilitant. \u00cen continuare, terapia chirurgical\u0103 este tributar\u0103 conceptului Halstedian, de radicalitate, dar, \u00eencet, \u00eencet, \u00eencepe \u0219i \u00een Rom\u00e2nia s\u0103 fie implementate tehnici chirurgicale folosite cu suscces la nivel mondial de mult\u0103 vreme, astfel \u00eenc\u00e2t chirurgia s\u0103 nu mai fie spaima mutil\u0103rii fizice \u0219i psihice.<\/p>\n

\"\"<\/a>Tratamentul cancerului mamar, ast\u0103zi<\/u><\/strong><\/p>\n

De\u0219i forma de cancer cu cea mai mare inciden\u021b\u0103 de deces \u00een r\u00e2ndul femeilor este cancerul pulmonar \u0219i cea mai periculoas\u0103 este boala cardiac\u0103, statisticile arat\u0103 c\u0103 cel mai mult, femeile se tem de cancerul mamar. Aceast\u0103 team\u0103 nu este neap\u0103rat nefondat\u0103, mai ales c\u0103 ea vine \u0219i pe fondul faptului c\u0103 aproape fiecare femeie a cunoscut de-a lungul vie\u021bii cel pu\u021bin o persoan\u0103 care a avut cancer mamar \u2013 o prieten\u0103, o sor\u0103, o mam\u0103, alte rude sau o cuno\u0219tin\u021b\u0103.<\/p>\n

\u00cen ultimii ani, situa\u021bia s-a schimbat, \u00een mod \u00eembucur\u0103tor. Prognosticul diagnosticului de cancer mamar s-a \u00eembun\u0103t\u0103\u021bit datorit\u0103 progresului tehnologic la nivel de diagnostic precum \u0219i\u00a0 de expertiza mai multor medici, de specialit\u0103\u021bi diferite, \u00een luarea deciziei de tratament. Toate acestea au deschis calea c\u0103tre o medicin\u0103 personalizat\u0103, care \u00ee\u0219i propune \u0219i reu\u0219e\u0219te cu succes s\u0103 trateze \u021bintit, pe un teren bine cunoscut, iar pacientele s\u0103 beneficieze de o evolu\u021bie favorabil\u0103.<\/p>\n

Dr. Gabriel Cristian Vii\u0219oreanu<\/strong>, medic specialist chirurgie oncologic\u0103: \u201e\u00cen prezent exist\u0103 mai multe motive de optimism legate de cancerul mamar dec\u00e2t oric\u00e2nd altc\u00e2ndva \u00een trecut. \u00cen ultimii 40 de ani, oamenii de \u0219tiin\u021b\u0103 au aflat extrem de multe despre modul \u0219i cauza dezvolt\u0103rii cancerului mamar \u0219i au f\u0103cut pa\u0219i uria\u0219i \u00een diagnosticarea \u0219i tratarea acestuia. Cercet\u0103rile au dus la descoperirea unor tratamente mult mai eficiente, cu \u0219anse mai reduse de deces din cauza bolii \u0219i cu o calitate a vie\u021bii mult \u00eembun\u0103t\u0103\u021bit\u0103, inclusiv la femei la care acest tip de cancer a recidivat.\u201d<\/em><\/p>\n

La reu\u0219ita tratamentului, o greutate important\u0103 o are diagnosticul timpuriu. Ast\u0103zi, pacientele au posibilitatea ca prin screening-ul de preven\u021bie s\u0103 descopere cancerul \u00een stadii incipiente, \u00een care tratamentul poate avea un parcurs mult mai pu\u021bin invaziv \u0219i traumatizant. Un stadiu avansat al bolii aduce cu sine modific\u0103ri asupra aspectului, a feminit\u0103\u021bii \u0219i a sexualit\u0103\u021bii unei femei. De aceea, multe dintre pacientele care sufer\u0103 de cancer mamar se tem c\u0103 schimb\u0103rile suferite de corpul lor le va afecta mai mult dec\u00e2t aspectul, ci \u0219i modul \u00een care sunt percepute de cei din jur.<\/p>\n

Dr. Gabriel Cristian Vii\u0219oreanu,<\/strong> medic specialist chirurgie oncologic\u0103: \u201eMastectomia radical\u0103 este o procedur\u0103 folosit\u0103 din ce in ce mai rar, \u00een zilele noastre. Aceasta presupune \u00eendep\u0103rtarea\u00a0 s\u00e2nului\u00a0 \u0219i a\u00a0 ganglionilor limfatici axilari. \u00cencep\u00e2nd cu anii 1900 \u0219i p\u00e2n\u0103 \u00een anii 1970, acesta a fost tratamentul standard pentru femeile cu cancer mamar. \u00cen prezent, utilizarea sa este \u00een general limitat\u0103 la cazurile de cancer local avansat, care a\u00a0 invadat mu\u0219chii peretelui anterior ai toracelui. Chiar \u0219i \u00een astfel de cazuri, exist\u0103 o solu\u021bie pentru a diminua \u0219ocul \u0219i trauma psihic\u0103 suferite \u00een urma mastectomiei \u0219i a permite reintegrarea rapid\u0103 \u00een comunitate a pacientelor,\u00a0 \u0219i anume efectuarea reconstruc\u021biei\u00a0 s\u00e2nului .\u201d<\/em><\/p>\n

Screening-ul de preven\u021bie, un ritual necesar \u00een grija fa\u021b\u0103 de \u00eentregul univers al femeii <\/u><\/strong><\/p>\n

\u00cen zilele noastre, femeile au acces la metode de diagnostic, pe care dac\u0103 le efectueaz\u0103 cu frecven\u021ba recomandat\u0103, \u00ee\u0219i asigur\u0103 o perspectiv\u0103 optimist\u0103 cu privire la s\u0103n\u0103tatea lor. Mai mult dec\u00e2t at\u00e2t, aceast\u0103 regularitate a efectu\u0103rii unui screening de preven\u021bie intr\u0103 \u00een con\u0219tiin\u021ba fiec\u0103reia dintre ele ca un ritual de grij\u0103 fa\u021b\u0103 de ea \u00eens\u0103\u0219i dar \u0219i fa\u021b\u0103 de familie. Aceast\u0103 siguran\u021b\u0103 a zilei de m\u00e2ine poate avea un impact pozitiv asupra psihicului unei femei, a c\u0103rei tipar psihologic este orientat de obicei mai mult c\u0103tre grija fa\u021b\u0103 de cei din jur.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Dr. Cristian-Gabriel Vii\u0219oreanu este medic specialist chirurgie general\u0103, supra-specializat \u00een chirurgie oncologic\u0103 \u0219i ecografie interven\u021bional\u0103. Cu o experien\u021b\u0103 vast\u0103\u00a0 \u00een chirurgia patologiilor mamare, Dr. Vii\u0219oreanu a adus inova\u021bie \u00een chirurgia […]<\/p>\n","protected":false},"author":4,"featured_media":7178,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[99],"tags":[],"class_list":["post-7174","post","type-post","status-publish","format-standard","has-post-thumbnail","category-oncologie"],"yoast_head":"\nNoi orizonturi \u00een tratamentul cancerului mamar - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"tratamentul cancerului mamar se baza pe cura chirurgical\u0103 radical\u0103, adic\u0103 extirparea \u00eentregului s\u00e2n, a ganglionilor limfatici, a mu\u0219chilor de sub s\u00e2n\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/noi-orizonturi-in-tratamentul-cancerului-mamar\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Noi orizonturi \u00een tratamentul cancerului mamar - 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