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C NCER DE ES FAGO

Incid

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C NCER DE ES FAGO

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    1. CNCER DE ESFAGO Fonte: Current,Surgery diagnosis & treatment Prof: Luis Eugnio Costa

    2. Incidncia 2-7% de todas as neoplasias 25 casos para 100.000 hab no Brasil 44 casos por 100.000 no RS 130 casos 100.000 na China Mais comum em homens incidncia entre 50-60 anos de idade

    3. Fatores etiolgicos lcool Fumo Quando associados aumentam em 44 vezes a incidncia de cncer de esfago. Ingesta de Mate quente no sul da Amrica do sul.

    4. Doenas predisponentes Tilose (20%) Megaesfago (4%) Doena de Barret (2,5-4,5%) Estenose custica (mais de 10 anos)

    5. Diagnstico Deve ser PRECOCE. Disfagia progressiva Emagrecimento acentuado Tosse crnica Regurgitao Sialorria Dor (30%)

    6. HISTOLOGIA Carcinoma epidermide Adenocarcinoma

    7. Diagnstico Anamnese e exame fsico Endoscopia digestiva alta com bipsia Exame citolgico de escarro Rx de esfago contrastado

    8. Estadiamento Endoscopia digestiva alta Ecografia trans-esofgica Broncoscopia Rx de esfago contrastado Rx de trax com esfago contrastado Tomografia Computadorizada de trax Ecografia abdominal total Espirometria

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