{"id":19429,"date":"2025-12-09T23:07:04","date_gmt":"2025-12-09T23:07:04","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/?p=19429"},"modified":"2025-12-09T23:07:09","modified_gmt":"2025-12-09T23:07:09","slug":"ecoendoscopia-en-la-evaluacion-de-neoplasias-de-vesicula-biliar","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/ecoendoscopia-en-la-evaluacion-de-neoplasias-de-vesicula-biliar\/","title":{"rendered":"Ecoendoscopia en la evaluaci\u00f3n de neoplasias de ves\u00edcula biliar"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Introducci\u00f3n<\/strong><\/h2>\n\n\n\n<p>Las neoplasias de ves\u00edcula biliar generalmente se diagnostican tard\u00edamente debido a la ausencia de s\u00edntomas espec\u00edficos. La ecograf\u00eda endosc\u00f3pica desempe\u00f1a un papel fundamental en la caracterizaci\u00f3n morfol\u00f3gica, la evaluaci\u00f3n de la invasi\u00f3n parietal y hep\u00e1tica, la investigaci\u00f3n de ganglios linf\u00e1ticos regionales y la posibilidad de diagn\u00f3stico histopatol\u00f3gico mediante punci\u00f3n ecoguiada. La proximidad anat\u00f3mica confiere a la ecograf\u00eda endosc\u00f3pica una ventaja sobre la ecograf\u00eda transabdominal y la tomograf\u00eda computarizada en la evaluaci\u00f3n local detallada.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?attachment_id=19430\"><img fetchpriority=\"high\" decoding=\"async\" width=\"690\" height=\"517\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/12\/Neoplasia-de-vesicula-biliar.png\" alt=\"\" class=\"wp-image-19430\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/12\/Neoplasia-de-vesicula-biliar.png 690w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/12\/Neoplasia-de-vesicula-biliar-300x225.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/12\/Neoplasia-de-vesicula-biliar-585x438.png 585w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/><\/a><figcaption class=\"wp-element-caption\"><br>Figura 1 &#8211; Neoplasia de ves\u00edcula biliar: Takahashi et al. Avances recientes en la ecograf\u00eda endosc\u00f3pica para el diagn\u00f3stico de enfermedades de la ves\u00edcula biliar.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Formas de Presentaci\u00f3n<\/strong><\/h2>\n\n\n\n<p>Las neoplasias de la ves\u00edcula biliar pueden manifestarse en dos formas morfol\u00f3gicas principales:<\/p>\n\n\n\n<p><strong>1. Forma Polipoide<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lesi\u00f3n intraluminal focal, generalmente s\u00f3lida, s\u00e9sil o de base ancha.<\/li>\n\n\n\n<li>Puede surgir sobre un p\u00f3lipo adenomatoso o displ\u00e1sico (adenocarcinoma in situ).<\/li>\n\n\n\n<li>En la ecoendoscopia, los patrones sospechosos de malignidad incluyen:\n<ul class=\"wp-block-list\">\n<li>Tama\u00f1o &gt;10 mm.<\/li>\n\n\n\n<li>M\u00e1rgenes irregulares y heterogeneidad interna.<\/li>\n\n\n\n<li>Aumento de la vascularizaci\u00f3n en el Doppler.<\/li>\n\n\n\n<li>P\u00e9rdida del patr\u00f3n de la capa de la pared adyacente.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Los p\u00f3lipos &lt;6 mm, m\u00faltiples e hiperecoicos suelen representar p\u00f3lipos con comportamiento benigno.<br><\/p>\n\n\n\n<p><strong>2. Forma Infiltrativa (engrosamiento de la pared)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El tumor se presenta como un engrosamiento focal, asim\u00e9trico, irregular y heterog\u00e9neo de la pared de la ves\u00edcula biliar.<\/li>\n\n\n\n<li>Puede ser un diagn\u00f3stico diferencial con patolog\u00edas benignas como la colecistitis xantogranulomatosa o la adenomiomatosis, pero la ecoendoscopia ayuda a visualizar las capas de la pared:\n<ul class=\"wp-block-list\">\n<li>Preservaci\u00f3n de capas \u2192 proceso inflamatorio benigno.<\/li>\n\n\n\n<li>Desorganizaci\u00f3n o p\u00e9rdida de capas \u2192 invasi\u00f3n neopl\u00e1sica.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>La obliteraci\u00f3n de la interfaz hiperecoica entre la ves\u00edcula biliar y el h\u00edgado sugiere invasi\u00f3n hep\u00e1tica.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Estadificaci\u00f3n por EUS<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><div class=\"pcrstb-wrap\"><table class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Caracter\u00edsticas<\/strong><\/td><td><strong>Correlaci\u00f3n Estadio<\/strong><\/td><td><strong>Precisi\u00f3n<\/strong><\/td><\/tr><tr><td><strong>Tipo A<\/strong><\/td><td>Pedunculado; capa adyacente preservada<\/td><td>Tis<\/td><td>100%<\/td><\/tr><tr><td><strong>Tipo B<\/strong><\/td><td>S\u00e9sil \/ base ancha; hiperecoico externo preservado<\/td><td>T1<\/td><td>76%<\/td><\/tr><tr><td><br><strong>Tipo C<\/strong><\/td><td>S\u00e9sil; hiperecoico estrecho<\/td><td>T2<\/td><td>85%<\/td><\/tr><tr><td><br><strong>Tipo D<\/strong><\/td><td>S\u00e9sil; hiperecoico desorganizado<\/td><td>T3-4<\/td><td>93%<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<p><br>Sadamoto y colegas propusieron una clasificaci\u00f3n que correlaciona los hallazgos en la ecograf\u00eda endosc\u00f3pica con el estadio del c\u00e1ncer, mostrando buena precisi\u00f3n en lesiones tempranas y avanzadas, representadas por los tipos A y D.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Punci\u00f3n Ecoguiada<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Permite diagn\u00f3stico diferencial entre neoplasia de ves\u00edcula y patolog\u00edas benignas<\/li>\n\n\n\n<li>Direccionamiento de terapia guiada por marcadores gen\u00f3micos<\/li>\n\n\n\n<li>Evaluaci\u00f3n de ganglios linf\u00e1ticos afectados\/met\u00e1stasis hep\u00e1ticas<\/li>\n\n\n\n<li>Primero se puncionan estas lesiones y luego el tumor primario.<\/li>\n\n\n\n<li>Contraindicaciones relativas: tumores claramente resecables, debido al riesgo (aunque bajo) de diseminaci\u00f3n peritoneal.<\/li>\n\n\n\n<li>Se debe evitar la transfixia de la luz vesicular debido al riesgo de colecistitis.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Contraste Harm\u00f3nico<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Carcinomas: realce&nbsp;heterog\u00e9neo e irregular, con <em>washout <\/em>precoz.<\/li>\n\n\n\n<li>P\u00f3lipos benignos: realce&nbsp;homog\u00e9neo y sostenido.<\/li>\n\n\n\n<li>Aumenta a precisi\u00f3n en la distinci\u00f3n entre&nbsp;adenoma&nbsp;y&nbsp;carcinoma precoz, y en la definici\u00f3n de los&nbsp;limites tumorales&nbsp;para planeamiento quir\u00fargico.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Inteligencia artificial<\/strong><\/h2>\n\n\n\n<p>O uso de&nbsp;inteligencia artificial e <em>deep learning<\/em>&nbsp;aplicados a las im\u00e1genes de EUS han mostrado un desempe\u00f1o promisor para:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diferenciar p\u00f3lipos benignos y malignos<\/li>\n\n\n\n<li>Detectar invasi\u00f3n de la pared<\/li>\n\n\n\n<li>Estimar el estadiamento T con precisi\u00f3n superior a 90% en estudios recientes<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Conclusi\u00f3n<\/strong><\/h2>\n\n\n\n<p>A&nbsp;ecoendoscopia&nbsp;representa herramienta precisa para avaliaci\u00f3n detallada das&nbsp;neoplasias de ves\u00edcula biliar, permitiendo la caracterizaci\u00f3n morfol\u00f3gica, vascular, la estadificaci\u00f3n locorregional y el muestreo tisular guiado juegan un papel esencial en la definici\u00f3n del plan de tratamiento.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><em>Szpakowski JL, Tucker LY. Outcomes of Gallbladder Polyps and Their Association With Gallbladder Cancer in a 20-Year Cohort. JAMA Netw Open. 2020 May 1;3(5):e205143<\/em><\/li>\n\n\n\n<li><em>Sadamoto et. al. Preoperative diagnosis and staging of gallbladder carcinoma by EUS.<\/em><br><em>Gastrointest Endosc. 2003 Oct;58(4):536-41.<\/em><\/li>\n\n\n\n<li><em>Takahashi et. al. Recent Advances in Endoscopic Ultrasound for Gallbladder Disease Diagnosis.<\/em><br><em>Diagnostics (Basel). 2024 Feb 8;14(4):374<\/em><\/li>\n\n\n\n<li><em>Obaid et al. Detection of Gallbladder Disease Types Using Deep Learning: An Informative Medical Method.<\/em> <em>Diagnostics (Basel). 2023 May 15;13(10):1744.<\/em><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00f3mo citar este art\u00edculo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Logidiuce FP, Penaloza CSQ. Ecoendoscopia en la evaluaci\u00f3n de neoplasias de ves\u00edcula biliar. Endoscopia Terap\u00e9utica 2025, Vol II. Disponible en: <a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?p=19429\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/ecoendoscopia-en-la-evaluacion-de-neoplasias-de-vesicula-biliar\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Las neoplasias de ves\u00edcula biliar generalmente se diagnostican tard\u00edamente debido a la ausencia&hellip;<\/p>\n","protected":false},"author":6153,"featured_media":19430,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[750],"tipo":[154],"volume":[147],"class_list":["post-19429","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-temas-generales","ano-750","tipo-ultrasonido-endoscopico","volume-volumen-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ecoendoscopia en la evaluaci\u00f3n de neoplasias de ves\u00edcula biliar &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/ecoendoscopia-en-la-evaluacion-de-neoplasias-de-vesicula-biliar\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ecoendoscopia en la evaluaci\u00f3n de neoplasias de ves\u00edcula biliar\" \/>\n<meta property=\"og:description\" content=\"Introducci\u00f3n Las neoplasias de ves\u00edcula biliar generalmente se diagnostican tard\u00edamente debido a la ausencia de s\u00edntomas espec\u00edficos. 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