Reirradiação em paciente com cancro da mama tratada por linfoma de Hodgkin

Autores

  • André Filipe Pinheiro Figueiredo Centro Hospitalar Universitário Lisboa Norte https://orcid.org/0000-0003-4683-058X
  • Diogo de Carvalho Miranda e Silva Delgado Centro Hospitalar Universitário Lisboa Norte https://orcid.org/0000-0001-7204-0157
  • Vera Margarida de Azevedo Andrade Arnaut Mendonça Centro Hospitalar Universitário Lisboa Norte
  • Marília Maria Liberato Jorge Lemos Centro Hospitalar Universitário Lisboa Norte

DOI:

https://doi.org/10.11606/issn.1679-9836.v100i2p178-183

Palavras-chave:

Tumores radio-induzidos, Cancro da mama, Linfoma de Hodgkin

Resumo

A sobrevida longa das pacientes com linfoma de Hodgkin submetidas a quimioradioterapia numa idade precoce tem evidenciado os efeitos tardios deste tratamento. O desenvolvimento de cancro da mama radio-induzido é um dos riscos descritos, ocorrendo quase exclusivamente após um intervalo de 10 anos do tratamento. A idade ao diagnóstico entre os 10-16 anos, a radioterapia de campo amplo e um aumento da dose prescrita são os fatores de risco estabelecidos. A cirurgia conservadora da mama com radioterapia adjuvante é exequível, mas, dada a irradiação prévia, devem ser equacionadas estratégias de redução de dose nos órgãos de risco. Apresenta-se o caso de cancro da mama secundário numa paciente submetida em jovem a quimioradioterapia, com técnica de irradiação em manto, por linfoma de Hodgkin supradiafragmático. Após discussão multidisciplinar e dada a vontade da paciente em preservar a mama, foi tratada com cirurgia conservadora e radioterapia adjuvante.

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Biografia do Autor

André Filipe Pinheiro Figueiredo, Centro Hospitalar Universitário Lisboa Norte

Serviço de Radioterapia, Centro Hospitalar Universitário Lisboa Norte, EPE.

Diogo de Carvalho Miranda e Silva Delgado, Centro Hospitalar Universitário Lisboa Norte

Serviço de Radioterapia, Centro Hospitalar Universitário Lisboa Norte, EPE. 

Vera Margarida de Azevedo Andrade Arnaut Mendonça, Centro Hospitalar Universitário Lisboa Norte

Serviço de Radioterapia, Centro Hospitalar Universitário Lisboa Norte, EPE

Marília Maria Liberato Jorge Lemos, Centro Hospitalar Universitário Lisboa Norte

Serviço de Radioterapia, Centro Hospitalar Universitário Lisboa Norte, EPE

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Publicado

2021-05-20

Como Citar

Figueiredo, A. F. P., Delgado, D. de C. M. e S., Mendonça, V. M. de A. A. A., & Jorge Lemos, M. M. L. (2021). Reirradiação em paciente com cancro da mama tratada por linfoma de Hodgkin. Revista De Medicina, 100(2), 178-183. https://doi.org/10.11606/issn.1679-9836.v100i2p178-183

Edição

Seção

Relato de Caso/Case Report