Tumores Hepaticos Flashcards

1
Q

Divisao dos tumores hepaticos

A

Malignos: metastase e o hepatocarcinoma

Benignos: adenoma
Hemangioma
Hiperplasia nodular focal

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2
Q

Orgaos q mais mandam metastases para o figado

A

Colon
Pancreas
Mama

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3
Q

Caracteristicas da metastase

A

Multiplos nodulos de tamanho semelhante

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4
Q

Tto metastase hepatica

A

Paliativo

Ressecar se for primario do colon com ate 3 lesoes unilobares

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5
Q

Fator de risco hepatocarcinoma

A

Cirrose

Hep B

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6
Q

Clinica hepatocarcinoma

A

Dor abdominal

Hepatomega

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7
Q

Diagnostico do hepatocarcinoma

A

Alfa feto proteina

Des-gama-carboxi protrombina (DCP)

TC trifasica ou RM

Duvida: BX

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8
Q

Fases da TC trifasica

A

Sem contraste

Arterial (aorta brilha)

Portal (porta cheia)

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9
Q

Tto do hepatocarcinoma

A

Lesao unica < 5 cm + child A
Ressecçao

Lesao unica < 5 cm ou ate 3 lesoes < 3 cm (child b e c)
Transplante

Lesao > 5 cm e multifocal
Se funçao hepatica ok: embolizaçao

Metastase: paliativo

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10
Q

Hemangioma: caracteristica, TC e tto

A

Lesao mais frequente
Tem risco de ruptura

TC dinamica: captaçao arterial periferica

Tto: expectante (tira se cresceu ou sintoma)

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11
Q

Hiperplasia nodular focal: caracteristica, TC e tto

A

2 mais frequente

TC: captaçao arterial em roda de carruagem

Tto: expectante

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12
Q

Adenoma: caracteristicas, TC e tto

A

Associaçao com ACO

TC: captaçao arterial heterogenea (borrão)

Tto: suspende ACO
Avaliar ressecçao : risco de ruptura e malignizaçao

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13
Q

CHC: caracteristicas na TC trifasica

A

Wash out rapido (mt vascularizado)

+ alfafeto> 200 = CHC

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