{"id":14177,"date":"2022-11-29T06:00:15","date_gmt":"2022-11-29T06:00:15","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=14177"},"modified":"2022-12-06T12:01:35","modified_gmt":"2022-12-06T12:01:35","slug":"criterios-de-fukuoka-para-ipmn","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/criterios-de-fukuoka-para-ipmn\/","title":{"rendered":"Crit\u00e9rios de Fukuoka para IPMN"},"content":{"rendered":"\n<p>O consenso de Fukuoka, tamb\u00e9m conhecido como crit\u00e9rios de Fukuoka ou guideline de Fukuoka, fornece as diretrizes para diagn\u00f3stico, seguimento e tratamento da neoplasia mucinosa papilar intraductal (IPMN) do p\u00e2ncreas.<\/p>\n\n\n\n<p>Tumores c\u00edsticos no p\u00e2ncreas est\u00e3o sendo cada vez mais diagnosticado e muitas vezes \u00e9 dif\u00edcil saber se estamos diante de uma les\u00e3o neopl\u00e1sica ou n\u00e3o.<\/p>\n\n\n\n<p>A neoplasia mucinosa papilar intraductal (IPMN) merece aten\u00e7\u00e3o especial n\u00e3o s\u00f3 pela sua frequ\u00eancia, mas tamb\u00e9m pelo potencial de malignidade, sendo consideradas les\u00f5es pr\u00e9-malignas. Por conta disso, existe intensa discuss\u00e3o de condutas que variam desde a vigil\u00e2ncia peri\u00f3dica at\u00e9 a ressec\u00e7\u00e3o cir\u00fargica limitada at\u00e9 a pancreatectomia total.<\/p>\n\n\n\n<p>Antigamente, grande parte dessas les\u00f5es eram ressecadas, tendo em vista seu potencial maligno. Ap\u00f3s a publica\u00e7\u00e3o dos crit\u00e9rios de Sendai (2006) e Fukuoka (2012), uma conduta conservadora tem sido adotada na maioria das les\u00f5es. Atualmente, a diretriz revisada de Fukuoka (2017) \u00e9 o guideline mais utilizado para diagn\u00f3stico e tratamento desses tumores [2]. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1.<\/strong> <strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>Os IPMNs podem ser classificados em tr\u00eas tipos:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IPMN de ducto priuncipal (MD-IPMN)<\/li>\n\n\n\n<li>IPMN de ducto secund\u00e1rio (BD-IPMN)<\/li>\n\n\n\n<li>tipo misto. <\/li>\n<\/ul>\n\n\n\n<p>MD-IPMN \u00e9 caracterizado por dilata\u00e7\u00e3o segmentar ou difusa do ducto pancre\u00e1tico principal (MPD) &gt; 5 mm sem outras causas de obstru\u00e7\u00e3o. Cistos pancre\u00e1ticos &gt; 5 mm de di\u00e2metro que se comunicam com o MPD devem ser considerados como BD-IPMN (pseudocisto \u00e9 o diagn\u00f3stico diferencial para pacientes com hist\u00f3ria pr\u00e9via de pancreatite). Os pacientes do tipo misto possuem crit\u00e9rios tanto para MD-IPMN quanto para BD-IPMN.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. Investiga\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>De acordo com essa diretriz, os IPMN podem ser classificados como Fukuoka-positivos com estigmas de alto risco, les\u00f5es com caracter\u00edsticas preocupantes ou Fukuoka-negativos<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2.1 <strong><em>IPMN Fukuoka-positivos<\/em><\/strong><\/h3>\n\n\n\n<p>IPMN Fukuoka-positivos s\u00e3o aqueles que t\u00eam estigmas de alto risco para malignidade:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Les\u00f5es na cabe\u00e7a do p\u00e2ncreas cursando com icter\u00edcia obstrutiva<\/li>\n\n\n\n<li>N\u00f3dulos murais &gt; 5 mm e hipercaptantes<\/li>\n\n\n\n<li>Dilata\u00e7\u00e3o do ducto pancre\u00e1tico principal &gt; 10 mm (IPMN de duto principal)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2.2 <strong><em>IPMNs com \u201ccaracter\u00edsticas preocupantes\u201d<\/em><\/strong><\/h3>\n\n\n\n<p>Os IPMNs com \u201ccaracter\u00edsticas preocupantes\u201d s\u00e3o aqueles com:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Les\u00f5es c\u00edsticas &gt; 3 cm<\/li>\n\n\n\n<li>Paredes c\u00edsticas espessadas ou hipercaptantes<\/li>\n\n\n\n<li>Dilata\u00e7\u00e3o do ducto pancre\u00e1tico principal entre 5\u20139 mm<\/li>\n\n\n\n<li>Mudan\u00e7as abruptas no di\u00e2metro do ducto pancre\u00e1tico e atrofia distal<\/li>\n\n\n\n<li>Evid\u00eancia de linfonodos<\/li>\n\n\n\n<li>Eleva\u00e7\u00e3o s\u00e9rica de CA 19-9<\/li>\n\n\n\n<li>Crescimento c\u00edstico de pelo menos 5 mm em 2 anos<\/li>\n\n\n\n<li>Sinais cl\u00ednicos de pancreatite<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2.3 <strong><em>IPMN Fukuoka-negativos<\/em><\/strong><\/h3>\n\n\n\n<p>IPMNs Fukuoka-negativos s\u00e3o aqueles sem estigmas de alto risco e sem as \u201ccaracter\u00edsticas preocupantes\u201d descritas acima.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><em><strong>Nota:<\/strong> o melhor exame de imagem para se avaliar les\u00f5es de 5 mm \u00e9 o ultrassom endosc\u00f3pico. Na indisponibilidade desse m\u00e9todo a resson\u00e2ncia magn\u00e9tica (RNM) pode ser utilizada, mas apresenta acur\u00e1cia inferior.<\/em><\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. Conduta<\/strong><\/h2>\n\n\n\n<p>As diretrizes tamb\u00e9m incluem recomenda\u00e7\u00f5es sobre a abordagem terap\u00eautica:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IPMNs positivos para Fukuoka devem ser tratados cirurgicamente, desde que paciente tenha condi\u00e7\u00f5es cl\u00ednicas<\/li>\n\n\n\n<li>Na presen\u00e7a de \u201ccaracter\u00edsticas preocupantes\u201d e evid\u00eancias no EUS de n\u00f3dulos murais &gt; 5 mm, altera\u00e7\u00f5es no ducto principal ou presen\u00e7a de citologia maligna ou suspeita de malignidade, a ressec\u00e7\u00e3o cir\u00fargica tamb\u00e9m deve ser considerada.<\/li>\n\n\n\n<li>Na aus\u00eancia dessas altera\u00e7\u00f5es, acompanhamento com TC\/RNM ou EUS devem ser realizados em intervalos espec\u00edficos, dependendo do tamanho do IPMN (ver figura 1)<\/li>\n<\/ul>\n\n\n\n<p>Uma abordagem baseada nessas diretrizes mostrou que o risco de tratamento excessivo de IPMN \u201cinofensivos\u201d devido a cirurgia injustificada e, ao mesmo tempo, o desenvolvimento de tumores malignos a partir de IPMNs aparentemente \u201cinofensivos\u201d \u00e9 extremamente baixo.<\/p>\n\n\n\n<p>Um estudo incluindo mais de 1.100 pacientes com IPMN mostrou que [3]:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a taxa de malignidade em 5 anos em IPMN Fukuoka-negativos foi inferior a 2%<\/li>\n\n\n\n<li>Na presen\u00e7a de \u201ccaracter\u00edsticas preocupantes\u201d, o risco de carcinoma em IPMN n\u00e3o operados foi de aproximadamente 4%<\/li>\n\n\n\n<li>em pacientes Fukuoka-positivos, a incid\u00eancia de c\u00e2ncer de p\u00e2ncreas em 5 anos foi de 49%<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><em><strong>Importante:<\/strong> pacientes com IPMN sob vigil\u00e2ncia apresentam risco aumentado de neoplasias pancre\u00e1ticas independentemente das les\u00f5es c\u00edsticas. Portanto, a vigil\u00e2ncia deve sempre incluir todo o p\u00e2ncreas. [4]<\/em><\/p>\n<\/blockquote>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"858\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-1024x858.png\" alt=\"\" class=\"wp-image-14254\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-1024x858.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-300x251.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-768x643.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-1170x980.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo-585x490.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/fukuoka-algoritmo.png 1246w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em><strong>Figura 1:<\/strong> Algoritmo para o gerenciamento de suspeita de BD-IPMN. *A pancreatite pode ser uma indica\u00e7\u00e3o cir\u00fargica para al\u00edvio dos sintomas. &amp;amp;amp;. O diagn\u00f3stico diferencial inclui mucina. A mucina pode se mover com a mudan\u00e7a na posi\u00e7\u00e3o do paciente, pode ser deslocada com a lavagem do cisto e n\u00e3o tem fluxo Doppler. As caracter\u00edsticas do n\u00f3dulo tumoral verdadeiro incluem falta de mobilidade, presen\u00e7a de fluxo Doppler e PAAF do n\u00f3dulo mostrando tecido tumoral. @. A presen\u00e7a de paredes espessadas, mucina intraductal ou n\u00f3dulos murais \u00e9 sugestiva de envolvimento do ducto principal. Na sua aus\u00eancia, o envolvimento do ducto principal \u00e9 inconclusivo. Abreviaturas: BD-IPMN, neoplasia mucinosa papilar intraductal do ducto secund\u00e1rio; PAAF, aspira\u00e7\u00e3o por agulha fina. Adaptado de Tanaka M, et al. Pancreatology 2017<\/em><\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn1.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"640\" height=\"478\" data-id=\"14234\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn1.jpg\" alt=\"\" class=\"wp-image-14234\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn1.jpg?v=1669555252 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn1-300x224.jpg?v=1669555252 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn1-585x437.jpg?v=1669555252 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/impn2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"640\" height=\"480\" data-id=\"14235\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/impn2.jpg\" alt=\"\" class=\"wp-image-14235\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/impn2.jpg?v=1669555255 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/impn2-300x225.jpg?v=1669555255 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/impn2-585x439.jpg?v=1669555255 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption class=\"wp-element-caption\">Duto pancre\u00e1tico principal dilatado e com n\u00f3dulo em seu interior<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn3.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" data-id=\"14236\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn3.jpg\" alt=\"\" class=\"wp-image-14236\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn3.jpg?v=1669555257 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn3-300x225.jpg?v=1669555257 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn3-585x439.jpg?v=1669555257 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn4.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"481\" data-id=\"14237\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn4.jpg\" alt=\"\" class=\"wp-image-14237\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn4.jpg?v=1669555260 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn4-300x225.jpg?v=1669555260 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/11\/ipmn4-585x440.jpg?v=1669555260 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption class=\"wp-element-caption\">IPMN comunicando com ducto pancre\u00e1tico principal<\/figcaption><\/figure>\n<figcaption class=\"blocks-gallery-caption wp-element-caption\"><em>Imagens Dra. Maria Sylvia Ierardi Ribeiro<\/em><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>IMPN: Fukuoka Classification (guidelines). Siegbert Faiss. Dispon\u00edvel em: https:\/\/www.endoscopy-campus.com\/en\/classifications\/impn-fukuoka-classification-guidelines\/<\/li>\n\n\n\n<li>Tanaka M, Fernandez-del Castillo C, Kamisawa T, Jang JY, Levy P, Ohtsuka T, et al. \u2018Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas\u2019, Pancreatology 2017; 17 :738\u201353.<\/li>\n\n\n\n<li>Mukewar S, de Pretis N, Aryal-Khanal A, Ahmed A, Sah R, Enders F, Larson JJ, et al. \u2018Fukuoka criteria accurately predict risk for adverse outcomes during follow-up of pancreatic cysts presumed to be intraductal papillary mucinous neoplasms\u2019, Gut 2017 Oct; 66(10): 1811\u201317.<\/li>\n\n\n\n<li>Yamaguchi K, Kanemitsu S, Hatori T, Maguchi H, Shimizu Y, Tada M, et al.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Como citar esse artigo<\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#abb7c27d\">Martins BC. Crit\u00e9rios de Fukuoka para IPMN. Endoscopia Terap\u00eautica 2022. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=14177\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/criterios-de-fukuoka-para-ipmn<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>O consenso de Fukuoka, tamb\u00e9m conhecido como crit\u00e9rios de Fukuoka ou guideline de Fukuoka,&hellip;<\/p>\n","protected":false},"author":712,"featured_media":14235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[499,500],"ano":[309],"tipo":[154],"volume":[147],"class_list":["post-14177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-fukuoka","tag-ipmn","ano-309","tipo-ecoendoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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