{"id":59459,"date":"2018-05-31T15:30:10","date_gmt":"2018-05-31T12:30:10","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=59459"},"modified":"2018-05-31T15:30:10","modified_gmt":"2018-05-31T12:30:10","slug":"cancerul-ductului-biliar-extrahepatic","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/bolile-oncologice\/cancerul-ductului-biliar-extrahepatic\/","title":{"rendered":"Cancerul ductului biliar extrahepatic"},"content":{"rendered":"<p>Cancerul ductului biliar extrahepatic este o afec\u021biune oncologic\u0103 rar\u0103, diagnosticat\u0103 de dou\u0103 ori mai rar dec\u00e2t oncologia vezicii biliare.\u00a0Boala este diagnosticat\u0103 mai frecvent la b\u0103rba\u021bii cu v\u00e2rsta cuprins\u0103 \u00eentre 70 \u0219i 80 de ani.<\/p>\n<h3>Cauzele apari\u0163iei<\/h3>\n<p>Aceast\u0103 boal\u0103 apare mai adesea ca urmare a unor astfel de maladii:<\/p>\n<ul>\n<li>colangita sclerozant\u0103 primar\u0103<\/li>\n<li>colita ulcerativ\u0103 cronic\u0103<\/li>\n<li>chist de coledoc.<\/li>\n<\/ul>\n<p>Pentru cancerul de aceast\u0103 form\u0103 nu este caracteristic\u0103 o rela\u021bie cu formarea de calculi biliari.<\/p>\n<h3>Cancerul ductului biliar extrahepatic: clasificare morfologic\u0103<\/h3>\n<p>\u00cen conformitate cu clasificarea clinico-anatomic\u0103 interna\u021bional\u0103, se disting etape ale form\u0103rii maligne:<\/p>\n<ul>\n<li>carcinomul formei preinvazive (Tis (0));<\/li>\n<li>stadiul \u00een care tumoarea este localizat\u0103 exclusiv \u00een canale (T1 (IA));<\/li>\n<li>stadiul \u00een care se dezvolt\u0103 invazia formei tumorale \u00een pere\u021bii c\u0103ilor biliare (T2 (IB));<\/li>\n<li>stadiul la care tumora creste in regiunea ficatului, vezicii biliare, pancreasului, vena port\u0103 \u0219i artera hepatic\u0103, are loc o leziune a nodul limfatic (T3 (IIA));<\/li>\n<li>stadiul la care sunt afectate vena principal\u0103 a portalului, colonul \u0219i duodenul \u0219i alte canale (T4 (III)).<\/li>\n<\/ul>\n<h3>Simptomele<\/h3>\n<p>Principalul semn al afect\u0103rii conductelor biliare este icterul, \u00een 50% din cazuri aceast\u0103 condi\u021bie apare brusc. La restul 50% dintre pacien\u021bi \u2013 peste dou\u0103 p\u00e2n\u0103 la trei luni.<\/p>\n<p>\u00cen cele mai multe cazuri in cadrul cancerului de duct biliar extrahepatic includ\u00a0icterul \u00a0(ing\u0103lbenirea pielii sau a albului ochiului)\u00a0\u00a0\u015fi durerea.<br \/>\nAcestea precum si alte simptome pot fi cauzate de cancerul ductului biliar extrahepatic sau pot ap\u0103rea \u015fi in cadrul altor boli.<br \/>\nUn icter, care se dezvolt\u0103 pe fondul simptomelor de decompensare hepatic\u0103, se observ\u0103 \u00een procesul de obturare absolut\u0103 a conductelor principale.\u00a0\u00cen acest caz, func\u021bionarea rezervorului de vezicule \u00een sine \u00eenceteaz\u0103.<\/p>\n<p>Cu o stenoz\u0103 ridicat\u0103 a formei tumorale, se observ\u0103 o cre\u0219tere a m\u0103rimii ficatului, iar \u00een cazul stenozei distal, o form\u0103 pozitiv\u0103 a simptomului lui Courvoisier.\u00a0Dar, \u00een unele cazuri, cre\u0219terea dimensiunii vezicii biliare pe fondul dezvolt\u0103rii unor forme mecanice icter nu sunt \u00eentotdeauna un indicator al unui anumit nivel de obstruc\u021bie, deoarece vezica biliara nu poate lucra din cauza bloc\u0103rii neoplasmului canalul cistic.<\/p>\n<p>De la 38 la 55% dintre pacien\u021bii cu acest diagnostic sufer\u0103, de asemenea, de colangit\u0103, care se caracterizeaz\u0103 prin durere frecvent\u0103 \u00een zona vezicii biliare.\u00a0\u00cen cancerele canalelor, pierderea brusc\u0103 \u00een greutate poate s\u0103 nu apar\u0103 \u00eentotdeauna, acest semn fiind manifestat brusc \u00een pancreasul malign.<\/p>\n<h3>Diagnosticare<\/h3>\n<p>Pute\u021bi stabili diagnosticul corect prin astfel de metode:<\/p>\n<ul>\n<li>diagnosticarea cu ultrasunete;<\/li>\n<li>RMN;<\/li>\n<li>metoda laparoscopic\u0103;<\/li>\n<li>tomografia computerizat\u0103;<\/li>\n<li>cholangiografia, care se realizeaz\u0103 prin piele.<\/li>\n<\/ul>\n<p>\u00cen cazurile \u00een care diagnosticul este dificil de stabilit, se efectueaz\u0103 o procedur\u0103 chirurgical\u0103, \u00een timpul c\u0103reia se determin\u0103 diagnosticul \u0219i amploarea leziunii.<\/p>\n<h3>Tratament<\/h3>\n<p>O metod\u0103 radical\u0103 de tratare a form\u0103rii maligne este rezec\u021bia pancreatoduodenal\u0103.<\/p>\n<h3>Perspectiv\u0103<\/h3>\n<p>\u00cen cazul \u00een care tumora creste spre ficat, acest lucru duce la restric\u0163ii semnificative cu privire la utilizarea de tratamente radicale.\u00a0\u00cen cazul obtura\u021biei tumorale, metoda optim\u0103 de tratament este chirurgia paliativ\u0103, care vizeaz\u0103 eliminarea icterului.\u00a0Aceast\u0103 opera\u021bie este deosebit de dificil\u0103 dac\u0103 exist\u0103 o stenoz\u0103 ridicat\u0103 \u0219i este necesar s\u0103 se ia m\u0103suri pentru a elimina bilele din canale.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cancerul ductului biliar extrahepatic este o afec\u021biune oncologic\u0103 rar\u0103, diagnosticat\u0103 de dou\u0103 ori mai rar dec\u00e2t oncologia vezicii biliare.\u00a0Boala este diagnosticat\u0103 mai frecvent la b\u0103rba\u021bii cu v\u00e2rsta cuprins\u0103 \u00eentre 70 \u0219i 80 de ani. Cauzele apari\u0163iei Aceast\u0103 boal\u0103 apare mai adesea ca urmare a unor astfel de maladii: colangita sclerozant\u0103 primar\u0103 colita ulcerativ\u0103 cronic\u0103 chist [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":53023,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-59459","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cancerul ductului biliar extrahepatic | Sanatate.md<\/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:\/\/sanatate.md\/ro\/boli-si-tratament\/bolile-oncologice\/cancerul-ductului-biliar-extrahepatic\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cancerul ductului biliar extrahepatic | Sanatate.md\" \/>\n<meta property=\"og:description\" content=\"Cancerul ductului biliar extrahepatic este o afec\u021biune oncologic\u0103 rar\u0103, diagnosticat\u0103 de dou\u0103 ori mai rar dec\u00e2t oncologia vezicii biliare.\u00a0Boala este diagnosticat\u0103 mai frecvent la b\u0103rba\u021bii cu v\u00e2rsta cuprins\u0103 \u00eentre 70 \u0219i 80 de ani. 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