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PATOLOGIEESOFAGIAN
Prof. Dr. Brtucu E.
Curs 2
Esofagita postcaustic
Cancerul esofagian
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ESOFAGITA POSTCAUSTC
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Esofagita postcaustic
Subst. alcaline -> leziuni mai profunde
Subst. acide -> necroz de cuagulare
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Faze
Necroz acut -> 1-4 zile
Ulcerare i granulare -> 5-12 zile
Cicatrizare -> peste 12 zile
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Simptome
Durere retrosternal
Disfagie total
Hipersalivaie
Febr
Sngerare
1-2 luni -> interval liber asimptomatic
DISFAGIE PROGRESIV
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Cancerul Esofagului
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Anatomia
esofagului
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Cancerul esofagului
Forme histologice
Carcinom scuamos
adenocarcinom
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Cancerul esofagului
Chromozom 17P -> mutaii gena supresoare p53
Antigen carcinomscuamos - 50%
Factorul de cretere epidemic
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Clinica
Disfagia progresiv
Tulburri de fonaie
Hipersalivaie
Tulburri respiratorii
Adenopatii
Metastaze
Scadere ponderal
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Diagnostic paraclinic
Prnz baritat
Endoscopie + Echo + Citologie
CT
Toracoscopia
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Tratament multidisciplinar
20% supravieuire la 5 ani
oncolog
radioterapeut
chirurg
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Stadializare
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Tratament
60% stadiile 0 - II -> chirurgie radical curativ
40% stadiile III - IV -> tratament paleativ
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Chirurgie radical
Esofag cervical
esofagiectomie total
laringiectomie
faringiectomie parial
Esofag toracic 1/3 sup + 1/3 medie
esofagiectomie toraco - abdominal
Esofag toracic inferiori abdominalesofagiectomie inferioar
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Esofagiectomie
total+
laringiectomie
(piesa operatorie)
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Restabilire tranzit
Esofagoplastie
colon
stomac
jejun
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Tratament paleativ
Intubaie endoscopic a tumorii
repermeabilizarea tumorii
radioterapie extern, brahiterapie
chimioterapie
gastrostomie
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Laser terapie
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