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O PAPEL ECOENDOSCOPIA NO DIAGNOSTICO DOS TUMORES NEUROENDOCRINOS PANCREATICOS

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A ecoendoscopia é excelente método para a identificação dos TUNE funcionantes ou não. Essa técnica deve ser utilizada antes da adoção do tratamento cirúrgico.
ardengh9.jpg Autor:
José celso Ardengh
Columnista Experto de SIIC

Institución:
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Artículos publicados por José celso Ardengh
Recepción del artículo
23 de Agosto, 2006 		Aprobación
11 de Septiembre, 2006
Primera edición
8 de Enero, 2007 		Segunda edición, ampliada y corregida
7 de Junio, 2021

O PAPEL ECOENDOSCOPIA NO DIAGNOSTICO DOS TUMORES NEUROENDOCRINOS PANCREATICOS

Resumen
Os tumores neuroendócrinos do pâncreas (TUNE) são raros. A literatura relata vasta maioria de tumores funcionantes (70%-85%), geralmente pequenos (< 2 cm) e sintomáticos devido à produção hormonal elevada. Os não secretores (nTUNE) geralmente apresentam sintomas decorrentes do seu tamanho e se assemelham ao adenocarcinoma do pâncreas. A localização pré-operatória desses tumores falha na maioria das vezes devido ao pequeno tamanho. A ressecção cirúrgica é o tratamento de escolha. Assim sendo, sua identificação pré-operatória é de fundamental importância. O objetivo desse trabalho é demonstrar o valor da ecoendoscopia (EE) isolada e associada à punção aspirativa com agulha fina (EE-PAAF) no diagnóstico pré-operatório dos tumores neuroendócrinos e comparar seus resultados com outros testes diagnósticos utilizados para essa finalidade.

Palabras clave
pâncreas/patologia, tumor neuroendócrino/diagnóstico, estadiamento de neoplasias, biópsia por agulha, endossonografia


Artículo completo
(castellano)
Extensión:  +/-7.65 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

The Role of Endoscopy in Diagnosing Pancreatic Neuroendocrine Tumors

Abstract
Pancreatic neuroendocrine tumors (PETs) are rare. The vast majority are functional (70-85%), generally small (< 2 cm) and symptomatic due to elevated hormone production. Non-functional pancreatic neuroendocrine tumors (nPETs) usually produce symptoms based on their size and similarity to pancreatic adenocarcinoma. Localizing these tumors pre-operatively fails in most cases because of their small size. While surgical resection is the treatment of choice, pre-operative identification is of fundamental importance. The objective of the present work is to demonstrate the value of endoscopy and fine-needle aspiration in the pre-operative diagnosis and staging of neuroendocrine tumors when compared to results using other diagnostic tools.

Key words
pâncreas/pathology, neuroendocrine tumor/ diagnosis, staging, fine-needle aspiration biopsy, endoscopic ultrasound

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Diagnóstico por Imágenes
Relacionadas: Cirugía, Endocrinología y Metabolismo, Gastroenterología, Medicina Interna, Oncología



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Enviar correspondencia a:
José Celso Ardengh, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 04524-001, Alameda dos Arapanés, 881-cj 111, San Pablo, Brasil
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