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Clinica Médica > Cancer Estomago > Flashcards

Cancer Estomago Flashcards

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1
Q

Tipos histologicos ca estomago

A

(Lauren)
Intestinal
Difuso

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2
Q

Caracteristicas do tipo intestinal

A 
Homem
> 50 anos
Melhor prognostico
Bem diferenciado
Associado a gastrite cronica atrofica
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3
Q

Caracteristicas do tipo difuso

A 
Mulher
Jovem
Pior prognostico
Pouco diferenciado
Disseminaçao linfatica
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4
Q

Clinica do ca de estomaho

A

Dispepsia

Emagrecimento

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5
Q

Diagnostico ca de estomago

A

EDA + bx

Escovado

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6
Q

Classificaçao macroscopica do ca gastrico

A

Classificaçao de bormann
I-V
V: nao especificado

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7
Q

Bormann I

A

Polipoide

Fazer polipectomia

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8
Q

Bormann II

A

Ulcerado com bordos nitidos

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9
Q

Bormann III

A

Ulcerado com bordos nao nitidos

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10
Q

Bormann IV

A

Infiltrante

Faz linite plastica (estomago duro)

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11
Q

Ca gastrico + ascite: cd

A

Fazer videolaparoscopia

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12
Q

Estadiamento ca estomago

A

Igual esofago

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13
Q

Tumor precoce

A

Ate t1
Independente do comprometimento linfonodal

Deve fazer USG endoscopico

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14
Q

Tto ca gastrico

A

Curativo
Mucusectomia
Gastrectomia+ lindadenectomia +- QT e RT

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15
Q

Tto curativo

A

Sem metastases

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16
Q

Tto por mucusectomia

A 
Todos presentes: 
So ate mucosa
Tipo intestinal
Nao ulcerado
< 2cm
17
Q

Gastrectomia + linfadenectomia

A

Lesao distal: gastrectomia subtotal

Lesao proximal: gastrectomia proximal

18
Q

GIST: celula

A

Cajal: marcapasso da peristalse

19
Q

Local mais comum de surgimento do GIST

A

Estomago

20
Q

Tratamento do GIST irressecavel

A

Mesilato de imatinibe

21
Q

Criterios de tto adjuvante GIST

A

Feito com imatinibe

Indice mitotico > 10/50
Tamnho > 10 cm

Clinica Médica (61 decks)

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