{"id":55278,"date":"2011-09-15T17:16:50","date_gmt":"2011-09-15T15:16:50","guid":{"rendered":"https:\/\/laindependent.cat\/el-diu-redueix-a-la-meitat-el-risc-de-cancer-de-coll-duter\/"},"modified":"2011-09-15T17:16:50","modified_gmt":"2011-09-15T15:16:50","slug":"el-diu-redueix-a-la-meitat-el-risc-de-cancer-de-coll-duter","status":"publish","type":"post","link":"https:\/\/laindependent.cat\/en\/el-diu-redueix-a-la-meitat-el-risc-de-cancer-de-coll-duter\/","title":{"rendered":"El DIU redueix a la meitat el risc de c\u00e0ncer de coll d&#8217;\u00fater"},"content":{"rendered":"<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">\u00a0Els dispositius intrauterins (DIU) podrien protegir contra el c\u00e0ncer cervical o de coll d&#8217;\u00fater segons els resultats de l&#8217;estudi epidemiol\u00f2gic internacional m\u00e9s ampli realitzat fins ara, en qu\u00e8 han participat investigadors de l&#8217;Institut de Recerca Biom\u00e8dica de Bellvitge (Idibell) i del programa de Recerca en Epidemiologia del C\u00e0ncer de l&#8217;Institut Catal\u00e0 d&#8217;Oncologia (ICO), i que ha estat publicat a The Lancet Oncolgy. Aquest \u00e9s\u00a0 l&#8217;estudi epidemiol\u00f2gic internacional m\u00e9s ampli realitzat fins ara. S&#8217;ha fet sobre m\u00e9s de 20.000 dones de 20 pa\u00efsos (2.000 de l&#8217;estat espanyol). Hi ha participat personal cientific de l&#8217;Institut de Recerca Biom\u00e8dica de Bellvitge (Idibell) i del programa de Recerca en Epidemiologia del C\u00e0ncer de l&#8217;Institut Catal\u00e0 d&#8217;Oncologia (ICO).<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Els resultats mostren que les dones que havien utilitzat un DIU redu\u00efen a la meitat el risc de desenvolupar c\u00e0ncer cervical en comparaci\u00f3 amb les que no l&#8217;havien fet servir mai. Aquests resultats s\u00f3n contraris a la creen\u00e7a popular que el DIU podria ser un factor de risc de c\u00e0ncer cervical. Els estudis anteriors sobre els possibles efectes del seu \u00fas en el desenvolupament d&#8217;aquest c\u00e0ncer no havien donat resultats concloents.<\/span><\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\"><strong>Xavier Castellsagu\u00e9<\/strong>, investigador del grup de Virus i C\u00e0ncer de l&#8217;IDIBELL i del programa de Recerca en Epidemiologia del C\u00e0ncer de l&#8217;Institut Catal\u00e0 d&#8217;Oncologia (ICO) i el seu equip, van avaluar els efectes de l&#8217;\u00fas del DIU en el risc de c\u00e0ncer c\u00e9rvicouterino papiloma hum\u00e0 (VPH ) i el risc de desenvolupar c\u00e0ncer de coll uter\u00ed o cervical. Per fer-ho van analitzar les dades de deu estudis de casos control de c\u00e0ncer cervical realitzats en vuit pa\u00efsos, i setze estudis de prevalen\u00e7a del VPH en dones de quatre continents.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Els resultats es van ajustar tenint en compte factors de confusi\u00f3 com el nombre de citologies, el nombre de parelles sexuals o l&#8217;edat de la primera relaci\u00f3 sexual entre d&#8217;altres.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Els usos del DIU no van afectar el risc d&#8217;infecci\u00f3 per VPH per\u00f2 es va associar amb un risc significativament menor de c\u00e0ncer de coll uter\u00ed dels dos tipus majoritaris de c\u00e0ncer cervical, reduint la probabilitat de desenvolupar carcinoma de c\u00e8l lules escamoses en un 44% i adenocarcinoma o carcinoma adenoescamoso en un 54%.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Curiosament, el temps d&#8217;\u00fas del DIU no va alterar significativament el risc de c\u00e0ncer cervical. El risc es va reduir gaireb\u00e9 a la meitat en el primer any d&#8217;\u00fas i l&#8217;efecte protector continuar sent significatiu despr\u00e9s de deu anys d&#8217;\u00fas.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Els autors de l&#8217;estudi afirmen que &#8220;les associacions trobades en l&#8217;estudi suggereixen que l&#8217;\u00fas del DIU no modifica la probabilitat de contraure una infecci\u00f3 per VHP (la causa del c\u00e0ncer cervical), per\u00f2 podria afectar la probabilitat de progressi\u00f3 del VPH a c\u00e0ncer cervical &#8220;.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: trebuchet ms,geneva; font-size: 10pt;\">Entre les possibles explicacions per aquest efecte protector dels DIU, s&#8217; assenya o b\u00e9 que el proc\u00e9s d&#8217;inserci\u00f3 o de retirada del dispositiu destrueix les lesions precanceroses, o b\u00e9 que el dispositiu indueix una inflamaci\u00f3 cr\u00f2nica de la mucosa i una resposta immune de llarga durada, reduint aix\u00ed la probabilitat de progressi\u00f3 del VPH<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Els dispositius intrauterins (DIU) podrien protegir contra el c\u00e0ncer cervical o de coll d&#8217;\u00fater segons els resultats de l&#8217;estudi epidemiol\u00f2gic internacional m\u00e9s ampli realitzat fins ara, en qu\u00e8 han participat investigadors de l&#8217;Institut de Recerca Biom\u00e8dica de Bellvitge (Idibell) i [&hellip;]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26458],"tags":[],"class_list":["post-55278","post","type-post","status-publish","format-standard","hentry","category-salut-sexual-i-reproductiva"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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