{"id":3870,"date":"2016-05-11T10:00:36","date_gmt":"2016-05-11T10:00:36","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/adenocarcinoma-de-duodeno-resseccao-endoscopica\/"},"modified":"2021-09-22T12:21:22","modified_gmt":"2021-09-22T12:21:22","slug":"adenocarcinoma-de-duodeno-resseccao-endoscopica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/adenocarcinoma-de-duodeno-resseccao-endoscopica\/","title":{"rendered":"Adenocarcinoma de duodeno &#8211; Ressec\u00e7\u00e3o endosc\u00f3pica"},"content":{"rendered":"<p style=\"text-align: justify;\">Paciente feminina, 65 anos, com antecedente de hipotireoidismo, foi submetida a endoscopia por dispepsia, sendo observada na segunda por\u00e7\u00e3o duodenal, distal e contralateral a papila maior, a seguinte les\u00e3o:<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenoca-de-duodeno.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-5851\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Adenoca-de-duodeno.jpg\" alt=\"Adenoca de duodeno\" width=\"300\" height=\"225\" \/><\/a> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenoca-de-duodeno-2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-medium wp-image-5848\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Adenoca-de-duodeno-2.jpg\" alt=\"Adenoca de duodeno 2\" width=\"300\" height=\"225\" \/><\/a> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenoca-de-duodeno-34.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-medium wp-image-5850\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Adenoca-de-duodeno-34.jpg\" alt=\"Adenoca de duodeno 34\" width=\"300\" height=\"225\" \/><\/a> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenoca-de-duodeno-3.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5849\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Adenoca-de-duodeno-3.jpg\" alt=\"Adenoca de duodeno 3\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<p>Bi\u00f3psias demonstraram:<\/p>\n<ul>\n<li><strong>Adenocarcinoma intramucoso.\u00a0<\/strong>Padr\u00e3o tubular, bem diferenciada.<\/li>\n<\/ul>\n<p>Em conjunto com a equipe cir\u00fargica, optado pela realiza\u00e7\u00e3o de ressec\u00e7\u00e3o endosc\u00f3pica.<\/p>\n<p>Abaixo imagens do procedimento:<\/p>\n<div id=\"attachment_5852\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00003.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5852\" class=\"size-medium wp-image-5852\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00003.jpg\" alt=\"Vis\u00e3o endosc\u00f3pica com luz branca. Uso de cap transparente para realiza\u00e7\u00e3o do procedimento.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5852\" class=\"wp-caption-text\">Vis\u00e3o endosc\u00f3pica com luz branca. Uso de cap transparente para realiza\u00e7\u00e3o do procedimento.<\/p><\/div>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00009.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5853\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00009.jpg\" alt=\"DSC00009\" width=\"300\" height=\"240\" \/><\/a><\/p>\n<div id=\"attachment_5854\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00010.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5854\" class=\"size-medium wp-image-5854\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00010.jpg\" alt=\"Cromoscopia com FICE.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5854\" class=\"wp-caption-text\">Cromoscopia com FICE.<\/p><\/div>\n<div id=\"attachment_5855\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00011.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5855\" class=\"size-medium wp-image-5855\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00011.jpg\" alt=\"Cromoscopia com indigo carmin.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5855\" class=\"wp-caption-text\">Cromoscopia com indigo carmin.<\/p><\/div>\n<div id=\"attachment_5856\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00019.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5856\" class=\"size-medium wp-image-5856\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00019.jpg\" alt=\"Cromoscopia indigo + FICE.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5856\" class=\"wp-caption-text\">Cromoscopia indigo + FICE.<\/p><\/div>\n<div id=\"attachment_5857\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00020.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5857\" class=\"size-medium wp-image-5857\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00020.jpg\" alt=\"Eleva\u00e7\u00e3o da les\u00e3o com inje\u00e7\u00e3o de solu\u00e7\u00e3o de manitol 10% na submucosa.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5857\" class=\"wp-caption-text\">Eleva\u00e7\u00e3o da les\u00e3o com inje\u00e7\u00e3o de solu\u00e7\u00e3o hipert\u00f4nica com adrenalina e indigo.<\/p><\/div>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00023.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5858\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00023.jpg\" alt=\"DSC00023\" width=\"300\" height=\"240\" \/><\/a><\/p>\n<div id=\"attachment_5859\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00025.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5859\" class=\"size-medium wp-image-5859\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00025.jpg\" alt=\"Aspecto ap\u00f3s inje\u00e7\u00e3o na submucosa.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5859\" class=\"wp-caption-text\">Aspecto ap\u00f3s inje\u00e7\u00e3o na submucosa.<\/p><\/div>\n<div id=\"attachment_5860\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00026.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5860\" class=\"size-medium wp-image-5860\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00026.jpg\" alt=\"Mucosectomia com al\u00e7a multifilamentar de 15 mm.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5860\" class=\"wp-caption-text\">Mucosectomia com al\u00e7a multifilamentar de 15 mm.<\/p><\/div>\n<div id=\"attachment_5861\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00027.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5861\" class=\"size-medium wp-image-5861\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00027.jpg\" alt=\"Apreens\u00e3o completa da les\u00e3o com a al\u00e7a.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5861\" class=\"wp-caption-text\">Apreens\u00e3o completa da les\u00e3o com a al\u00e7a.<\/p><\/div>\n<div id=\"attachment_5862\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00029.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5862\" class=\"size-medium wp-image-5862\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00029.jpg\" alt=\"Leito ap\u00f3s resse\u00e7\u00e3o endosc\u00f3pica.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5862\" class=\"wp-caption-text\">Leito ap\u00f3s resse\u00e7\u00e3o endosc\u00f3pica.<\/p><\/div>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00030.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5863\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00030.jpg\" alt=\"DSC00030\" width=\"300\" height=\"240\" \/><\/a><\/p>\n<div id=\"attachment_5864\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00032.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5864\" class=\"size-medium wp-image-5864\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00032.jpg\" alt=\"P\u00f3s ressec\u00e7\u00e3o - uso de FICE. Sem sinais de les\u00e3o residual.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5864\" class=\"wp-caption-text\">P\u00f3s ressec\u00e7\u00e3o &#8211; uso de FICE. Sem sinais de les\u00e3o residual.<\/p><\/div>\n<div id=\"attachment_5865\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00038.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5865\" class=\"size-medium wp-image-5865\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00038.jpg\" alt=\"Aplica\u00e7\u00e3o de clipe met\u00e1lico para fechamento da ferida cir\u00fargica.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5865\" class=\"wp-caption-text\">Aplica\u00e7\u00e3o de clipe met\u00e1lico para fechamento da ferida cir\u00fargica.<\/p><\/div>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00043.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5866\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00043.jpg\" alt=\"DSC00043\" width=\"300\" height=\"240\" \/><\/a><\/p>\n<div id=\"attachment_5867\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00047.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5867\" class=\"size-medium wp-image-5867\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00047.jpg\" alt=\"Fixa\u00e7\u00e3o da esp\u00e9cime cir\u00fargica - uso de indigo carmin.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5867\" class=\"wp-caption-text\">Fixa\u00e7\u00e3o da esp\u00e9cime cir\u00fargica &#8211; uso de indigo carmin.<\/p><\/div>\n<div id=\"attachment_5868\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/DSC00048.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5868\" class=\"size-medium wp-image-5868\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DSC00048.jpg\" alt=\"Indigo + FICE.\" width=\"300\" height=\"240\" \/><\/a><p id=\"caption-attachment-5868\" class=\"wp-caption-text\">Indigo + FICE.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>V\u00eddeo da ressec\u00e7\u00e3o:<\/strong><\/span><\/p>\n<div style=\"width: 854px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-3870-1\" width=\"854\" height=\"480\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenocarcinoma-duodenal.mp4?_=1\" \/><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenocarcinoma-duodenal.mp4\">https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/05\/Adenocarcinoma-duodenal.mp4<\/a><\/video><\/div>\n<p style=\"text-align: justify;\">A an\u00e1lise anatomopatol\u00f3gica evidenciou: adenocarcinoma tubular, bem diferenciado, intramucoso (com invas\u00e3o da l\u00e2mina pr\u00f3pria), margens vertical e horizontal livres, aus\u00eancia de invas\u00e3o linf\u00e1tica e vascular.<\/p>\n<p style=\"text-align: justify;\">Paciente evoluiu sem intercorr\u00eancias, recebeu alta no segundo dia, e a ressec\u00e7\u00e3o foi considerada curativa.<\/p>\n<p style=\"text-align: justify;\"><span style=\"text-decoration: underline;\"><strong>Breve revis\u00e3o:<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\">O adenocarcinoma duodenal n\u00e3o-ampular\u00a0\u00e9 uma neoplasia rara por\u00e9m agressiva, podendo ocorrer <em>de novo<\/em> ou seguindo\u00a0a sequ\u00eancia de adenoma-carcinoma, tal como observado em doentes com polipose adenomatosa familiar.\u00a0Como\u00a0o\u00a0progn\u00f3stico dos carcinomas duodenais avan\u00e7ados \u00e9 ruim, a\u00a0detec\u00e7\u00e3o e tratamento precoce s\u00e3o essenciais.<\/p>\n<p style=\"text-align: justify;\">Os principais achados endosc\u00f3picos de que uma les\u00e3o suspeita possa ser um adenocarcinoma s\u00e3o: depress\u00e3o, componente avermelhado, e\u00a0superf\u00edcie granular\u00a0heterog\u00eanea.<\/p>\n<p style=\"text-align: justify;\">Os adenocarcinomas restritos a camada mucosa constituem a principal indica\u00e7\u00e3o para ressec\u00e7\u00e3o endosc\u00f3pica, seja pela t\u00e9cnica de EMR ou ESD, sendo fundamental a ressec\u00e7\u00e3o em bloco para diminuir o risco de recidiva.\u00a0J\u00e1 as les\u00f5es que invadem superficialmente a submucosa, apesar de poderem ser removidas endoscopicamente, geralmente s\u00e3o encaminhadas para tratamento\u00a0cir\u00fargico, uma vez que apresentam\u00a0risco de met\u00e1stase linfonodal (5.4%).<\/p>\n<p style=\"text-align: justify;\">A ressec\u00e7\u00e3o endosc\u00f3pica \u00e9 uma forma de tratamento minimamente\u00a0invasiva em compara\u00e7\u00e3o com a ressec\u00e7\u00e3o cir\u00fargica. No entanto, no duodeno est\u00e1 associada a um alto risco de complica\u00e7\u00f5es, como sangramento e perfura\u00e7\u00e3o.<\/p>\n<p style=\"text-align: justify;\"><strong>Nota: Caso realizado por Nelson Miyajima e Matheus Franco.<\/strong><\/p>\n<p style=\"text-align: justify;\">Refer\u00eancias:<\/p>\n<ol>\n<li class=\"cit\" style=\"text-align: justify;\">Kakushima N, Kanemoto H, Sasaki K, et al.\u00a0<span class=\"highlight\">Endoscopic<\/span> and biopsy diagnoses of superficial, nonampullary, <span class=\"highlight\">duodenal<\/span> adenocarcinomas. World J Gastroenterol. 2015;21(18):5560-7.<\/li>\n<li class=\"cit\" style=\"text-align: justify;\">Gaspar JP, Stelow EB, Wang AY.\u00a0Approach to the <span class=\"highlight\">endoscopic<\/span> resection of <span class=\"highlight\">duodenal<\/span> lesions.\u00a0World J Gastroenterol. 2016 Jan 14;22(2):600-17.<\/li>\n<li class=\"cit\" style=\"text-align: justify;\">Kakushima N, Kanemoto H, Tanaka M, et al.\u00a0<span class=\"highlight\">Treatment<\/span> for superficial non-ampullary <span class=\"highlight\">duodenal<\/span> epithelial tumors.\u00a0World J Gastroenterol. 2014;20(35):12501-8.<\/li>\n<\/ol>\n<div class=\"cit\"><\/div>\n<p>&nbsp;<\/p>\n<div class=\"auths\"><\/div>\n<div class=\"auths\">\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente feminina, 65 anos, com antecedente de hipotireoidismo, foi submetida a endoscopia por dispepsia,&hellip;<\/p>\n","protected":false},"author":3495,"featured_media":3857,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[281],"tipo":[153],"volume":[263],"class_list":["post-3870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-281","tipo-endoscopia-digestiva-alta","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>Adenocarcinoma de duodeno - Ressec\u00e7\u00e3o endosc\u00f3pica &#8226; 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