Estimated Numbers of New Cancer Cases (Incidence) and Deaths (Mortality) in 2002
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Secretaria de Saúde do Estado do Rio Grande do SulSecretaria de Saúde do Estado do Rio Grande do Sul
Departamento de Assistência Hospitalar e Ambulatorial Departamento de Assistência Hospitalar e Ambulatorial Alto Custo – Oncologia Alto Custo – Oncologia
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Estimated Numbers of New Cancer Cases (Incidence) and Deaths (Mortality) in 2002
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2006 Estimated US Cancer Deaths*2006 Estimated US Cancer Deaths*
ONS=Other nervous system.Source: American Cancer Society, 2006.
Men291,270
Women273,560
26%26% Lung & bronchusLung & bronchus
15%15% BreastBreast
10%10% Colon & rectumColon & rectum
6%6% PancreasPancreas
6%6% OvaryOvary
4%4% LeukemiaLeukemia
3%3% Non-HodgkinNon-Hodgkin lymphoma lymphoma
3%3% Uterine corpusUterine corpus
2%2% Multiple myelomaMultiple myeloma
2%2% Brain/ONSBrain/ONS
23% All other sites23% All other sites
Lung & bronchus 31%
Colon & rectum 10%
Prostate 9%
Pancreas 6%
Leukemia 4%
Liver & intrahepatic 4%bile duct
Esophagus 4%
Non-Hodgkin 3% lymphoma
Urinary bladder 3%
Kidney 3%
All other sites 23%
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BRASIL (CONSOLIDADO)
Localização PrimáriaMaligna de Neoplasia
Dos Casos Novos de Estimativa
Estado Importante
Casos Taxa Bruta Casos Taxa Bruta
Traquéia, Brônquio e Pulmão 17.850 19.41 5.300 26.40
Estômago 14.970 16.30 3.950 19.68
Próstata 47.280 51.41 13.980 69.74
Cólon e Reto 11.390 12.36 4.390 21.78
Esôfago 7.970 8.64 1.720 8.47
Leucemias 5.330 5.82 1.570 7.78
Cavidade Oral 10.060 10.91 3.050 15.01
Melanoma De Pele 2.710 2.92 830 3.80
Outras Localizações 61.530 66.92 18.370 91.45
Subtotal 179.090 194.77 53.160 264.63
Melanoma De Pele não 55.480 60.74 13.680 68.13
Todas como Neoplasias 234.570 255.14 66.840 332.62
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Localização PrimáriaMaligna de Neoplasia
Dos Casos Novos de Estimativa
Estado Importante
Casos Taxa Bruta Casos Taxa Bruta
Mama Feminina 48.930 51.66 17.900 80.54
Traquéia, Brônquio e Pulmão 9.320 9.82 2.980 13.38
Estômago 8.230 8.65 2.610 11.55
Colo faz Útero 19.260 20.31 6.030 27.11
Cólon e Reto 13.970 14.73 5.370 24.09
Esôfago 2.610 2.74 600 2.43
Leucemias 4.220 4.45 1.360 6.08
Cavidade Oral 3.410 3.58 1.130 4.92
Melanoma De Pele 3.050 3.16 940 4.02
Outras Localizações 63.320 66.78 22.750 102.17
Subtotal 176.320 185.95 61.670 276.96
Melanoma De Pele não 61.160 64.53 15.340 68.92
Todas como Neoplasias 237.480 250.45 77.010 345.94
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Rio Grande do Sul
25/100.000 habitantes
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Câncer
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Linhagens celularesLinhagens celulares
CarcinomaCarcinoma SarcomaSarcoma LeucemiaLeucemia Linfoma e Mieloma Linfoma e Mieloma
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Carcinoma
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Sarcoma
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Leucemia e Linfoma
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Diagnóstico Diagnóstico
Anátomopatológico Anátomopatológico
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Estadiamento Estadiamento
Por que é tão importante?Por que é tão importante?
Planejamento do tratamentoPlanejamento do tratamento
Determinação do prognósticoDeterminação do prognóstico
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EstadiamentoEstadiamento
O que avalia?O que avalia?
TT : tamanho do tumor primário : tamanho do tumor primário NN : extensão para linfonodos : extensão para linfonodos
regionais regionais MM : disseminação para outros : disseminação para outros
órgãosórgãos
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Estadiamento Clínico Estadiamento Clínico
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Estadiamento Estadiamento Patológico Patológico
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Re-estadiamento Re-estadiamento
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Re-estadiamento Re-estadiamento
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Re-estadiamentoRe-estadiamento
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Re-estadiamento Re-estadiamento
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Estadiamento Estadiamento
O estadiamento inicial do O estadiamento inicial do câncer câncer
NÃONÃO
Muda !!!Muda !!!
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Modalidades Modalidades Terapêuticas em Terapêuticas em Oncologia Oncologia CIRURGIACIRURGIA
RADIOTERAPIARADIOTERAPIA
QUIMIOTERAPIAQUIMIOTERAPIA
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RADIOTERAPIARADIOTERAPIA
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Radiação ionizante Radiação ionizante
Fótons (raios x e Fótons (raios x e gama ) gama )
Radiação oriunda Radiação oriunda de partículas de partículas (elétrons, (elétrons, protons, protons, neutrons, alfa e neutrons, alfa e beta partículas) beta partículas)
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Tipos de radiação usadas Tipos de radiação usadas para para tratamento do câncer : tratamento do câncer : Fótons de alta energiaFótons de alta energia : : originam em fontes de alta originam em fontes de alta
energia como cobalto, cesium e acelerador linear. energia como cobalto, cesium e acelerador linear.
Feixe de elétronsFeixe de elétrons: produzidos por acelerador lineare : produzidos por acelerador lineare utlizados próximos á superfície do corpo para menor utlizados próximos á superfície do corpo para menor penetração em tecidos profundos. penetração em tecidos profundos.
ProtonsProtons : : partes de átomos que causam peq dano partes de átomos que causam peq dano aos tecidos pelos quais passam mas são muito aos tecidos pelos quais passam mas são muito efetivos em destruir células no alvo final ( menos efetivos em destruir células no alvo final ( menos efeitos colaterais em tecidos sadios adjacentes)efeitos colaterais em tecidos sadios adjacentes)
NeutronsNeutrons : : usados para alguns cânceres de cabeça e usados para alguns cânceres de cabeça e pescoço e próstata. pescoço e próstata.
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PlanejamentoPlanejamento
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Como a RT é Como a RT é administrada ?administrada ?
Externa Externa BraquiterapiaBraquiterapia RadiofármacRadiofármac
osos
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Braquiterapia
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Objetivos da Objetivos da radioterapiaradioterapia Controlar ou diminuir um câncer em Controlar ou diminuir um câncer em
estágio inicial : pré-operatório ou estágio inicial : pré-operatório ou adjuvante adjuvante
Prevenir a recorrência loco-regional Prevenir a recorrência loco-regional
Tratar sintomas de câncer avançado : Tratar sintomas de câncer avançado : dor, sangramento, obstrução esofágicador, sangramento, obstrução esofágica. .
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Paraefeitos da RTParaefeitos da RT
FraquezaFraqueza RadiodermiteRadiodermite MucositeMucosite Deficit CognitivoDeficit Cognitivo PneumonitePneumonite InfertilidadeInfertilidade Tumores Tumores
secundários secundários
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Novas técnicas de RTNovas técnicas de RT
Tridimensional Tridimensional Intensidade Intensidade
moduladamodulada EstereotáxicaEstereotáxica Intra-operatóriaIntra-operatória RadiosensibilizanRadiosensibilizan
testes RadioprotetoresRadioprotetores
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QuimioterapiaQuimioterapia
British soldiers blinded by mustard gasBritish soldiers blinded by mustard gas
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QuimioterapiaQuimioterapia
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Ciclo celular
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Como a quimioterapia Como a quimioterapia funciona?funciona?
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Objetivos do Objetivos do Tratamento Tratamento Quimioterápico Quimioterápico CuraCura
ControleControle
Paliação Paliação
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Agentes Agentes QuimioterápicosQuimioterápicos Alquilantes Alquilantes AntimetabólitosAntimetabólitos AntraciclinasAntraciclinas Inibidores da TopoisomeraseInibidores da Topoisomerase Inibidores da MitoseInibidores da Mitose CorticóidesCorticóides Anti-angiogênicosAnti-angiogênicos Hormonioterapia Hormonioterapia
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Como se escolhe o Como se escolhe o regime de drogas regime de drogas quimioterápicas ?quimioterápicas ? Tipo de câncer Tipo de câncer Estádio do câncer Estádio do câncer Idade Idade Estado geral de saúde Estado geral de saúde Presença de outras doenças Presença de outras doenças Outros tipos de tratamentos Outros tipos de tratamentos
recebidos no passado recebidos no passado
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Planejamento Planejamento
Superfície corporal Superfície corporal Uso de drogas adicionaisUso de drogas adicionais Uso concomitante de RTUso concomitante de RT Estado nutricionalEstado nutricional Avaliação de função hepática e Avaliação de função hepática e
renalrenal
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Como se pode Como se pode administrar administrar Quimioterapia ?Quimioterapia ? oral (VO)oral (VO) tópicotópico endovenoso ( EV) endovenoso ( EV) intramuscular (IM) intramuscular (IM) subcutâneo (SC) subcutâneo (SC) intra-arterial intra-arterial intratecal (IT)intratecal (IT) intrapleural intrapleural intraperitoneal intraperitoneal intravesical intravesical intralesional/intratumoral intralesional/intratumoral
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Efeitos Colaterais de Efeitos Colaterais de Quimioterapia Quimioterapia MielossupressãoMielossupressão Náuseas e VômitosNáuseas e Vômitos AlopéciaAlopécia AnorexiaAnorexia Alteração no paladarAlteração no paladar Mucosite Mucosite Constipação / DiarréiaConstipação / Diarréia Dano cardíaco Dano cardíaco Dano PulmonarDano Pulmonar Alterações memória Alterações memória Alterações da Alterações da
Sexualidade e Sexualidade e ReproduçãoReprodução
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Terapias Alvo Terapias Alvo
Imatinibe Imatinibe Gefitinibe , Erlotinibe Gefitinibe , Erlotinibe Sunitinibe , SorafenibeSunitinibe , Sorafenibe RituximabRituximab CetuximabCetuximab BevacizumabBevacizumab Adriamicina Lipossomal Adriamicina Lipossomal Agentes quimioprotetores: Agentes quimioprotetores:
Dexrazoxane,AmifostinaDexrazoxane,Amifostina
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Obrigada!