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Caso Clínico/Case Report
Carcinoma adenóide quístico recorrente. Revisão a propósito de um caso clínico
Recurrent adenoid cystic carcinoma. Review based on a case report
Nicole Murinello1, M. Emília Vitorino2, Cristina Matos3, José Manuel Correia3, Manuela Lima4, Pedro Baptista5, José Sena Lino6, Fernando Nogueira7
1 Interna do Internato Complementar de Pneumologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
2 Interna do Internato Complementar de Anatomia Patológica,Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
3 Assistente Hospitalar Graduado de Pneumologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
4 Assistente Hospitalar de Anatomia Patológica, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
5 Assistente Hospitalar Graduado de Cirurgia Torácica, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
6 Chefe de Serviço em Cirurgia Torácica, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
7 Chefe de Serviço em Pneumologia, Director de Serviço, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O carcinoma aden&#243;ide qu&#237;stico &#233; uma neoplasia epitelial maligna de origem glandular&#44; ocorrendo nas gl&#226;ndulas mam&#225;rias&#44; salivares e raramente no pulm&#227;o&#44; onde &#233; respons&#225;vel por 0&#44;2&#37; dos tumores&#46; Embora raro&#44; &#233; o tumor de &#8220;tipo gl&#226;ndula salivar&#8221; mais comum ao n&#237;vel do tracto respirat&#243;rio&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Estes tumores apresentam um crescimento lento e curso cl&#237;nico prolongado&#44; caracterizando-se pela natureza infiltrativa&#44; com tend&#234;ncia para a recorr&#234;ncia local tardia&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso de uma mulher com carcinoma aden&#243;ide qu&#237;stico do pulm&#227;o diagnosticado na sequ&#234;ncia de investiga&#231;&#227;o de n&#243;dulo do pulm&#227;o submetida a ressec&#231;&#227;o cir&#250;rgica com intuito curativo&#44; cujo <span class="elsevierStyleItalic">follow-up</span> documentou recidiva local tardia 9 anos ap&#243;s a ressec&#231;&#227;o&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">O presente caso vem real&#231;ar a necessidade de vigil&#226;ncia prolongada&#44; dado o potencial de recidiva local tardia deste tipo de tumor&#46; O artigo rev&#234; aspectos cl&#237;nicos e patol&#243;gicos do carcinoma aden&#243;ide qu&#237;stico do pulm&#227;o e discute op&#231;&#245;es terap&#234;uticas&#44; nomeadamente de preven&#231;&#227;o da recidiva&#44; &#224; luz dos conhecimentos actuais&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;1&#41;&#58; 101-107</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">The adenoid cystic carcinoma is a malignant epithelial glandular type neoplasia&#44; occurring frequently in the salivary and mammary glands&#44; and rarely in the lung&#44; and is responsible for 0&#46;2&#37; of lung tumours&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">These tumours present a slow growth and prolonged clinical course&#44; and are characterised by their infiltrative nature and tendency towards late local recurrence&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">The authors present a case of a woman with adenoid cystic lung carcinoma diagnosed after investigation of a lung nodule&#44; submitted to surgical resection with curative intention&#44; whose follow-up identified late recurrence&#44; 9 years after surgery&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">The present case emphasises the need for a prolonged surveillance&#44; due to the potential late recurrence of this kind of tumour&#46; The article reviews clinical and pathological features of lung adenoid cystic carcinoma&#44; as well as therapeutic options&#44; namely for prevention of recurrence&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;1&#41;&#58; 101-107</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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