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C NCER DE ES FAGO

Incid

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C NCER DE ES FAGO

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    1. C�NCER DE ES�FAGO Fonte: Current,Surgery diagnosis & treatment Prof: Luis Eug�nio Costa

    2. Incid�ncia 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 incid�ncia entre 50-60 anos de idade

    3. Fatores etiol�gicos �lcool Fumo Quando associados aumentam em 44 vezes a incid�ncia de c�ncer de es�fago. Ingesta de Mate quente no sul da Am�rica do sul.

    4. Doen�as predisponentes Tilose (20%) Megaes�fago (4%) Doen�a de Barret (2,5-4,5%) Estenose c�ustica (mais de 10 anos)

    5. Diagn�stico Deve ser PRECOCE. Disfagia progressiva Emagrecimento acentuado Tosse cr�nica Regurgita��o Sialorr�ia Dor (30%)

    6. HISTOLOGIA Carcinoma epiderm�ide Adenocarcinoma

    7. Diagn�stico Anamnese e exame f�sico Endoscopia digestiva alta com bi�psia Exame citol�gico de escarro Rx de es�fago contrastado

    8. Estadiamento Endoscopia digestiva alta Ecografia trans-esof�gica Broncoscopia Rx de es�fago contrastado Rx de t�rax com es�fago contrastado Tomografia Computadorizada de t�rax Ecografia abdominal total Espirometria

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