{"id":11135,"date":"2022-03-29T07:00:40","date_gmt":"2022-03-29T07:00:40","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=11135"},"modified":"2023-08-07T21:19:57","modified_gmt":"2023-08-07T21:19:57","slug":"caso-clinico-lesao-verrucoide-em-reto-distal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-lesao-verrucoide-em-reto-distal\/","title":{"rendered":"Caso cl\u00ednico: Les\u00e3o verruc\u00f3ide em reto distal."},"content":{"rendered":"<h2>Caso:<\/h2>\n<p>Paciente do sexo feminino, 62 anos. Primeira colonoscopia, realizada para rastreamento de c\u00e2ncer colorretal. \u00c0 retrovis\u00e3o no reto, nota-se a presen\u00e7a da seguinte les\u00e3o:<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-11136\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_a-300x226.png\" alt=\"\" width=\"376\" height=\"283\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_a-300x226.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_a-585x440.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_a.png 621w\" sizes=\"(max-width: 376px) 100vw, 376px\" \/> <img decoding=\"async\" class=\"aligncenter wp-image-11137\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_b-300x227.png\" alt=\"\" width=\"377\" height=\"286\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_b-300x227.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_b-585x443.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_b.png 618w\" sizes=\"(max-width: 377px) 100vw, 377px\" \/> <img decoding=\"async\" class=\"aligncenter wp-image-11138\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_c-300x226.png\" alt=\"\" width=\"377\" height=\"283\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11139\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_d-300x225.png\" alt=\"\" width=\"379\" height=\"284\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_d-300x225.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_d-585x439.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_d.png 622w\" sizes=\"(max-width: 379px) 100vw, 379px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11140\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_e-300x226.png\" alt=\"\" width=\"385\" height=\"290\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_e-300x226.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_e-585x441.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/Retrovisao_e.png 621w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11141\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_f-300x226.png\" alt=\"\" width=\"389\" height=\"293\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_f-300x226.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_f-585x442.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/retrovisao_f.png 616w\" sizes=\"(max-width: 389px) 100vw, 389px\" \/><\/p>\n<p>Foi realizada bi\u00f3psia da les\u00e3o e o an\u00e1tomo patol\u00f3gico revelou a presen\u00e7a de uma les\u00e3o intraepitelial escamosa grau II (alto\u00a0 grau) associada a altera\u00e7\u00f5es citol\u00f3gicas sugestivas de infec\u00e7\u00e3o pelo HPV.<\/p>\n<h2>Discuss\u00e3o:<\/h2>\n<p>A les\u00e3o condilomatosa anal \u00e9 uma doen\u00e7a sexualmente transmiss\u00edvel associada \u00e0 infec\u00e7\u00e3o pelo papiloma v\u00edrus humano (HPV) e ocupa a posi\u00e7\u00e3o de DST mais comum em homens homossexuais jovens.<\/p>\n<p>Embora a infec\u00e7\u00e3o possa seguir latente e assintom\u00e1tica, muitos desenvolvem les\u00f5es verrucosas genitais ou perianais, com potencial evolu\u00e7\u00e3o para displasia e malignidade.<\/p>\n<p>O condiloma \u00e9 um achado frequente na pr\u00e1tica da colonoscopia. A apresenta\u00e7\u00e3o mais comum \u00e9 a presen\u00e7a de les\u00f5es polipoides esbranqui\u00e7adas verrucoides e de consist\u00eancia fibrosa, localizadas junto \u00e0 linha pect\u00ednea, emergindo do canal anal, muitas vezes com extens\u00e3o at\u00e9 a mucosa retal, podendo tamb\u00e9m acometer a mucosa retal isoladamente. \u00c0 magnifica\u00e7\u00e3o, notam-se capilares espiralados e alongados. Embora seja de identifica\u00e7\u00e3o relativamente simples, um exame menos cuidadoso do reto distal, preparo inadequado ou mesmo a n\u00e3o realiza\u00e7\u00e3o da retrovis\u00e3o pode limitar o diagn\u00f3stico.<\/p>\n<ul>\n<li>\n<h4><em>Cerca de 12% dos carcinomas de c\u00e9lulas escamosas do reto est\u00e3o associados a les\u00f5es condilomatosas.<\/em><\/h4>\n<\/li>\n<li>\n<h4><em>S\u00e3o fatores de risco para displasia e carcinoma escamoso anal a pr\u00e1tica de coito anal passivo desprotegido, hist\u00f3rico de doen\u00e7a do trato genital mediada pelo HPV, tabagismo, infec\u00e7\u00e3o pelo HIV, baixa contagem de CD4 e outras formas de imunossupress\u00e3o.<\/em><\/h4>\n<\/li>\n<\/ul>\n<p>A incid\u00eancia de neoplasia intraepitelial anal (AIN) na popula\u00e7\u00e3o geral n\u00e3o \u00e9 conhecida, no entanto, n\u00e3o parece ser desprez\u00edvel mesmo em pacientes sem fatores de risco. Um estudo retrospectivo em uma comunidade relatou uma taxa de detec\u00e7\u00e3o de AIN\/colonoscopia de 1\/261 (95% CI 1\/142\u20131\/480) para todas as colonoscopias e 1\/163 (95% CI 1\/83\u20131\/321) nas mulheres com mais de 40 anos de idade.<\/p>\n<ul>\n<li>\n<h4><em>O exame cuidadoso da borda anal deve ser estimulado e valorizado no treinamento e na pr\u00e1tica da colonoscopia, independente da presen\u00e7a de fatores de risco do paciente para les\u00f5es do canal anal.\u00a0 <\/em><\/h4>\n<\/li>\n<\/ul>\n<p>Exames de rastreamento s\u00e3o uma boa oportunidade para a detecc\u00e3o incidental de les\u00f5es com potencial maligno, ampliando o benef\u00edcio de programas de rastreamento do c\u00e2ncer colorretal.<\/p>\n<h3><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/colorretal\/rastreamento-de-neoplasia-intraepitelial-anal-e-prevencao-de-cancer-de-anus\/\">Para saber mais sobre este tema e outros relacionados, acesse o site Gastropedia clicando aqui<\/a>!<\/h3>\n<h2>Refer\u00eancias<\/h2>\n<p>Forbes CM, McCloskey J, Forbes GM. Opportunistic detection of anal intraepithelial neoplasia at colonoscopy. JGH Open. 2020 Oct 14;4(6):1207-1210. doi: 10.1002\/jgh3.12424. PMID: 33319057; PMCID: PMC7731801.<\/p>\n<p>Byars RW, Poole GV, Barber WH. Anal carcinoma arising from condyloma acuminata.\u202f<em>Am Surg.\u202f<\/em>2001;67:469\u2013472<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Caso: Paciente do sexo feminino, 62 anos. Primeira colonoscopia, realizada para rastreamento de c\u00e2ncer&hellip;<\/p>\n","protected":false},"author":4390,"featured_media":11141,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[341,340,342,343,338,339,344],"ano":[309],"tipo":[156],"volume":[263],"class_list":["post-11135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","tag-canal-anal","tag-cec","tag-colonoscopia","tag-dst","tag-hpv","tag-retrovisao","tag-verruga","ano-309","tipo-colonoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Caso cl\u00ednico: Les\u00e3o verruc\u00f3ide em reto distal. &#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\/pt\/casosclinicos\/caso-clinico-lesao-verrucoide-em-reto-distal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caso cl\u00ednico: Les\u00e3o verruc\u00f3ide em reto distal.\" \/>\n<meta property=\"og:description\" content=\"Caso: Paciente do sexo feminino, 62 anos. 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