Carcinoma Epidermóide do esófago e carcinóides gástricos: a propósito de um caso clínico com 3 anos de seguimento

S. Rito Nobre ¹, J. E. Pina Cabral ¹, P. Amaro ¹, F. Portela ¹, R. Vidal ², H. Gouveia ¹, M. Correia Leitão ¹

 

 

Resumo

Os autores apresentam o caso de um doente do sexo masculino, de 70 anos, com carcinoma epidermóide do esófago in situ e carcinóides gástricos de tipo 1. Foi submetido a terapêutica fotodinâmica do carcinoma esofágico e mucosectomia da lesão gástrica de maiores dimensões, sem complicações. Após 3 anos de seguimento permanece assintomático. Os controlos endoscópicos semestrais evidenciaram reconstituição completa da mucosa normal do esófago e manutenção das características dos tumores carcinóides. Discutem-se as duas entidades e respectivo tratamento, assim como os argumentos que apontam para uma eventual associação entre ambas.

 

 

Summary

The authors present a case of a 70-year-old man with in situ oesophageal squamous cell carcinoma and type 1 gastric carcinoids. Oesophageal carcinoma was treated with photodynamic therapy and an endoscopic mucosal ressection was performed for the largest gastric lesion, without complications. After 3 years of follow-up patient is assymptomatic. Endoscopic controls every 6 month revealed normal oesophageal mucosa and persistence of the carcinoid characteristics. We discuss both conditions and respective treatment, as well as the arguments that suggest an eventual association between them.

 

 

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(1) Serviço de Gastrenterologia dos HUC, Portugal.

(2) Serviço de Gastrenterologia do Hospital de Santarém, Portugal.

 

Correspondência:

Sónia Rito Nobre

Serviço de Gastrenterologia - Hospitais da Universidade de Coimbra

Avenida Bissaya Barreto e Praceta Mota Pinto

3000-075 Coimbra

Tel.: 239400483

Fax: 239701517

e-mail: soninobre@hotmail.com

 

Recebido para publicação: 07/11/2007

Aceite para publicação: 14/01/2008