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Cirugía > CARCINOMA DEL ÁMPULA DE VATER > Flashcards

CARCINOMA DEL ÁMPULA DE VATER Flashcards

1
Q

¿Qué es?

A

Cáncer mas frecuente del ID

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2
Q

¿Cuál es la estirpe más común?

A

Adenocarcinoma

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3
Q

¿Qué secuencia sigue?

A

adenoma- carcinoma similar

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4
Q

Edad más frecuente

A

60-70 años

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5
Q

Factores de riesgo

A

Poliposis Adenomatosa Familiar (PAF)

Síndrome de Peutz-Jeghers

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6
Q

Clínica

A 
Ictericia 80%
Pérdida de peso 75%
Dolor abdominal 50%
Sangrado crónico	30%
Heces plateadas por acolia + melena 
Hepatomegalia
Signo de Courvoisier
Sangre oculta en heces
Pancreatitis			Rara
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7
Q

Laboratorio

A

PFHs elevadas con patrón obstructivo

Anemia

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8
Q

Diagnostico

A 
Duodenoscopía con biopsias + CPRE
Ultrasonido Endoscópico
TAC
Ultrasonido
RMN
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9
Q

Tratamiento

A

QUIRÚRGICO
Pancreatoduodenectomía (Cirugía de Whipple)

ENDOSCÓPICO
Lesiones pequeñas (<1 cm)
Adenomas

PALIATIVO
Derivación quirúrgica
Drenaje endoscópico

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Cirugía (17 decks)

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