{"id":124,"date":"2026-09-17T04:55:18","date_gmt":"2026-09-17T04:55:18","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=124"},"modified":"2026-09-17T04:56:19","modified_gmt":"2026-09-17T04:56:19","slug":"cancer-de-colon","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/cancer-de-colon\/","title":{"rendered":"C\u00e1ncer de colon"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"124\" class=\"elementor elementor-124\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f8fc81 e-con-full e-flex e-con e-parent\" data-id=\"7f8fc81\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0b0ad9e e-con-full e-flex e-con e-child\" data-id=\"0b0ad9e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c8a43db elementor-widget elementor-widget-html\" 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class=\"cw\"><nav class=\"ccb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"cs\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"cs\">\/<\/span><span class=\"cc\">C\u00e1ncer de colon<\/span><\/nav><span class=\"ck\">Colon y enfermedad inflamatoria<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">C\u00e1ncer de colon \u2014 detecci\u00f3n y tratamiento en Temuco<\/h1><p class=\"clead\">Uno de los c\u00e1nceres m\u00e1s prevenibles cuando se detecta a tiempo mediante colonoscop\u00eda.<\/p><\/div><aside class=\"cside\"><span class=\"cside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"cside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"cbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/aside><\/div><\/div><\/div>\r\n<div class=\"csec\"><div class=\"cw cnarrow\"><span class=\"csect-k\">La perspectiva del cirujano<\/span><h2 class=\"ch2\">Detectarlo antes de que d\u00e9 s\u00edntomas cambia radicalmente el pron\u00f3stico.<\/h2><p class=\"cbody\">El c\u00e1ncer de colon es una de las razones por las que insisto tanto en la colonoscop\u00eda de tamizaje: es de los pocos c\u00e1nceres en que detectarlo antes de que d\u00e9 s\u00edntomas cambia radicalmente el pron\u00f3stico, porque muchas veces se origina en un p\u00f3lipo que puede extirparse antes de que se vuelva maligno.<\/p><p class=\"cbody\">Cuando el diagn\u00f3stico ya est\u00e1 hecho, mi trabajo se enfoca en dos cosas: definir la extensi\u00f3n real de la enfermedad con los estudios adecuados \u2014la etapificaci\u00f3n\u2014 y ofrecer una cirug\u00eda con enfoque oncol\u00f3gico, removiendo el segmento comprometido junto con el territorio ganglionar correspondiente. Esto lo trabajo en conjunto con oncolog\u00eda m\u00e9dica cuando el caso lo requiere.<\/p><blockquote class=\"cquote\">\"La colonoscop\u00eda permite encontrar y extirpar muchos p\u00f3lipos antes de que se vuelvan malignos.\"<\/blockquote><\/div><\/div>\r\n<div class=\"csec csym-sec\"><div class=\"cw\"><span class=\"csect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"ch2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"csym-grid\"><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Cambios persistentes en el h\u00e1bito intestinal: diarrea, constipaci\u00f3n o alternancia entre ambas<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sangrado rectal o sangre oculta en las deposiciones<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Anemia sin causa clara<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Baja de peso no explicada<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dolor abdominal persistente<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>En etapas avanzadas, s\u00edntomas de obstrucci\u00f3n intestinal<\/div><\/div><\/div><\/div>\r\n<div class=\"csec ctreat-sec\"><div class=\"cw\"><span class=\"csect-k\">Evaluaci\u00f3n y tratamiento<\/span><h2 class=\"ch2\">El plan depende de la etapa de la enfermedad.<\/h2><div class=\"ctreat\"><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">1<\/span><h3>Diagn\u00f3stico y estudio<\/h3><\/div><div class=\"ctitem\"><h4>Colonoscop\u00eda diagn\u00f3stica con biopsia<\/h4><p>Para confirmar el diagn\u00f3stico y la ubicaci\u00f3n exacta del tumor. En algunos casos la resecci\u00f3n del p\u00f3lipo durante el mismo examen (polipectom\u00eda) puede ser curativa.<\/p><\/div><div class=\"ctitem\"><h4>Estudio de extensi\u00f3n<\/h4><p>Con im\u00e1genes y marcadores tumorales, para definir la etapa antes de planificar el tratamiento.<\/p><\/div><\/div><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">2<\/span><h3>Tratamiento<\/h3><\/div><div class=\"ctitem\"><h4>Cirug\u00eda oncol\u00f3gica<\/h4><p>Colectom\u00eda con resecci\u00f3n del territorio linf\u00e1tico correspondiente, habitualmente por v\u00eda laparosc\u00f3pica cuando la anatom\u00eda y la etapa lo permiten.<\/p><\/div><div class=\"ctitem\"><h4>Quimioterapia adyuvante<\/h4><p>Seg\u00fan los hallazgos de la biopsia definitiva, coordinada con oncolog\u00eda m\u00e9dica.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"csec\"><div class=\"cw cfaq\"><span class=\"csect-k\">Lo que preguntan seguido<\/span><h2 class=\"ch2\">Preguntas frecuentes<\/h2><div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfA qu\u00e9 edad debo hacerme la primera colonoscop\u00eda de tamizaje?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>Las gu\u00edas internacionales la recomiendan desde los 45 a\u00f1os en poblaci\u00f3n de riesgo promedio, o antes si hay antecedentes familiares de c\u00e1ncer colorrectal o de p\u00f3lipos.<\/p><\/div><\/div><div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfTodos los p\u00f3lipos se transforman en c\u00e1ncer?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>No, pero una proporci\u00f3n de los p\u00f3lipos adenomatosos s\u00ed puede evolucionar a c\u00e1ncer con el tiempo. Por eso se extirpan durante la misma colonoscop\u00eda en la mayor\u00eda de los casos.<\/p><\/div><\/div><div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfLa cirug\u00eda siempre requiere una ostom\u00eda?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>No necesariamente. Depende de la ubicaci\u00f3n del tumor, la urgencia de la cirug\u00eda y el estado general del paciente. En la mayor\u00eda de las cirug\u00edas electivas de colon se puede reconstituir el tr\u00e1nsito en la misma operaci\u00f3n.<\/p><\/div><\/div><div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfQu\u00e9 tan importante es el seguimiento despu\u00e9s de la cirug\u00eda?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>Es central. El seguimiento con marcador tumoral, colonoscop\u00edas e im\u00e1genes peri\u00f3dicas permite detectar a tiempo una recurrencia o un nuevo p\u00f3lipo.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"ccta\"><img decoding=\"async\" class=\"ccta-wm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"cw ccta-grid\"><div><span class=\"ccta-k\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu situaci\u00f3n, tus estudios y la etapa de la enfermedad. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"ccta-foot\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"cwhite\" href=\"#\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.colonca-nm .cfitem');a.forEach(function(i){var b=i.querySelector('.cfq'),c=i.querySelector('.cfa');b.addEventListener('click',function(){var 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