Home»Tecnologie»Melanoma: rimozione dei linfonodi sì o no?

Melanoma: rimozione dei linfonodi sì o no?

0
Shares
Pinterest Google+

Nel caso di pazienti con melanoma nei quali si trovano cellule maligne nel linfonodo “sentinella” non è necessario togliere anche i linfonodi vicini perché potrebbe aumentare il rischio di effetti avversi senza aumentare la sopravvivenza.

E’ stato dimostrato da uno studio internazionale a cui ha partecipato anche l’Istituto Pascale di Napoli, pubblicato dal New England Journal of Medicine.

I ricercatori hanno studiato circa 2mila pazienti, tutti con il linfonodo sentinella positivo, dividendoli in due gruppi.

Metà è stata trattata rimuovendo subito anche i linfonodi circostanti, mentre gli altri sono stati monitorati con un’ecografia ogni sei mesi, e sottoposti all’asportazione solo in caso di esito positivo.

La sopravvivenza è risultata identica nei due gruppi, ma nel primo è stato rivelato un tasso di effetti collaterali più alto, come ad esempio gonfiore, indurimento della pelle e difficoltà nel movimento.

“Abbiamo visto che in meno del 15% dei casi in realtà sarebbe necessaria l’asportazione di tutti i linfonodi – spiega Nicola Mozzillo, che ha diretto il gruppo napoletano che ha partecipato allo studio -. Applicare i risultati di questo studio al mondo reale porterebbe a una diminuzione considerevole degli interventi, risparmiando quindi al paziente effetti collaterali, conseguenze estetiche e psicologiche di un’operazione, e permettendo anche un utilizzo migliore delle risorse, visto che per il follow up i costi sono minimi”.

In Italia, spiega Mozzillo, sono circa 7mila i pazienti che sarebbero interessati, ma i numeri potrebbero crescere ulteriormente. “Lo studio è stato fatto per il melanoma – sottolinea l’esperto – ma lo stesso approccio è usato per molti altri tumori, a partire da quello della mammella, e stiamo cercando di verificare se si può applicare lo stesso principio. Questa è una rivoluzione per la chirurgia oncologica, da un approccio invasivo uguale per tutti ad una medicina di precisione tagliata sul paziente”.

Fonte: Ansa

Previous post

Cyberbullismo. Ecco la nuova legge per una maggiore prevenzione.

Next post

Giornata Internazionale dello yoga, quali benefici porta questa pratica?

71 Comments

  1. 15/08/2018 at 20:09

    “I’m not sure exactly why but this website is loading extremely slow for me. Is anyone else having this issue or is it a issue on my end? I’ll check back later and see if the problem still exists.”

  2. 29/08/2018 at 13:52

    Like!! Really appreciate you sharing this blog post.Really thank you! Keep writing.

  3. Likely I am likely to save your blog post. 🙂

  4. 06/10/2018 at 10:25

    Perfectly composed articles , thankyou for information. 🙂

  5. Bronnley 御香坊 【蘭花花香系列】蘭花海棉浴皂 Sponge Soap of Orchid的商品介紹 UrCosme (@cosme TAIWAN) 商品資訊 Bronnley 御香坊,蘭花花香系列,蘭花海棉浴皂 Sponge Soap of Orchid

  6. Liverpool boss Jurgen Klopp faces a big selection headache for his side’s crunch Europa League quarter-final second leg tie with former club Borussia Dortmund at Anfield Liverpool boss Jurgen Klopp faces selection headache over whether to start Divock Origi or Daniel Sturridge for crunch Europa League quarter-final second leg clash with Borussia Dortmund

  7. 11/11/2018 at 11:27

    Hi! I could have sworn I’ve been to this website before but after browsing through some of the post I realized it’s new to me. Anyhow, I’m definitely glad I found it and I’ll be book-marking and checking back frequently!

  8. 12/11/2018 at 7:18

    Normally I do not read post on blogs, however I wish to say that this write-up very compelled me to take a look at and do so! Your writing taste has been amazed me. Thank you, very nice article.

  9. 13/11/2018 at 9:48

    it sometimes difficult to select the right kind of mens clothing but there are helpful buying guides on the internet~

  10. 16/11/2018 at 10:46

    Seth Gordon’s resume as director has been an interesting one; ranging from the enjoyable Fistful of Quarters to the weak-weak Four Christmases.

  11. 17/11/2018 at 12:26

    Good day! I know this is kind of off topic but I was wondering if you knew where I could locate a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having difficulty finding one? Thanks a lot!

  12. 17/11/2018 at 14:46

    What’s Happening i am new to this, I stumbled upon this I have discovered It absolutely helpful and it has helped me out loads. I hope to give a contribution & help other users like its aided me. Good job.

  13. 17/11/2018 at 21:51

    I have read some good stuff here. Certainly worth bookmarking for revisiting. I surprise how much effort you put to create such a great informative website.

  14. 17/11/2018 at 23:10

    I absolutely love your blog and find many of your post’s to be precisely what I’m looking for. Do you offer guest writers to write content for you personally? I wouldn’t mind writing a post or elaborating on some of the subjects you write in relation to here. Again, awesome blog!

  15. 18/11/2018 at 16:52

    It is appropriate time to make some plans for the long run and it’s time to be happy. I’ve learn this submit and if I may just I want to suggest you some attention-grabbing issues or tips. Maybe you could write subsequent articles referring to this article. I wish to learn more things about it!

  16. 18/11/2018 at 18:41

    Very efficiently written information. It will be helpful to anyone who usess it, as well as yours truly :). Keep doing what you are doing – i will definitely read more posts.

  17. 19/11/2018 at 1:57

    Hey There. I found your blog using msn. This is a very well written article. I will make sure to bookmark it and return to read more of your useful information. Thanks for the post. I will definitely comeback.

  18. 19/11/2018 at 7:04

    I’m impressed, I must say. Actually hardly ever do I encounter a blog that’s each educative and entertaining, and let me inform you, you have got hit the nail on the head. Your concept is outstanding; the problem is something that not enough people are speaking intelligently about. I’m very glad that I stumbled throughout this in my seek for something referring to this.

  19. 19/11/2018 at 9:33

    Wonderful beat ! I wish to apprentice while you amend your site, how could i subscribe for a blog website? The account aided me a acceptable deal. I had been tiny bit acquainted of this your broadcast provided bright clear idea

  20. Danny Blind has named Arjen Robben as captain for the forthcoming European Championship qualifying matches against Iceland and Turkey. Robben will replace Robin van Persie. Arjen Robben replaces Robin van Persie as Holland captain ahead of Euro 2016 qualifiers against Iceland and Turkey  

  21. 21/11/2018 at 10:57

    Thank you for the good writeup. It in fact wasa amusement account it. Look advanced to far added agreeable from you!By the way, how can we communicate?

  22. In the streets surrounding Fenway Park, everybody is gearing up for the start of the new baseball season. Under the shadows of the historic stands coated in fresh green paint, crates of Bud and bulging popcorn buckets are being loaded on to concourses. They don’t do losers here: Sportsmail goes to Boston to gauge the mood of Liverpool’s US owners as questions grow over the reign of King Kenny

  23. 25/11/2018 at 7:06

    If you do not have insurance, the cost is set by UCLA and is around $500 to $700.00 for just the consultation. I have been told fees are negotional, but I do not know anyone who has tried. With Medicare and a good suppliment it will cost you very little. I have not received any bill for the consult. No tests are performed until the next visit the day before surgery. The most important is the translabial ultrasound, which is how he can tell where the mesh is. Few doctors use this and even if they do they have to be able to read it.

  24. 28/11/2018 at 0:49

    After checking out a few of the articles on your web page, I really like your way of blogging.I saved as a favorite it to my bookmark site list and will be checking back in the near future.Please visit my web site too and let me know your opinion.

  25. 01/12/2018 at 4:19

    This might be the proper blog for all who desires to be familiar with this topic.You know much its practically difficult to arguealong. Outstanding stuff, simply great!

  26. 06/12/2018 at 4:36

    GreatWonderfulFantasticMagnificentExcellent beat ! I wish towould like to apprentice at the same time aswhilsteven aswhile you amend your siteweb sitewebsite, how cancould i subscribe for a blogweblog siteweb sitewebsite? The account aidedhelped me a appropriateapplicableacceptable deal. I werehave beenhad been tinya little bit familiaracquainted of this your broadcast providedoffered brightshinybrilliantvibrantvivid transparentclear conceptidea

  27. 22/12/2018 at 6:32

    I will right away grab your rss feed as I can not find your email subscription link or newsletter service. Do you’ve any? Kindly let me know so that I could subscribe. Thanks.

  28. 23/01/2019 at 13:35

    Hi, Neat post. There is a problem along with your website in web explorer, might check this… IE nonetheless is the marketplace leader and a huge component of other folks will omit your fantastic writing because of this problem.

  29. Great post. I was checking continuously this blog and I am impressed! Extremely useful info specially the last part 🙂 I care for such info much. I was looking for this particular information for a long time. Thank you and best of luck.

  30. 10/02/2019 at 1:07

    Hello there, You have done a fantastic job. I will definitely digg it and individually recommend to my friends. I’m sure they’ll be benefited from this web site.

  31. 10/02/2019 at 20:30

    I’m curious to find out what blog platform you’re working with? I’m having some minor security issues with my latest blog and I’d like to find something more secure. Do you have any solutions?

  32. 11/02/2019 at 10:41

    You made various nice points there. I did a search on the theme and found nearly all folks will have the same opinion with your blog.

  33. Superb post but I was wondering if you could write a litte more on this subject? I’d be very thankful if you could elaborate a little bit more. Kudos!

  34. 12/02/2019 at 5:54

    Great blog here! Also your website loads up fast! What web host are you using? Can I get your affiliate link to your host? I wish my site loaded up as quickly as yours lol

  35. 12/02/2019 at 18:42

    Thanks on your marvelous posting! I actually enjoyed reading it, you might be a great author.I will ensure that I bookmark your blog and will often come back later in life. I want to encourage you to ultimately continue your great job, have a nice morning!

  36. 13/02/2019 at 17:18

    Cheers, great stuff, I like.

  37. Enjoyed examining this, very good stuff, thanks .

  38. 14/02/2019 at 4:47

    Your website has proven useful to me.

  39. 14/02/2019 at 16:12

    Respect to website author , some wonderful entropy.

  40. 15/02/2019 at 15:31

    I like this article, useful stuff on here : D.

  41. I like this website its a master peace ! Glad I found this on google .

  42. Thank You for this.

  43. 17/02/2019 at 2:44

    Me like, will read more. Cheers!

  44. 17/02/2019 at 14:41

    Deference to op , some superb selective information .

  45. 17/02/2019 at 17:08

    I just couldn’t depart your web site before suggesting that I actually enjoyed the standard info a person provide for your visitors? Is gonna be back often to check up on new posts

  46. 17/02/2019 at 21:42

    Enjoyed reading through this, very good stuff, thankyou .

  47. Cheers, i really think i will be back to your website

  48. 18/02/2019 at 15:27

    Wow! This blog looks just like my old one! It’s on a totally different subject but it has pretty much the same layout and design. Outstanding choice of colors!

  49. 18/02/2019 at 20:43

    You got yourself a new rader.

  50. Terrific post but I was wondering if you could write a litte more on this topic? I’d be very grateful if you could elaborate a little bit further. Bless you!

  51. 19/02/2019 at 9:12

    Eu queria para colocar você a muito pequeno observação apenas para dar agradecimentos mais uma vez sobre o agradável ideias você tem documentado neste artigo . Foi realmente extremamente aberto com você dando extensivamente exatamente o que muitas pessoas {poderiam ter | poderiam possivelmente ter | poderiam ter | teriam | comercializado para um e livro para ajudar a fazer alguma massa para seu próprio fim , particularmente considerando que you pode ter done it no caso de você desejado . Those truques também servido totalmente compreender outra pessoa tem o mesmo interesse semelhante a my own entender muitos mais around this issue . Eu acho que há alguns mais agradáveis ​​ ocasiões no futuro para pessoas que analisar seu site

  52. 19/02/2019 at 15:09

    Great stuff to see, glad that yandex took me here, Keep Up cool job

  53. 19/02/2019 at 15:14

    Hey there! Do you use Twitter? I’d like to follow you if that would be ok. I’m undoubtedly enjoying your blog and look forward to new posts.

  54. 19/02/2019 at 17:49

    There are actually quite a lot of particulars like that to take into consideration. That could be a nice point to carry up. I offer the thoughts above as basic inspiration however clearly there are questions like the one you bring up where crucial thing will probably be working in honest good faith. I don?t know if best practices have emerged round issues like that, however I am positive that your job is clearly recognized as a good game. Each boys and girls feel the influence of only a moment’s pleasure, for the rest of their lives.

  55. 20/02/2019 at 4:03

    I simply must tell you that you have an excellent and unique web that I really enjoyed reading.

  56. 20/02/2019 at 4:06

    hi!,I like your writing so much! share we communicate more about your article on AOL? I need a specialist on this area to solve my problem. Maybe that’s you! Looking forward to see you.

  57. 20/02/2019 at 16:40

    I do enjoy the manner in which you have presented this specific concern plus it really does offer us some fodder for thought. On the other hand, from what precisely I have witnessed, I just trust when other commentary pack on that individuals continue to be on point and not embark on a soap box involving some other news of the day. Anyway, thank you for this outstanding point and while I do not necessarily agree with this in totality, I value your viewpoint.

  58. 20/02/2019 at 16:55

    Enjoyed reading through this, very good stuff, thankyou .

  59. 20/02/2019 at 16:57

    I’m extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you modify it yourself? Either way keep up the excellent quality writing, it’s rare to see a great blog like this one these days..

  60. We are a bunch of volunteers and starting a brand new scheme in our community. Your site provided us with valuable info to paintings on. You’ve performed an impressive task and our whole group shall be thankful to you.

  61. 21/02/2019 at 2:24

    Wonderful web site. A lot of useful information here. I’m sending it to some buddies ans additionally sharing in delicious. And of course, thanks in your sweat!

  62. 21/02/2019 at 3:00

    I’m impressed, I have to admit. Genuinely rarely should i encounter a weblog that’s both educative and entertaining, and let me tell you, you may have hit the nail about the head. Your idea is outstanding; the problem is an element that insufficient persons are speaking intelligently about. I am delighted we came across this during my look for something with this.

  63. 21/02/2019 at 12:36

    hello there and thank you for your information – I’ve definitely picked up anything new from right here. I did however expertise some technical points using this web site, as I experienced to reload the website many times previous to I could get it to load properly. I had been wondering if your web hosting is OK? Not that I am complaining, but slow loading instances times will often affect your placement in google and could damage your high-quality score if ads and marketing with Adwords. Anyway I am adding this RSS to my e-mail and can look out for a lot more of your respective intriguing content. Ensure that you update this again soon..

  64. 21/02/2019 at 15:52

    Great, yahoo took me stright here. thanks btw for this. Cheers!

  65. 21/02/2019 at 21:35

    Thank you for the auspicious writeup. It in fact was a amusement account it. Look advanced to more added agreeable from you! By the way, how can we communicate?

  66. 22/02/2019 at 0:47

    google took me here. Thanks!

  67. 22/02/2019 at 11:50

    Thank you for sharing superb informations. Your web site is very cool. I’m impressed by the details that you have on this blog. It reveals how nicely you understand this subject. Bookmarked this website page, will come back for extra articles. You, my friend, ROCK! I found just the information I already searched everywhere and just couldn’t come across. What a perfect web site.

  68. 22/02/2019 at 15:09

    I’m impressed, I have to admit. Genuinely rarely should i encounter a weblog that’s both educative and entertaining, and let me tell you, you may have hit the nail about the head. Your idea is outstanding; the problem is an element that insufficient persons are speaking intelligently about. I am delighted we came across this during my look for something with this.

  69. 22/02/2019 at 21:00

    Great site. A lot of useful information here. I am sending it to several friends ans additionally sharing in delicious. And naturally, thanks in your sweat!

  70. 22/02/2019 at 23:14

    I’m usually to running a blog and i really appreciate your content. The article has actually peaks my interest. I’m going to bookmark your web site and maintain checking for brand spanking new information.

  71. 23/02/2019 at 2:31

    I like this site, some useful stuff on here : D.

Leave a reply

Il tuo indirizzo email non sarà pubblicato.