uicc hpv and cervical cancer curriculum chapter 6.c.3. methods of treatment - radiation prof. achim...
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
UICC
HPV e CÂNCERCERVICALCURRÍCULO
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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01 Capítulo 6.c.3
Métodos de Tratamento - Radiação
Prof. Achim Schneider, MD, MPHCharité Universitätsmedizin Berlim, Alemanha
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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02 Câncer cervical
• Diagnósticos
• Estadiamento
• Terapia
- Cirurgia
- Radiação
- Terapia sistêmica
• Prognóstico
• Acompanhamento pós tratamento
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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03 Radioterapia
• Radioterapia de feixe externo (EBRT) para tratar o câncer= teleterapia
• Radioterapia associada com quimioterapia = quimiorradiação
• Radioterapia interna regional= braquiterapia ou carga diferida (terapia local)
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
Slide
04 Indicações de radioterapia• Radioterapia primária
- Irradiação e quimioterapia simultânea
- Braquiterapia e teleterapia melhor que teleterapia com monoterapia
• Radioterapia pós operatória
- Apenas se houverem fatores de risco, como tumor de grande tamanho, paramétrio positivo, hemangiose, nódulos linfáticos positivos
- Se possível, irradiação e quimioterapia simultânea
• Radioterapia na recidiva da doença
- Eficaz quando não houve radioterapia anterior
- Se possível, radioterapia e quimioterapia simultânea
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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05 Quimiorradiação associada
• Sobrevida global in 11 estudos pilotos, randomizados, de radioterapia vs quimioterapia em radioterapia primária e adjuvante de 2856 pacientes com câncer cervical
• A quimiorradiação associada é superior à radioterapia em monoterapia para tratamento primário e adjuvante
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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06Campos de proteção dos órgãos durante radioterapia
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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07 Sistemas de administração
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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08 Braquiterapia
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
Slide
09 Quimiorradiação adjuvante depois da terapia cirúrgica
• Indicações para:
- R1 (envolvimento microcoscópico da margem da ressecção )
- pN1 (envolvimento do nódulo linfático)
- pT2b
- V1 e L1 (envolvimento de vaso sanguíneo e linfático)
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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10 Toxicidade
• Toxicidade aguda
- Ocorre dentro dos primeiros 90 dias depois do início da terapia
- Pode ser tratado de maneira eficaz
• Toxicidade tardia
- Ocorre em mais de 90 dias depois do início da terapia
- Geralmente crônica
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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11 Toxicidade aguda
• Eritema
• Hiperpigmentação
• Polaciúria
• Mucosite
• Diarréia
• Formação de fístula
• Depressão da medula óssea
• Toxicidade renal
• Comprometimento da audição
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
Slide
12 Toxicidade tardia
• Retite crônica
• Cistite crônica
• Descenço vesical
• Estenose das lesões de retossigmoide, uretra, ureteres e/ou vagina
• Comprometimento da audição
• Comprometimento da função renal
• Linfedema
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UICC HPV and Cervical Cancer Curriculum Chapter 6.c.3. Methods of treatment - RadiationProf. Achim Schneider, MD, MPH
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Obrigado
Esta apresentação está disponível em www.uicc.org/curriculum