{"id":3276,"date":"2021-06-08T09:48:00","date_gmt":"2021-06-08T09:48:00","guid":{"rendered":"https:\/\/epidermos.com\/?p=3276"},"modified":"2021-06-08T12:35:37","modified_gmt":"2021-06-08T12:35:37","slug":"cirugia-de-mohs","status":"publish","type":"post","link":"https:\/\/epidermos.com\/ca\/cirugia-de-mohs\/","title":{"rendered":"Cirug\u00eda de Mohs"},"content":{"rendered":"

La cirug\u00eda de\u00a0Mohs<\/strong>\u00a0es una t\u00e9cnica quir\u00fargica precisa que se utiliza para tratar el c\u00e1ncer de piel<\/strong>.<\/p>\n

Durante la cirug\u00eda de Mohs, se extraen capas delgadas de la piel que contienen c\u00e9lulas cancerosas para examinarlas. En el caso de persistir el tumor se ampl\u00eda la extracci\u00f3n s\u00f3lo por la zona donde \u00e9ste persiste, hasta que s\u00f3lo queda tejido\u00a0 sano, sin c\u00e9lulas cancerosas. Esta\u00a0 t\u00e9cnica permite reducir el riesgo de recidiva del tumor a menos del 1%.<\/strong><\/p>\n

Existen muchas variantes de cirug\u00eda de Mohs segun la forma en c\u00f3mo se analiza la pieza extirpada. Hoy os mostraremos en este post, un peque\u00f1o resumen de c\u00f3mo es el an\u00e1lisis de estas piezas extirpadas.<\/p>\n

A diferencia de la cirug\u00eda convencional, en esta cirug\u00eda se extraen dos piezas. Una primera pieza llamada debulking<\/em><\/strong> en la que se extirpa la parte visible del tumor (aquello que a simple vista identificamos como tumor). A continuaci\u00f3n se realiza una segunda extirpaci\u00f3n en la que se extrae todo el margen de la lesi\u00f3n. En ese momento la pieza es marcada y fijada y se realiza un dibujo\/esquema para orientarla correctamente.<\/p>\n

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Foto 1:<\/em> A la izquierda\u00a0 podemos observar el debulking<\/strong> (en este caso correspond\u00eda a una cicatriz de un carcinoma basocelular que hab\u00eda sido operado por cirug\u00eda convencional en tres ocasiones siendo siempre los m\u00e1rgenes afectos) y a la derecha la muestra para an\u00e1lisis de los m\u00e1rgenes<\/strong><\/em><\/h6>\n

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Foto 2: Esquema de la localizaci\u00f3n y tama\u00f1o del tumor<\/em><\/h6>\n

Esta pieza es procesada por t\u00e9cnicos de laboratorio que la cortar\u00e1n y la te\u00f1ir\u00e1n para su posterior an\u00e1lisis. Este proceso puede durar desde una hora a varios d\u00edas. Es una fase muy laboriosa en la que ser\u00e1n cortados y procesados todos los m\u00e1rgenes del tumor<\/p>\n

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Foto 3 y 4: Dermatotomo para el procesado y laminillas te\u00f1idas y preparadas para su observaci\u00f3n al microscopio<\/em><\/h6>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Una vez te\u00f1ida las laminillas se miran al microscopio buscando si persiste tumor en alguno de sus m\u00e1rgenes<\/p>\n

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Foto 5: al observar al microscopio se detecta presencia de tumor en uno de los m\u00e1rgenes<\/em><\/h6>\n

Ante la presencia de tumor se realiza una segunda intervenci\u00f3n, en la que se extirpar\u00e1 \u00fanicamente la zona donde persist\u00eda el tumor y se realizar\u00e1 un nuevo an\u00e1lisis histol\u00f3gico (A esta segunda intervenci\u00f3n la llamamos etapa II). El proceso se repetir\u00e1 las veces que sean necesaria hasta que no quede tumor.<\/p>\n

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Foto 6: defecto quir\u00fargico despu\u00e9s de tres etapas en la que, finalmente, el tumor se extirp\u00f3 en su totalidad <\/em><\/h6>\n

En resumen esta t\u00e9cnica quir\u00fargica es m\u00e1s laboriosa y larga que una cirug\u00eda convencional, en ocasiones puede durar semanas, pero permite la extirpaci\u00f3n completa del tumor conservando al m\u00e1ximo la piel sana.<\/p>\n

En Epidermos te ofrecemos siempre el tratamiento m\u00e1s adecuado a tu problema, de la mano de los profesionales m\u00e1s actualizados en cada especialidad. Este art\u00edculo y las capturas ha sido creado gracias a la colaboraci\u00f3n de nuestro especialista en cirug\u00eda oncol\u00f3gica cut\u00e1nea, Dr. Emili Masferrer i Niub\u00f2 _ <\/strong>Dermat\u00f3logo especialista en Cirug\u00eda Oncol\u00f3gica Cut\u00e1nea y en Dermatologia M\u00e9dico-Quir\u00fargica y Venerealog\u00eda<\/em>.\u00a0<\/em><\/strong><\/p>\n

\u00a0<\/em><\/p>\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

La cirug\u00eda de\u00a0Mohs\u00a0es una t\u00e9cnica quir\u00fargica precisa que se utiliza para tratar el c\u00e1ncer de piel. Durante la cirug\u00eda de Mohs, se extraen capas delgadas de la piel que contienen c\u00e9lulas cancerosas para examinarlas. En el caso de persistir el … Llegir m\u00e9s<\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","footnotes":""},"categories":[161],"tags":[159,166,162,165,164,163],"class_list":["post-3276","post","type-post","status-publish","format-standard","hentry","category-dermatologia-oncologica","tag-cancer-de-piel","tag-cirugia-de-mohs","tag-cirugia-oncologica","tag-debulking","tag-dermatologia-oncologica","tag-mohs"],"yoast_head":"\nCirug\u00eda de Mohs - Epidermos Institut de dermoest\u00e8tica<\/title>\n<meta name=\"description\" content=\"La Cirug\u00eda de Mohs es una t\u00e9cnica laboriosa ero que permite la extirpaci\u00f3n total del tumor conservando al m\u00e1ximo la piel sana.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/epidermos.com\/cirugia-de-mohs\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirug\u00eda de Mohs - Epidermos Institut de dermoest\u00e8tica\" \/>\n<meta property=\"og:description\" content=\"La Cirug\u00eda de Mohs es una t\u00e9cnica laboriosa ero que permite la extirpaci\u00f3n total del tumor conservando al m\u00e1ximo la piel sana.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/epidermos.com\/cirugia-de-mohs\/\" \/>\n<meta property=\"og:site_name\" content=\"Epidermos Institut de dermoest\u00e8tica\" \/>\n<meta property=\"article:published_time\" content=\"2021-06-08T09:48:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-06-08T12:35:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/epidermos.com\/wp-content\/uploads\/2021\/06\/1-bebulking-i-marges-2-300x104.jpg\" \/>\n<meta name=\"author\" content=\"David Romero\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"David Romero\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/\"},\"author\":{\"name\":\"David Romero\",\"@id\":\"https:\/\/epidermos.com\/ca\/#\/schema\/person\/2f5c25f34fb28f2507db4627249f7ae1\"},\"headline\":\"Cirug\u00eda de Mohs\",\"datePublished\":\"2021-06-08T09:48:00+00:00\",\"dateModified\":\"2021-06-08T12:35:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/\"},\"wordCount\":565,\"image\":{\"@id\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/epidermos.com\/wp-content\/uploads\/2021\/06\/1-bebulking-i-marges-2-300x104.jpg\",\"keywords\":[\"c\u00e1ncer de piel\",\"cirugia de Mohs\",\"cirug\u00eda oncologica\",\"debulking\",\"dermatologia oncologica\",\"Mohs\"],\"articleSection\":[\"Dermatolog\u00eda oncol\u00f3gica\"],\"inLanguage\":\"ca\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/\",\"url\":\"https:\/\/epidermos.com\/cirugia-de-mohs\/\",\"name\":\"Cirug\u00eda de Mohs - 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