Tumores oculares infantis: perfil e conduta dos casos encaminhados ao setor de oncologia ocular do departamento de oftalmologia e ciências visuais da Unifesp
Data
2023-12-11
Autores
Ferreira, Guilherme Rodrigues 
Orientadores
Fernandes, Arthur Gustavo
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Determinar o perfil epidemiológico e as condutas adotadas para pacientes
pediátricos com suspeita ou diagnóstico de tumor ocular encaminhados ao setor de
Oncologia Ocular do Departamento de Oftalmologia e Ciências Visuais da Unifesp.
Métodos: Estudo ambispectivo, realizado inicialmente por meio da revisão do
prontuário eletrônico de pacientes pediátricos encaminhados ao Setor de Oncologia
Ocular do Departamento de Oftalmologia e Ciências Visuais da Unifesp com suspeita
de tumor ocular no período de setembro de 2013 a agosto de 2023. No período de
agosto de 2023 a setembro de 2023, a triagem dos pacientes foi realizada
presencialmente no ambulatório de Oncologia Ocular.
Resultados: Um total de 175 indivíduos com idade menor que 18 anos (49,1% sexo
feminino) com hipótese diagnóstica de tumores oculares foram incluídos no presente
estudo, apresentando idade média de 8,8±4,5 anos. Os tumores oculares benignos
mais frequentes foram Nevus de conjuntiva (33,7%), papiloma conjuntival (10,2%) e
granuloma piogênico (7,4%). Entre os tumores oculares malignos encontrados no
estudo estão o carcinoma espinocelular (CEC) (5,7%) e o retinoblastoma (2,8%). As
condutas mais frequentes foram exame + retorno (50,9%), tratamento (21,1%),
apenas retorno (13,7%), encaminhamento para outro setor (13,1) e alta (1,1%).
Conclusão: Os tumores oculares mais frequentemente diagnosticado em crianças e
adolescentes foram benignos sendo o Nevus de conjuntiva o mais frequente. Para tais
casos, a conduta mais adotada foi a de exames e acompanhamento. Para as
neoplasias malignas como o CEC, as condutas mais adotas foram prescrição de
colírio quimioterápico e cirurgia.
Purpose: To determine the epidemiological profile and management approaches for pediatric patients with suspected or diagnosed eye tumors referred to the Ocular Oncology Division of the Department of Ophthalmology and Visual Sciences at UNIFESP. Methods: Ambispective study initially conducted by reviewing electronic medical records of pediatric patients referred to the Ocular Oncology Division of the Department of Ophthalmology and Visual Sciences at UNIFESP with suspected eye tumors from September 2013 to August 2023. From August 2023 to September 2023, patient screening was carried out inperson at the Ocular Oncology outpatient clinic. Results: A total of 175 individuals under 18 years of age (49.1% female) with a suspected diagnosis of eye tumors were included in this study, with a mean age of 8.8±4.5 years. The most frequent benign eye tumors were Conjunctival Nevus (33.7%), Conjunctival Papilloma (10.2%), and Pyogenic Granuloma (7.4%). Among the malignant eye tumors, the most frequent were Ocular Surface Squamous Neoplasia (OSSN) (5.7%) and Retinoblastoma (2.8%). The most common approaches included examination + followup (50.9%), treatment (21.1%), followup only (13.7%), referral to another division (13.1%), and discharge (1.1%). Conclusion: The eye tumors most frequently diagnosed in children and adolescents were benign, with the Conjunctival Nevus being the most common. The most primary approach for these diagnoses involved examinations and followup. Malignant neoplasms, such as OSSN, were managed with chemotherapeutic eye drops and surgery.
Purpose: To determine the epidemiological profile and management approaches for pediatric patients with suspected or diagnosed eye tumors referred to the Ocular Oncology Division of the Department of Ophthalmology and Visual Sciences at UNIFESP. Methods: Ambispective study initially conducted by reviewing electronic medical records of pediatric patients referred to the Ocular Oncology Division of the Department of Ophthalmology and Visual Sciences at UNIFESP with suspected eye tumors from September 2013 to August 2023. From August 2023 to September 2023, patient screening was carried out inperson at the Ocular Oncology outpatient clinic. Results: A total of 175 individuals under 18 years of age (49.1% female) with a suspected diagnosis of eye tumors were included in this study, with a mean age of 8.8±4.5 years. The most frequent benign eye tumors were Conjunctival Nevus (33.7%), Conjunctival Papilloma (10.2%), and Pyogenic Granuloma (7.4%). Among the malignant eye tumors, the most frequent were Ocular Surface Squamous Neoplasia (OSSN) (5.7%) and Retinoblastoma (2.8%). The most common approaches included examination + followup (50.9%), treatment (21.1%), followup only (13.7%), referral to another division (13.1%), and discharge (1.1%). Conclusion: The eye tumors most frequently diagnosed in children and adolescents were benign, with the Conjunctival Nevus being the most common. The most primary approach for these diagnoses involved examinations and followup. Malignant neoplasms, such as OSSN, were managed with chemotherapeutic eye drops and surgery.