{"id":21336,"date":"2026-05-12T07:00:00","date_gmt":"2026-05-12T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=21336"},"modified":"2026-05-12T03:00:56","modified_gmt":"2026-05-12T03:00:56","slug":"colecao-necrotica-peripancreatica-caso-clinico","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/colecao-necrotica-peripancreatica-caso-clinico\/","title":{"rendered":"Quiz! Cole\u00e7\u00e3o necr\u00f3tica peripancre\u00e1tica"},"content":{"rendered":"\n

Colabora\u00e7\u00e3o na realiza\u00e7\u00e3o do caso:<\/strong> Tiago Vilela, Fabio Mancini, Christiano Sakai, Fernanda Prado Logiudice<\/p>\n\n\n\n


Paciente feminina, 69 anos, realizou ecoendoscopia para avalia\u00e7\u00e3o de les\u00e3o pancre\u00e1tica com diagn\u00f3stico de uma les\u00e3o s\u00f3lida hipoecoica em transi\u00e7\u00e3o de corpo para colo pancre\u00e1tico medindo at\u00e9 17 mm.<\/p>\n\n\n

\n
\"\"<\/a><\/figure>\n<\/div>\n\n\n

Laudo anatomopatol\u00f3gico:<\/strong><\/p>\n\n\n\n

CAM5.2: positivo<\/p>\n\n\n\n

Cromogranina: positivo<\/p>\n\n\n\n

Sinaptofisina: positivo<\/p>\n\n\n\n

INSM1: positivo<\/p>\n\n\n\n

Beta-catenina: negativo nas c\u00e9lulas neopl\u00e1sicas para padr\u00e3o aberrante nuclear<\/p>\n\n\n\n

E-caderina: mantido nas c\u00e9lulas neopl\u00e1sicas<\/p>\n\n\n\n

Ki67: positivo em 1,3% das c\u00e9lulas neoplasicas<\/p>\n\n\n\n

Conclus\u00e3o:<\/strong><\/p>\n\n\n\n

\u2022 Tumor neuroend\u00f3crino bem diferenciado pancre\u00e1tico<\/p>\n\n\n\n

Foi submetida \u00e0 pancreatectomia.<\/p>\n\n\n\n

Duas semanas ap\u00f3s a alta, evolui com dor abdominal e febre.<\/p>\n\n\n\n

A tomografia de abdome evidenciou cole\u00e7\u00e3o com m\u00faltiplos focos gasosos em seu interior e \u00e1rea de prov\u00e1vel esteatonecrose, ocupando as lojas pancre\u00e1tica e espl\u00eanica, em \u00edntima rela\u00e7\u00e3o com o remanescente pancre\u00e1tico, medindo at\u00e9 17 cm e com volume estimado em 658 mL.<\/p>\n\n\n

\n
\"Cole\u00e7\u00e3o<\/a><\/figure>\n<\/div>\n\n\n


<\/p>\n\n\n\n

Quer saber mais sobre o tratamento e manejo das cole\u00e7\u00f5es pancre\u00e1ticas? Confira a recente metan\u00e1lise publicada na Endoscopy<\/a><\/em> e nosso conte\u00fado<\/a> completo sobre o tema!<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Colabora\u00e7\u00e3o na realiza\u00e7\u00e3o do caso: Tiago Vilela, Fabio Mancini, Christiano Sakai, Fernanda Prado Logiudice…<\/p>\n","protected":false},"author":5752,"featured_media":21337,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[143],"tags":[356,409,870,757],"ano":[847],"tipo":[154,793],"volume":[263],"class_list":["post-21336","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-quiz","tag-ecoendoscopia","tag-eus","tag-lams","tag-won","ano-847","tipo-ecoendoscopia","tipo-quiz","volume-volume-i"],"yoast_head":"\nCole\u00e7\u00e3o Necr\u00f3tica Peripancre\u00e1tica: Diagn\u00f3stico e Manejo<\/title>\n<meta name=\"description\" content=\"Paciente com tumor neuroend\u00f3crino evolui com cole\u00e7\u00e3o necr\u00f3tica peripancre\u00e1tica ap\u00f3s pancreatectomia. 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