A Metastização Cervical dos Cancros Cutâneos de Cabeça e Pescoço

  • Miguel Oliveira Serviço de Cirurgia Maxilofacial, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Joana Cabete Serviço de Dermatologia, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Carina Semedo Serviço de Cirurgia de Cabeça e Pescoço, Instituto Português de Oncologia Francisco Gentil Lisboa, Lisboa, Portugal
  • Miguel Vilares Serviço de Cirurgia de Cabeça e Pescoço, Instituto Português de Oncologia Francisco Gentil Lisboa, Lisboa, Portugal
  • Carla Coelho Serviço de Cirurgia Maxilofacial, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • David Pratas Vital Serviço de Cirurgia Maxilofacial, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Paulo Valejo Coelho Serviço de Cirurgia Maxilofacial, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Margarida Apetato Serviço de Dermatologia, Centro Hospitalar Lisboa Central, Lisboa, Portugal
Palavras-chave: Carcinoma Espinocelular, Carcinoma de Células de Merkel, Melanoma, Neoplasias de Cabeça e Pescoço, Neoplasias da Pele.

Resumo

O cancro cutâneo é a neoplasia mais frequente de todas, com maior incidência na área de cabeça e pescoço, pela fotoexposição crónica. A estratificação do risco metastático linfático regional cervical tende a ser sistematizada de acordo com modelos de estadiamento tumoral, que são tendencialmente aceites no melanoma e carcinoma de células de Merkel, mas pouco consensuais no carcinoma espinocelular. Um dos focos de investigação é o risco de micrometástases em casos de tumores de estádio clínico e imagiológico N0, de que um modo geral varia entre 5% a 20% nos carcinomas espinocelulares, cerca de 20% nos melanomas e de 20 a 50% nos carcinomas de células de Merkel, dependendo de vários fatores de risco. A utilidade do gânglio sentinela e os protocolos de acompanhamento são também matéria de discussão.

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Publicado
2017-04-17
Como Citar
Oliveira, M., Cabete, J., Semedo, C., Vilares, M., Coelho, C., Pratas Vital, D., Valejo Coelho, P., & Apetato, M. (2017). A Metastização Cervical dos Cancros Cutâneos de Cabeça e Pescoço. Revista Da Sociedade Portuguesa De Dermatologia E Venereologia, 75(1), 27-35. https://doi.org/10.29021/spdv.75.1.715
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Artigo de Revisão