{"id":3966,"date":"2018-06-18T09:30:43","date_gmt":"2018-06-18T09:30:43","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/metastase-gastrica-de-melanoma\/"},"modified":"2022-06-10T13:04:16","modified_gmt":"2022-06-10T13:04:16","slug":"metastase-gastrica-de-melanoma","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/metastase-gastrica-de-melanoma\/","title":{"rendered":"MET\u00c1STASE G\u00c1STRICA DE MELANOMA"},"content":{"rendered":"<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2018-06-17-aCC80s-20.12.25.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-9028\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2018-06-17-aCC80s-20.12.25.png\" alt=\"\" width=\"604\" height=\"133\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><strong>Met\u00e1stases g\u00e1stricas de melanoma<\/strong><\/em><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2018-06-17-aCC80s-20.03.09.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"aligncenter size-full wp-image-9027\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2018-06-17-aCC80s-20.03.09.png\" alt=\"\" width=\"475\" height=\"142\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><strong>Met\u00e1stase de melanoma pigmentado constitu\u00edda de c\u00e9lulas epiteli\u00f3ides pleom\u00f3rficas; colora\u00e7\u00e3o de hematoxilina e eosina, 40x.<\/strong><\/em><\/p>\n<p>O melanoma maligno \u00e9 uma das doen\u00e7as malignas mais comuns que metastatizam para o tubo digestivo. A met\u00e1stase pode ocorrer no momento do diagn\u00f3stico prim\u00e1rio ou d\u00e9cadas ap\u00f3s, como primeiro sinal de recorr\u00eancia. Os s\u00edtios mais comuns de met\u00e1stases de melanoma maligno s\u00e3o o intestino delgado (50%), c\u00f3lon (31,3%), est\u00f4mago (20%) e \u00e2nus e reto (25%)(1).<\/p>\n<p>J\u00e1 melanoma maligno prim\u00e1rio do gastrointestinal pode surgir em v\u00e1rias \u00e1reas do trato digestivo: 33% est\u00e3o localizados na nasofaringe, 5,9% no es\u00f4fago, 2,7% no est\u00f4mago, 2,3% no intestino delgado, 1,4% na ves\u00edcula biliar, 9% no c\u00f3lon, 22% no reto e 31% na regi\u00e3o anal (2, 3).<\/p>\n<p>Os pacientes com met\u00e1stases de melanoma para o TGI podem apresentar sintomas como dor abdominal, disfagia, obstru\u00e7\u00e3o do intestino delgado, diarreia, hemat\u00eamese e melena (1), mas frequentemente s\u00e3o inespec\u00edficos, e a indica\u00e7\u00e3o de realizar a endoscopia normalmente \u00e9 investiga\u00e7\u00e3o de anemia cr\u00f4nica por defici\u00eancia de ferro (2).<\/p>\n<p>Endoscopicamente, as met\u00e1stases g\u00e1stricas do melanoma podem apresentar-se como \u00falceras pigmentadas enegrecidas, pigmentos enegrecidos difusos na mucosa, m\u00faltiplos diminutos n\u00f3dulos na mucosa ou submucosa, les\u00f5es polipoides ou massas extr\u00ednsecas. Essas les\u00f5es s\u00e3o frequentemente pigmentadas, por\u00e9m podem apresentar-se de forma n\u00e3o-pigmentadas, mimetizando outras neoplasias epiteliais e linfoma MALT. Portanto, as bi\u00f3psias s\u00e3o mandat\u00f3rias em pacientes com hist\u00f3ria de melanoma submetidos \u00e0 endoscopia, mesmo em les\u00f5es n\u00e3o-pigmentadas. A c\u00e1psula endosc\u00f3pica ou enteroscopia s\u00e3o \u00fateis quando h\u00e1 suspeita de les\u00e3o no delgado. O PET-CT tem alta sensibilidade para detectar met\u00e1stases de melanoma, entretanto n\u00e3o \u00e9 capaz de detectar met\u00e1stases g\u00e1stricas (2).<\/p>\n<p>A interven\u00e7\u00e3o cir\u00fargica pode ser realizada especialmente em pacientes sintom\u00e1ticos, para al\u00edvio da dor e melhora da qualidade de vida. M\u00e9dicos oncologistas escolhem imunoterapia sist\u00eamica com o anticorpo monoclonal anti-CTLA4 ipilimumab, que tem sido provada como tratamento efetivo para melanoma metast\u00e1tico (2).<\/p>\n<p>O progn\u00f3stico \u00e9 ruim, com sobrevida m\u00e9dia de 4 a 6 meses.<\/p>\n<p><strong>Refer\u00eancia<\/strong><\/p>\n<p>1. Pommer B et al. Gastric metastases from malignat melanoma. Endoscopy 2008; 40: E30-E31<\/p>\n<p>2. Genova, Pietro; Sorce, Maria; Gabibi, Daniela; Genova, Gaspare; Gebbbia, Vittorio; Galanti, Daniela; Ancona, Chiara; Valerio, Maria Rosaria. Gastric and Retal Metastases From Malignant Melanoma Presenting With Anemia<\/p>\n<p>Hipocr\u00f4mica e Tratada com Imunoterapia. Case Report In Oncological Medicine. 2017<\/p>\n<p>3. Rai MP et al. BMJ Case Rep 2018. Doi: 10.116\/bcr-2018-224914<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Met\u00e1stases g\u00e1stricas de melanoma Met\u00e1stase de melanoma pigmentado constitu\u00edda de c\u00e9lulas epiteli\u00f3ides pleom\u00f3rficas; colora\u00e7\u00e3o&hellip;<\/p>\n","protected":false},"author":3179,"featured_media":8201,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[270],"tipo":[153],"volume":[263],"class_list":["post-3966","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-270","tipo-endoscopia-digestiva-alta","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>MET\u00c1STASE G\u00c1STRICA DE MELANOMA &#8226; Endoscopia 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