{"id":13012,"date":"2022-08-12T07:00:00","date_gmt":"2022-08-12T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13012"},"modified":"2022-08-09T00:27:53","modified_gmt":"2022-08-09T00:27:53","slug":"a-face-oculta-do-cancer-gastrico-indiferenciado-e-o-desafio-da-sua-deteccao-precoce","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/a-face-oculta-do-cancer-gastrico-indiferenciado-e-o-desafio-da-sua-deteccao-precoce\/","title":{"rendered":"\u201cA face oculta do c\u00e2ncer g\u00e1strico indiferenciado e o desafio da sua detec\u00e7\u00e3o precoce\u201d"},"content":{"rendered":"\n<p>O adenocarcinoma g\u00e1strico \u00e9 subdividido nos padr\u00f5es diferenciado e indiferenciado de acordo com as altera\u00e7\u00f5es glandulares, correspondendo aos tipos intestinal e difuso na Classifica\u00e7\u00e3o de Lauren proposta em 1965.<\/p>\n\n\n\n<ul class=\"has-pale-ocean-gradient-background has-background has-normal-font-size wp-block-list\"><li>Adenocarcinoma diferenciado = tipo intestinal<\/li><li>Adenocarcinoma indiferenciado = tipo difuso<\/li><\/ul>\n\n\n\n<p>O <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">c\u00e2ncer g\u00e1strico difuso ou indiferenciado<\/mark> \u00e9 respons\u00e1vel por cerca de 30% dos adenocarcinomas no est\u00f4mago e sua incid\u00eancia vem se mantendo constante ao longo dos anos.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\">Comparado ao tipo intestinal, possui <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">pior progn\u00f3stico e maior chance de invas\u00e3o linfonodal<\/mark> e, portanto, as indica\u00e7\u00f5es de ressec\u00e7\u00e3o endosc\u00f3pica s\u00e3o restritas \u00e0s les\u00f5es menores que 2cm, intramucosas e sem ulcera\u00e7\u00e3o (ONO,2020; TAKIZAWA,2021) , Mais detalhes voc\u00ea pode conferir no nosso post sobre <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/criterios-esd-gastrico-ecura\/\">ECURA &#8211; clique aqui<\/a>. <\/p>\n\n\n\n<p>Esse tumor tende a acometer mulheres jovens e pode estar associado a fatores heredit\u00e1rios. A muta\u00e7\u00e3o gen\u00e9tica mais frequente \u00e9 no CDH1, um gene supressor tumoral que codifica a E-caderina, uma prote\u00edna respons\u00e1vel pela ades\u00e3o celular. Diferente do que acontece no tipo intestinal, as les\u00f5es se desenvolvem na mucosa normal do est\u00f4mago, n\u00e3o tendo comumente associa\u00e7\u00e3o com a infec\u00e7\u00e3o por H pylori e a presen\u00e7a de precursores como metaplasia e displasia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Histologia<\/strong><\/h2>\n\n\n\n<p>Histologicamente, h\u00e1 aus\u00eancia de mol\u00e9culas de ades\u00e3o e tipicamente apresenta padr\u00e3o infiltrativo e pouco diferenciado. Em alguns casos, aparecem c\u00e9lulas contendo mucina que empurram o n\u00facleo para a periferia; dando a apar\u00eancia de anel: s\u00e3o as chamadas <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">c\u00e9lulas em anel de sinete (figura 1).<\/mark><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura1.png\" alt=\"\" class=\"wp-image-13013\" width=\"414\" height=\"224\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura1.png 714w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura1-300x163.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura1-585x317.png 585w\" sizes=\"(max-width: 414px) 100vw, 414px\" \/><figcaption>Figura 1: C\u00e9lulas em anel de sinete. Dispon\u00edvel em https:\/\/eyepath.org.uk\/atlas<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"has-small-font-size\"><\/p>\n\n\n\n<p>Nesse tipo de c\u00e2ncer, as c\u00e9lulas cancer\u00edgenas se originam nas camadas intermedi\u00e1rias da mucosa e continuam avan\u00e7ando de forma imprevis\u00edvel at\u00e9 o centro da les\u00e3o finalmente atingir a superf\u00edcie. Acredita-se que, nas fases iniciais, as c\u00e9lulas mutadas formam pequenas les\u00f5es na base das gl\u00e2ndulas, dentro da mucosa. Com a progress\u00e3o, as c\u00e9lulas em anel de sinete se desprendem e penetram na submucosa e tecidos mais profundos <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">(OKADA, 2011)<\/mark>.<\/p>\n\n\n\n<p>Como o acometimento se d\u00e1 de forma horizontal nas camadas mais profundas da mucosa, na fase precoce pode n\u00e3o haver altera\u00e7\u00e3o endosc\u00f3pica vis\u00edvel e at\u00e9 bi\u00f3psias podem ser negativas pois as c\u00e9lulas cancerosas geralmente est\u00e3o mais profundas e espalhadas.<\/p>\n\n\n\n<p>Essa dificuldade na detec\u00e7\u00e3o contribui para o diagn\u00f3stico tardio e, consequentemente, o pior progn\u00f3stico. Al\u00e9m disso, tamb\u00e9m fica dif\u00edcil determinar a profundidade de invas\u00e3o e distinguir os limites laterais das les\u00f5es indiferenciadas.<\/p>\n\n\n\n<p>\u00c9 por essa raz\u00e3o que \u00e9 imprescind\u00edvel sabermos reconhecer as altera\u00e7\u00f5es sutis tanto com a luz branca quanto com o aux\u00edlio da cromoscopia e magnifica\u00e7\u00e3o, para que possamos mudar o curso dessa doen\u00e7a.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"342\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-1024x342.png\" alt=\"\" class=\"wp-image-13014\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-1024x342.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-300x100.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-768x257.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-1170x391.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2-585x196.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-2.png 1430w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figura 2: Evolu\u00e7\u00e3o do c\u00e2ncer g\u00e1strico indiferenciado: as c\u00e9lulas cancer\u00edgenas se originam nas camadas mais profundas da mucosa e s\u00f3 depois invadem a superf\u00edcie, dificultando o reconhecimento precoce.<br>Adaptado de Okada et al, 2011 e Monster et al; BBA, 2022.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Aspecto Endosc\u00f3pico<\/strong><\/h2>\n\n\n\n<p>Endoscopicamente, com a luz branca, a apresenta\u00e7\u00e3o t\u00edpica dos tumores indiferenciados \u00e9 uma les\u00e3o plana de colora\u00e7\u00e3o p\u00e1lida. Segundo Yao, isso se d\u00e1 por causa da redu\u00e7\u00e3o dos n\u00edveis de hemoglobina <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">(YAO, 2000)<\/mark>. Por outro lado, os tumores do tipo intestinal ou diferenciados aparecem com colora\u00e7\u00e3o mais avermelhada ou com a mesma cor da mucosa adjacente <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">(KANESAKA, 2021)<\/mark>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"986\" height=\"522\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-3.png\" alt=\"\" class=\"wp-image-13015\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-3.png 986w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-3-300x159.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-3-768x407.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-3-585x310.png 585w\" sizes=\"(max-width: 986px) 100vw, 986px\" \/><figcaption>Figura 3: Associa\u00e7\u00e3o da cor da les\u00e3o com o tipo histol\u00f3gico.<br>Adaptado de KANESAKA et al,2021.<\/figcaption><\/figure>\n\n\n\n<p>Em rela\u00e7\u00e3o ao aspecto macrosc\u00f3pico, um estudo demonstrou que as les\u00f5es elevadas s\u00e3o mais comuns no adenocarcinoma bem diferenciado, as les\u00f5es planas mais comuns nos adenocarcinomas com c\u00e9lulas em anel de sinete e as les\u00f5es deprimidas mais comuns nos adenocarcinomas pouco diferenciados <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">(JUNG,2013).<\/mark><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"635\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-1024x635.png\" alt=\"\" class=\"wp-image-13017\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-1024x635.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-300x186.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-768x476.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-1170x726.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1-585x363.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-4-1.png 1296w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figura 4: Associa\u00e7\u00e3o do aspecto macrosc\u00f3pico com o tipo histol\u00f3gico.<br>Adaptado de JUNG et al,2013.<br>Fotos: Arquivo pessoal e ICESP.<\/figcaption><\/figure>\n\n\n\n<p>Com o aux\u00edlio da cromoscopia e magnifica\u00e7\u00e3o, a distin\u00e7\u00e3o dos tipos de c\u00e2ncer g\u00e1strico \u00e9 baseada nas diferen\u00e7as nos padr\u00f5es de microsuperf\u00edcie e microvasculariza\u00e7\u00e3o (<strong>Veja o post sobre <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/algoritmo-diagnostico-simples-para-deteccao-de-cancer-gastrico-precoce-atraves-da-magnificacao-endoscopica-mesda-g\/\" target=\"_blank\" rel=\"noreferrer noopener\">MESDA-G<\/a> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/algoritmo-diagnostico-simples-para-deteccao-de-cancer-gastrico-precoce-atraves-da-magnificacao-endoscopica-mesda-g\/\">&#8211; <\/a><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/algoritmo-diagnostico-simples-para-deteccao-de-cancer-gastrico-precoce-atraves-da-magnificacao-endoscopica-mesda-g\/\" target=\"_blank\" rel=\"noreferrer noopener\">Aqui<\/a><\/strong>).<\/p>\n\n\n\n<p>No c\u00e2ncer g\u00e1strico tipo diferenciado, o padr\u00e3o glandular (microsuperf\u00edcie) geralmente est\u00e1 presente, sendo facilmente vis\u00edvel \u00e0 cromoscopia. Por\u00e9m, se o c\u00e2ncer evoluir, as gl\u00e2ndulas podem desaparecer e somente os microvasos ficarem vis\u00edveis. Os vasos s\u00e3o do tipo poligonal ou em \u201cloop-fechado\u201d, com padr\u00e3o vascular fino (\u201c<em>fine network pattern<\/em>\u201d).<\/p>\n\n\n\n<p>No tipo indiferenciado\/difuso geralmente apresenta com um padr\u00e3o de microsuperf\u00edcie ausente e padr\u00e3o vascular em \u201cloop-aberto\u201d. Neste \u00faltimo, os capilares formam uma rede irregular e desordenada, com baixa densidade de vasos, com aspecto em \u201csaca-rolhas\u201d (\u201c<em>corkscrew pattern<\/em>\u201d).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"649\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-1024x649.png\" alt=\"\" class=\"wp-image-13018\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-1024x649.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-300x190.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-768x486.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-1170x741.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5-585x371.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-5.png 1222w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figura 5: Diferen\u00e7as nos padr\u00f5es glandular e vascular dos tumores diferenciados e indiferenciados.&nbsp;<br>Adaptado de KANESAKA et al,2021.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"237\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-1024x237.png\" alt=\"\" class=\"wp-image-13019\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-1024x237.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-300x69.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-768x177.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-1170x270.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6-585x135.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/08\/figura-6.png 1428w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figura 6: Cromoscopia com magnifica\u00e7\u00e3o do c\u00e2ncer g\u00e1strico difuso mostrando o padr\u00e3o vascular em \u201csaca-rolhas\u201d.<br>Fotos: arquivo ICESP.<\/figcaption><\/figure>\n\n\n\n<p>Ap\u00f3s a detec\u00e7\u00e3o de uma les\u00e3o precoce suspeita para adenocarcinoma indiferenciado, \u00e9 importante estabelecer os limites laterais usando tanto a luz branca quanto a magnifica\u00e7\u00e3o endosc\u00f3pica. Como muitas vezes isso \u00e9 dif\u00edcil, indica-se bi\u00f3psias nos bordos da les\u00e3o antes de programar o tratamento endosc\u00f3pico. A ressec\u00e7\u00e3o s\u00f3 dever\u00e1 ser realizada quando as bi\u00f3psias das margens vierem negativas para c\u00e9lulas neopl\u00e1sicas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Mensagem Final<\/strong><\/h2>\n\n\n\n<p>Os tumores g\u00e1stricos indiferenciados crescem a partir de camadas mais profundas da mucosa, sendo de dif\u00edcil diagn\u00f3stico na fase precoce.<\/p>\n\n\n\n<p>Quando suspeitar? Pacientes do g\u00eanero feminino, jovens, com est\u00f4mago de aspecto normal e les\u00f5es planas e p\u00e1lidas que apresentam microvasos em \u201csaca-rolhas\u201d.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Resumo<\/strong><\/h2>\n\n\n\n<ul class=\"has-pale-ocean-gradient-background has-background has-normal-font-size wp-block-list\"><li>Os tumores g\u00e1stricos indiferenciados representam cerca de 30% dos adenocarcinomas no est\u00f4mago<\/li><li>Apresenta pior progn\u00f3stico e maior chance de invas\u00e3o linfonodal em compara\u00e7\u00e3o com o tipo intestinal<\/li><li>Acomete mais mulheres jovens<\/li><li>Pode estar associado a fatores heredit\u00e1rios (muta\u00e7\u00e3o do CDH1)<\/li><li>Endoscopicamente a apresenta\u00e7\u00e3o t\u00edpica \u00e9 uma les\u00e3o plana de colora\u00e7\u00e3o p\u00e1lida<\/li><li>\u00c0 magnifica\u00e7\u00e3o geralmente apresenta padr\u00e3o glandular (microssuperf\u00edcie) ausente e padr\u00e3o vascular em \u201csaca-rolhas\u201d.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Referencias<\/strong><\/h2>\n\n\n\n<ol type=\"1\" class=\"has-normal-font-size wp-block-list\"><li>Ono H, Yao K, Fujishiro M, Oda I, Uedo N, Nimura S, Yahagi N, Iishi H, Oka M, Ajioka Y, Fujimoto K. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition). Dig Endosc. 2021 Jan;33(1):4-20.&nbsp;<\/li><li>Takizawa K, Ono H, Hasuike N, et al; Gastrointestinal Endoscopy Group (GIESG) and the Stomach Cancer Study Group (SCSG) of Japan Clinical Oncology Group. A nonrandomized, single-arm confirmatory trial of expanded endoscopic submucosal dissection indication for undifferentiated early gastric cancer: Japan Clinical Oncology Group study (JCOG1009\/1010). Gastric Cancer. 2021 Mar;24(2):479-491.<\/li><li>Okada K, Fujisaki J, Kasuga A, et al. Diagnosis of undifferentiated type early gastric cancers by magnification endoscopy with narrow-band imaging. J Gastroenterol Hepatol. 2011 Aug;26(8):1262-9.<\/li><li>Monster JL, Kemp LJS, Gloerich M, van der Post RS. Diffuse gastric cancer: Emerging mechanisms of tumor initiation and progression. Biochim Biophys Acta Rev Cancer. 2022 May;1877(3):188719.<\/li><li>Yao K,Yao T,Matsui T,Iwashita A,Oishi T. Hemoglobin content in intramucosal gastric carcinoma as a marker of histologic differentiation: a clinical application of quantitative electronic endoscopy. Gastrointest Endosc 2000; 52: 241\u20135.<\/li><li>Kanesaka T, Uedo N, Doyama H, et al. Diagnosis of histological type of early gastric cancer by magnifying narrow-band imaging: A multicenter prospective study. DEN open. 2021 Sep 28;2(1):e61.<\/li><li>Jung DH, Park YM, Kim JH, Lee YC, Youn YH, Park H, Lee SI, Kim JW, Choi SH, Hyung WJ, Noh SH. Clinical implication of endoscopic gross appearance in early gastric cancer: revisited. Surg Endosc. 2013 Oct;27(10):3690-5.&nbsp;<\/li><li>Nakayoshi T, Tajiri H, Matsuda K, Kaise M, Ikegami M, Sasaki H. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy. 2004 Dec;36(12):1080-4.<\/li><li>Iyer P, Moslim M, Farma JM, Denlinger CS. Diffuse gastric cancer: histologic, molecular, and genetic basis of disease. Transl Gastroenterol Hepatol. 2020 Oct 5;5:52.<\/li><li>Kanesaka T, Nagahama T, Uedo N, Doyama H, Ueo T, Uchita K, Yoshida N, Takeda Y, Imamura K, Wada K, Ishikawa H, Yao K. Clinical predictors of histologic type of gastric cancer. Gastrointest Endosc. 2018 Apr;87(4):1014-1022.<\/li><li>Phalanusitthepha C, Grimes KL, Ikeda H, Sato H, Sato C, Hokierti C, Inoue H. Endoscopic features of early-stage signet-ring-cell carcinoma of the stomach. World J Gastrointest Endosc. 2015 Jun 25;7(7):741-6.&nbsp;<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>O adenocarcinoma g\u00e1strico \u00e9 subdividido nos padr\u00f5es diferenciado e indiferenciado de acordo com as&hellip;<\/p>\n","protected":false},"author":3872,"featured_media":13013,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[309],"tipo":[],"volume":[147],"class_list":["post-13012","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-309","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u201cA face oculta do c\u00e2ncer g\u00e1strico indiferenciado e o desafio da sua detec\u00e7\u00e3o precoce\u201d &#8226; 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