{"id":18,"date":"2017-11-20T15:32:37","date_gmt":"2017-11-20T15:32:37","guid":{"rendered":"http:\/\/www.drrobertovelez.com\/?page_id=18"},"modified":"2023-04-03T09:56:03","modified_gmt":"2023-04-03T09:56:03","slug":"tumores-oseos-diagnostico-y-tratamiento","status":"publish","type":"page","link":"https:\/\/www.drrobertovelez.com\/index.php\/tumores-oseos-diagnostico-y-tratamiento\/","title":{"rendered":"Tumores \u00f3seos"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-1bvv9u-44d64cc2d15b32df150ce080d1f90b31 entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_submenu  avia-builder-el-first   container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1biiby-87054e1e842ea843303a74b788329be1\">\n.flex_cell.av-1biiby-87054e1e842ea843303a74b788329be1{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground-color:#01336d;\n}\n<\/style>\n<div class='flex_cell av-1biiby-87054e1e842ea843303a74b788329be1 av-gridrow-cell av_one_half no_margin  avia-builder-el-1  el_before_av_cell_one_half  avia-builder-el-first ' ><div class='flex_cell_inner'><div class='flex_column av-1atzje-ffeeff7b28ebd6d70e344165ece58fb7 av_one_full  avia-builder-el-2  avia-builder-el-no-sibling  first flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1a4882-5c614265350f1f513d76d395dfaa5550\">\n#top .av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550{\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:49px;\n}\nbody .av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .av-special-heading-tag{\nfont-size:49px;\n}\n.av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-1a4882-5c614265350f1f513d76d395dfaa5550 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-1a4882-5c614265350f1f513d76d395dfaa5550 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_before_av_heading  avia-builder-el-first  av-mini-hide av-inherit-size'><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >TUMORES \u00d3SEOS<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-19olc6-f3838fe4bd76678ecebae9f9af952ac8\">\n#top .av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8{\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:49px;\n}\nbody .av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .av-special-heading-tag{\nfont-size:49px;\n}\n.av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-19olc6-f3838fe4bd76678ecebae9f9af952ac8 av-special-heading-h1 custom-color-heading blockquote modern-quote modern-centered  avia-builder-el-4  el_after_av_heading  avia-builder-el-last  av-desktop-hide av-medium-hide av-small-hide av-inherit-size'><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >TUMORES \u00d3SEOS<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div>\n<\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-18wtc6-f0a3bf872a8e9fcc33d51671ce5c5f8a\">\n.flex_cell.av-18wtc6-f0a3bf872a8e9fcc33d51671ce5c5f8a{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground:url(https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/02\/IMG_0990-1.jpg) 100% 50% 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class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column av-10qc6i-9dbcdc1089a3fdf4c1f145c240b2cf07 av_one_full  avia-builder-el-8  avia-builder-el-no-sibling  first flex_column_div '     ><section  class='av_textblock_section av-106n2q-65b8063ee279b9545c6162acf8800438'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><blockquote>\n<p class=\"Body\">La causa m\u00e1s frecuente de un tumor en el hueso, es un tumor \u00f3seo benigno. Aunque los tumores tanto benignos como malignos, pueden crecer y afectar el tejido sano \u00f3seo. Los tumores benignos no se diseminan, no destruyen el tejido sano y rara vez son un riesgo vital para el paciente. <strong>Los tumores \u00f3seos benignos en general se tratan y se curan con cirug\u00eda.<\/strong><\/p>\n<\/blockquote>\n<\/div><\/section><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='ejemplos'  class='avia-section av-zcdki-be1a45581327ae313d3de5f51dda75d4 main_color avia-section-default avia-no-border-styling  avia-builder-el-10  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-yow9y-16c386f658f612304cbaf780689d2dbe\">\n.flex_column.av-yow9y-16c386f658f612304cbaf780689d2dbe{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-yow9y-16c386f658f612304cbaf780689d2dbe av_three_fifth  avia-builder-el-11  el_before_av_two_fifth  avia-builder-el-first  first flex_column_div av-zero-column-padding '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-y3lx2-ef9e2698cb93fb1d4f5ba6c41c852c23\">\n#top .av-special-heading.av-y3lx2-ef9e2698cb93fb1d4f5ba6c41c852c23{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-y3lx2-ef9e2698cb93fb1d4f5ba6c41c852c23 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-y3lx2-ef9e2698cb93fb1d4f5ba6c41c852c23 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-y3lx2-ef9e2698cb93fb1d4f5ba6c41c852c23 av-special-heading-h3  avia-builder-el-12  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Ejemplos de tumores \u00f3seos benignos son:<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-xpdvq-4f3c06ad7a7c47bfbc7afbae087c79bf'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li class=\"Body\"><strong>Osteoma \u00d3steoide<\/strong><\/li>\n<li class=\"Body\"><strong>Osteoblastoma<\/strong><\/li>\n<li class=\"Body\"><strong>Osteocondroma<\/strong><\/li>\n<li class=\"Body\"><strong>Encondroma<\/strong><\/li>\n<li class=\"Body\"><strong>Fibroma Condromixoide<\/strong><\/li>\n<\/ul>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-wx3tq-ea52466e2ec6e85a44bee34e81f34423'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-wdzh6-b4a9c895f227f129b4a4a187c820c36e\">\n#top .hr.hr-invisible.av-wdzh6-b4a9c895f227f129b4a4a187c820c36e{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-wdzh6-b4a9c895f227f129b4a4a187c820c36e hr-invisible  avia-builder-el-15  el_before_av_hr  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<blockquote>\n<p><em>Para m\u00e1s informaci\u00f3n sobre los tumores benignos, dir\u00edjete a los documentos espec\u00edficos de cada uno. La informaci\u00f3n a continuaci\u00f3n se refiere a los tumores \u00f3seos malignos o c\u00e1ncer en los huesos.<\/em><\/p>\n<\/blockquote>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-vyd7i-1518d932cef860ab7979da658243c7fa\">\n#top .hr.hr-invisible.av-vyd7i-1518d932cef860ab7979da658243c7fa{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-vyd7i-1518d932cef860ab7979da658243c7fa hr-invisible  avia-builder-el-16  el_after_av_hr  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<p class=\"Body\">La mayor\u00eda de las veces, cuando a un paciente le dicen que tiene c\u00e1ncer en los huesos se refieren a un c\u00e1ncer que proviene de otro sitio y se disemina a los huesos. Este tipo de c\u00e1ncer se denomina, c\u00e1ncer metast\u00e1tico o met\u00e1stasis \u00f3seas. Esto puede ocurrir por ejemplo, en pacientes con c\u00e1ncer de mama, pr\u00f3stata o pulm\u00f3n cuando progresa la enfermedad a estad\u00edos avanzados llegando a afectar los huesos. <a href=\"https:\/\/www.drrobertovelez.com\/index.php\/metastasis-osea\/\"><strong><u>Aqu\u00ed<\/u> <\/strong><\/a>est\u00e1 toda la <strong>informaci\u00f3n sobre met\u00e1stasis \u00f3seas<\/strong>.<\/p>\n<p class=\"Body\">Existen otros tumores, a veces tambi\u00e9n dentro de los denominados c\u00e1nceres de hueso, que se originan en la m\u00e9dula \u00f3sea. La m\u00e9dula \u00f3sea est\u00e1 en el interior del hueso y este tipo de tumores no se forman en el hueso en s\u00ed. El m\u00e1s com\u00fan de ellos es el mieloma m\u00faltiple y se origina en la m\u00e9dula \u00f3sea. Otro ejemplos de este tipo de tumores pueden ser algunos tipos de leucemia o linfoma, tumores que se originan en las c\u00e9lulas de la sangre o en los n\u00f3dulos linf\u00e1ticos respectivamente, que pueden afectar el hueso o empezar en el hueso. Para m\u00e1s informaci\u00f3n detallada sobre mieloma m\u00faltiple, leucemia o linfoma, accede a la informaci\u00f3n espec\u00edfica sobre cada uno. <strong>(<a href=\"http:\/\/www.sehh.es\/es\/pacientes\/enfermedades\">http:\/\/www.sehh.es\/es\/pacientes\/enfermedades<\/a>)<\/strong><\/p>\n<p class=\"Body\">Los <span style=\"color: #808080;\">tumores \u00f3seos primarios<\/span>, son aquellos que s\u00ed se originan en el tejido \u00f3seo y no provienen de otro c\u00e1ncer distante, son bastante infrecuentes. Suponen apenas un 0,2% de todos los tumores malignos reportados en EEUU y tienen una incidencia aproximada de 0,9 casos por cada 100,000 habitantes. Los tumores \u00f3seos malignos primarios tambi\u00e9n se denominan sarcomas \u00f3seos.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-v756y-cf8129b56636c4a9f19bf8a5bb92babb\">\n.flex_column.av-v756y-cf8129b56636c4a9f19bf8a5bb92babb{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-v756y-cf8129b56636c4a9f19bf8a5bb92babb av_two_fifth  avia-builder-el-17  el_after_av_three_fifth  avia-builder-el-last  flex_column_div av-zero-column-padding '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ujsdi-1585f399375bd6bdd0b6bdd0c8c5a5a6\">\n#top .avia-gallery.av-ujsdi-1585f399375bd6bdd0b6bdd0c8c5a5a6 .avia-gallery-thumb a{\nwidth:20%;\n}\n<\/style>\n<div  class='avia-gallery av-ujsdi-1585f399375bd6bdd0b6bdd0c8c5a5a6 avia_animate_when_visible  avia-builder-el-18  avia-builder-el-no-sibling 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title='Tumores \u00f3seos- Dr. Roberto V\u00e9lez' ><span class='avia-gallery-big-inner'  itemprop=\"thumbnailUrl\" ><img decoding=\"async\" class=\"wp-image-1266 avia-img-lazy-loading-not-1266\"  width=\"582\" height=\"1024\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg\" title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg 582w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-171x300.jpg 171w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-401x705.jpg 401w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-450x792.jpg 450w\" sizes=\"(max-width: 582px) 100vw, 582px\" \/><span class='avia-gallery-caption'>Tumores \u00f3seos- Dr. Roberto V\u00e9lez<\/span><\/span><\/a><div class='avia-gallery-thumb'><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg 582w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-171x300.jpg 171w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-401x705.jpg 401w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-450x792.jpg 450w\" data-sizes=\"(max-width: 582px) 100vw, 582px\" data-rel='gallery-1' data-prev-img='https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg' class='first_thumb lightbox ' data-onclick='1' title='Tumores \u00f3seos- Dr. Roberto V\u00e9lez'  itemprop=\"thumbnailUrl\"  ><img decoding=\"async\" class=\"wp-image-1266 avia-img-lazy-loading-not-1266\"  data-avia-tooltip='Tumores \u00f3seos- Dr. Roberto V\u00e9lez' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg\" width=\"582\" height=\"1024\"  title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg 582w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-171x300.jpg 171w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-401x705.jpg 401w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-450x792.jpg 450w\" sizes=\"(max-width: 582px) 100vw, 582px\" \/><div class='big-prev-fake'><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1266 avia-img-lazy-loading-1266\"  width=\"582\" height=\"1024\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg\" title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez.jpg 582w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-171x300.jpg 171w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-401x705.jpg 401w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-450x792.jpg 450w\" sizes=\"auto, (max-width: 582px) 100vw, 582px\" \/><\/div><\/a><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-2.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-2.jpg 567w, 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https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-2-450x514.jpg 450w\" sizes=\"auto, (max-width: 567px) 100vw, 567px\" \/><\/div><\/a><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg 773w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-269x300.jpg 269w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-768x856.jpg 768w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-632x705.jpg 632w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-450x502.jpg 450w\" data-sizes=\"(max-width: 773px) 100vw, 773px\" data-rel='gallery-1' data-prev-img='https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg' class='lightbox ' data-onclick='3' title='Tumores \u00f3seos- Dr. Roberto V\u00e9lez'  itemprop=\"thumbnailUrl\"  ><img decoding=\"async\" class=\"wp-image-1264 avia-img-lazy-loading-not-1264\"  data-avia-tooltip='Tumores \u00f3seos- Dr. Roberto V\u00e9lez' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg\" width=\"773\" height=\"862\"  title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg 773w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-269x300.jpg 269w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-768x856.jpg 768w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-632x705.jpg 632w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-450x502.jpg 450w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><div class='big-prev-fake'><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1264 avia-img-lazy-loading-1264\"  width=\"773\" height=\"862\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg\" title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3.jpg 773w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-269x300.jpg 269w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-768x856.jpg 768w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-632x705.jpg 632w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-3-450x502.jpg 450w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/><\/div><\/a><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg 618w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-181x300.jpg 181w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-425x705.jpg 425w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-450x746.jpg 450w\" data-sizes=\"(max-width: 618px) 100vw, 618px\" data-rel='gallery-1' data-prev-img='https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg' class='lightbox ' data-onclick='4' title='Tumores \u00f3seos- Dr. Roberto V\u00e9lez'  itemprop=\"thumbnailUrl\"  ><img decoding=\"async\" class=\"wp-image-1265 avia-img-lazy-loading-not-1265\"  data-avia-tooltip='Tumores \u00f3seos- Dr. Roberto V\u00e9lez' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg\" width=\"618\" height=\"1024\"  title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg 618w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-181x300.jpg 181w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-425x705.jpg 425w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-450x746.jpg 450w\" sizes=\"(max-width: 618px) 100vw, 618px\" \/><div class='big-prev-fake'><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1265 avia-img-lazy-loading-1265\"  width=\"618\" height=\"1024\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg\" title='Tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='Tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4.jpg 618w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-181x300.jpg 181w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-425x705.jpg 425w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Tumores-oseos-Dr-Roberto-Velez-4-450x746.jpg 450w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/div><\/a><\/div><\/div><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ubnuy-4702b113a478a842efdfec09689f978f\">\n.avia-section.av-ubnuy-4702b113a478a842efdfec09689f978f{\nbackground-color:#f2f2f2;\nbackground-image:unset;\n}\n<\/style>\n<div id='factores'  class='avia-section av-ubnuy-4702b113a478a842efdfec09689f978f main_color avia-section-default avia-no-border-styling  avia-builder-el-19  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-tnlqe-916b325403e476bb6f94522cc669113a\">\n#top .av-special-heading.av-tnlqe-916b325403e476bb6f94522cc669113a{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-tnlqe-916b325403e476bb6f94522cc669113a .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-tnlqe-916b325403e476bb6f94522cc669113a .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-tnlqe-916b325403e476bb6f94522cc669113a av-special-heading-h3  avia-builder-el-20  el_before_av_hr  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Factores de Riesgo para Tumores \u00d3seos-Sarcomas \u00d3seos<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-t0c02-12c4feaed6633575a2a2a8f24bf04cd5\">\n#top .hr.hr-invisible.av-t0c02-12c4feaed6633575a2a2a8f24bf04cd5{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-t0c02-12c4feaed6633575a2a2a8f24bf04cd5 hr-invisible  avia-builder-el-21  el_after_av_heading  el_before_av_one_third '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-sivlu-a3a4c676ee683e69254cecb452776cf6\">\n.flex_column.av-sivlu-a3a4c676ee683e69254cecb452776cf6{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-sivlu-a3a4c676ee683e69254cecb452776cf6 av_one_third  avia-builder-el-22  el_after_av_hr  el_before_av_two_third  first flex_column_div av-zero-column-padding '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2r0d6-7f3ea9893069da780b6024c2d59b7d9c\">\n.avia-image-container.av-2r0d6-7f3ea9893069da780b6024c2d59b7d9c img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-2r0d6-7f3ea9893069da780b6024c2d59b7d9c .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-2r0d6-7f3ea9893069da780b6024c2d59b7d9c av-styling- avia-align-center  avia-builder-el-23  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-1267 avia-img-lazy-loading-not-1267 avia_image ' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Factores-de-Riesgo-Tumores-oseos-Dr-Roberto-Velez.jpg\" alt='Factores de Riesgo Tumores \u00f3seos- Dr Roberto V\u00e9lez' title='Factores de Riesgo Tumores \u00f3seos- Dr Roberto V\u00e9lez'  height=\"400\" width=\"315\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Factores-de-Riesgo-Tumores-oseos-Dr-Roberto-Velez.jpg 315w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Factores-de-Riesgo-Tumores-oseos-Dr-Roberto-Velez-236x300.jpg 236w\" sizes=\"(max-width: 315px) 100vw, 315px\" \/><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-rd6lq-0ab5988f35e3052228af8ee88333ed59\">\n.flex_column.av-rd6lq-0ab5988f35e3052228af8ee88333ed59{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-rd6lq-0ab5988f35e3052228af8ee88333ed59 av_two_third  avia-builder-el-24  el_after_av_one_third  avia-builder-el-last  flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-qs5nq-2a11aeb13068eb6f9de7108748e9165c'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A pesar de que la investigaci\u00f3n no ha dado todav\u00eda con el origen &#8211; causa clara de los tumores \u00f3seos primarios, si que existen algunos factores de riesgo que pueden aumentar la probabilidad de desarrollar uno. <strong>Pacientes con antecedentes de enfermedad de Paget o haber recibido radioterapia a altas dosis,<\/strong> padecen mayor riesgo de desarrollar un sarcoma \u00f3seo que la poblaci\u00f3n general.<\/p>\n<p>Tambi\u00e9n puede ser un factor de riesgo <strong>enfermedades hereditarias<\/strong> como el retinoblastoma hereditario, el s\u00edndrome de Li-Fraumeni, la encondromatosis m\u00faltiple y la enfermedad exostosante m\u00faltiple.<\/p>\n<p class=\"Body\"><strong>Actualmente no hay evidencia cient\u00edfica de que un traumatismo o un golpe puedan provocar el desarrollo de un sarcoma \u00f3seo.<\/strong> Normalmente sucede que, tras un traumatismo, hacemos enfoque en una regi\u00f3n del cuerpo y descubrimos una lesi\u00f3n o mancha en el hueso preexistente.<\/p>\n<\/div><\/section><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='clinica'  class='avia-section av-q70e6-35f732cef3e7d4b062c38a3e581cd10c main_color avia-section-default avia-no-border-styling  avia-builder-el-26  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-pllva-579a36d66e73e3670811d2eafc48b390\">\n#top .av-special-heading.av-pllva-579a36d66e73e3670811d2eafc48b390{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-pllva-579a36d66e73e3670811d2eafc48b390 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-pllva-579a36d66e73e3670811d2eafc48b390 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-pllva-579a36d66e73e3670811d2eafc48b390 av-special-heading-h3  avia-builder-el-27  el_before_av_one_full  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Cl\u00ednica y s\u00edntomas<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-oo35m-322d4a0da6e829c6b6903b0631548dfd\">\n.flex_column.av-oo35m-322d4a0da6e829c6b6903b0631548dfd{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-oo35m-322d4a0da6e829c6b6903b0631548dfd av_one_full  avia-builder-el-28  el_after_av_heading  avia-builder-el-last  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-nxyvm-160ffe0af4a8af65f03459b81eb4ad85'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">El dolor es el s\u00edntoma m\u00e1s frecuente de los pacientes que padecen un tumor \u00f3seo. El dolor puede ser intermintente al principio. El dolor puede progresar y empeorar con la actividad. Puede ser mayor en algunas zonas que soportan mucho peso, como la pelvis o la cadera. A medida que el tumor crece, el dolor se puede volver continuo y afectar al paciente inclusive cuando est\u00e1 en reposo. Los tumores muy dolorosos en la cadera o f\u00e9mur pueden causar cojera o limitaci\u00f3n completa para andar.<\/p>\n<p class=\"Body\">Algunos tumores de partes blandas, aparte de destruir hueso tambi\u00e9n generan tejido maligno al rededor del hueso. Esto es denominado la \u201cmasa de partes blandas\u201d o el \u201ccomponente de partes blandas\u201d del tumor \u00f3seo. Si el tumor ha avanzado mucho, el paciente puede notar hinchaz\u00f3n en la regi\u00f3n afectada o detectarse un bulto a consecuencia de esta \u201cmasa de partes blandas\u201d.<\/p>\n<p class=\"Body\">Otro modo de presentaci\u00f3n de los tumores \u00f3seos malignos puede ser una fractura. Esto sucede en lesiones muy agresivas y\/o avanzadas cuando el tumor ha destruido un segmento importante del hueso debilit\u00e1ndolo. Es as\u00ed como con un mal gesto, ca\u00edda leve o esfuerzo, puede suponer una fractura en la zona del tumor. Estas fracturas se denominan fracturas patol\u00f3gicas.<\/p>\n<p class=\"Body\">Los tumores \u00f3seos primarios en la columna, al igual que las met\u00e1stasis \u00f3seas en la columna pueden crecer, destruir la v\u00e9rtebra y comprimir la medula espinal. Seg\u00fan la progresi\u00f3n de la compresi\u00f3n el paciente puede notar debilidad, dolor en las extremidades o directamente puede presentar una par\u00e1lisis.<\/p>\n<\/div><\/section><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ngxu6-fd65810ef8928dd5b4dc57859f133a3f\">\n.avia-section.av-ngxu6-fd65810ef8928dd5b4dc57859f133a3f{\nbackground-color:#f2f2f2;\nbackground-image:unset;\n}\n<\/style>\n<div id='diagnostico'  class='avia-section av-ngxu6-fd65810ef8928dd5b4dc57859f133a3f main_color avia-section-default avia-no-border-styling  avia-builder-el-30  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-n3xea-4c3c43537a2e590a9484f47f702f5922\">\n#top .av-special-heading.av-n3xea-4c3c43537a2e590a9484f47f702f5922{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-n3xea-4c3c43537a2e590a9484f47f702f5922 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-n3xea-4c3c43537a2e590a9484f47f702f5922 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-n3xea-4c3c43537a2e590a9484f47f702f5922 av-special-heading-h3  avia-builder-el-31  el_before_av_two_third  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Diagn\u00f3stico<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-meoda-d43514ea33f971094fe84d02af0fb835\">\n.flex_column.av-meoda-d43514ea33f971094fe84d02af0fb835{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-meoda-d43514ea33f971094fe84d02af0fb835 av_two_third  avia-builder-el-32  el_after_av_heading  el_before_av_one_third  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-26uaa-2ffce72fdc040533d5c7a156c62a2348'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">Tras evaluar lo s\u00edntomas y realizar el examen f\u00edsico si se sospecha un tumor \u00f3seo el siguiente paso es valorar la zona afectada con una radiograf\u00eda.<\/p>\n<p class=\"Body\">Los tumores \u00f3seos malignos pueden tener diferentes apariencias en la radiograf\u00eda. Cuando hay un c\u00e1ncer en el hueso, este puede verse como apolillado o carcomido.<\/p>\n<p class=\"Body\">Puede verse tambi\u00e9n como un agujero, defecto o \u201ccaries\u201d. Seg\u00fan el tumor este puede \u201csalir\u201d del hueso e invadir los tejidos al rededor como los m\u00fasculos, la grasa o los tendones. Algunos pueden producir hueso con calcificaciones con \u201cnubes\u201d de hueso abigarrado alrededor de la lesi\u00f3n.<\/p>\n<p class=\"Body\"><strong>La radiograf\u00eda puede ser compatible con un tumor maligno o c\u00e1ncer de hueso, pero solamente se puede determinar con seguridad con una biopsia<\/strong>.<\/p>\n<p class=\"Body\">Otras pruebas de imagen que se pueden realizar durante el estudio son la tomograf\u00eda computarizada (TAC o TC), una resonancia magn\u00e9tica, una gammagraf\u00eda, y\/o una tomograf\u00eda por emisi\u00f3n de positrones (PET)<\/p>\n<p class=\"Body\"><strong>TAC:<\/strong> La tomograf\u00eda computarizada se utiliza para definir con precisi\u00f3n el da\u00f1o local que est\u00e1 haciendo el tumor al hueso, en especial a la permeaci\u00f3n, apolillamiento de las corticales. Las corticales son la capa dura externa del hueso, las que dan el soporte mec\u00e1nico al mismo. Puede ayudar a definir cuando un tumor ya ha salido del hueso, llamado extracompartimental, y ha invadido los tejidos cercanos. El TAC tambi\u00e9n nos puede objetivar el riesgo de una fractura patol\u00f3gica, es decir, cuando el tumor ha debilitado tanto el hueso que este se puede romper muy f\u00e1cilmente. Durante el estadiaje de un tumor maligno se eval\u00faa mediante TAC de t\u00f3rax y abdomen una posible diseminaci\u00f3n sist\u00e9mica del tumor o sea la presencia o no de met\u00e1stasis.<\/p>\n<p class=\"Body\"><strong>Resonancia Magn\u00e9tica:<\/strong> Es la prueba m\u00e1s \u00fatil para definir localmente la extensi\u00f3n del tumor. Nos especifica las dimensiones exactas del tumor, si es extracompartimental, su relaci\u00f3n con estructuras vecinas importantes como venas, arterias y nervios y en caso de recibir tratamientos con quimioterapia tambi\u00e9n puede orientar la respuesta del tumor. La respuesta del tumor al tratamiento es una manera de ver la efectividad de la quimioterapia que se est\u00e1 dando antes de operar al paciente.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l3uvi-a5f5fd650c62a66fdd5a27ef2bd07412\">\n.flex_column.av-l3uvi-a5f5fd650c62a66fdd5a27ef2bd07412{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-l3uvi-a5f5fd650c62a66fdd5a27ef2bd07412 av_one_third  avia-builder-el-34  el_after_av_two_third  el_before_av_textblock  flex_column_div av-zero-column-padding '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ktys2-76a02694832118b5a83eafc93fc34d20\">\n#top .hr.hr-invisible.av-ktys2-76a02694832118b5a83eafc93fc34d20{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-ktys2-76a02694832118b5a83eafc93fc34d20 hr-invisible  avia-builder-el-35  el_before_av_image  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-juucm-936ef4e2373327299c8751d0c5449833\">\n.avia-image-container.av-juucm-936ef4e2373327299c8751d0c5449833 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-juucm-936ef4e2373327299c8751d0c5449833 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-juucm-936ef4e2373327299c8751d0c5449833 av-styling- avia-align-center  avia-builder-el-36  el_after_av_hr  avia-builder-el-last '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-1268 avia-img-lazy-loading-not-1268 avia_image ' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Diagnostico-Tumores-oseos-Dr-Roberto-Velez.jpg\" alt='Diagn\u00f3stico Tumores \u00f3seos- Dr Roberto V\u00e9lez' title='Diagn\u00f3stico Tumores \u00f3seos- Dr Roberto V\u00e9lez'  height=\"688\" width=\"471\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Diagnostico-Tumores-oseos-Dr-Roberto-Velez.jpg 471w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Diagnostico-Tumores-oseos-Dr-Roberto-Velez-205x300.jpg 205w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Diagnostico-Tumores-oseos-Dr-Roberto-Velez-450x657.jpg 450w\" sizes=\"(max-width: 471px) 100vw, 471px\" \/><\/div><\/div><\/div><\/p><\/div><section  class='av_textblock_section av-jessy-3c109066d93f7cd636524089246df3b2'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\"><strong>Gammagraf\u00eda \u00f3sea:<\/strong> Es una prueba de medicina nuclear mediante la cual se eval\u00faa si el tumor se ha diseminado a otros huesos. Puede evaluar con mayor antelaci\u00f3n que otras pruebas si existen met\u00e1stasis en los huesos.<\/p>\n<p class=\"Body\"><strong>PET:<\/strong> Tambi\u00e9n es una prueba de medicina nuclear y nos sirve tambi\u00e9n como rastreo para detectar posibles met\u00e1stasis en todo el cuerpo. El PET, como la resonancia magn\u00e9tica, en ocasiones se utiliza en pacientes en tratamiento con quimioterapia, para evaluar la respuesta del tumor al tratamiento.<\/p>\n<\/div><\/section>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='biopsia'  class='avia-section av-imchy-b6067fa2b0f1ab9cefaeed3cb053e460 main_color avia-section-default avia-no-border-styling  avia-builder-el-38  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hxt8q-1374932be2bd346ec845bc268370e693\">\n#top .av-special-heading.av-hxt8q-1374932be2bd346ec845bc268370e693{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-hxt8q-1374932be2bd346ec845bc268370e693 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-hxt8q-1374932be2bd346ec845bc268370e693 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-hxt8q-1374932be2bd346ec845bc268370e693 av-special-heading-h3  avia-builder-el-39  el_before_av_two_fifth  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Biopsia<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hro96-e4cfd13b75a91c62acae3e937ce8fdf2\">\n.flex_column.av-hro96-e4cfd13b75a91c62acae3e937ce8fdf2{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-hro96-e4cfd13b75a91c62acae3e937ce8fdf2 av_two_fifth  avia-builder-el-40  el_after_av_heading  el_before_av_three_fifth  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-gw7b2-9f64f8faabd9d8ecba17a0d82cdb1e90'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">Tras los estudios de imagen, si existe la sospecha que la lesi\u00f3n en el hueso es un tumor maligno se debe realizar una biopsia. <strong>Una biopsia es un procedimiento mediante el cual con una aguja especial se toman varias muestras de tejido del tumor para analizarlo. <\/strong><\/p>\n<p class=\"Body\">Es importante que el m\u00e9dico o cirujano que realicen la biopsia tengan experiencia en diagnosticar y tratar tumores de los huesos. Si es el cirujano quien realiza la biopsia, el elegir\u00e1 el mejor sitio para obtener la muestra sin contaminar tejidos sanos innecesariamente. Tambi\u00e9n intentar\u00e1 que el sitio de la biopsia luego pueda extraerlo sin dificultad en el momento de la cirug\u00eda.<\/p>\n<p class=\"Body\">Hoy en d\u00eda muchas de las biopsias las realiza un <strong>radi\u00f3logo especializado<\/strong> en estos procedimientos, llamado radi\u00f3logo intervencionista. El radi\u00f3logo, ayudado por ecograf\u00eda o por TAC, hace la biopsia con m\u00e1s precisi\u00f3n y de las zonas del tumor que puedan dar m\u00e1s informaci\u00f3n para el diagn\u00f3stico.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1mu2i-3956ed4c457f7910f373f2062c98a600\">\n.flex_column.av-1mu2i-3956ed4c457f7910f373f2062c98a600{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-1mu2i-3956ed4c457f7910f373f2062c98a600 av_three_fifth  avia-builder-el-42  el_after_av_two_fifth  el_before_av_textblock  flex_column_div av-zero-column-padding '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-fwq82-3fe58be56fdf1f4154d56600bfc89745\">\n.av-horizontal-gallery.av-fwq82-3fe58be56fdf1f4154d56600bfc89745{\npadding:6% 0px;;\n}\n.av-horizontal-gallery.av-fwq82-3fe58be56fdf1f4154d56600bfc89745 .av-horizontal-gallery-inner{\npadding-bottom:40%;\n}\n<\/style>\n<div  class='av-horizontal-gallery av-fwq82-3fe58be56fdf1f4154d56600bfc89745 av-horizontal-gallery-1px-gap av-horizontal-gallery-enlarge-effect  avia-builder-el-43  avia-builder-el-no-sibling  av-slideshow-ui av-control-default av-slideshow-manual av-loop-once av-loop-manual-endless av-horizontal-gallery-1' data-slideshow-data=\"{&quot;enlarge&quot;:1.3,&quot;animation&quot;:&quot;slide&quot;,&quot;autoplay&quot;:false,&quot;loop_autoplay&quot;:&quot;once&quot;,&quot;interval&quot;:5,&quot;loop_manual&quot;:&quot;manual-endless&quot;,&quot;autoplay_stopper&quot;:false,&quot;noNavigation&quot;:false,&quot;bg_slider&quot;:false,&quot;keep_padding&quot;:&quot;&quot;,&quot;hoverpause&quot;:false,&quot;show_slide_delay&quot;:0}\"  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class='avia-slideshow-arrows avia-slideshow-controls' ><a href='#prev' class='prev-slide av-horizontal-gallery-prev' aria-hidden='true' data-av_icon='\ue87c' data-av_iconfont='entypo-fontello'  tabindex='-1'>Anterior<\/a><a href='#next' class='next-slide av-horizontal-gallery-next' aria-hidden='true' data-av_icon='\ue87d' data-av_iconfont='entypo-fontello'  tabindex='-1'>Posterior<\/a><\/div><div class='avia-slideshow-dots avia-slideshow-controls av-horizontal-gallery-dots fade-in'><a href='#1' class='goto-slide active' >1<\/a><a href='#2' class='goto-slide ' >2<\/a><\/div><div class='av-horizontal-gallery-inner' data-av-height='40'><div class=\"av-horizontal-gallery-slider\"><div class='av-horizontal-gallery-wrap noHover'><img loading=\"lazy\" decoding=\"async\" class='wp-image-1270 avia-img-lazy-loading-1270 av-horizontal-gallery-img' width=\"300\" height=\"206\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr-300x206.jpg\" title='pierna para biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='pierna para biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr-300x206.jpg 300w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr.jpg 366w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr.jpg 366w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/pierna-para-biopsia-tumores-oseos-Dr-300x206.jpg 300w\" data-sizes=\"(max-width: 366px) 100vw, 366px\" class='av-horizontal-gallery-link' aria-hidden='true' data-av_icon='\ue869' data-av_iconfont='entypo-fontello' title='pierna para biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='pierna para biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez'><\/a><\/div><div class='av-horizontal-gallery-wrap noHover'><img loading=\"lazy\" decoding=\"async\" class='wp-image-1269 avia-img-lazy-loading-1269 av-horizontal-gallery-img' width=\"300\" height=\"259\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr-300x259.jpg\" title='biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr-300x259.jpg 300w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr.jpg 365w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><a href=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr.jpg\" data-srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr.jpg 365w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/biopsia-tumores-oseos-Dr-300x259.jpg 300w\" data-sizes=\"(max-width: 365px) 100vw, 365px\" class='av-horizontal-gallery-link' aria-hidden='true' data-av_icon='\ue869' data-av_iconfont='entypo-fontello' title='biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez' alt='biopsia tumores \u00f3seos- Dr Roberto V\u00e9lez'><\/a><\/div><\/div><\/div><\/div><\/div><section  class='av_textblock_section av-faeae-b97fff7c51b2f4d96a87220548727eb4'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">En ocasiones las biopsias mediante agujas, tambi\u00e9n llamadas biopsias cerradas, no son diagn\u00f3sticas. Si ese es caso se procede a una biopsia abierta que es una peque\u00f1a cirug\u00eda bajo anestesia donde tras una peque\u00f1a incisi\u00f3n sobre el tumor se extrae una peque\u00f1a muestra de tejido, aproximadamente como un dado, para su an\u00e1lisis. El an\u00e1lisis de todas las biopsias tienen su proceso y pueden tardar aproximadamente entre 5 y 15 d\u00edas. En ocasiones se someten las muestras a pruebas m\u00e1s complejas, como las gen\u00e9ticas, las cuales pueden retrasar el diagn\u00f3stico definitivo. Estos retrasos no alteran el pron\u00f3stico final del tratamiento, siendo siempre peor operar o extraer un tumor sin tener claro su diagn\u00f3stico.<\/p>\n<\/div><\/section>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-egndm-d0973850b4e63e1a0de80eee465d06b2\">\n.avia-section.av-egndm-d0973850b4e63e1a0de80eee465d06b2{\nbackground-color:#f2f2f2;\nbackground-image:unset;\n}\n<\/style>\n<div id='tratamiento'  class='avia-section av-egndm-d0973850b4e63e1a0de80eee465d06b2 main_color avia-section-default avia-no-border-styling  avia-builder-el-45  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ea2f2-8d713aeac7e56687e770c9007ca289bf\">\n#top .av-special-heading.av-ea2f2-8d713aeac7e56687e770c9007ca289bf{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ea2f2-8d713aeac7e56687e770c9007ca289bf .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ea2f2-8d713aeac7e56687e770c9007ca289bf .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ea2f2-8d713aeac7e56687e770c9007ca289bf av-special-heading-h3  avia-builder-el-46  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Tratamiento<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-dmkl2-1881277bbf26979b366affb9e5bf0f51'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Los tumores \u00f3seos malignos requieren, por lo general de un trabajo multidisciplinar en el que deben trabajar en equipo varios especialistas para su tratamiento incluyendo a: un traumat\u00f3logo especializado en tumores (oncolog\u00eda ortop\u00e9dica), un onc\u00f3logo y un radioterapeuta ,ya que las l\u00edneas de tratamiento incluyen la cirug\u00eda (casi siempre), la quimioterapia (muy frecuentemente) y la radioterapia (ocasionalmente).<\/p>\n<\/div><\/section>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='cirugia'  class='avia-section av-d1f5y-8b44d679081c88c392074c90da7cac9f main_color avia-section-default avia-no-border-styling  avia-builder-el-48  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cc4za-d23a9efb93b6a737abce01484869a4dd\">\n#top .av-special-heading.av-cc4za-d23a9efb93b6a737abce01484869a4dd{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-cc4za-d23a9efb93b6a737abce01484869a4dd .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-cc4za-d23a9efb93b6a737abce01484869a4dd .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-cc4za-d23a9efb93b6a737abce01484869a4dd av-special-heading-h3  avia-builder-el-49  el_before_av_three_fifth  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Cirug\u00eda<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bv5my-799636fe27dc1680a0143d840b7162ee\">\n.flex_column.av-bv5my-799636fe27dc1680a0143d840b7162ee{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-bv5my-799636fe27dc1680a0143d840b7162ee av_three_fifth  avia-builder-el-50  el_after_av_heading  el_before_av_two_fifth  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-az80u-346551a1ac97c22309e9b39714cb6238'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">La cirug\u00eda el principal tratamiento para tratar los tumores \u00f3seos. El objetivo principal de la cirug\u00eda, es extraer por completo el tumor, evitando dejar ning\u00fan resto. Los tumores malignos se extraen en bloque normalmente,\u00a0 rodeados de un manguito de tejido sano alrededor. La t\u00e9cnica para resecar un tumor con m\u00e1rgenes de tejido sano al rededor se denomina<strong> resecci\u00f3n amplia<\/strong> y es la <strong>t\u00e9cnica<\/strong> habitualmente, m\u00e1s <strong>indicada para los tumores malignos de alto grado<\/strong>. En general, los m\u00e1rgenes amplios se refiere tanto tejido de hueso sano en ambos extremos del tumor y partes blandas como m\u00fasculo y la grasa que rodea el tumor.<\/p>\n<p class=\"Body\">Todo tumor, una vez extirpado, se env\u00eda a analizar a anatom\u00eda patol\u00f3gica. El an\u00e1lisis del tumor, incluye el diagn\u00f3stico definitivo del tumor (puntualmente, este diagn\u00f3stico puede diferir del de\u00a0 la biopsia), la respuesta a la quimioterapia y los m\u00e1rgenes del tumor.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-anlta-bf782be55950f738ba985d0d1e27a0dc\">\n.flex_column.av-anlta-bf782be55950f738ba985d0d1e27a0dc{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-anlta-bf782be55950f738ba985d0d1e27a0dc av_two_fifth  avia-builder-el-52  el_after_av_three_fifth  el_before_av_textblock  flex_column_div av-zero-column-padding '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9sgfu-7e4db43537e4a49c5f039efe5f4a4d21\">\n.avia-image-container.av-9sgfu-7e4db43537e4a49c5f039efe5f4a4d21 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-9sgfu-7e4db43537e4a49c5f039efe5f4a4d21 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-9sgfu-7e4db43537e4a49c5f039efe5f4a4d21 av-styling- av-hover-grow avia-align-center  avia-builder-el-53  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-1271 avia-img-lazy-loading-not-1271 avia_image ' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Cirugia-Tumores-oseos-Dr-Roberto-Velez.jpg\" alt='Cirug\u00eda Tumores \u00f3seos- Dr Roberto V\u00e9lez' title='Cirug\u00eda Tumores \u00f3seos- Dr Roberto V\u00e9lez'  height=\"225\" width=\"300\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><\/div><section  class='av_textblock_section av-38oi-5de4e960fa124898e989eb841f7f4135'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8jzfq-ce5747af76747e49cd7878d97ad7dca3\">\n#top .hr.hr-invisible.av-8jzfq-ce5747af76747e49cd7878d97ad7dca3{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-8jzfq-ce5747af76747e49cd7878d97ad7dca3 hr-invisible  avia-builder-el-55  avia-builder-el-no-sibling '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<p class=\"Body\">Como hemos mencionado previamente, el objetivo principal de la cirug\u00eda es resecar todo el tumor. Si los m\u00e1rgenes son reportados como negativos en el resultado de la anatom\u00eda patol\u00f3gica, esto significa que se ha logrado extraer el tumor con tejido sano alrededor. M\u00e1rgenes libres o negativos, implica que el tumor no contacta con los bordes por donde se seccion\u00f3 para su resecci\u00f3n. Por lo contrario, m\u00e1rgenes positivos, implica que el tumor contacta los bordes de la pieza resecada. M\u00e1rgenes positivos, puede implicar que han quedado restos de tumor en el lecho de la cirug\u00eda. Una cirug\u00eda de resecci\u00f3n amplia con un resultado de m\u00e1rgenes negativos, disminuye ampliamente,\u00a0 las probabilidades de que el tumor reaparezca en la zona operada.<\/p>\n<\/div><\/section>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-81s42-9d2ca991e646aaf190c37df48e39c347\">\n.avia-section.av-81s42-9d2ca991e646aaf190c37df48e39c347{\nbackground-color:#f2f2f2;\nbackground-image:unset;\n}\n<\/style>\n<div id='salvamento'  class='avia-section av-81s42-9d2ca991e646aaf190c37df48e39c347 main_color avia-section-default avia-no-border-styling  avia-builder-el-56  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7cjgy-4b615ea23a5be4c4c25213bcb4496184\">\n#top .av-special-heading.av-7cjgy-4b615ea23a5be4c4c25213bcb4496184{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-7cjgy-4b615ea23a5be4c4c25213bcb4496184 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-7cjgy-4b615ea23a5be4c4c25213bcb4496184 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-7cjgy-4b615ea23a5be4c4c25213bcb4496184 av-special-heading-h3  avia-builder-el-57  el_before_av_two_fifth  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Cirug\u00eda de salvamento de extremidad<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6m9pq-f5cae31b2d7a532400a705794c651993\">\n.flex_column.av-6m9pq-f5cae31b2d7a532400a705794c651993{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-6m9pq-f5cae31b2d7a532400a705794c651993 av_two_fifth  avia-builder-el-58  el_after_av_heading  el_before_av_three_fifth  first flex_column_div av-zero-column-padding '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6ax2m-1319c545ebb501034c3d4b2749928b66\">\n#top .hr.hr-invisible.av-6ax2m-1319c545ebb501034c3d4b2749928b66{\nheight:15px;\n}\n<\/style>\n<div  class='hr av-6ax2m-1319c545ebb501034c3d4b2749928b66 hr-invisible  avia-builder-el-59  el_before_av_image  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5ql1u-37cbe82eb59e951bcf9b6ec63b2785a8\">\n.avia-image-container.av-5ql1u-37cbe82eb59e951bcf9b6ec63b2785a8 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-5ql1u-37cbe82eb59e951bcf9b6ec63b2785a8 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-5ql1u-37cbe82eb59e951bcf9b6ec63b2785a8 av-styling- av-hover-grow avia-align-center  avia-builder-el-60  el_after_av_hr  avia-builder-el-last '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-1272 avia-img-lazy-loading-not-1272 avia_image ' src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Cirugia-de-salvamento-de-extremidad-Tumores-oseos-Dr-Roberto-Velez.jpg\" alt='Cirug\u00eda de salvamento de extremidad Tumores \u00f3seos- Dr Roberto V\u00e9lez' title='Cirug\u00eda de salvamento de extremidad Tumores \u00f3seos- Dr Roberto V\u00e9lez'  height=\"400\" width=\"423\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Cirugia-de-salvamento-de-extremidad-Tumores-oseos-Dr-Roberto-Velez.jpg 423w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/Cirugia-de-salvamento-de-extremidad-Tumores-oseos-Dr-Roberto-Velez-300x284.jpg 300w\" sizes=\"(max-width: 423px) 100vw, 423px\" \/><\/div><\/div><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4vj86-7b00f4a64cd65e35bea50f0c15af9617\">\n.flex_column.av-4vj86-7b00f4a64cd65e35bea50f0c15af9617{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-4vj86-7b00f4a64cd65e35bea50f0c15af9617 av_three_fifth  avia-builder-el-61  el_after_av_two_fifth  el_before_av_one_full  flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-4k61m-8ed18bce5fd6b8e7e13156307a5cbf53'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\">Hist\u00f3ricamente los tumores malignos en las extremidades, brazos o piernas, se trataban mediante amputaci\u00f3n. Con el avance en las t\u00e9cnicas quir\u00fargicas se ha pasado resecar los tumores con m\u00e1rgenes negativos y preservando la extremidad, procedimiento denominado cirug\u00eda de salvamento de extremidad.<\/p>\n<blockquote>\n<p class=\"Body\">Actualmente, aproximadamente en un 90-95% de los casos, es el salvamento de extremidad el procedimiento realizado en los tumores \u00f3seos malignos en las extremidades, quedando la amputaci\u00f3n para algunos casos seleccionados. Ambas t\u00e9cnicas logran los mismos resultados de supervivencia a largo plazo.<\/p>\n<\/blockquote>\n<p class=\"Body\">La clave de la cirug\u00eda de salvamento de extremidad es <strong>extraer el tumor con m\u00e1rgenes de seguridad, libres de tumor, y preservar los tejidos que rodean el tumor y que hacen la extremidad funcional,<\/strong> o sea los nervios, arterias, m\u00fasculos, y o tendones. Tras la resecci\u00f3n del tumor, se requiere realizar la reconstrucci\u00f3n que se lleva a cabo mediante pr\u00f3tesis especiales llamadas mega pr\u00f3tesis o pr\u00f3tesis tumorales o mediante injertos \u00f3seos.<\/p>\n<p class=\"Body\">Las mega pr\u00f3tesis reemplazan el hueso que ha sido resecado con el tumor y adem\u00e1s la articulaci\u00f3n cercana al tumor que ha tenido que ser extirpada tambi\u00e9n. La rodilla es una de las localizaciones m\u00e1s frecuentes de los tumores \u00f3seos malignos y es com\u00fan que tras la resecci\u00f3n se lleve a cabo una reconstrucci\u00f3n con una mega pr\u00f3tesis de rodilla.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-43mr2-514544b5bc96ffc2125bde1b7b8b0991\">\n.flex_column.av-43mr2-514544b5bc96ffc2125bde1b7b8b0991{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-43mr2-514544b5bc96ffc2125bde1b7b8b0991 av_one_full  avia-builder-el-63  el_after_av_three_fifth  avia-builder-el-last  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-31zcm-6ff99785aac610f7f089fe5f3f9d249e'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\"><strong>En los ni\u00f1os que est\u00e1n en la fase de crecimiento, la resecci\u00f3n del tumor puede, en ocasiones, afectar a zonas del hueso responsables del crecimiento.<\/strong> Para ello, se pueden realizar reconstrucciones con mega pr\u00f3tesis que se pueden alargar.<\/p>\n<p class=\"Body\">Los alargamientos pueden ser mediante peque\u00f1os procedimientos mec\u00e1nicos en quir\u00f3fano bajo anestesia, o tambi\u00e9n de manera no invasiva, en consulta, mediante un im\u00e1n especial. Actualmente nosotros preferimos las t\u00e9cnicas no invasivas, \u00e9stas nos proporcionan un resultado \u00f3ptimo sin causar ning\u00fan dolor al paciente. Ver ejemplo de mega pr\u00f3tesis de crecimiento.<\/p>\n<blockquote>\n<p class=\"Body\">En ocasiones, sea por tumores en la pelvis con defectos geom\u00e9tricos complejos o en ni\u00f1os con extremidades en crecimiento, optamos por reconstruir con <strong>pr\u00f3tesis hechas a medida<\/strong>.<\/p>\n<\/blockquote>\n<p class=\"Body\">Las pr\u00f3tesis se fabrican basadas en pruebas preoperatorias como el TAC o la resonancia y son dise\u00f1adas mediante trabajo multidisciplinario entre el cirujano y la empresa.<\/p>\n<p class=\"Body\">Algunos tumores que se originan en medio del hueso, la di\u00e1fisis, lejos de las articulaciones, nos permite salvarlas y reconstruir con injerto de hueso. Una vez resecado el tumor el defecto se reemplaza por un aloinjerto, un hueso de donante, con las caracter\u00edsticas y dimensiones similares a la del hueso extra\u00eddo. Ver ejemplo de reconstrucci\u00f3n con aloinjerto.<\/p>\n<p class=\"Body\"><strong>Los tumores \u00f3seos benignos o de bajo grado se pueden tratar mediante curetaje.<\/strong> Esta t\u00e9cnica, en la cual se abre una ventana en la zona afectada del hueso y se legra el interior. Se reseca el tumor a trozos y se raspa las paredes de la cavidad. La cavidad luego se puede rellenar con injerto de hueso, cemento, o sustitutos \u00f3seos.<\/p>\n<blockquote>\n<p class=\"Body\">No se debe realizar un curetaje de un tumor sin tener claro el diagn\u00f3stico. Un legrado de un tumor maligno de alto grado puede comprometer seriamente el pron\u00f3stico de la extremidad y del paciente. Ver ejemplo de curetaje<\/p>\n<\/blockquote>\n<\/div><\/section><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='rehabilitacion'  class='avia-section av-2wyka-3d7048d8894eb993f99020ec9827d926 main_color avia-section-default avia-no-border-styling  avia-builder-el-65  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-18'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2cp0e-c7a32ac835d399e1f9911f8fb585010b\">\n#top .av-special-heading.av-2cp0e-c7a32ac835d399e1f9911f8fb585010b{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-2cp0e-c7a32ac835d399e1f9911f8fb585010b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-2cp0e-c7a32ac835d399e1f9911f8fb585010b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2cp0e-c7a32ac835d399e1f9911f8fb585010b av-special-heading-h3  avia-builder-el-66  el_before_av_one_full  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Rehabilitaci\u00f3n<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1lqeq-f53df3280ff4954e0771abbb88a80940\">\n.flex_column.av-1lqeq-f53df3280ff4954e0771abbb88a80940{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-1lqeq-f53df3280ff4954e0771abbb88a80940 av_one_full  avia-builder-el-67  el_after_av_heading  avia-builder-el-last  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-viyu-1dd5998e27eb6d6c3564e340de0e06e6'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"Body\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1273 alignleft\" src=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/RehabilitacionTumores-oseos-Dr-Roberto-Velez.jpg\" alt=\"Rehabilitaci\u00f3n Tumores \u00f3seos- Dr Roberto V\u00e9lez\" width=\"220\" height=\"168\" srcset=\"https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/RehabilitacionTumores-oseos-Dr-Roberto-Velez.jpg 431w, https:\/\/www.drrobertovelez.com\/wp-content\/uploads\/2018\/04\/RehabilitacionTumores-oseos-Dr-Roberto-Velez-300x230.jpg 300w\" sizes=\"auto, (max-width: 220px) 100vw, 220px\" \/>Tras la cirug\u00eda se debe adaptar la rehabilitaci\u00f3n a cada paciente de forma individualizada. La cirug\u00eda de resecci\u00f3n tumoral y la de reconstrucci\u00f3n es muy compleja y parte del \u00e9xito funcional, residen en adaptar los plazos y t\u00e9cnicas de rehabilitaci\u00f3n de manera personalizada.<\/p>\n<\/div><\/section><\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tumores \u00f3seos _diagn\u00f3stico y tratamiento| Dr. Roberto V\u00e9lez<\/title>\n<meta name=\"description\" content=\"Tumores \u00d3seos pueden crecer y afectar el tejido sano \u00f3seo, por ello es imprescindible llevar a cabo una biopsia para llevar a cabo un diagn\u00f3stico diligente\" \/>\n<meta name=\"robots\" content=\"index, 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