Metástases Suprarrenais
Abstract
A crescente disponibilidade e definição dos exames complementares de diagnóstico, nomeadamente imagiológico, tem levado ao aumento do número de nódulos suprarrenais detetados. Estes nódulos devem ser objecto de investigação visando o esclarecimento da sua natureza e funcionalidade. A descoberta de um nódulo suprarrenal em doente com história pregressa de neoplasia deve levantar a suspeita de metástase, já que as mesmas são encontradas em 32-72% dos casos. A presença de metástases suprarrenais, apesar de representar um estadio avançado da doença neoplásica, não exclui a possibilidade de tratamento cirúrgico, já que a resseção das mesmas, quando indicada, está associada a um aumento da sobrevida. A adrenalectomia laparoscópica, técnica “gold standard” no tratamento da patologia benigna desta glândula poderá também ser oferecida a estes pacientes, sem compromisso do prognóstico. Através da revisão da literatura recente, o autor sistematiza a abordagem das metástases suprarrenais na perspectiva do cirurgião relativamente ao diagnóstico, indicação operatória, prognóstico e alternativas terapêuticas.
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References
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