{"id":37,"date":"2023-06-23T18:52:42","date_gmt":"2023-06-23T18:52:42","guid":{"rendered":"https:\/\/ralmeidasaude.com\/?post_type=especialidades&#038;p=37"},"modified":"2023-07-05T15:02:37","modified_gmt":"2023-07-05T15:02:37","slug":"neoplasia-de-pancreas","status":"publish","type":"especialidades","link":"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas","title":{"rendered":"Neoplasia de P\u00e2ncreas"},"content":{"rendered":"\n<p>O p\u00e2ncreas pode desenvolver neoplasias s\u00f3lidas, c\u00edsticas (conte\u00fado l\u00edquido), benignas ou&nbsp;malignas. O principal tipo de neoplasia do p\u00e2ncreas \u00e9 o adenocarcinoma ductal,&nbsp;mas existem tamb\u00e9m os tumores neuroend\u00f3crinos (insulinoma, glucagonoma, etc), tumor s\u00f3lido-cistico pseudopapilar (tumor de Frantz) e os tumores c\u00edsticos, dentre eles o pseudocisto pancre\u00e1tico, o cisto-adenoma seroso, cisto-adenoma mucinoso e a&nbsp;neoplasia mucinosa intraductal papilar&nbsp;(<em>IPMN<\/em>).\u200b<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"532\" height=\"532\" src=\"http:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/O-cancer-de-pancreas-e-um-dos-mais-agres.webp\" alt=\"\" class=\"wp-image-1461\" srcset=\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/O-cancer-de-pancreas-e-um-dos-mais-agres.webp 532w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/O-cancer-de-pancreas-e-um-dos-mais-agres-300x300.webp 300w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/O-cancer-de-pancreas-e-um-dos-mais-agres-150x150.webp 150w\" sizes=\"auto, (max-width: 532px) 100vw, 532px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"634\" height=\"608\" src=\"http:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplasia.webp\" alt=\"\" class=\"wp-image-1463\" srcset=\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplasia.webp 634w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/neoplasia-300x288.webp 300w\" sizes=\"auto, (max-width: 634px) 100vw, 634px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"612\" height=\"612\" src=\"http:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/Paciente-submetida-a-retirada-da-porcao-.webp\" alt=\"\" class=\"wp-image-1464\" srcset=\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/Paciente-submetida-a-retirada-da-porcao-.webp 612w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/Paciente-submetida-a-retirada-da-porcao--300x300.webp 300w, https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/Paciente-submetida-a-retirada-da-porcao--150x150.webp 150w\" sizes=\"auto, (max-width: 612px) 100vw, 612px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p>O&nbsp;<strong>adenocarcinoma ductal pancre\u00e1tico<\/strong>&nbsp;acomete principalmente a regi\u00e3o da cabe\u00e7a do p\u00e2ncreas, manifesta-se principalmente com dor abdominal com irradia\u00e7\u00e3o para o dorso, icter\u00edcia (olhos e pele amarelada), col\u00faria (urina escura), acolia fecal (fezes claras) e perda de peso. Esses sintomas se devem principalmente \u00e0 invas\u00e3o do tumor no ducto biliar. Nos tumores do corpo e cauda do p\u00e2ncreas os sintomas s\u00e3o inespec\u00edficos: dor abdominal com irradia\u00e7\u00e3o para o dorso (eventualmente pode at\u00e9 ser confundido com dor de coluna!) e perda de peso. Para o diagnostico, o exame padr\u00e3o \u00e9 a tomografia computadorizada, que permite avaliar o tamanho do tumor e a presen\u00e7a de invas\u00e3o dos vasos sangu\u00edneos do retroperit\u00f4nio.&nbsp;O principal tratamento \u00e9 cir\u00fargico, aliado frequentemente \u00e0 quimioterapia e eventualmente tamb\u00e9m \u00e0 radioterapia. Mesmo nos casos tratados com inten\u00e7\u00e3o curativa, a chance de recidiva \u00e9 grande, o que torna o progn\u00f3stico desta doen\u00e7a bastante reservado.\u200b<\/p>\n\n\n\n<p>Os tumores&nbsp;<strong>neuroend\u00f3crinos<\/strong>&nbsp;t\u00eam se tornado cada vez mais frequentes. Podem ser de diversos sub-tipos e eventualmente produzem sintomas bem espec\u00edficos, a chamada &#8220;s\u00edndrome carcin\u00f3ide&#8221;, decorrente da produ\u00e7\u00e3o de subst\u00e2ncias detect\u00e1veis no sangue. Por exemplo, o insulinoma e o glucagonoma. Tamb\u00e9m t\u00eam indica\u00e7\u00e3o cir\u00fargica em grande parte dos casos, aliado frequentemente&nbsp;\u00e0 quimioterapia e \/ ou terapias alvo-moleculares<\/p>\n\n\n\n<p>O p\u00e2ncreas pode desenvolver neoplasias s\u00f3lidas, c\u00edsticas (conte\u00fado l\u00edquido), benignas ou&nbsp;malignas. O principal tipo de neoplasia do p\u00e2ncreas \u00e9 o adenocarcinoma ductal,&nbsp;mas existem tamb\u00e9m os tumores neuroend\u00f3crinos (insulinoma, glucagonoma, etc), tumor s\u00f3lido-cistico pseudopapilar (tumor de Frantz) e os tumores c\u00edsticos, dentre eles o pseudocisto pancre\u00e1tico, o cisto-adenoma seroso, cisto-adenoma mucinoso e a&nbsp;neoplasia mucinosa intraductal papilar&nbsp;(<em>IPMN<\/em>).\u200b<\/p>\n\n\n\n<p>O&nbsp;<strong>adenocarcinoma ductal pancre\u00e1tico<\/strong>&nbsp;acomete principalmente a regi\u00e3o da cabe\u00e7a do p\u00e2ncreas, manifesta-se principalmente com dor abdominal com irradia\u00e7\u00e3o para o dorso, icter\u00edcia (olhos e pele amarelada), col\u00faria (urina escura), acolia fecal (fezes claras) e perda de peso. Esses sintomas se devem principalmente \u00e0 invas\u00e3o do tumor no ducto biliar. Nos tumores do corpo e cauda do p\u00e2ncreas os sintomas s\u00e3o inespec\u00edficos: dor abdominal com irradia\u00e7\u00e3o para o dorso (eventualmente pode at\u00e9 ser confundido com dor de coluna!) e perda de peso. Para o diagnostico, o exame padr\u00e3o \u00e9 a tomografia computadorizada, que permite avaliar o tamanho do tumor e a presen\u00e7a de invas\u00e3o dos vasos sangu\u00edneos do retroperit\u00f4nio.&nbsp;O principal tratamento \u00e9 cir\u00fargico, aliado frequentemente \u00e0 quimioterapia e eventualmente tamb\u00e9m \u00e0 radioterapia. Mesmo nos casos tratados com inten\u00e7\u00e3o curativa, a chance de recidiva \u00e9 grande, o que torna o progn\u00f3stico desta doen\u00e7a bastante reservado.\u200b<\/p>\n\n\n\n<p>Os tumores&nbsp;<strong>neuroend\u00f3crinos<\/strong>&nbsp;t\u00eam se tornado cada vez mais frequentes. Podem ser de diversos sub-tipos e eventualmente produzem sintomas bem espec\u00edficos, a chamada &#8220;s\u00edndrome carcin\u00f3ide&#8221;, decorrente da produ\u00e7\u00e3o de subst\u00e2ncias detect\u00e1veis no sangue. Por exemplo, o insulinoma e o glucagonoma. Tamb\u00e9m t\u00eam indica\u00e7\u00e3o cir\u00fargica em grande parte dos casos, aliado frequentemente&nbsp;\u00e0 quimioterapia e \/ ou terapias alvo-moleculares.<\/p>\n","protected":false},"featured_media":1505,"template":"","categoria":[3],"class_list":["post-37","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 P\u00e2ncreas | 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-pancreas\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neoplasia de P\u00e2ncreas | Dr. Ricardo Almeida\" \/>\n<meta property=\"og:description\" content=\"O p\u00e2ncreas pode desenvolver neoplasias s\u00f3lidas, c\u00edsticas (conte\u00fado l\u00edquido), benignas ou&nbsp;malignas. O principal tipo de neoplasia do p\u00e2ncreas \u00e9 o adenocarcinoma ductal,&nbsp;mas existem tamb\u00e9m os tumores neuroend\u00f3crinos (insulinoma, glucagonoma, etc), tumor s\u00f3lido-cistico pseudopapilar (tumor de Frantz) e os tumores c\u00edsticos, dentre eles o pseudocisto pancre\u00e1tico, o cisto-adenoma seroso, cisto-adenoma mucinoso e a&nbsp;neoplasia mucinosa intraductal papilar&nbsp;(IPMN).\u200b [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Ricardo Almeida\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/dr.ricardoalmeidacirurgia\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-05T15:02:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/06\/ricardo-almeida-sobre.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"768\" \/>\n\t<meta property=\"og:image:height\" content=\"509\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas\",\"url\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas\",\"name\":\"Neoplasia de P\u00e2ncreas | Dr. Ricardo Almeida\",\"isPartOf\":{\"@id\":\"http:\/\/ralmeidasaude.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/07\/neoplasia-pancreas.svg\",\"datePublished\":\"2023-06-23T18:52:42+00:00\",\"dateModified\":\"2023-07-05T15:02:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas#primaryimage\",\"url\":\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/07\/neoplasia-pancreas.svg\",\"contentUrl\":\"https:\/\/ralmeidasaude.com\/wp-content\/uploads\/2023\/07\/neoplasia-pancreas.svg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ralmeidasaude.com\/?especialidades=neoplasia-de-pancreas#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"http:\/\/ralmeidasaude.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Especialidades\",\"item\":\"https:\/\/ralmeidasaude.com\/?post_type=especialidades\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Neoplasia de P\u00e2ncreas\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/ralmeidasaude.com\/#website\",\"url\":\"http:\/\/ralmeidasaude.com\/\",\"name\":\"Dr. Ricardo Almeida - 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