{"id":35,"date":"2023-06-23T18:50:11","date_gmt":"2023-06-23T18:50:11","guid":{"rendered":"https:\/\/ralmeidasaude.com\/?post_type=especialidades&#038;p=35"},"modified":"2023-07-05T15:06:15","modified_gmt":"2023-07-05T15:06:15","slug":"neoplasia-de-figado","status":"publish","type":"especialidades","link":"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-figado","title":{"rendered":"Neoplasia de F\u00edgado"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignleft size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplastia-figado-1-300x181.webp\" alt=\"\" class=\"wp-image-1471\" width=\"421\" height=\"254\" srcset=\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplastia-figado-1-300x181.webp 300w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplastia-figado-1-768x464.webp 768w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplastia-figado-1.webp 926w\" sizes=\"auto, (max-width: 421px) 100vw, 421px\" \/><\/figure><\/div>\n\n\n<p>Os tumores&nbsp;do f\u00edgado podem ser divididos em: benignos x malignos, prim\u00e1rios x secund\u00e1rios, c\u00edsticos x s\u00f3lidos. Muitas vezes s\u00e3o achados incidentais de exames de imagem (ultrassonografias, principalmente)&nbsp;realizados por outras causas e podem n\u00e3o necessitar de qualquer tipo de tratamento. Os principais sintomas s\u00e3o a ocorr\u00eancia de dor, presen\u00e7a de massa palp\u00e1vel&nbsp;no quadrante superior direito do abdome, perda de peso e, eventualmente, icter\u00edcia.\u200b<\/p>\n\n\n\n<p>Dentre os tumores prim\u00e1rios benignos do f\u00edgado temos: adenoma hep\u00e1tico, hiperplasia nodular focal, hemangioma, cistos simples, cistos biliares e cistos parasit\u00e1rios.&nbsp;Dos tumores prim\u00e1rios malignos: hepatocarcinoma (HCC), colangiocarcinoma, angiossarcoma, hepatoblastoma. Os tumores secund\u00e1rios s\u00e3o sempre malignos pois decorrem de met\u00e1stases de outros \u00f3rg\u00e3os para o f\u00edgado, principalmente de \u00f3rg\u00e3os do aparelho digestivo (c\u00f3lon, est\u00f4mago, p\u00e2ncreas, etc.) mas tamb\u00e9m de outros locais (mama, rim, etc.).\u200b<\/p>\n\n\n\n<p>Os cistos simples hep\u00e1ticos s\u00e3o comuns e infrequentemente necessitam de qualquer tratamento operat\u00f3rio, exceto nos casos em que atingem grandes dimens\u00f5es causam sintomas pelo tamanho. O hemangioma \u00e9 outro exemplo de neoplasia benigna que raramente causa problemas e requer apenas acompanhamento, assim como a hiperplasia nodular focal. J\u00e1 o adenoma, a depender da dimens\u00e3o pode se romper e causar sangramento. A transforma\u00e7\u00e3o em neoplasia maligna \u00e9 incomum (&lt; 5%). Eventuamente tem indica\u00e7\u00e3o de tratamento operat\u00f3rio. O principal fator de risco \u00e9 a utiliza\u00e7\u00e3o de contraceptivos hormonais (orais e injet\u00e1veis).<\/p>\n\n\n\n<p>Dentre as neoplasias malignas prim\u00e1rias, tem-se o hepatocarcinoma (HCC), cujo fator de risco principal \u00e9 a cirrose hep\u00e1tica, seja por ingesta alco\u00f3lica,&nbsp;por infec\u00e7\u00e3o cr\u00f4nica viral (v\u00edrus da hepatite B ou C), ou&nbsp;fatores como a esteato-hepatite n\u00e3o alco\u00f3lica&nbsp;e outras doen\u00e7as que levam \u00e0 cirrose hep\u00e1tica. O colangiocarcinoma decorre da maligniza\u00e7\u00e3o de c\u00e9lulas dos ductos biliares intra-hep\u00e1ticos.\u200b<\/p>\n\n\n\n<p>J\u00e1 dos tumores met\u00e1st\u00e1ticos do f\u00edgado, o principal \u00e9 o s\u00edtio dos tumores colorretais que, frequentemente, t\u00eam indica\u00e7\u00e3o de interven\u00e7\u00e3o com intuito de aumentar a sobrevida global e livre de doen\u00e7a. Outros tumores metast\u00e1ticos do f\u00edgado tamb\u00e9m podem ser tratados com intens\u00e3o curativa, como os tumores neuroend\u00f3crinos.\u200b<\/p>\n\n\n\n<p>Dentre os principais exames para diferencia\u00e7\u00e3o dentre os diversos tipos de n\u00f3dulos que podem acometer&nbsp;o f\u00edgado, tem-se a tomografia computadorizada com contraste trif\u00e1sico e volumetria hep\u00e1tica, resson\u00e2ncia magn\u00e9tica (gadol\u00edneo, Primovist), marcadores tumorais (ant\u00edgeno c\u00e1rcino-embrion\u00e1rio &#8211; CEA, alfafeto prote\u00edna &#8211; AFP, CA19.9, etc.). A pun\u00e7\u00e3o bi\u00f3psia com agulha tamb\u00e9m pode ser necess\u00e1ria.\u200b<\/p>\n\n\n\n<p>Baseado na origem do n\u00f3dulo, da quantidade, tamanho, localiza\u00e7\u00e3o, presen\u00e7a de invas\u00e3o vascular,&nbsp;biliar&nbsp;e das condi\u00e7\u00f5es cl\u00ednicas de cada paciente, existe um arsenal de op\u00e7\u00f5es de tratamento poss\u00edveis: quimioterapia sist\u00eamica exclusiva, quimioemboliza\u00e7a\u00e7\u00e3o arterial seletiva por angiografia, alcooliza\u00e7\u00e3o, abla\u00e7\u00e3o por radiofrequ\u00eancia, biparti\u00e7\u00e3o hep\u00e1tica (ALLPS),&nbsp;ressec\u00e7\u00e3o laparosc\u00f3pica, ressec\u00e7\u00e3o por via aberta e at\u00e9 mesmo o transplante de f\u00edgado. Todas essas op\u00e7\u00f5es terap\u00eauticas devem levar em considera\u00e7\u00e3o se o paciente j\u00e1 fez uso de quimioterapia, a fun\u00e7\u00e3o hep\u00e1tica, as doen\u00e7as subjacentes e o futuro remanescente hep\u00e1tico (ou seja, a quantidade de f\u00edgado que vai permanecer ap\u00f3s o planejamento de uma ressec\u00e7\u00e3o).<\/p>\n","protected":false},"featured_media":1507,"template":"","categoria":[3],"class_list":["post-35","especialidades","type-especialidades","status-publish","has-post-thumbnail","hentry","categoria-oncocirurgia-gastro-intestinal"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neoplasia de F\u00edgado | Dr. Ricardo Almeida<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-figado\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neoplasia de F\u00edgado | Dr. Ricardo Almeida\" \/>\n<meta property=\"og:description\" content=\"Os tumores&nbsp;do f\u00edgado podem ser divididos em: benignos x malignos, prim\u00e1rios x secund\u00e1rios, c\u00edsticos x s\u00f3lidos. 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