{"id":5123,"date":"2025-05-05T13:59:42","date_gmt":"2025-05-05T16:59:42","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5123"},"modified":"2025-05-05T15:27:14","modified_gmt":"2025-05-05T18:27:14","slug":"melanoma-maligno-de-coroide","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/melanoma-maligno-de-coroide\/","title":{"rendered":"Melanoma Maligno de Coroide: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>O melanoma de coroide \u00e9 o tumor intraocular maligno mais comum em adultos, originado nos melan\u00f3citos da coroide. Embora raro (5\u20137 casos\/ milh\u00e3o\/ano), requer diagn\u00f3stico precoce para reduzir risco de met\u00e1stase<sup>1<\/sup>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O QUE \u00c9 MELANOMA DE COROIDE?<\/h2>\n\n\n\n<p>Neoplasia pigmentar que cresce entre a coroide e a retina, podendo causar descolamento exsudativo e hemorragias.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Predisposi\u00e7\u00e3o gen\u00e9tica: muta\u00e7\u00f5es em GNAQ e BAP1<sup>2<\/sup>.<\/li>\n\n\n\n<li>Cor dos olhos clara e hist\u00f3ria de nevus coroideanos.<\/li>\n\n\n\n<li>Exposi\u00e7\u00e3o UV (n\u00e3o t\u00e3o clara quanto na pele).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perda gradual de vis\u00e3o em um olho.<\/li>\n\n\n\n<li>Moscas volantes e flashes.<\/li>\n\n\n\n<li>Mancha escura percebida pelo paciente.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Exame de fundo de olho: massa pigmentar.<\/li>\n\n\n\n<li>Ultrassom ocular (A- e B-scan): avalia ecogenicidade e espessura.<\/li>\n\n\n\n<li>Angio-OCT: vasculariza\u00e7\u00e3o tumoral.<\/li>\n\n\n\n<li>Resson\u00e2ncia magn\u00e9tica: extens\u00e3o extraocular.<\/li>\n\n\n\n<li>Pun\u00e7\u00e3o aspirativa por agulha fina (casos duvidosos).<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Radioterapia braquiter\u00e1pica (placas de Iodo-125):<\/strong> padr\u00e3o-ouro para tumores \u226410 mm de espessura<sup>3<\/sup>.<\/li>\n\n\n\n<li><strong>Radioterapia externa (protonterapia):<\/strong> em casos maiores ou pr\u00f3ximos ao nervo \u00f3ptico.<\/li>\n\n\n\n<li><strong>Enuclea\u00e7\u00e3o:<\/strong> tumores volumosos ou com complica\u00e7\u00f5es.<\/li>\n\n\n\n<li><strong>Termoterapia transpupilar:<\/strong> adjuvante em pequenos melanomas.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sobrevida em 5 anos:<\/strong> 70\u201380 % nos tumores tratados precocemente<sup>4<\/sup>.<\/li>\n\n\n\n<li><strong>Met\u00e1stase hep\u00e1tica:<\/strong> principal causa de mortalidade; rastreamento anual.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Monitora\u00e7\u00e3o de nevus coroideanos com foto e ultrassom anual.<\/li>\n\n\n\n<li>Exames oftalmol\u00f3gicos regulares ap\u00f3s os 50 anos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Nevus vira melanoma sempre?<\/strong><br>\u2013 N\u00e3o; &lt;1 % ao ano de transforma\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Radioterapia causa vis\u00e3o ruim?<\/strong><br>\u2013 Pode reduzir campo visual; depende da localiza\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Risco de met\u00e1stase?<\/strong><br>\u2013 Cerca de 50 % em 10 anos se n\u00e3o tratado.<\/li>\n\n\n\n<li><strong>H\u00e1 preven\u00e7\u00e3o?<\/strong><br>\u2013 Monitoramento de les\u00f5es benignas e prote\u00e7\u00e3o UV.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Kujala E, et al. Uveal melanoma: epidemiology and survival. <em>Ophthalmology<\/em>. 2003;110(4):772\u2013778.<\/li>\n\n\n\n<li>Onken MD, et al. GNAQ mutations in uveal melanoma. <em>Science<\/em>. 2008;319(5870):237.<\/li>\n\n\n\n<li>Harbour JW, et al. Plaque brachytherapy for choroidal melanoma. <em>Arch Ophthalmol<\/em>. 2012;130(10):1327\u20131333.<\/li>\n\n\n\n<li>Diener-West M, et al. Metastatic risk in uveal melanoma. <em>Ophthalmology<\/em>. 2005;112(1):104\u2013113.<\/li>\n<\/ol>\n","protected":false},"template":"","class_list":["post-5123","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Melanoma Maligno de Coroide: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Melanoma maligno de coroide: sintomas, exames e op\u00e7\u00f5es terap\u00eauticas. 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