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 NobreServiço 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
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