Cec x cbc
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Transcript of Cec x cbc
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TUMORES DE PÁLPEBRACBC x CEC
Alexis Galeno Matos
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Epidemiologia Mais comum (80 - 90%)
“Pouco” agressivo
Pacientes 40 a 79 anos
Pele Clara e exposição ao sol
Palp. Inferior medial> palp. Superior > canto lateral
Crescimento lento e localmente invasivo
Perca de anexos (pêlos e cílios)
Não metastático
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
Epidemiologia Menos frequente ( 5 - 10%)
Potencialmente agressivo
Pacientes idosos
Pele Clara e exposição ao sol, arsenico, radiação, imunossupressão.
Palp. Inferior > margem palpebral
Crescimento rápido
Lesão prémaligna: ceratose actinica.
Metástase para linfonodos 20%
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HistologiaCélulas basais pluripotenciais da epiderme.
Proliferam-se de maneira descedente e exibem paliçada na periferia.
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
Histologia Células escamosas da epiderme.
Compostos de grupos de tamanhos variável de células epiteliais atípicas com núcleos proeminentes e citoplasma eosinofilicos abundantes na derme.
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Aspecto clinico:Nodular: perolado, firme e brilhante com pequenos vasos dilatados
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
Aspecto clinico:Nodular: nódulo hiperceratótico que pode desenvolver erosões com a presença de crosta e fissuras
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Aspecto clinico:Nódulo- ulcerativo: ulcera central, bordas elevadas e peroladas e vasos dilatados e irregulares
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
Aspecto clinico:Ulcerante: base vermelha com bordas bem definidas, endurecidas e evertidas, margens peroladas e teleangectasias.
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Aspecto clinico:Esclerosante: placa endurecida podendo simular “blefarite unilateral crônica”
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
Aspecto clinico:Corno cutâneo: com CCE invasivo subjacente
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Tratamento: Biopsia
Excisional: toda a lesão é removidaRaspagemPunch
Incisional: parte da lesão é removida
Excisão Cirurgica: margem de segurança de 4mm em CBC pequeno. Excisão cirurgica radical em caso de CBC grande e CEC.
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
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Tratamento:Reconstrução
Pequeno: menos de 1/3 da palpebraModerado: retalho semicircular de TenzelExtenso: enxertos (mucosa) ou retalho de Hughes
Radioterapia: CBC pequenos que não envolvam canto medial
Crioterapia: CBC superficial e pequeno.
C.Basocelular x C. EspinocelularTUMORES DE PÁLPEBRA
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C.Basocelular
TUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.BasocelularTUMORES DE PÁLPEBRA
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C.Espinocelular
TUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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C.EspinocelularTUMORES DE PÁLPEBRA
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Obrigado !