{"id":180809,"date":"2026-02-19T12:47:04","date_gmt":"2026-02-19T12:47:04","guid":{"rendered":"https:\/\/raed.academy\/?p=180809"},"modified":"2026-02-19T12:47:04","modified_gmt":"2026-02-19T12:47:04","slug":"romandre-atents-a-les-pigmentacions-facials","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/romandre-atents-a-les-pigmentacions-facials\/","title":{"rendered":"Romandre atents a les pigmentacions facials"},"content":{"rendered":"
\"Pau

Dr. Pablo Umbert<\/p><\/div>\n

Pablo Umbert<\/strong><\/em><\/a>, director del\u00a0Servei\u00a0de\u00a0Dermatologia\u00a0Pablo Umbert<\/strong>\u00a0a la Cl\u00ednica\u00a0Corachan<\/strong>\u00a0de Barcelona, acad\u00e8mic corresponent de la Reial Acad\u00e8mia de\u00a0Medicina\u00a0de\u00a0Catalunya<\/strong>, acad\u00e8mic d’honor de la Societat Catalana de Dermatologia<\/strong> i acad\u00e8mic de n\u00famero de la Reial Acad\u00e8mia Europea de Doctors<\/strong> (RAED), va publicar el passat 10 de juny al canal Salud&Vida<\/strong> de l’edici\u00f3 digital del diari “La Vanguardia”<\/strong>, l’article “Pigmentaciones faciales simuladoras de malignidad”<\/strong>, en el qual aborda la import\u00e0ncia de determinar l’origen i import\u00e0ncia de les diferents taques o pigmentacions que afloren a la cara per descartar la seva malignitat.<\/p>\n

“La cara, a difer\u00e8ncia d’altres superf\u00edcies cut\u00e0nies, \u00e9s un terreny rellisc\u00f3s en dermatologia. Concentra fol\u00b7licles pilosebacis, melan\u00f2cits (responsables de la pigmentaci\u00f3), capil\u00b7lars i mal act\u00ednic. Aquesta combinaci\u00f3 afavoreix la pigmentaci\u00f3, que pot desafiar el diagn\u00f2stic, el pron\u00f2stic i el tractament, i fins i tot simular lesions malignes. Per aix\u00f2, la imatge cl\u00ednica no sempre \u00e9s suficient. En ocasions \u00e9s necessari el dermatoscopi amb llum polaritzada (epiluminiscencia), per visualitzar estructures pr\u00e8viament invisibles. A m\u00e9s, l’historial de la lesi\u00f3 ha de ser coherent amb el diagn\u00f2stic probable. Quan hi ha dubtes raonables s’imposa la bi\u00f2psia (amb resultat en dies), o, en alguns centres, el procediment DIC (diagn\u00f2stic immediat cutani) permet un diagn\u00f2stic en minuts. En rares ocasions requereix el processament del teixit biopsiat, t\u00e8cniques d’immunohistoqu\u00edmiques, que identifiquen prote\u00efnes espec\u00edfiques de marcadors de c\u00e8l\u00b7lules tumorals”, explica l’expert.<\/p>\n

\"\"L’acad\u00e8mic repassa de forma succinta les diferents afeccions m\u00e9s comunes, com ara les queratosis seborreiques pigmentades, comunes a partir de la mitjana edat; les hiperpigmentacions postinflamat\u00f2ries, reaccions benignes sense risc despr\u00e9s d’un \u00e8czema, cremada o picadura d’insecte; el lentigen solar, freq\u00fcent en persones adultes amb h\u00e0bits d’exposici\u00f3 solar; el lentigen maligne, que es d\u00f3na en persones grans i comporta risc de malignitat; el melanoma, d’evoluci\u00f3 r\u00e0pida i tamb\u00e9 amb risc d’evoluci\u00f3 maligna, o les queratosis act\u00edniques pigmentades premalignes, lesions secund\u00e0ries al mal solar.<\/p>\n

L’expert aconsella mantenir la calma i no alarmar-se davant l’aparici\u00f3 de qualsevol signe cutani, per\u00f2 s\u00ed mantenir-ne un seguiment, recordant que les lesions de clara benignitat cl\u00ednica no requereixen tractaments tret que sigui per motius est\u00e8tics. “La clau est\u00e0 en equilibrar prud\u00e8ncia i precisi\u00f3, anamnesi, dermatoscopia i, si hi ha dubte, bi\u00f2psia o DIC. La fotoprotecci\u00f3 i el seguiment, en especial en les persones de risc, s\u00f3n vitals”, conclou Umbert.<\/p>\n

Llegiu l’article<\/a><\/h2>\n","protected":false},"excerpt":{"rendered":"

Pablo Umbert aborda la import\u00e0ncia de determinar l’origen i la import\u00e0ncia de les diferents taques o pigmentacions que afloren a la cara per descartar la seva malignitat, a l’article “Pigmentaciones faciales simuladoras de malignidad”<\/p>\n","protected":false},"author":12,"featured_media":180777,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[455,213],"tags":[],"class_list":["post-180809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ciencies-de-la-salut","category-medicina-i-cirurgia","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nRomandre atents a les pigmentacions facials - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" content=\"Pau Umbert sobre la import\u00e0ncia de determinar l'origen de les 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