{"id":891,"date":"2025-05-07T12:48:33","date_gmt":"2025-05-07T09:48:33","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/paraganglioma\/"},"modified":"2026-04-24T10:28:46","modified_gmt":"2026-04-24T07:28:46","slug":"paraganglioma","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/vasculares\/paraganglioma\/","title":{"rendered":"Chemodectoma (paraganglioma): etiologia, patog\u00e9nese, classifica\u00e7\u00e3o, diagn\u00f3stico, m\u00e9todos de tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u041f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 (\u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430) \u2014 \u0440\u0435\u0434\u043a\u0430\u044f, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c, \u0432\u043e\u0437\u043d\u0438\u043a\u0430\u044e\u0449\u0430\u044f \u0438\u0437 \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430, \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u0432 \u043c\u0435\u0441\u0442\u0435 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u043e\u0431\u0449\u0435\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-paraganglioma.webp\" alt=\"Chemodectoma (paraganglioma)\"><figcaption class=\"wp-element-caption\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 (\u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430) \u2013 <a href=\"https:\/\/catalog.voka.io\/ru\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/6ec65686-8390-42c1-b3f3-c7a1f7148948\/aa66bddd-72b2-4945-91b8-90210e91fc55\/9db48cfc-4d8c-4de0-8e9c-e20a7d131626\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">3D-\u043c\u043e\u0434\u0435\u043b\u044c<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"epidemiologia\">Epidemiologia <\/h2>\n<ul class=\"wp-block-list\">\n<li>Aproximadamente 1-2 casos por 100.000 habitantes.<\/li>\n<li>As mulheres s\u00e3o mais frequentemente afectadas do que os homens.<\/li>\n<li>A idade m\u00e9dia do diagn\u00f3stico \u00e9 de cerca de 45 anos.<\/li>\n<li>\u0412\u044b\u0441\u043e\u043a\u0430\u044f \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043e\u0442\u043c\u0435\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0441\u0442\u0440\u0430\u043d\u0430\u0445 \u041b\u0430\u0442\u0438\u043d\u0441\u043a\u043e\u0439 \u0410\u043c\u0435\u0440\u0438\u043a\u0438, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0432 \u041c\u0435\u043a\u0441\u0438\u043a\u0435, \u0433\u0434\u0435 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u044e\u0442 \u0434\u043e 90 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432.<\/li>\n<li>Os habitantes de zonas de altitude elevada t\u00eam um risco acrescido de desenvolver quimiodectomas devido \u00e0 hip\u00f3xia cr\u00f3nica.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"a-etiologia\">A etiologia<\/h2>\n<p><strong>\u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438<\/strong> \u2014 \u0432\u0435\u0434\u0443\u0449\u0443\u044e \u0440\u043e\u043b\u044c \u0438\u0433\u0440\u0430\u044e\u0442 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445, \u043a\u043e\u0434\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0441\u0443\u0431\u044a\u0435\u0434\u0438\u043d\u0438\u0446\u044b \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 (SDH), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0443\u0447\u0430\u0441\u0442\u0432\u0443\u0435\u0442 \u0432 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439 \u0438 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u043c \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0437\u043c\u0435. \u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u0433\u0435\u043d\u044b:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong><em>SDHD<\/em><\/strong> \u2014 \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u043e \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d \u0441 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 \u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430\u043c\u0438 \u0433\u043e\u043b\u043e\u0432\u044b \u0438 \u0448\u0435\u0438; \u043f\u0435\u0440\u0435\u0434\u0430\u0435\u0442\u0441\u044f \u043f\u043e \u043e\u0442\u0446\u043e\u0432\u0441\u043a\u043e\u0439 \u043b\u0438\u043d\u0438\u0438;<\/li>\n<li><strong><em>SDHB<\/em><\/strong> \u2014 \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d \u0441 \u0431\u043e\u043b\u0435\u0435 \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u044b\u043c\u0438 \u0444\u043e\u0440\u043c\u0430\u043c\u0438 \u0438 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u044b\u043c \u0440\u0438\u0441\u043a\u043e\u043c \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u0442\u0435\u0447\u0435\u043d\u0438\u044f;<\/li>\n<li><strong><em>SDHC<\/em><\/strong><strong>, <\/strong><strong><em>SDHA<\/em><\/strong><strong>, <\/strong><strong><em>SDHAF2<\/em><\/strong> \u2014 \u0440\u0435\u0436\u0435 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u044b, \u043d\u043e \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0433\u0443\u0442 \u0441\u043f\u043e\u0441\u043e\u0431\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044e \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/li>\n<\/ul>\n<p><strong>\u0421\u0438\u043d\u0434\u0440\u043e\u043c\u044b, <\/strong><strong>\u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430\u043c\u0438<\/strong>:\u00a0<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0438\u043d\u0434\u0440\u043e\u043c \u0444\u043e\u043d \u0413\u0438\u043f\u043f\u0435\u043b\u044f \u2014 \u041b\u0438\u043d\u0434\u0430\u0443 (VHL);\u00a0<\/li>\n<li>\u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u0430\u044f \u043d\u0435\u043e\u043f\u043b\u0430\u0437\u0438\u044f 2 \u0442\u0438\u043f\u0430 (MEN2);\u00a0<\/li>\n<li>\u043d\u0435\u0439\u0440\u043e\u0444\u0438\u0431\u0440\u043e\u043c\u0430\u0442\u043e\u0437 1 \u0442\u0438\u043f\u0430 (NF1)\u200b.<\/li>\n<\/ul>\n<p><strong>\u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f<\/strong> \u2014 \u043f\u0440\u043e\u0436\u0438\u0432\u0430\u043d\u0438\u0435 \u043d\u0430 \u0432\u044b\u0441\u043e\u0442\u0435 \u0431\u043e\u043b\u0435\u0435 2000 \u043c \u043d\u0430\u0434 \u0443\u0440\u043e\u0432\u043d\u0435\u043c \u043c\u043e\u0440\u044f, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0442\u0430\u043a\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f, \u043a\u0430\u043a \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043e\u0431\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c \u043b\u0435\u0433\u043a\u0438\u0445 \u0438 \u0432\u0440\u043e\u0436\u0434\u0435\u043d\u043d\u044b\u0435 \u043f\u043e\u0440\u043e\u043a\u0438 \u0441\u0435\u0440\u0434\u0446\u0430, \u043c\u043e\u0433\u0443\u0442 \u0441\u0442\u0438\u043c\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0437\u0438\u044e \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430. \u200b<\/p>\n<p><strong>\u0421\u0435\u043c\u0435\u0439\u043d\u044b\u0439 \u0430\u043d\u0430\u043c\u043d\u0435\u0437 \u2014 \u043e\u043a\u043e\u043b\u043e 10\u00a0%<\/strong> \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0441\u0435\u043c\u0435\u0439\u043d\u044b\u043c\u0438.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69eee4f516343\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/%20Chemodectoma\/chemodectoma-type-1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/%20Chemodectoma\/chemodectoma-type-3.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_69eee4f516343\"><\/div>\n<div class=\"swiper-article-video-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev-block_69eee4f516343\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 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33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69eee4f516343', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69eee4f516343',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69eee4f516343',\n                prevEl: '.video-carousel-swiper-button-prev-block_69eee4f516343',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"patogenese\">Patog\u00e9nese<\/h2>\n<ol class=\"wp-block-list\">\n<li><strong>\u041d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 (<em>SDHx<\/em>)<\/strong><\/li>\n<\/ol>\n<p>\u041c\u0443\u0442\u0430\u0446\u0438\u0438 <em>SDH<\/em> (\u043a\u043b\u044e\u0447\u0435\u0432\u043e\u0433\u043e \u0444\u0435\u0440\u043c\u0435\u043d\u0442\u0430 \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 II \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u0438 \u0446\u0438\u043a\u043b\u0430 \u041a\u0440\u0435\u0431\u0441\u0430) \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0430 (\u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442 \u043a\u0430\u043a <em>oncometabolite<\/em>) \u2192 \u0438\u043d\u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u043b\u0438\u043b\u0433\u0438\u0434\u0440\u043e\u043a\u0441\u0438\u043b\u0430\u0437 (PHDs) \u2014 \u0444\u0435\u0440\u043c\u0435\u043d\u0442\u043e\u0432, \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0434\u0435\u0433\u0440\u0430\u0434\u0430\u0446\u0438\u044e HIF-1\u03b1 (\u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f-\u0438\u043d\u0434\u0443\u0446\u0438\u0440\u0443\u0435\u043c\u043e\u0433\u043e \u0444\u0430\u043a\u0442\u043e\u0440\u0430) \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 HIF-1\u03b1 \u2192 \u043f\u0441\u0435\u0432\u0434\u043e\u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f \u2192 \u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f VEGF (\u0430\u043d\u0433\u0438\u043e\u0433\u0435\u043d\u0435\u0437) \/ GLUT1 (\u0433\u043b\u0438\u043a\u043e\u043b\u0438\u0437) \/ PDGF (\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0430\u044f \u043f\u0440\u043e\u043b\u0438\u0444\u0435\u0440\u0430\u0446\u0438\u044f) \u2192 \u043d\u0435\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0442\u0440\u0430\u043d\u0441\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u0438 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Hip\u00f3xia cr\u00f3nica<\/strong><\/li>\n<\/ol>\n<p>\u0413\u0438\u043f\u043e\u043a\u0441\u0438\u044f (\u0432\u044b\u0441\u043e\u0442\u0430, \u0425\u041e\u0411\u041b) \u2192 \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 pO\u2082 \u2192 \u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u044b\u0445 \u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043e\u0432 \u2192 \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0437\u0438\u044f \u043a\u043b\u0435\u0442\u043e\u043a \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 HIF-1\u03b1 \u2192 \u0430\u043d\u0433\u0438\u043e\u0433\u0435\u043d\u0435\u0437 \u0438 \u043d\u0435\u043e\u043f\u043b\u0430\u0437\u0438\u044f.\u00a0<\/p>\n<p>\u0412 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0432 \u0440\u0430\u0437\u043c\u0435\u0440\u0430\u0445. \u041f\u043e \u043c\u0435\u0440\u0435 \u0440\u043e\u0441\u0442\u0430 \u043e\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u043b\u043e\u043a\u0430\u043b\u044c\u043d\u043e \u0438\u043d\u0432\u0430\u0437\u0438\u0432\u043d\u044b\u0439 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440, \u0432\u043f\u043b\u043e\u0442\u044c \u0434\u043e \u043e\u043a\u0440\u0443\u0436\u0435\u043d\u0438\u044f \u0438\u043b\u0438 \u0441\u0434\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u0431\u043b\u0438\u0437\u043b\u0435\u0436\u0430\u0449\u0438\u0445 \u0430\u043d\u0430\u0442\u043e\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u044f\u044f \u0438 \u043d\u0430\u0440\u0443\u0436\u043d\u0430\u044f \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438, \u0431\u043b\u0443\u0436\u0434\u0430\u044e\u0449\u0438\u0439, \u043f\u043e\u0434\u044a\u044f\u0437\u044b\u0447\u043d\u044b\u0439 \u0438 \u044f\u0437\u044b\u043a\u043e\u0433\u043b\u043e\u0442\u043e\u0447\u043d\u044b\u0439 \u043d\u0435\u0440\u0432\u044b. \u042d\u0442\u043e \u043c\u043e\u0436\u0435\u0442 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0443\u044e \u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0443\u044e \u0438 \u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u0443\u044e \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0443.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classificacao-do-paraganglioma\">Classifica\u00e7\u00e3o do <span class=\"glossary-term\" data-title=\"Tumor gl\u00f4mico\" data-tooltip=\"O tumor gl\u00f4mico, ou paraganglioma, \u00e9 um tumor raro, geralmente benigno, que se desenvolve a partir das c\u00e9lulas dos parag\u00e2nglios (quimiorreceptores). Essas c\u00e9lulas respondem normalmente \u00e0s altera\u00e7\u00f5es da composi\u00e7\u00e3o qu\u00edmica do sangue e est\u00e3o localizadas ao longo dos principais vasos e nervos.\" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/tumor-glomico\/\">paraganglioma<\/span><\/h2>\n<p>\u0423\u0438\u043b\u044c\u044f\u043c \u0428\u0430\u043c\u0431\u043b\u0438\u043d \u043f\u0440\u0435\u0434\u043b\u043e\u0436\u0438\u043b \u0434\u0435\u043b\u0438\u0442\u044c \u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u044b \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 \u043d\u0430 \u0442\u0440\u0438 \u0442\u0438\u043f\u0430 (Shamblin-\u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f):<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0442\u0438\u043f I<\/strong>: \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u0434\u043e 3,5 \u0441\u043c, \u0440\u044b\u0445\u043b\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0435 \u0441\u043e \u0441\u0442\u0435\u043d\u043a\u0430\u043c\u0438 \u0430\u0440\u0442\u0435\u0440\u0438\u0439;<\/li>\n<li><strong>\u0442\u0438\u043f II<\/strong>: 3,5\u20135 \u0441\u043c, \u0447\u0430\u0441\u0442\u0438\u0447\u043d\u043e \u043e\u0445\u0432\u0430\u0442\u044b\u0432\u0430\u044e\u0442 \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438, \u0438\u043c\u0435\u044e\u0442 \u0431\u043e\u043b\u0435\u0435 \u043f\u043b\u043e\u0442\u043d\u043e\u0435 \u0441\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u0441\u043e \u0441\u0442\u0435\u043d\u043a\u0430\u043c\u0438 \u0430\u0440\u0442\u0435\u0440\u0438\u0439;<\/li>\n<li><strong>\u0442\u0438\u043f III<\/strong>: \u0431\u043e\u043b\u0435\u0435 5 \u0441\u043c, \u043e\u0445\u0432\u0430\u0442\u044b\u0432\u0430\u044e\u0442 \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0438\/\u0438\u043b\u0438 \u0431\u043b\u0438\u0437\u043b\u0435\u0436\u0430\u0449\u0438\u0435 \u0441\u043e\u0441\u0443\u0434\u044b, \u043d\u0435\u0440\u0432\u044b \u0438\u043c\u0435\u044e \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u043d\u043e \u043f\u043b\u043e\u0442\u043d\u043e\u0435 \u0441\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u0441 \u0434\u0430\u043d\u043d\u044b\u043c\u0438 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0430\u043c\u0438.<\/li>\n<\/ul>\n<p>\u041a\u0440\u043e\u043c\u0435 \u0442\u043e\u0433\u043e, \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0443 \u043c\u043e\u0436\u043d\u043e \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u0442\u044c <strong>\u043f\u043e \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438<\/strong>: \u0441\u043f\u043e\u0440\u0430\u0434\u0438\u0447\u0435\u0441\u043a\u0430\u044f (\u0434\u043e 85\u00a0%), \u0441\u0435\u043c\u0435\u0439\u043d\u0430\u044f (10\u201315\u00a0%), \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f (1\u20135\u00a0%).<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69eee4f5176a8\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-type-1.webp\" alt=\"\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f\"><span class=\"small-text-article text-main-text-color\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-type-3.webp\" alt=\"\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f\"><span class=\"small-text-article text-main-text-color\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69eee4f5176a8\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69eee4f5176a8\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69eee4f5176a8\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69eee4f5176a8', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69eee4f5176a8',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69eee4f5176a8',\n                prevEl: '.carousel-swiper-button-prev-block_69eee4f5176a8',\n            },\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"manifestacoes-clinicas\">Manifesta\u00e7\u00f5es cl\u00ednicas<\/h2>\n<p>Durante muito tempo, pode n\u00e3o haver sintomas. \u00c0 medida que o tumor cresce, podem surgir queixas:  <\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u043f\u0430\u043b\u044c\u043f\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c<\/strong> \u2014 \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u043e \u0440\u0430\u0441\u0442\u0443\u0449\u0430\u044f, \u0431\u0435\u0437\u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u0430\u044f, \u043f\u0443\u043b\u044c\u0441\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043c\u0430\u0441\u0441\u0430 \u043d\u0430 \u0431\u043e\u043a\u043e\u0432\u043e\u0439 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u0438 \u0448\u0435\u0438 (\u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0433\u0440\u0443\u0434\u0438\u043d\u043e-\u043a\u043b\u044e\u0447\u0438\u0447\u043d\u043e-\u0441\u043e\u0441\u0446\u0435\u0432\u0438\u0434\u043d\u043e\u0439 \u043c\u044b\u0448\u0446\u044b); \u200b<\/li>\n<li><strong>\u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b <\/strong>\u2014 \u043e\u0441\u0438\u043f\u043b\u043e\u0441\u0442\u044c \u0433\u043e\u043b\u043e\u0441\u0430, \u0434\u0438\u0441\u0444\u0430\u0433\u0438\u044f, \u043e\u043d\u0435\u043c\u0435\u043d\u0438\u0435 \u044f\u0437\u044b\u043a\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u044b\u0435 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0435\u0439 \u0447\u0435\u0440\u0435\u043f\u043d\u044b\u0445 \u043d\u0435\u0440\u0432\u043e\u0432 (IX\u2013XII); \u200b<\/li>\n<li><strong>\u0436<\/strong><strong>\u0430\u043b\u043e\u0431\u044b, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0435 \u0441 \u0432\u044b\u0440\u0430\u0431\u043e\u0442\u043a\u043e\u0439 \u043a\u0430\u0442\u0435\u0445\u043e\u043b\u0430\u043c\u0438\u043d\u043e\u0432<\/strong> \u2014 \u0441\u0435\u0440\u0434\u0446\u0435\u0431\u0438\u0435\u043d\u0438\u0435, \u043f\u0440\u0438\u0441\u0442\u0443\u043f\u044b \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0433\u0438\u043f\u0435\u0440\u0442\u0435\u043d\u0437\u0438\u0438, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0433\u043e\u043b\u043e\u0432\u043d\u0430\u044f \u0431\u043e\u043b\u044c, \u0442\u0440\u0435\u043c\u043e\u0440;<\/li>\n<li><strong>\u0440\u0435\u0434\u043a\u0438\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/strong> \u2014 <strong>\u00a0<\/strong>\u0433\u043e\u043b\u043e\u0432\u043e\u043a\u0440\u0443\u0436\u0435\u043d\u0438\u0435, \u043e\u0431\u043c\u043e\u0440\u043e\u043a\u0438 \u043f\u0440\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0438 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0441\u0438\u043d\u0443\u0441\u0430.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-do-paraganglioma\">Diagn\u00f3stico do paraganglioma<\/h2>\n<ul class=\"wp-block-list\">\n<li><strong>\u0424\u0438\u0437\u0438\u043a\u0430\u043b\u044c\u043d\u043e\u0435 \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435: <\/strong>\u043f\u043b\u043e\u0442\u043d\u0430\u044f, \u043f\u0443\u043b\u044c\u0441\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043d\u0430 \u0448\u0435\u0435, \u0441\u043c\u0435\u0449\u0430\u044e\u0449\u0430\u044f\u0441\u044f \u043f\u043e \u0433\u043e\u0440\u0438\u0437\u043e\u043d\u0442\u0430\u043b\u0438, \u043d\u043e \u043d\u0435 \u043f\u043e \u0432\u0435\u0440\u0442\u0438\u043a\u0430\u043b\u0438. \u200b<\/li>\n<li><strong>\u0423\u0417\u0418 \u0441 \u0434\u043e\u043f\u043f\u043b\u0435\u0440\u043e\u0433\u0440\u0430\u0444\u0438\u0435<\/strong>\u0439: \u0433\u0438\u043f\u0435\u0440\u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. \u200b<\/li>\n<li><strong>\u041c\u0420\u0422 \u0441 \u043a\u043e\u043d\u0442\u0440\u0430\u0441\u0442\u043e\u043c<\/strong>: \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u043d\u044b\u0439 \u00ab\u0441\u043e\u043b\u0435\u043d\u043e-\u043f\u0435\u0440\u0435\u0447\u043d\u044b\u0439\u00bb \u0432\u0438\u0434 \u043d\u0430 \u04221-\u0432\u0437\u0432\u0435\u0448\u0435\u043d\u043d\u044b\u0445 \u0438\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u044f\u0445.<\/li>\n<li><strong>\u041a\u0422 \u0441 \u043a\u043e\u043d\u0442\u0440\u0430\u0441\u0442\u043e\u043c<\/strong>: \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0441\u0442\u0435\u043f\u0435\u043d\u0438 \u0438\u043d\u0432\u0430\u0437\u0438\u0438 \u0432 \u0441\u043e\u0441\u0443\u0434\u044b, \u043e\u0446\u0435\u043d\u043a\u0430 Shamblin-\u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438. \u200b\u041f\u043e\u0441\u0442\u0440\u043e\u0435\u043d\u0438\u0435 3D-\u043c\u043e\u0434\u0435\u043b\u0438 \u0434\u043b\u044f \u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<\/li>\n<li><strong>\u0410\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/strong>: \u0432\u044b\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u00ab\u0437\u043d\u0430\u043a\u0430 \u043b\u0438\u0440\u044b\u00bb \u2014 \u0440\u0430\u0441\u0445\u043e\u0436\u0434\u0435\u043d\u0438\u044f \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u0435\u0439 \u0438 \u043d\u0430\u0440\u0443\u0436\u043d\u043e\u0439 \u0441\u043e\u043d\u043d\u044b\u0445 \u0430\u0440\u0442\u0435\u0440\u0438\u0439. \u041f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u043e\u0446\u0435\u043d\u0438\u0442\u044c \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e\u0441\u0442\u044c\/\u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u044c \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0434\u0430\u043d\u043d\u043e\u0439 \u0437\u043e\u043d\u044b \u043a\u0430\u043a \u044d\u0442\u0430\u043f\u0430 \u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0435\u0440\u0430\u0442\u0438\u0432\u043d\u044b\u043c \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u043e\u043c. \u200b<\/li>\n<li><strong>\u041f\u042d\u0422-\u041a\u0422 \u0441 <\/strong><strong><sup>68<\/sup><\/strong><strong>Ga-DOTATATE<\/strong>: \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u0438\u043b\u0438 \u043c\u0435\u0442\u0430\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0447\u0430\u0433\u0438.. \u200b<\/li>\n<li><strong>\u041b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u043d\u044b\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f<\/strong>: \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0443\u0440\u043e\u0432\u043d\u044f \u043c\u0435\u0442\u0430\u043d\u0435\u0444\u0440\u0438\u043d\u043e\u0432 \u0438 \u043d\u043e\u0440\u043c\u0435\u0442\u0430\u043d\u0435\u0444\u0440\u0438\u043d\u043e\u0432 \u0432 \u043f\u043b\u0430\u0437\u043c\u0435 \u0438 \u043c\u043e\u0447\u0435 \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u0441\u0435\u043a\u0440\u0435\u0442\u0438\u0440\u0443\u044e\u0449\u0443\u044e \u043e\u043f\u0443\u0445\u043e\u043b\u044c.\u200b<\/li>\n<li><strong>\u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435<\/strong> \u043d\u0430 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445 <em>SDH<\/em> \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u0441\u0435\u043c\u0435\u0439\u043d\u043e\u0433\u043e \u0430\u043d\u0430\u043c\u043d\u0435\u0437\u0430 \u0438\u043b\u0438 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0445 \u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439.<\/li>\n<\/ul>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamento\">Tratamento<\/h2>\n<p>O tratamento do quimiodectoma carot\u00eddeo depende do tamanho do tumor, dos sintomas cl\u00ednicos, do risco de complica\u00e7\u00f5es, da atividade funcional, do perfil gen\u00e9tico e do grau de Shamblin. As principais modalidades de tratamento s\u00e3o a excis\u00e3o cir\u00fargica, a <span class=\"glossary-term\" data-title=\"Emboliza\u00e7\u00e3o\" data-tooltip=\"A emboliza\u00e7\u00e3o \u00e9 um procedimento endovascular minimamente invasivo em que o m\u00e9dico bloqueie (oclui) um vaso sangu\u00edneo por meio de inje\u00e7\u00e3o de materiais especiais \u2014 agentes emb\u00f3licos \u2014 em seu l\u00famen.\" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/embolizacao\/\">emboliza\u00e7\u00e3o<\/span> pr\u00e9-operat\u00f3ria e, em casos selecionados, a radioterapia ou a quimioterapia. <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Emboliza\u00e7\u00e3o pr\u00e9-operat\u00f3ria<\/strong><\/li>\n<\/ol>\n<p>\u041f\u0440\u0435\u0434\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u0430\u044f \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0441 \u0446\u0435\u043b\u044c\u044e \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u044f \u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u0438\u0437\u0430\u0446\u0438\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u0438, \u0443\u043c\u0435\u043d\u044c\u0448\u0435\u043d\u0438\u044f \u043e\u0431\u044a\u0435\u043c\u0430 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0439 \u043a\u0440\u043e\u0432\u043e\u043f\u043e\u0442\u0435\u0440\u0438 \u0438 \u043e\u0431\u043b\u0435\u0433\u0447\u0435\u043d\u0438\u044f \u0432\u044b\u0434\u0435\u043b\u0435\u043d\u0438\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u043f\u0440\u0438 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438.<\/p>\n<p><strong>Indica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 Shamblin II\u2013III \u043a\u043b\u0430\u0441\u0441\u0430;<\/li>\n<li>\u0434\u0438\u0430\u043c\u0435\u0442\u0440 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 > 3 \u0441\u043c;<\/li>\n<li>\u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0437\u043d\u0430\u0447\u0438\u043c\u043e\u0433\u043e \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430 (\u043f\u043e \u0434\u0430\u043d\u043d\u044b\u043c \u041a\u0422\/\u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u0438);<\/li>\n<li>\u043f\u043b\u0430\u043d\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u0441 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u0435\u0439 \u0441\u043e\u0441\u0443\u0434\u043e\u0432.<\/li>\n<\/ul>\n<p><strong>Contra-indica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 Shamblin I;<\/li>\n<li>\u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u0430 (\u043d\u0438\u0437\u043a\u0430\u044f \u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u0438\u0437\u0430\u0446\u0438\u044f);<\/li>\n<li>\u0430\u043d\u0430\u0441\u0442\u043e\u043c\u043e\u0437\u044b \u0441 \u0446\u0435\u0440\u0435\u0431\u0440\u0430\u043b\u044c\u043d\u043e\u0439 \u0446\u0438\u0440\u043a\u0443\u043b\u044f\u0446\u0438\u0435\u0439 \u2014 \u0440\u0438\u0441\u043a \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0437\u0433\u0430.<\/li>\n<\/ul>\n<p>\u0412\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f \u0441\u0435\u043b\u0435\u043a\u0442\u0438\u0432\u043d\u0430\u044f \u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043d\u0430\u0440\u0443\u0436\u043d\u043e\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. \u0427\u0435\u0440\u0435\u0437 \u043c\u0438\u043a\u0440\u043e\u043a\u0430\u0442\u0435\u0442\u0435\u0440 \u043e\u0441\u0443\u0449\u0435\u0441\u0442\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0430\u0433\u0435\u043d\u0442\u043e\u0432: \u043f\u043e\u043b\u0438\u0432\u0438\u043d\u0438\u043b\u0430\u043b\u043a\u043e\u0433\u043e\u043b\u044c\u043d\u044b\u0445 \u0447\u0430\u0441\u0442\u0438\u0446 (PVA), \u043c\u0438\u043a\u0440\u043e\u0441\u0444\u0435\u0440, \u0440\u0435\u0436\u0435 \u2014 \u043a\u043b\u0435\u044f \u0438\u043b\u0438 \u0441\u043f\u0438\u0440\u0430\u043b\u0435\u0439. \u041a\u043e\u043d\u0442\u0440\u043e\u043b\u044c\u043d\u0430\u044f \u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0435\u0442 \u0440\u0435\u0434\u0443\u043a\u0446\u0438\u044e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430. \u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 24\u201348 \u0447\u0430\u0441\u043e\u0432 \u043f\u043e\u0441\u043b\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u043e\u043a\u0430 \u0441\u043e\u0445\u0440\u0430\u043d\u044f\u0435\u0442\u0441\u044f \u044d\u0444\u0444\u0435\u043a\u0442.<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Tratamento cir\u00fargico <\/strong><\/li>\n<\/ol>\n<p><strong>Indica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 (\u0431\u043e\u043b\u044c, \u0434\u0438\u0441\u0444\u0430\u0433\u0438\u044f, \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u0435 \u0440\u0435\u0447\u0438);<\/li>\n<li>\u0431\u044b\u0441\u0442\u0440\u044b\u0439 \u0440\u043e\u0441\u0442 \u043e\u043f\u0443\u0445\u043e\u043b\u0438;<\/li>\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 > 2,5\u20133 \u0441\u043c (\u0434\u0430\u0436\u0435 \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u044b\u0435);<\/li>\n<li>\u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u043d\u0430\u044f \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c \u043f\u043e \u041f\u042d\u0422 \u0438\u043b\u0438 \u0431\u0438\u043e\u0445\u0438\u043c\u0438\u0438;<\/li>\n<li>\u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u043d\u0430\u044f \u043c\u0443\u0442\u0430\u0446\u0438\u044f SDHB (\u0440\u0438\u0441\u043a \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0441\u0442\u0438);<\/li>\n<li>\u0432\u043e\u0437\u0440\u0430\u0441\u0442 < 60 \u043b\u0435\u0442.<\/li>\n<\/ul>\n<p><strong>Tipos de tratamento cir\u00fargico<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u042d\u043a\u0441\u0442\u0440\u0430\u043a\u0430\u043f\u0441\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u0438<\/strong>. \u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442 \u0434\u043b\u044f Shamblin I\u2013II, \u0441\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u0435 \u0441\u043e\u0441\u0443\u0434\u043e\u0432, \u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u044b\u0439 \u0440\u0438\u0441\u043a.<\/li>\n<li><strong>\u0420\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0441 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u0435\u0439<\/strong>. \u0427\u0430\u0449\u0435 \u043f\u0440\u0438 Shamblin III. \u041f\u043e\u0441\u043b\u0435 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438 \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f \u043f\u0440\u043e\u0442\u0435\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 (Dacron, PTFE).\u00a0<\/li>\n<li><strong>Neuromonitoriza\u00e7\u00e3o e microcirurgia<\/strong>. Utiliza-se quando est\u00e1 pr\u00f3ximo dos nervos cranianos (IX-XII).<\/li>\n<\/ul>\n<p><strong>Poss\u00edveis complica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0435 (\u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438);<\/li>\n<li>\u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u0447\u0435\u0440\u0435\u043f\u043d\u044b\u0445 \u043d\u0435\u0440\u0432\u043e\u0432 (IX\u2013XII) \u2014 \u0434\u043e 30\u00a0% \u043f\u0440\u0438 \u043a\u0440\u0443\u043f\u043d\u044b\u0445 \u043e\u043f\u0443\u0445\u043e\u043b\u044f\u0445;<\/li>\n<li>\u0438\u043d\u0441\u0443\u043b\u044c\u0442 (\u043f\u0440\u0438 \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u0438 \u043a\u043e\u043b\u043b\u0430\u0442\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430);<\/li>\n<li>\u0440\u0435\u0446\u0438\u0434\u0438\u0432 (\u0440\u0435\u0434\u043a\u043e, \u043f\u0440\u0438 \u043d\u0435\u043f\u043e\u043b\u043d\u043e\u0439 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438).<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Quimioterapia <\/strong><\/li>\n<\/ol>\n<p>N\u00e3o se trata de um tratamento padr\u00e3o para o quimiodectoma carot\u00eddeo, uma vez que a maioria dos tumores \u00e9 de crescimento lento e de natureza benigna. No entanto, em casos raros de evolu\u00e7\u00e3o maligna (progress\u00e3o r\u00e1pida, les\u00f5es metast\u00e1ticas) ou em formas metast\u00e1ticas inoper\u00e1veis, pode ser utilizada terapia sist\u00e9mica. <\/p>\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong><strong>\u0420\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u00b9\u2077\u2077Lu-DOTATATE (PRRT)\u00a0<\/strong><\/strong><\/li>\n<\/ol>\n<p>Prescrito na presen\u00e7a de express\u00e3o de receptores de somatostatina por PET com \u2076\u2078\u2078Ga-DOTATATE.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. O quimiodectoma da car\u00f3tida \u00e9 um tumor maligno?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0412 \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u2014 \u043d\u0435\u0442. \u041a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u0430\u044f \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0441\u044f \u043a \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c, \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u043e \u0440\u0430\u0441\u0442\u0443\u0449\u0438\u043c \u043e\u043f\u0443\u0445\u043e\u043b\u044f\u043c. \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u043c\u0443\u0442\u0430\u0446\u0438\u0439 \u0433\u0435\u043d\u0430 <em>SDHB<\/em> \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0439 \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b \u0441 \u043c\u0435\u0442\u0430\u0441\u0442\u0430\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435\u043c.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u041c\u043e\u0436\u043d\u043e \u043b\u0438 \u043f\u0440\u043e\u0441\u0442\u043e \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0442\u044c \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u0443\u044e \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0443, \u043d\u0435 \u0443\u0434\u0430\u043b\u044f\u044f \u0435\u0435?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0414\u0430, \u0432 \u043d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0435\u0441\u043b\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043d\u0435\u0431\u043e\u043b\u044c\u0448\u0430\u044f (< 2,5 \u0441\u043c), \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u0430\u044f, \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u043f\u043e\u0436\u0438\u043b\u043e\u0439 \u0432\u043e\u0437\u0440\u0430\u0441\u0442 \u0438\u043b\u0438 \u0435\u0441\u0442\u044c \u043f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f \u043a \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438. \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0430\u0445 \u0440\u043e\u0441\u0442\u0430 \u0438\u043b\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0438 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440 \u0448\u0435\u0438 \u0442\u0440\u0435\u0431\u0443\u0435\u0442\u0441\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u0435.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. A cirurgia para remover um quimiodectoma da car\u00f3tida \u00e9 perigosa?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os riscos dependem do tamanho e da localiza\u00e7\u00e3o do tumor. No caso de grandes massas, s\u00e3o poss\u00edveis complica\u00e7\u00f5es, incluindo les\u00f5es dos nervos cranianos, hemorragias e eventos isqu\u00e9micos. A emboliza\u00e7\u00e3o pr\u00e9-operat\u00f3ria \u00e9 frequentemente efectuada para reduzir os riscos.  <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Os outros membros da fam\u00edlia t\u00eam de ser examinados se me for diagnosticado um quimiodectoma?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0415\u0441\u043b\u0438 \u0443 \u0432\u0430\u0441 \u0432\u044b\u044f\u0432\u043b\u0435\u043d\u0430 \u043d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043c\u0443\u0442\u0430\u0446\u0438\u044f (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, <em>SDHD<\/em>, <em>SDHB<\/em>), \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0438 \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u0431\u043b\u0438\u0436\u0430\u0439\u0448\u0438\u0445 \u0440\u043e\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0438\u043a\u043e\u0432, \u043f\u043e\u0441\u043a\u043e\u043b\u044c\u043a\u0443 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0441\u0435\u043c\u0435\u0439\u043d\u044b\u043c.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Como se pode distinguir o quimiodectoma da car\u00f3tida de outros tumores do pesco\u00e7o?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O quimiodectoma carot\u00eddeo localiza-se geralmente na bifurca\u00e7\u00e3o da art\u00e9ria car\u00f3tida comum, \u00e9 puls\u00e1til, desloca-se horizontalmente, mas n\u00e3o verticalmente, e apresenta o carater\u00edstico \u201csinal da lira\u201d na <span class=\"glossary-term\" data-title=\"Tomografia computorizada\" data-tooltip=\"A tomografia computadorizada \u00e9 um exame de imagem que usa raios X para obter imagens transversais (cortes) de \u00f3rg\u00e3os e tecidos internos. \u00c9 uma das principais t\u00e9cnicas de imagem da medicina moderna, com elevado n\u00edvel de gera\u00e7\u00e3o de informa\u00e7\u00e3o.\" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/tc-tomografia-computadorizada\/\">TC<\/span>\/<span class=\"glossary-term\" data-title=\"RM (Resson\u00e2ncia magn\u00e9tica)\" data-tooltip=\"A resson\u00e2ncia magn\u00e9tica (RM) \u00e9 uma t\u00e9cnica de imagem moderna n\u00e3o invasiva que produz imagens em camadas altamente detalhadas de \u00f3rg\u00e3os e tecidos internos. O m\u00e9todo baseia-se no fen\u00f3meno da resson\u00e2ncia magn\u00e9tica nuclear. A principal vantagem da RM \u00e9 a aus\u00eancia de radia\u00e7\u00e3o ionizante.\" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/rm\/\">RM<\/span>. O diagn\u00f3stico \u00e9 esclarecido por imagiologia e angiografia. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Um quimiodectoma pode causar dor ou desconforto?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Na maioria dos casos, n\u00e3o, especialmente nas fases iniciais. No entanto, \u00e0 medida que o tumor cresce, pode causar press\u00e3o nos nervos e vasos sangu\u00edneos, resultando em dor, rouquid\u00e3o, dificuldade em engolir ou tonturas. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Existe o risco de recidiva ap\u00f3s a remo\u00e7\u00e3o do tumor?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041f\u0440\u0438 \u043f\u043e\u043b\u043d\u043e\u043c \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u0440\u0438\u0441\u043a \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0430 \u043d\u0438\u0437\u043a\u0438\u0439 (\u043c\u0435\u043d\u0435\u0435 5 %). \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043d\u0435\u043f\u043e\u043b\u043d\u043e\u0439 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438, \u043d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0439 \u0444\u043e\u0440\u043c\u0435 \u0438\u043b\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 <em>SDHB<\/em>-\u043c\u0443\u0442\u0430\u0446\u0438\u0438, \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0440\u0435\u0446\u0438\u0434\u0438\u0432 \u0438\u043b\u0438 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043d\u043e\u0432\u044b\u0445 \u043e\u0447\u0430\u0433\u043e\u0432. \u0412 \u0442\u0430\u043a\u0438\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445 \u0432\u0430\u0436\u043d\u043e \u0434\u043e\u043b\u0433\u043e\u0441\u0440\u043e\u0447\u043d\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fontes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fontes<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Luna-Ortiz K, Reynoso-Nover\u00f3n N, Herrera-Ponzanelli C, Favila-Lira S, Luna-Peteuil Z, Herrera-Gomez A, et al. Sex differences according to ethnic presentation in carotid body tumors: a systematic literature review. Int J Otorhinolaryngol Head Neck Surg. 2022 Jun;8(6):527-531. doi: 10.18203\/issn.2454-5929.ijohns20221393. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Butt N, Baek WK, Lachkar S, Iwanaga J, Mian A, Blaak C, et al. The carotid body and associated tumors: updated review with clinical\/surgical significance. Br J Neurosurg. 2019 Oct;33(5):500-503. doi: 10.1080\/02688697.2019.1617404.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Darouassi Y, Alaoui M, Mliha Touati M, Al Maghraoui O, En-Nouali A, Bouaity B, Ammar H. Carotid Body Tumors: A Case Series and Review of the Literature. Ann Vasc Surg. 2017 Aug;43:265-271. doi: 10.1016\/j.avsg.2017.03.167.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Gonzalez-Urquijo M, Castro-Varela A, Barrios-Ruiz A, Hinojosa-Gonzalez DE, Salas AKG, Morales EA, et al. Current trends in carotid body tumors: comprehensive review. Head Neck. 2022 Oct;44(10):2316-2332. doi: 10.1002\/hed.27147.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ozawa H. Current management of carotid body tumors. Auris Nasus Larynx. 2024 Jun;51(3):501-506. doi: 10.1016\/j.anl.2024.01.007.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Piazza C, Lancini D, Tomasoni M, Zafereo M, Poorten VV, Hanna E, et al. Malignant carotid body tumors: what we know, what we do, and what we need to achieve. A systematic review of the literature. Head Neck. 2024 Mar;46(3):672-687. doi: 10.1002\/hed.27624.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u041f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 (\u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430) \u2014 \u0440\u0435\u0434\u043a\u0430\u044f, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c, \u0432\u043e\u0437\u043d\u0438\u043a\u0430\u044e\u0449\u0430\u044f \u0438\u0437 \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430, \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u0432 \u043c\u0435\u0441\u0442\u0435 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u043e\u0431\u0449\u0435\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. Epidemiologia A etiologia \u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u2014 \u0432\u0435\u0434\u0443\u0449\u0443\u044e \u0440\u043e\u043b\u044c \u0438\u0433\u0440\u0430\u044e\u0442 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445, \u043a\u043e\u0434\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0441\u0443\u0431\u044a\u0435\u0434\u0438\u043d\u0438\u0446\u044b \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 (SDH), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0443\u0447\u0430\u0441\u0442\u0432\u0443\u0435\u0442 \u0432 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439 \u0438 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u043c \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0437\u043c\u0435. \u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u0433\u0435\u043d\u044b: \u0421\u0438\u043d\u0434\u0440\u043e\u043c\u044b, \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430\u043c\u0438:\u00a0 \u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[303],"class_list":["post-891","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-vasculares"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Paraganglioma do corpo carot\u00eddeo (quimiodectoma) do pesco\u00e7o: sintomas, diagn\u00f3stico, tratamento<\/title>\n<meta name=\"description\" content=\"O paraganglioma (quimiodectoma) \u00e9 um tumor raro, predominantemente benigno, das c\u00e9lulas quimiorreceptoras na zona da bifurca\u00e7\u00e3o carot\u00eddea. 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