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El tumor afecta a uno, con mucha menos frecuencia: ambos riñones. El 50% de los pacientes tienen cáncer de células renales . En todos los demás casos, se desarrolla un tumor maligno en el uréter, la pelvis renal. El sarcoma renal se diagnostica en menos del 10% de los pacientes.
Se desarrollan células tumorales en el espacio retroperitoneal que son poco palpables. Las primeras etapas de la enfermedad son asintomáticas. El tumor a menudo se detecta durante una ecografía programada cuando ya tiene un gran tamaño.
Síntomas típicos del cáncer de riñón:
sangre en la orina (hematuria);
dolor lumbar intenso;
induración abdominal palpable durante el examen;
aumento de la temperatura y la presión arterial;
podedema
La ecografía renal es el método más disponible pero no proporciona un diagnóstico preciso. Por lo tanto, el diagnóstico del cáncer de riñón debe incluir un conjunto de procedimientos:
En la etapa temprana del cáncer de riñón, el tamaño del tumor no supera los 7 cm. Se encuentra en el riñón y no se propaga a los órganos y tejidos circundantes. La etapa 1 está mal diagnosticada y no tiene síntomas específicos.
Tratamiento del cáncer de riñón en etapa 1 | Tasa de supervivencia. Rehabilitación |
| 81 - 90 % Después del tratamiento los pacientes vuelven a la vida normal con algunas restricciones en cuanto a su dieta y actividades físicas. Se requiere examen de nefrólogo/urólogo cada 6 meses durante 2 años después de la cirugía, que - una vez al año. |
El cáncer de riñón en etapa 2 se disemina hacia las glándulas suprarrenales o la grasa pararrenal. El tamaño del tumor supera los 7 cm pero se localiza solo en el área renal. No hay metástasis.
Tratamiento del cáncer de riñón en estadio 2 | Tasa de supervivencia. Rehabilitación |
Extracción del riñón con tejido graso adherente, a veces con glándulas suprarrenales, vasos de ajuste, ganglios linfáticos. | 74 % После лечения пациент возвращается к повседневной жизни, соблюдая диету, режим. El 20 % de los pacientes tienen el riesgo de metástasis, por eso deben someterse al diagnóstico cada 3 - 6 meses, que — cada año durante 5 años. |
En el estadio 3, el tumor del cáncer de riñón comienza a diseminarse a los ganglios linfáticos. No hay metástasis a distancia. El cáncer puede diseminarse a la vena renal o la vena cava y causar complicaciones.
Tratamiento del cáncer de riñón en etapa 3 | Tasa de supervivencia. Rehabilitación |
Extracción del riñón con tejido graso adherente, a veces con glándulas suprarrenales, vasos de ajuste, ganglios linfáticos. | 40 – 65 % Examen regular – cada 3 meses durante 3 años después de la cirugía. Que – una vez al año. |
El cáncer de riñón en etapa 4 es difícil de tratar. Tiene múltiples metástasis a distancia, el tumor se expande rápida y agresivamente.
Tratamiento del cáncer de riñón en etapa 4 | Tasa de supervivencia. Rehabilitación |
| 10 % – 14 % El tratamiento prolonga significativamente la vida del paciente, aumenta su calidad. Se aplica tratamiento paliativo para aliviar los dolores. |
El costo del tratamiento del cáncer de riñón puede variar de $10,100 a $14,540:
El médico determinará el costo total del tratamiento según sus necesidades y tratamientos anteriores. Es posible que no necesite repetir pruebas anteriores, lo que podría ahorrar dinero.
"},"guide_mc":{"text":"Llegada
Diagnósticos
Desarrollo del plan de tratamiento
Tratamiento
Hacer un seguimiento
Rehabilitación
Tenga en cuenta que solo un médico puede determinar un plan de diagnóstico y tratamiento, ya que cada caso es individual. Además, algunos pacientes pueden requerir otros tratamientos como la crioablación o la ablación por radiofrecuencia. Siempre consulte con su médico para conocer las mejores opciones de tratamiento.
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