COVID-19 UMA APRESENTAÇÃO MIMETIZANDO UM CÂNCER DE PULMÃO: RELATO DE CASO

Samantha Santos  Veloso; Rafaianne Santos  Veloso; Danyelle Marques  Silva; Pedro Henrique Ferreira  Pereira; Marcelo Fouad  Rabahi

doi:10.51161/rems/3347

COVID-19 UMA APRESENTAÇÃO MIMETIZANDO UM CÂNCER DE PULMÃO: RELATO DE CASO

Autores

Samantha Santos Veloso
Rafaianne Santos Veloso
Danyelle Marques Silva
Pedro Henrique Ferreira Pereira
Marcelo Fouad Rabahi

DOI:

https://doi.org/10.51161/rems/3347

Palavras-chave:

ADENOCARCINOMA LEPÍDICO, CARACTERÍSTICAS, COVID-19, MIMETIZAM, SARS-COV-2

Resumo

Introdução: A doença causada pelo SARS-CoV-2 tem sua confirmação diagnóstica por meio da reação em cadeia da polimerase por transcrição reversa (RT-PCR), alguns estudos demonstraram alterações clássicas características na tomografia computadorizada (TC) de tórax. Do mesmo modo, as alterações encontradas nas TCs características de adenocarcinoma lepídico, adjunto com a clínica dos pacientes, só são confirmadas com uma biópsia. Objetivo: Analisar lesões de COVID-19 que mimetizam adenocarcinoma lepídico pulmonar, o qual exclui diagnóstico de adenocarcinoma lepídico. Relato de caso: Paciente, sexo feminino, 34 anos, natural Panamá e procedência Intumbiara-GO, sem comorbidades, trabalha como analista comercial, nega elitismo e tabagismo.Teve contato com os pais positivo para COVID-19. Compareceu ao ambulatório para uma segunda opinião, tendo em mãos duas tomografias computadorizadas(TC) com características de SARS-CoV-2, dois teste de COVID-19 negativos e diagnóstico de uma biópsia pulmonar de adenocarcinoma lepídico. A conduta proposta foi de aguardar três meses para realizar uma nova TC e acompanhar a evolução, visto que, houve uma redução da lesão da primeira TC para segunda. Após a terceira TC, manteve o segmento de espera mais dois meses e retornar com nova TC mais sorologia para COVID-19. Os quais, os resultados foram: IgG+ para COVID-19, e a quarta TC havia desaparecido a lesão. Discussão: Os principais achados tomográficos observados em pacientes com COVID-19 incluem opacidades em vidro fosco associado a espessamento dos septos interlobulares, padrão de pavimentação em mosaico ou consolidação, sinal do halo e sinal do halo invertido. O adenocarcinoma lepídico ou carcinoma bronquíolo-alveolar mucinoso é uma neoplasia maligna pulmonar de potencial invasivo, de forte correlação com mutação de KRAS, multicêntrico, com envolvimento bilateral e de prognóstico ruim. Achados tomográficos de neoplasia maligna pulmonar, como nódulos e/ou massas espiculadas e atelectasias. Entretanto, seu diagnóstico, confirmado por exame anatomopatológico, foi de adenocarcinoma lipídico. Conclusão: Logo, as características de COVID-19 que mimetizam o adenocarcinoma lepídico ainda estão em estudos atualmente, por ser um vírus novo circulando na sociedade e poucos casos semelhantes ao da paciente descrita acima. Concluímos que provavelmente ela esteve com COVID-19 na época da primeira TC.

Publicado

2022-03-16

Como Citar

Veloso, S. S. ., Veloso, R. S. ., Silva, D. M. ., Pereira, P. H. F. ., & Rabahi, M. F. . (2022). COVID-19 UMA APRESENTAÇÃO MIMETIZANDO UM CÂNCER DE PULMÃO: RELATO DE CASO. Revista Multidisciplinar Em Saúde, 2(4), 399. https://doi.org/10.51161/rems/3347

Baixar Citação

Edição

v. 2 n. 4 (2021)

Seção

I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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