Metástases pulmonares final
Transcript of Metástases pulmonares final
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Seminário 28.06.2012MR3 Roberto Corrêa
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Metástases Pulmonares
Definição:
Quadro Clínico:
Padrões de Doença:
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Padrões de Doença
1. Nódulos parenquimatosos;2. Espessamento intersticial;
3. Hipertensão pulmonar;4. Obstrução das vias aéreas;
5. Derrame pleural
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Epidemiologia
Prevalência da doença: 30 a 55 %, dependendo da origem e da apresentação do
tumor primário;Grande parte da drenagem venosa do corpo
humano é pelo sistema cava;Sítio indeterminado: 20% dos casos;
Mais comum em pacientes acima de quinta década.
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Achados clínicos e laboratoriais
A maioria dos pacientes é assintomática;Dispneia: extenso envolvimento do
parênquima;Hemoptise, dispneia e atelectasia segmentar
ou lobar: metástases endobrônquicas;Febre;
Exame citológico de escarro, lavado brônquico ou líquido: 35-50% de
positividade.
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Metástases de carcinoma de células renais
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Metástases com sangramento
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Não são metástases
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Amiloidose nodular calcificada
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