{"id":6178,"date":"2026-02-26T16:53:57","date_gmt":"2026-02-26T13:53:57","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/glossary\/nodulo-submucoso\/"},"modified":"2026-04-16T13:56:14","modified_gmt":"2026-04-16T10:56:14","slug":"nodulo-submucoso","status":"publish","type":"glossary_item","link":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/nodulo-submucoso\/","title":{"rendered":"N\u00f3dulo submucoso"},"content":{"rendered":"\n<p>N\u00f3dulo submucoso (lat. <em>sub<\/em> \u2014 sob, <em>mucosa<\/em> \u2014 mucosa) \u00e9 uma variante cl\u00ednico-anat\u00f4mica do leiomioma uterino, na qual a forma\u00e7\u00e3o cresce centripetamente (em dire\u00e7\u00e3o \u00e0 cavidade uterina), deformando sua arquitetura.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\"><strong>Etiologia e fisiopatologia<\/strong><\/h2>\n\n<p>Na classifica\u00e7\u00e3o moderna FIGO (PALM-COEIN) os n\u00f3dulos submucosos s\u00e3o divididos em tr\u00eas tipos dependendo de sua rela\u00e7\u00e3o com o miom\u00e9trio:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Tipo 0:<\/strong> O n\u00f3dulo est\u00e1 completamente na cavidade uterina (pendurado), sem penetrar no miom\u00e9trio.<\/li>\n\n\n\n<li><strong>Tipo 1:<\/strong> Menos de 50% do volume do n\u00f3dulo est\u00e1 embebido na parede uterina.<\/li>\n\n\n\n<li><strong>Tipo 2:<\/strong> Mais de 50% do volume do n\u00f3dulo est\u00e1 disposto intramuralmente (na espessura do m\u00fasculo). O n\u00f3dulo provoca distens\u00e3o da cavidade uterina, aumento da \u00e1rea de descama\u00e7\u00e3o e isquemia\/ulcera\u00e7\u00e3o local do endom\u00e9trio que o cobre.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\"><strong>Import\u00e2ncia cl\u00ednica<\/strong><\/h2>\n\n<p>A localiza\u00e7\u00e3o submucosa \u00e9 a mais clinicamente agressiva. Mesmo n\u00f3dulos de pequeno di\u00e2metro (1\u20132 cm) causam menorragias profusas <strong>com co\u00e1gulos<\/strong>, levando a uma anemia grave, resistente \u00e0 terapia. Dores em c\u00f3lica (&#8220;n\u00f3dulo miomatoso nascente&#8221;) s\u00e3o caracter\u00edsticas. <\/p>\n\n<p>Al\u00e9m disso, os n\u00f3dulos submucosos atuam como um contraceptivo intrauterino: causam inflama\u00e7\u00e3o cr\u00f4nica e mecanicamente impedem a implanta\u00e7\u00e3o, sendo causa absoluta de infertilidade uterina. Tratamento \u2014 histerorressectoscopia (remo\u00e7\u00e3o via vaginal).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00f3dulo submucoso (lat. <em>sub<\/em> \u2014 sob, <em>mucosa<\/em> \u2014 mucosa) \u00e9 uma variante cl\u00ednico-anat\u00f4mica do leiomioma uterino, na qual a forma\u00e7\u00e3o cresce centripetamente (em dire\u00e7\u00e3o \u00e0 cavidade uterina), deformando sua arquitetura.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-6178","glossary_item","type-glossary_item","status-publish","hentry"],"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>N\u00f3dulo submucoso: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki<\/title>\n<meta name=\"description\" content=\"N\u00f3dulo submucoso (lat. sub \u2014 sob, mucosa \u2014 mucosa) \u00e9 uma variante cl\u00ednico-anat\u00f4mica do leiomioma uterino, 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