PADRÃO DE RECIDIVA EM DOENTES COM ADC SIEWERT TIPO I E II

  • Florentina Menezes Interna de formação específica de Cirurgia Geral do Hospital Central do Funchal
  • Paulo Ramos Assistente hospitalar de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Cecília Monteiro Assistente hospitalar de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Rui Casaca Assistente hospitalar graduado de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Nuno Abecacis Diretor de Serviço de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE

Resumo

Objectivo: Com este estudo avaliou-se a recidiva local e à distância em doentes com adenocarcinoma Siewert tipo I e II.


Método: Procedeu-se à análise retrospectiva de dados clínicos de uma base de dados mantida prospectivamente, constituída por 108 doentes submetidos a cirurgia R0 no Instituto Português de Oncologia de Lisboa, por adenocarcinoma da JEG.


Resultados: Verificou-se a ocorrência de recidiva em 20 doentes, sendo a maioria nos tumores do tipo Siewert I/II (n=12, 60%). O tempo mediano até a detecção da recidiva foi de 12 meses. Verificamos recidivas locoregionais em apenas 4 doentes.


Conclusão: A abordagem cirúrgica e a respectiva linfadenectomia utilizadas para o Siewert tipo I, I/II e II parecem adequadas, uma vez que a taxa de recidiva local reportada é baixa (3,7%.). 

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Publicado
2020-09-30
Como Citar
MENEZES, Florentina et al. PADRÃO DE RECIDIVA EM DOENTES COM ADC SIEWERT TIPO I E II. Revista Portuguesa de Cirurgia, [S.l.], n. 48, p. 55-63, sep. 2020. ISSN 2183-1165. Disponível em: <https://revista.spcir.com/index.php/spcir/article/view/780>. Acesso em: 26 oct. 2020. doi: https://doi.org/10.34635/rpc.780.
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