{"id":14799,"date":"2023-01-17T06:00:00","date_gmt":"2023-01-17T06:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=14799"},"modified":"2023-08-07T20:17:55","modified_gmt":"2023-08-07T20:17:55","slug":"neoplasia-periampular-sem-lesao-visivel","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/neoplasia-periampular-sem-lesao-visivel\/","title":{"rendered":"Neoplasia periampular sem les\u00e3o vis\u00edvel"},"content":{"rendered":"\n<p>Paciente do sexo feminino, 53 anos, sem comorbidades pr\u00e9vias, iniciou quadro de icter\u00edcia, febre e aumento de enzimas caniculares.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Realizou resson\u00e2ncia magn\u00e9tica (RNM) abdominal que identificou sinais de colangite com dilata\u00e7\u00e3o da VB intra e extra-hep\u00e1ticas.<\/li>\n\n\n\n<li>Submetida a CPRE em servi\u00e7o externo com evid\u00eancia de \u201cpapilite\u201d e microc\u00e1lculos no coledoco. Realizado fistulotomia, dilata\u00e7\u00e3o de papila, varredura com bal\u00e3o extrator e passagem de pr\u00f3tese pl\u00e1stica. Biopsiado a papila que resultou em amostra inconclusiva.<\/li>\n<\/ul>\n\n\n\n<p>Ap\u00f3s um m\u00eas, apresentou novamente quadro de colangite e a nova RNM de abdome apresentava as mesmas altera\u00e7\u00f5es, agora com a presen\u00e7a de pr\u00f3tese biliar.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Realizada ecoendoscopia que mostrou dilata\u00e7\u00e3o do col\u00e9doco (16 mm) e ducto principal pancre\u00e1tico (4,5 mm), com interrup\u00e7\u00e3o dos mesmos na topografia da papila duodenal, sem n\u00edtida les\u00e3o percept\u00edvel na ecoendoscopia. Efetuada pun\u00e7\u00e3o ecoguiada com agulha fina.&nbsp;<\/li>\n\n\n\n<li>Em nova CPRE, realizada dilata\u00e7\u00e3o, bi\u00f3psias de papila e passagem de nova pr\u00f3tese pl\u00e1stica.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-background\" style=\"background-color:#abb7c282\">Resultado de anatomopatol\u00f3gico da pun\u00e7\u00e3o ecoguiada e das bi\u00f3psias por CPRE: adenocarcinoma moderadamente diferenciado de papila duodenal, superficialmente invasivo e ulcerado.<\/p>\n\n\n\n<p>Paciente foi submetida a gastroduodenopancreatectomia com linfadenectomia regional. Estadiamento revelou comprometimento linf\u00e1tico, vascular e neural pT3b pN2. O tratamento adjuvante com quimioterapia foi indicado.<\/p>\n\n\n\n<p>V\u00eddeo<\/p>\n\n\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-7250db8c-b691-4c4b-870a-ceb9f6fd8af5\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=7250db8c-b691-4c4b-870a-ceb9f6fd8af5\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Coment\u00e1rios:<\/strong><\/h2>\n\n\n\n<p>Esse caso ilustra bem a import\u00e2ncia de insistir na elucida\u00e7\u00e3o diagn\u00f3stica dos tumores periampulares. Apesar da imagem endosc\u00f3pica e da RNM n\u00e3o demonstrarem les\u00e3o n\u00edtida na papila duonenal maior, a suspeita se manteve devido a grande dilata\u00e7\u00e3o do col\u00e9doco (16mm) associado a icter\u00edcia, sem uma causa muito convincente (apenas microc\u00e1lculos na CPRE anterior). Isso motivou a realiza\u00e7\u00e3o da Ecoendoscopia concomitante para melhor investigar a regi\u00e3o, a qual demonstrou dilata\u00e7\u00e3o do duto pancre\u00e1tico principal que n\u00e3o havia sido evidenciado na RNM, o que aumentou ainda mais a suspeita de uma les\u00e3o periampular. <strong>Nesses casos, a pun\u00e7\u00e3o guiada por ecoendoscopia justamente no local onde ocorre a interrup\u00e7\u00e3o dos dutos aumenta a sensibilidade diagn\u00f3stica<\/strong>.<\/p>\n\n\n\n<p>O adenocarcinoma de papila duodenal faz parte do grupo de tumores periampulares que surgem nas proximidades da ampola de Vater. A incid\u00eancia \u00e9 maior na popula\u00e7\u00e3o com s\u00edndromes de Polipose Heredit\u00e1ria. O quadro cl\u00ednico mais comum \u00e9 de s\u00edndrome colest\u00e1tica obstrutiva associado a dor abdominal, emagrecimento e anemia. Laboratorialmente evidencia-se aumento de bilirrubinas diretas e enzimas caniculares. A avalia\u00e7\u00e3o diagn\u00f3stica das vias biliares se inicia com USG de abdome, com pouca sensibilidade para visualizar o tumor. A CPRE \u00e9 indicada para o diagn\u00f3stico, permitindo a identifica\u00e7\u00e3o do tumor, bi\u00f3psia e descompress\u00e3o biliar. A ecoendoscopia apresenta import\u00e2ncia para detec\u00e7\u00e3o e pun\u00e7\u00e3o de tumores pequenos como tamb\u00e9m no estadiamento. O tratamento padr\u00e3o envolve a gastroduodenopancreatectomia e frequentemente associada \u00e0 quimioterapia adjuvante e radioterapia.<\/p>\n\n\n\n<p>Por ser um diagn\u00f3stico raro e de maior complexidade, \u00e9 fundamental ressalt\u00e1-lo precocemente diante de um quadro de colestase obstrutiva, com melhora do progn\u00f3stico quando detectado inicialmente.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/neoplasia-periampular-com-metastase-hepatica-isolada-o-que-voce-faria\/\">Para saber mais sobre este tema, acesse o site Gastropedia clicando aqui!<\/a><\/p>\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:#abb7c285\">Cardoso ACFL, Martins BC. Neoplasia periampular sem les\u00e3o vis\u00edvel. Endoscopia Terap\u00eautica 2023, vol 1. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=14799\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/neoplasia-periampular-sem-lesao-visivel\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente do sexo feminino, 53 anos, sem comorbidades pr\u00e9vias, iniciou quadro de icter\u00edcia, febre&hellip;<\/p>\n","protected":false},"author":5614,"featured_media":15001,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[555],"tipo":[155,154],"volume":[263],"class_list":["post-14799","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-555","tipo-cpre","tipo-ecoendoscopia","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>Neoplasia periampular sem les\u00e3o vis\u00edvel &#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\/neoplasia-periampular-sem-lesao-visivel\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neoplasia periampular sem les\u00e3o vis\u00edvel\" \/>\n<meta property=\"og:description\" content=\"Paciente do sexo feminino, 53 anos, sem comorbidades pr\u00e9vias, iniciou quadro de icter\u00edcia, febre e aumento de enzimas caniculares. 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