Cancer de Esofago Flashcards

1
Q

Tipos histologicos ca de esofago

A

Escamoso

Adenocarcinoma

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2
Q

Carcinoma escamoso de esofago: caracteristicas

A

Esofago medio superior

Tipo mais comum no BR

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3
Q

Fatores de risco para o carcinoma escamoso de esofago

A
Fumo
Alcool
Tilose (dç genetica q causa hipercerayose palmar e plantar)
Acalasia
Idoso
Negro
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4
Q

Caracteristicas do adenocarcinoma de esofago

A

Esofago distal

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5
Q

Fatores de rusco para o adenocarcinoma de esofago

A

Esofago de barret

Acalasia

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6
Q

Clinica do CA de esofago

A
Disfagia progressiva (principal)
Se inicia apos oclusao de 60% da luz do esofago

Emagrecimento

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7
Q

Diagnostico do Ca de esofago

A

EDA com BX

Escovados

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8
Q

Estadiamento T do Ca de esofago

A
Tis: mucosa
T1: submucosa
T2: muscular
T3: adventicia
T4: sai do orgao
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9
Q

Oq é tumor precoce

A

Ate submucosa

Tis e t1

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10
Q

Estadiamento ca de esofago: N

A

N0: sem mtx linfonodal
N1: 1-2
N2: 3-6
N3: >= 7

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11
Q

Tto tis

A

Mucosectomia endoscopica

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12
Q

Tto t1

A

Esofagectomia + linfadenectomia

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13
Q

Tto t2

A

E mais o resto

QT+ RT neoadjuvante + esofagectomia + linfadenectomia

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14
Q

Tto paliativo Ca de esofago

A

Aorta
Corpo vertebral
Traqueia
T4b ou m1

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15
Q

Pq o Ca de esofago e tao agressivo?

A

Ausencia de serosa do orgao

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16
Q

V ou F: extensao craniocaudal é essencial nos criterios de irressecabilidade

A

Verdade

Margens livres

17
Q

Melhor ecame pra estadiamento T do Ca de esofago

A

USG endoscopico

18
Q

Melhor exame pra estadiamento N do Ca de esofago

A

USG endoscopico

19
Q

Melhor exame para o estadiamento M do Ca de esofago

A

TC

20
Q

Tto paliativo de ca ao nivel do piloro

A

Minimo possivel de intervençao

Gastrojejunostomia (ponte)