{"id":20885,"date":"2025-12-09T07:00:00","date_gmt":"2025-12-09T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20885"},"modified":"2025-12-12T12:10:04","modified_gmt":"2025-12-12T12:10:04","slug":"ecoendoscopia-na-avaliacao-das-neoplasias-da-vesicula-biliar","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/ecoendoscopia-na-avaliacao-das-neoplasias-da-vesicula-biliar\/","title":{"rendered":"Ecoendoscopia na avalia\u00e7\u00e3o das neoplasias da ves\u00edcula biliar"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A&nbsp;neoplasia da ves\u00edcula biliar&nbsp;\u00e9 geralmente diagnosticada tardiamente devido \u00e0 aus\u00eancia de sintomas espec\u00edficos. A&nbsp;ecoendoscopia tem papel central na&nbsp;caracteriza\u00e7\u00e3o morfol\u00f3gica,&nbsp;avalia\u00e7\u00e3o da invas\u00e3o parietal e hep\u00e1tica,&nbsp;pesquisa de linfonodos regionais&nbsp;e&nbsp;possibilidade de diagn\u00f3stico anatomopatol\u00f3gico por pun\u00e7\u00e3o ecoguiada.<br>A proximidade anat\u00f4mica, traz vantagem \u00e0 ecoendoscopia em rela\u00e7\u00e3o a ultrassonografia transabdominal e a tomografia na avalia\u00e7\u00e3o local detalhada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Formas de Apresenta\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>As neoplasias vesiculares podem se manifestar sob&nbsp;duas principais formas morfol\u00f3gicas:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Forma Polipoide<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Les\u00e3o focal&nbsp;intraluminal, geralmente&nbsp;s\u00f3lida, s\u00e9ssil ou com base ampla.<\/li>\n\n\n\n<li>Pode surgir sobre p\u00f3lipo adenomatoso ou displ\u00e1sico (adenocarcinoma in situ).<\/li>\n\n\n\n<li>No&nbsp;EUS, os&nbsp;padr\u00f5es suspeitos de malignidade&nbsp;incluem:\n<ul class=\"wp-block-list\">\n<li>Tamanho &gt;10 mm.<\/li>\n\n\n\n<li>Margens irregulares&nbsp;e heterogeneidade interna.<\/li>\n\n\n\n<li>Aumento da vasculariza\u00e7\u00e3o ao Doppler.<\/li>\n\n\n\n<li>Perda do&nbsp;padr\u00e3o de camadas da parede adjacente.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Obs: P\u00f3lipos &lt;6 mm, m\u00faltiplos e hiperecog\u00eanicos costumam representar\u00a0p\u00f3lipos de comportamento benigno<\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Forma Infiltrativa (Espessamento da Parede)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O tumor se apresenta como&nbsp;espessamento focal assim\u00e9trico, irregular e heterog\u00eaneo&nbsp;da parede da ves\u00edcula.<\/li>\n\n\n\n<li>Pode ser diagn\u00f3stico diferencial com patologias benignas como&nbsp;colecistite xantogranulomatosa&nbsp;ou&nbsp;adenomiomatose, mas o EUS ajuda pela visualiza\u00e7\u00e3o das&nbsp;camadas da parede:\n<ul class=\"wp-block-list\">\n<li>Preserva\u00e7\u00e3o das camadas&nbsp;\u2192 processo inflamat\u00f3rio benigno.<\/li>\n\n\n\n<li>Desorganiza\u00e7\u00e3o ou perda das camadas&nbsp;\u2192 invas\u00e3o neopl\u00e1sica.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>A&nbsp;invas\u00e3o hep\u00e1tica&nbsp;\u00e9 sugerida por&nbsp;apagamento da interface hiperecog\u00eanica&nbsp;entre a ves\u00edcula e o f\u00edgado.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20886\"><img fetchpriority=\"high\" decoding=\"async\" width=\"690\" height=\"517\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/11\/figura-1.png\" alt=\"\" class=\"wp-image-20886\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/11\/figura-1.png 690w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/11\/figura-1-300x225.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/11\/figura-1-585x438.png 585w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/><\/a><figcaption class=\"wp-element-caption\"><br>Figura 1 &#8211; Neoplasia de ves\u00edcula em vis\u00e3o ecoendosc\u00f3pica. Imagem adaptada de <em>Takahashi et. al.<\/em> <em>Diagnostics (Basel), 2024<\/em>.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Estadiamento 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>Correla\u00e7\u00e3o Estadio<\/strong><\/td><td><strong>Acur\u00e1cia<\/strong><\/td><\/tr><tr><td><strong>Tipo A<\/strong><\/td><td>Pediculado; camada adjacente preservada<\/td><td>Tis<\/td><td><br>100%<\/td><\/tr><tr><td><strong>Tipo B<\/strong><\/td><td>S\u00e9ssil \/ base larga; hiperecoica externa preservada<\/td><td><br>T1<\/td><td><br>76%<\/td><\/tr><tr><td><strong>Tipo C<\/strong><\/td><td>S\u00e9ssil; hiperecoica estreitada<\/td><td><br>T2<\/td><td><br>85%<\/td><\/tr><tr><td><strong>Tipo D<\/strong><\/td><td>S\u00e9ssil; hiperecoica desorganizada<\/td><td><br>T3-4<\/td><td><br>93%<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>Sadamoto e colaboradores propuseram uma classifica\u00e7\u00e3o que correlaciona os achados na ecoendoscopia com o estadio oncol\u00f3gico, apresentando boa acur\u00e1cia nas les\u00f5es precoces e avan\u00e7adas, representadas pelos tipos A e D.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Pun\u00e7\u00e3o Ecoguiada<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Permite diagn\u00f3stico diferencial entre neoplasia de ves\u00edcula e patologias benignas<\/li>\n\n\n\n<li>Direcionamento de terapia guiada por marcadores gen\u00f4micos<\/li>\n\n\n\n<li>Avalia\u00e7\u00e3o de linfonodos acometidos \/ metastases hep\u00e1ticas\n<ul class=\"wp-block-list\">\n<li>Puncionar primeiramente estas les\u00f5es e na sequ\u00eancia o tumor prim\u00e1rio<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Contraindica\u00e7\u00f5es relativas: tumores claramente ressec\u00e1veis, devido ao risco (ainda que baixo) de dissemina\u00e7\u00e3o peritoneal.<\/li>\n\n\n\n<li>Evitar transfixar a luz da ves\u00edcula pelo risco de colecistite<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Contraste Harm\u00f4nico<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Carcinomas: realce&nbsp;heterog\u00eaneo e irregular, com&nbsp;washout precoce.<\/li>\n\n\n\n<li>P\u00f3lipos benignos: realce&nbsp;homog\u00eaneo e sustentado.<\/li>\n\n\n\n<li>Aumenta a acur\u00e1cia na distin\u00e7\u00e3o entre&nbsp;adenoma&nbsp;e&nbsp;carcinoma precoce, e na defini\u00e7\u00e3o dos&nbsp;limites tumorais&nbsp;para planejamento cir\u00fargico.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Intelig\u00eancia artificial<\/strong><\/h2>\n\n\n\n<p>O uso de&nbsp;intelig\u00eancia artificial e deep learning&nbsp;aplicados \u00e0s imagens de EUS tem mostrado desempenho promissor para:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diferenciar p\u00f3lipos benignos e malignos<\/li>\n\n\n\n<li>Detectar invas\u00e3o da parede,<\/li>\n\n\n\n<li>Estimar o estadiamento T com acur\u00e1cia superior a 90% em estudos recentes<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background\">A&nbsp;ecoendoscopia&nbsp;representa ferramenta precisa para avalia\u00e7\u00e3o detalhada das&nbsp;neoplasias de ves\u00edcula biliar, permitindo a&nbsp;caracteriza\u00e7\u00e3o morfol\u00f3gica, vascular, estadiamento loco-regional e amostragem tecidual guiada, desempenhando papel essencial na defini\u00e7\u00e3o da conduta.<\/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.<\/em> <em>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> <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>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Logiudice FP. Ecoendoscopia na avalia\u00e7\u00e3o das neoplasias da ves\u00edcula biliar Endoscopia Terapeutica 2025, Vol II. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20885\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/ecoendoscopia-na-avaliacao-das-neoplasias-da-vesicula-biliar\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A&nbsp;neoplasia da ves\u00edcula biliar&nbsp;\u00e9 geralmente diagnosticada tardiamente devido \u00e0 aus\u00eancia de sintomas espec\u00edficos.&hellip;<\/p>\n","protected":false},"author":5752,"featured_media":20886,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[409,844,843],"ano":[783],"tipo":[154],"volume":[147],"class_list":["post-20885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-eus","tag-neoplasia","tag-vesicula-biliar","ano-783","tipo-ecoendoscopia","volume-volume-ii"],"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>Ecoendoscopia na avalia\u00e7\u00e3o das neoplasias da ves\u00edcula biliar &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"Ecoendoscopia na avalia\u00e7\u00e3o das neoplasias da ves\u00edcula biliar\" \/>\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\/assuntosgerais\/ecoendoscopia-na-avaliacao-das-neoplasias-da-vesicula-biliar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ecoendoscopia na avalia\u00e7\u00e3o das neoplasias da ves\u00edcula biliar\" \/>\n<meta property=\"og:description\" content=\"Introdu\u00e7\u00e3o A&nbsp;neoplasia da ves\u00edcula biliar&nbsp;\u00e9 geralmente diagnosticada tardiamente devido \u00e0 aus\u00eancia de sintomas espec\u00edficos. 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