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Clinica Médica > Cancer Colorretal > Flashcards

Cancer Colorretal Flashcards

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1
Q

Tipo histologico ca colorretal

A

Adenocarcinoma

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2
Q

Tipos do ca colorretal

A

Esporadico
Hereditario associado a polipo
Hereditario nao associado a polipo

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3
Q

Ca colorretal esporadico fatores de risco

A

Idade
Historia familiar
Dç inflamatoria intestinal
Habitos de vida (msm q enquadram ma SCA)

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4
Q

Fator de risco adenocarcinoma hereditario associado a polipo

A

PAF e variantes

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5
Q

Fator de risco adenoca hereditario nao associado a polipo

A

Sd de lynch

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6
Q

PAF: gene, caracteristic e tto

A

Gene APC mutante
> 100 polipos
Colectomia profilatica

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7
Q

Variantes da PAF

A

Sd de gardner

Sd de turcot

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8
Q

Sd de gardner

A

PAF+ dentes extra numericos, osteoma, lipoma

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9
Q

Sd de turcot

A

PAF + tumores cerebrais (meduloblastoma)

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10
Q

Sd de lynch

A

> = 3 familiares com cancer
Cancer < 50 anos
2 geraçoes

Lynch I: Ca colorretal
II: colorretal + outros (pricipal ginecologicos)

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11
Q

Clinica adenoca colorretal

A

Direito: anemia ferropriva, massa palpavel e febre

Esq: alteraçao habito intestinal

Reto: hematoquezia, fezes em fita, tenesmo

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12
Q

Diagnostico adenoca colorretal

A

Colono (questao de Ca colorretal deve ter colono)
+
Bx

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13
Q

Seguimento adenocacolorretal

A

CEA

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14
Q

Estadiamento adenoca colorretal

A

T e M igual estomago/esofago

N:

0: sem linf
1: até 3 linf
2: > 4 linf

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15
Q

Tto adenoca colon

A

Ressecçao com margem de segurança + linfadenectomia

QT adjuvante se N+

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16
Q

Tto adenoca de reto

A 
Primeiro passoo:
QT+ RT neoadjuvante
(Exceto ate T2N0M0 reto alto)
Dividir em alto e baixo
QT adjuvante
17
Q

Tto adenoca reto alto

A

> = 6 cm

Ressecçao abdominal baixa
Anastomose colorretal

18
Q

Tto adenoca baixo

A

<= 5 cm

Ressecćao abdominoperineal ( Miles)
Colostomia definitiva

19
Q

Quando ressecar dç metastatica

A

O figado: se ate 3 lesoes unilobares

Pulmao e peritonio: se nao tem outras metastases

20
Q

Acopanhamento Ca de colon pos segmentectomia

A

Colono anual ate nao se acharem alteraçoes (polipos)

CEA a cada 3 meses por 2 anos

Clinica Médica (61 decks)

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