San Raffaele es el hospital de investigación más grande de Europa y trata a más de 12.000 pacientes con cáncer al año dentro de un instituto IRCCS. Cuenta con tres sistemas quirúrgicos da Vinci para cirugía renal robótica de precisión, respaldados por la planificación de un comité de tumores multidisciplinario. Una consulta presencial de nefrología con el Prof. Vezzoli cuesta unos 384 €, mientras que una videoconsulta oncológica con el Prof. Montorsi ronda los 352 €. Los diagnósticos como la RM pélvica pueden costar unos 617 €.
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El doctor es un experto líder en urología y andrología, dirigiendo el Instituto de Investigación Urológica en Italia. Especializado en cirugías mínimamente invasivas y robóticas, el doctor ha realizado más de 8,000 cirugías de urología y andrología y ha desarrollado un método único para corregir la disfunción venosa oclusiva.<\\/p>
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Ospedale San Raffaele (Hospital de Investigación San Raffaele) en Milán es uno de los hospitales de investigación más grandes de Europa. Aplica métodos ad hoc para el tratamiento de enfermedades raras del sistema inmunitario y genéticas.
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\n\nLos cirujanos del hospital realizan más de 52.000 operaciones al año.
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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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