{"id":4467,"date":"2017-06-19T08:30:56","date_gmt":"2017-06-19T08:30:56","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/classificacao-das-neoplasias-colorretais-precoces-segundo-workshop-de-paris\/"},"modified":"2023-07-25T00:35:07","modified_gmt":"2023-07-25T00:35:07","slug":"classificacao-das-neoplasias-colorretais-precoces-segundo-workshop-de-paris","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/classificacao-das-neoplasias-colorretais-precoces-segundo-workshop-de-paris\/","title":{"rendered":"Classifica\u00e7\u00e3o das neoplasias colorretais precoces segundo Workshop de Paris"},"content":{"rendered":"\n<p>Em 2002, um grupo internacional de endoscopistas, cirurgi\u00f5es e patologistas se reuniram em Paris para discutir a utilidade e a relev\u00e2ncia cl\u00ednica da classifica\u00e7\u00e3o endosc\u00f3pica Japonesa de neoplasias superficiais do trato GI.<\/p>\n\n\n\n<p>Desde ent\u00e3o, a classifica\u00e7\u00e3o de Paris tem sido adotada mundialmente como a classifica\u00e7\u00e3o padr\u00e3o-ouro para a descri\u00e7\u00e3o macrosc\u00f3pica das les\u00f5es do TGI.<\/p>\n\n\n\n<p>Neste post, vamos resumir brevemente como aplicar a classifica\u00e7\u00e3o de Paris para as les\u00f5es colorretais precoces.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Modelos do crescimento do tumor durante o desenvolvimento da neoplasia colorretal:<\/strong><\/h2>\n\n\n\n<p><strong>A progress\u00e3o ocorre em 4 modelos distintos:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>como uma les\u00e3o de proje\u00e7\u00e3o polipoide, sentido ascendente<\/li>\n\n\n\n<li>como uma les\u00e3o n\u00e3o polipoide, crescendo para para baixo na profundidade da parede<\/li>\n\n\n\n<li>como uma les\u00e3o n\u00e3o polipoide que permanece plana ou plano-elevada<\/li>\n\n\n\n<li>como uma LST (lateral spreading tumor)<\/li>\n<\/ol>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/figura1.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"192\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/figura1-300x192.png\" alt=\"\" class=\"wp-image-8464\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/figura1-300x192.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/figura1-585x374.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/figura1.png 680w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p>No es\u00f4fago, est\u00f4mago e no c\u00f3lon, o termo <strong>superficial<\/strong> foi adotado para descrever as les\u00f5es cuja apar\u00eancia endosc\u00f3pica sugiram uma les\u00e3o neopl\u00e1sica n\u00e3o invasiva (displasia\/adenoma) ou uma neoplasia invasiva confinada a mucosa\/submucosa (T1).<\/p>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Importante n\u00e3o confundir os termos <strong>neoplasia invasiva<\/strong>, com <strong>neoplasia avan\u00e7ada:<\/strong><\/p>\n\n\n\n<ul class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background wp-block-list\">\n<li>As neoplasias avan\u00e7adas s\u00e3o aquelas que invadem a camada muscular pr\u00f3pria (T2).<\/li>\n\n\n\n<li>As les\u00f5es invasivas s\u00e3o aquelas que as c\u00e9lulas mit\u00f3ticas extrapolam a regi\u00e3o do epit\u00e9lio glandular e come\u00e7am a invadir a l\u00e2mina pr\u00f3pria (T1a), muscular da mucosa e a submucosa (T1b).<\/li>\n<\/ul>\n\n\n\n<p>Isso quer dizer que uma les\u00e3o pode ser invasiva e mesmo assim ser precoce (T1).<\/p>\n\n\n\n<p>O termo \u201ctipo 0\u201d foi adotado para diferenciar as les\u00f5es superficiais das les\u00f5es avan\u00e7adas descritas por Bormann (tipo 1-4).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CLASSIFICA\u00c7\u00c3O DE PARIS<\/strong><\/h2>\n\n\n\n<p>O tipo 0 da classifica\u00e7\u00e3o de Paris pode ser subdividido em POLIPOIDES&nbsp;vs N\u00c3O POLIPOIDES (vide figura)<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/paris-tipo-superficial.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/paris-tipo-superficial.png\" alt=\"\" class=\"wp-image-7855\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>Especialmente no c\u00f3lon, a subdivis\u00e3o das les\u00f5es n\u00e3o polipoides entre les\u00f5es planas (0-IIa e 0-IIb) vs les\u00f5es deprimidas (0-IIc) tem um significado cl\u00ednico extremamente importante, com implica\u00e7\u00e3o na conduta, visto que as les\u00f5es deprimidas carregam um risco muito maior de invas\u00e3o da submucosa do que as les\u00f5es planas (vide abaixo).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>TIPO Is<\/strong><\/h3>\n\n\n\n<p>Nas les\u00f5es tipo I, a altura da les\u00e3o \u00e9 maior do que a altura da pin\u00e7a de bi\u00f3psia fechada (2.5mm). As les\u00f5es podem ser s\u00e9sseis Is (como na figura apresentada) ou pediculadas (Ip). O consenso de Paris n\u00e3o pro\u00edbe, mas desencoraja o termo subpediculado (Isp), visto que essas les\u00f5es s\u00e3o normalmente tratadas como les\u00f5es s\u00e9sseis. <em>m, mucosa; mm, muscularis mucosae; sm, submucosa<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/paris-tipo-I.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/paris-tipo-I.png\" alt=\"\" class=\"wp-image-7853\"\/><\/a><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>TIPO II<\/strong><\/h3>\n\n\n\n<p>Nas les\u00f5es tipo II, a altura da les\u00e3o \u00e9 menor do que a altura da pin\u00e7a de bi\u00f3psia fechada (2.5mm). Podem ser subdivididas em elevadas (IIa), completamente planas (IIb) e deprimidas (IIc). As les\u00f5es IIa e IIb s\u00e3o relativamente est\u00e1veis, com evolu\u00e7\u00e3o lenta mas podem progredir para les\u00f5es polipoides ou para LST. As les\u00f5es deprimidas tem comportamento distinto (veja a seguir). <em>m, mucosa; mm, muscularis mucosae; sm, submucosa<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/paris-tipo-II-1.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/paris-tipo-II-1.png\" alt=\"\" class=\"wp-image-7857\"\/><\/a><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>TIPO III<\/strong><\/h3>\n\n\n\n<p>As les\u00f5es escavadas (ulceradas) s\u00e3o praticamente inexistentes no c\u00f3lon.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>LES\u00d5ES DEPRIMIDAS E TIPOS MISTOS<\/strong><\/h3>\n\n\n\n<p class=\"has-text-align-center has-pale-ocean-gradient-background has-background\"><em>\u201cNo c\u00f3lon, les\u00f5es tipo IIc, mesmo que de pequeno di\u00e2metro, est\u00e3o geralmente em um est\u00e1gio mais avan\u00e7ado de neoplasia, com invas\u00f5es mais profundas do que todos os outros tipos\u201d &nbsp;<\/em><\/p>\n\n\n\n<p>Esta frase est\u00e1 entre aspas pois foi traduzida exatamente como no texto do consenso de Paris, e \u00e9 autoexplicativa.<\/p>\n\n\n\n<p>Conforme o crescimento em profundidades das les\u00f5es deprimidas, sua superf\u00edcie come\u00e7a a se elevar, bem como suas bordas, evoluindo para os tipos mistos (IIc + IIa e ent\u00e3o IIa + IIc). Segue mais um trecho do consenso de Paris:<\/p>\n\n\n\n<p class=\"has-text-align-center has-pale-ocean-gradient-background has-background\"><em>\u201cAs a rule, type IIa + IIc&nbsp; lesions have a poorer prognosis, with a risk of large invasion in the submucosa than all other types of lesions\u201d<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/progressao-lesao-iic.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/progressao-lesao-iic.png\" alt=\"\" class=\"wp-image-7858\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>Esse conceito \u00e9 muito importante compreender, pois \u00e9 muito comum o emprego&nbsp;da classifica\u00e7\u00e3o IIa + IIc em les\u00f5es relativamente mais \u201cinocentes\u201d do tipo IIa.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/IIa.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IIa.png\" alt=\"\" class=\"wp-image-7860\"\/><\/a><figcaption class=\"wp-element-caption\">P\u00f3lipo tipo IIa<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Muitos argumentam: \u201cmas existe uma pequena depress\u00e3o no centro da les\u00e3o\u201d. Existe mesmo. Mas infelizmente a classifica\u00e7\u00e3o n\u00e3o \u00e9 perfeita. Alguns endoscopistas orientais utilizam o termo IIa + dep (abrev de deprimido). Nesse caso, a les\u00e3o deveria ser classificada como IIa. Da\u00ed a import\u00e2ncia do olho treinado do endoscopista. Veja abaixo o exemplo de uma les\u00e3o tipo IIa+IIc:<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/iia_iic.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/iia_iic.jpg\" alt=\"\" class=\"wp-image-7884\"\/><\/a><figcaption class=\"wp-element-caption\">Les\u00e3o tipo IIa + IIc &#8211; cortesia Dr. Fabio Kawaguti<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Em resumo, a mensagem mais importante desta classifica\u00e7\u00e3o \u00e9 saber diferenciar entre les\u00f5es polipoides x les\u00f5es n\u00e3o polipoides x les\u00f5es deprimidas, pois isso tem grande implica\u00e7\u00e3o cl\u00ednica como descrito no t\u00f3pico a seguir.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/06\/calssificacao-paris.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/calssificacao-paris.png\" alt=\"\" class=\"wp-image-7876\"\/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Import\u00e2ncia da Classifica\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>Apesar de muitos endoscopistas criticarem as classifica\u00e7\u00f5es Japonesa e de Paris, alegando que n\u00e3o passa de um exerc\u00edcio de bot\u00e2nica, existe uma correla\u00e7\u00e3o importante entre a forma da les\u00e3o e o risco de abrigar les\u00f5es mais avan\u00e7adas, com invas\u00e3o de submucosa.<\/p>\n\n\n\n<p>A tabela abaixo resume a experi\u00eancia de dois servi\u00e7os de refer\u00eancia no Jap\u00e3o, demonstrando um risco muito elevado de invas\u00e3o da submucosa em les\u00f5es tipo IIc t\u00e3o pequena quanto 6-10 mm (44%!!!)<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/risco-invasao-submucosa.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/risco-invasao-submucosa.png\" alt=\"\" class=\"wp-image-7859\"\/><\/a><figcaption class=\"wp-element-caption\">correla\u00e7\u00e3o entre tipo macrosc\u00f3pico vs tamanho e o risco de invas\u00e3o da submucosa.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias:<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>O consenso de Paris pode ser acessado pelo site da WEO:&nbsp;<a href=\"http:\/\/www.worldendo.org\/wp-content\/uploads\/2016\/03\/ParisClassification2000.pdf\">http:\/\/www.worldendo.org\/wp-content\/uploads\/2016\/03\/ParisClassification2000.pdf<\/a><\/li>\n\n\n\n<li>Nonpolypoid neoplastic lesions of the colorectal mucosa. Kudo SE, et al.&nbsp;Gastrointest Endosc. 2008 Oct;68(4 Suppl):S3-47.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar esse artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Martins BC. Classifica\u00e7\u00e3o das neoplasias colorretais precoces segundo Workshop de Paris. Em Endoscopia Terap\u00eautica, 2017, vol I. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao-das-neoplasias-colorretais-precoces-segundo-workshop-de-paris\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/classificacao-das-neoplasias-colorretais-precoces-segundo-workshop-de-paris<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Em 2002, um grupo internacional de endoscopistas, cirurgi\u00f5es e patologistas se reuniram em Paris&hellip;<\/p>\n","protected":false},"author":712,"featured_media":8466,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[276],"tipo":[156],"volume":[263],"class_list":["post-4467","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-276","tipo-colonoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized 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