{"id":2412,"date":"2011-10-28T12:28:03","date_gmt":"2011-10-28T12:28:03","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/oncpcsg\/"},"modified":"2025-05-13T20:28:46","modified_gmt":"2025-05-13T20:28:46","slug":"oncpcsg","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/oncpcsg\/","title":{"rendered":"Gu\u00eda para la Detecci\u00f3n del C\u00e1ncer de Pr\u00f3stata"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">El fundamento<\/span>\u00a0<span class=\"hps\">del\u00a0<\/span>screening\u00a0<span class=\"hps\">es<\/span><span class=\"hps\">\u00a0la detecci\u00f3n temprana<\/span>\u00a0<span class=\"hps\">y el tratamiento de<\/span>\u00a0<span class=\"hps\">c\u00e1nceres asintom\u00e1ticos<\/span>\u00a0<span class=\"hps\">que podr\u00edan comprometer la vida<\/span>, en comparaci\u00f3n\u00a0<span class=\"hps\">con el tratamiento<\/span>\u00a0<span class=\"hps\">al momento del<\/span>\u00a0<span class=\"hps\">diagn\u00f3stico cl\u00ednico<\/span>.\u00a0<span class=\"hps\">La introducci\u00f3n de<\/span>\u00a0<span class=\"hps\">ant\u00edgeno prost\u00e1tico espec\u00edfico<\/span>\u00a0<span class=\"hps\">(PSA)<\/span>\u00a0<span class=\"hps\">ha casi duplicado<\/span>\u00a0<span class=\"hps\">el riesgo de<\/span>\u00a0<span class=\"hps\">recibir un diagn\u00f3stico de<\/span>\u00a0<span class=\"hps\">c\u00e1ncer de pr\u00f3stata.<\/span><br \/>\n<!--more--><br \/>\n<strong>Pautas de Detecci\u00f3n del C\u00e1ncer de Pr\u00f3stata<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 38.2487%;\"><strong><span class=\"hps\">Recomendaci\u00f3n<\/span><\/strong><\/td>\n<td style=\"width: 32.813%; text-align: center;\"><strong>American<br \/>\nUrological Association<\/strong><\/td>\n<td style=\"width: 28.9384%; text-align: center;\"><strong>American<br \/>\nCancer Society<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\"><span class=\"hps\">Toma de decisiones compartidas <\/span><span class=\"hps\">entre<\/span>\u00a0<span class=\"hps\">paciente y el m\u00e9dico<\/span><\/td>\n<td style=\"width: 32.813%; text-align: center;\">\u00a0Si<\/td>\n<td style=\"width: 28.9384%; text-align: center;\">Si <span class=\"hps atn\">(<\/span>considerar el uso de\u00a0<span class=\"hps\">ayuda en la decisi\u00f3n<\/span>)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\">Edad para comenzar la detecci\u00f3n? (a\u00f1os)<br \/>\n* Pacientes de riesgo promedio<br \/>\n* Pacientes de alto riesgo (pacientes de raza negra y aquellos con familiares de primer grado con c\u00e1ncer de pr\u00f3stata)<\/td>\n<td style=\"width: 32.813%; text-align: center;\">40<br \/>\n40<\/td>\n<td style=\"width: 28.9384%; text-align: center;\">50<br \/>\n40-45<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\">Discontinuaci\u00f3n del screening<\/td>\n<td style=\"width: 32.813%; text-align: center;\"><span class=\"hps\">Expectativa de<\/span>\u00a0<span class=\"hps\">vida<\/span>\u00a0<span class=\"hps\">&lt;10 a\u00f1os<\/span><\/td>\n<td style=\"width: 28.9384%; text-align: center;\"><span class=\"hps\">Expectativa de<\/span>\u00a0<span class=\"hps\">vida<\/span>\u00a0<span class=\"hps\">&lt;10 a\u00f1os<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\"><span class=\"hps\">Pruebas de detecci\u00f3n<\/span><\/td>\n<td style=\"width: 32.813%; text-align: center;\">PSA, examen digital rectal<\/td>\n<td style=\"width: 28.9384%; text-align: center;\">PSA, opcional examen digital rectal<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\">Frecuencia del screening<\/td>\n<td style=\"width: 32.813%; text-align: center;\">Anual (posiblemente menos para hombres\u00a0 en la d\u00e9cada de los 40 a\u00f1os)\u2020<\/td>\n<td style=\"width: 28.9384%; text-align: center;\">Anual <span class=\"hps\">(cada dos a\u00f1os<\/span>, cuando\u00a0<span class=\"hps\">PSA<\/span><span class=\"hps\">&lt;2,5<\/span>\u00a0<span class=\"hps\">ng\/<\/span><span class=\"hps\">ml<\/span>)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 38.2487%;\"><span class=\"hps\">Criterios para indicar<\/span>\u00a0<span class=\"hps\">biopsia<\/span><\/td>\n<td style=\"width: 32.813%; text-align: center;\">Edad, antecedentes familiares, raza o grupo \u00e9tnico, hallazgos del examen digital rectal, PSA total, PSA libre, velocidad de PSA, densidad del PSA,\u00a0hallazgos en biopsias anteriores, enfermedades coexistentes<\/td>\n<td style=\"width: 28.9384%; text-align: center;\">PSA &gt;\/= 4,0 ng\/ml, examen digital rectal anormal; evaluaci\u00f3n del riesgo individual si el PSA es 2,5 a 4,0 ng\/ml<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"hps\">\u2020<\/span>\u00a0<span class=\"hps\">Las gu\u00edas<\/span>\u00a0<span class=\"hps\">indican que<\/span>\u00a0<span class=\"hps\">el valor inicial de<\/span>\u00a0<span class=\"hps\">PSA<\/span>\u00a0<span class=\"hps\">a los 40 a\u00f1os<\/span>\u00a0<span class=\"hps\">de edad<\/span>\u00a0<span class=\"hps\">(en relaci\u00f3n con<\/span>\u00a0<span class=\"hps\">el valor medio<\/span>\u00a0<span class=\"hps\">de 0,6 a<\/span>\u00a0<span class=\"hps\">0,7 ng<\/span>\u00a0<span class=\"hps\">por mililitro<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">este grupo de edad<\/span><span class=\"hps\">)<\/span>\u00a0<span class=\"hps\">que\u00a0<\/span><span class=\"hps\">determinar\u00eda los\u00a0<\/span><span class=\"hps\">valores posteriores<\/span>\u00a0<span class=\"hps\">(pero<\/span>\u00a0<span class=\"hps\">sin especificar)<\/span>\u00a0<span class=\"hps\">los intervalos de screening<\/span>.\u00a0<span class=\"hps\">La National Comprehensive Cancer Network<\/span>\u00a0<span class=\"hps\">recomienda el uso de<\/span>\u00a0<span class=\"hps\">un\u00a0<\/span><span class=\"hps\">nivel de corte de\u00a0<\/span><span class=\"hps\">PSA<\/span>\u00a0<span class=\"hps\">para determinar si<\/span>\u00a0<span class=\"hps\">las pruebas posteriores<\/span>\u00a0<span class=\"hps\">se debe realizar anualmente <\/span><span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">a los 45 a\u00f1os de<\/span>\u00a0<span class=\"hps atn\">edad (<\/span>y luego\u00a0<span class=\"hps\">a los 50 a\u00f1os<\/span>\u00a0<span class=\"hps\">de edad<\/span>). <span class=\"hps\">Sin embargo,<\/span>\u00a0<span class=\"hps\">estas recomendaciones no<\/span>\u00a0<span class=\"hps\">est\u00e1n<\/span>\u00a0<span class=\"hps\">basadas en la evidencia<\/span>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Hoffman RM. Screening for Prostate Cancer. N Engl J Med. 2011 Oct 26. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22029754\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Wolf AM, Wender RC, Etzioni RB, Thompson IM, D&#8217;Amico AV, Volk RJ, Brooks DD, Dash C, Guessous I, Andrews K, DeSantis C, Smith RA; American Cancer Society Prostate Cancer Advisory Committee. American Cancer Society guideline for the early detection of prostate cancer: update 2010. CA Cancer J Clin 2010;60:70-98. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20200110\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Greene KL, Albertsen PC, Babaian RJ, Carter HB, Gann PH, Han M, Kuban DA, Sartor AO, Stanford JL, Zietman A, Carroll P. Prostate specific antigen best practice statement: 2009 update. J Urol 2009;182:2232-41. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19781717\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 28, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El fundamento\u00a0del\u00a0screening\u00a0es\u00a0la detecci\u00f3n temprana\u00a0y el tratamiento de\u00a0c\u00e1nceres asintom\u00e1ticos\u00a0que podr\u00edan comprometer la vida, en comparaci\u00f3n\u00a0con el tratamiento\u00a0al momento del\u00a0diagn\u00f3stico cl\u00ednico.\u00a0La introducci\u00f3n de\u00a0ant\u00edgeno prost\u00e1tico espec\u00edfico\u00a0(PSA)\u00a0ha casi duplicado\u00a0el riesgo de\u00a0recibir un diagn\u00f3stico de\u00a0c\u00e1ncer de pr\u00f3stata.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[272],"tags":[322,273,274,516,515,645],"class_list":["post-2412","post","type-post","status-publish","format-standard","hentry","category-oncology","tag-cancer","tag-guia","tag-guidelines","tag-prostata","tag-prostate","tag-screening"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2412","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2412"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2412\/revisions"}],"predecessor-version":[{"id":9320,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2412\/revisions\/9320"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2412"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2412"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}