{"id":38152,"date":"2025-09-29T10:56:34","date_gmt":"2025-09-29T13:56:34","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=38152"},"modified":"2025-09-29T10:56:36","modified_gmt":"2025-09-29T13:56:36","slug":"adenoma-hepatico","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/","title":{"rendered":"Adenoma Hep\u00e1tico: explorando a epidemiologia, o manejo e o tratamento correto"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Epidemiologia_e_Fatores_de_Risco_do_Adenoma_Hepatico\" >Epidemiologia e Fatores de Risco do Adenoma Hep\u00e1tico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Quadro_Clinico_e_Complicacoes\" >Quadro Cl\u00ednico e Complica\u00e7\u00f5es<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Quais_possiveis_complicacoes\" >Quais poss\u00edveis complica\u00e7\u00f5es?\u00a0\u00a0<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Diagnostico_e_Classificacao_Molecular\" >Diagn\u00f3stico e Classifica\u00e7\u00e3o Molecular<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Manejo_Terapeutico\" >Manejo Terap\u00eautico<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Nodulo_Unico\" >N\u00f3dulo \u00danico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Multiplos_Nodulos_Adenomatose_Hepatica\" >M\u00faltiplos N\u00f3dulos (Adenomatose Hep\u00e1tica)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#Complicacao_Aguda_RupturaSangramento\" >Complica\u00e7\u00e3o Aguda (Ruptura\/Sangramento)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/adenoma-hepatico\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-1024x576.jpg\" alt=\"\" class=\"wp-image-38158\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-29T105513.914.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>O <strong>Adenoma Hep\u00e1tico (AH)<\/strong> \u00e9 um <strong>tumor benigno raro do f\u00edgado<\/strong>, mas de grande relev\u00e2ncia cl\u00ednica devido ao potencial de complica\u00e7\u00f5es graves, como <strong>hemorragia e degenera\u00e7\u00e3o maligna. <\/strong>O manejo e o progn\u00f3stico do adenoma hep\u00e1tico s\u00e3o altamente dependentes da avalia\u00e7\u00e3o dos fatores de risco e da sua classifica\u00e7\u00e3o molecular.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-epidemiologia-e-fatores-de-risco-do-adenoma-hepatico\"><span class=\"ez-toc-section\" id=\"Epidemiologia_e_Fatores_de_Risco_do_Adenoma_Hepatico\"><\/span><strong>Epidemiologia e Fatores de Risco do Adenoma Hep\u00e1tico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O AH \u00e9 o terceiro tumor hep\u00e1tico incidental mais comum. Ele apresenta uma marcante <strong>preponder\u00e2ncia feminina<\/strong> (10:1), sendo diagnosticado predominantemente entre <strong>35 e 40 anos.<\/strong> Vale ressaltar que o uso de <strong>contraceptivos hormonais<\/strong> \u00e9 um fator de risco importante (antes do advento dos contraceptivos, a incid\u00eancia era de 1 caso por 1.000.000, subindo para 30-40 casos por 1.000.000 em mulheres jovens atualmente).<\/p>\n\n\n\n<p>Al\u00e9m disso, o risco de hemorragia \u00e9<strong> maior durante a<\/strong> <strong>gravidez<\/strong>, devido ao <strong>aumento dos horm\u00f4nios femininos e ao est\u00edmulo ao crescimento do adenoma.<\/strong><\/p>\n\n\n\n<p>Outros fatores que contribuem para o desenvolvimento e crescimento do adenoma s\u00e3o a <strong>composi\u00e7\u00e3o corporal<\/strong> (como obesidade e esteatose hep\u00e1tica), <strong>uso de esteroides anabolizantes<\/strong> (s\u00e3o um fator de risco crescente na popula\u00e7\u00e3o masculina), <strong>presen\u00e7a de dist\u00farbios metab\u00f3licos<\/strong> (como hemocromatose e doen\u00e7as do glicog\u00eanio, notavelmente a Glicogenose tipo I (associa\u00e7\u00e3o em 50% dos casos) e tipo III (associa\u00e7\u00e3o em 25% dos casos).<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.reclameaqui.com.br\/premio\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46.png\" alt=\"\" class=\"wp-image-37880\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-46-696x218.png 696w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quadro-clinico-e-complicacoes\"><span class=\"ez-toc-section\" id=\"Quadro_Clinico_e_Complicacoes\"><\/span><strong>Quadro Cl\u00ednico e Complica\u00e7\u00f5es<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Muitos pacientes com adenoma hep\u00e1tico s\u00e3o <strong>assintom\u00e1ticos<\/strong>. Mas os sintomas comuns s\u00e3o dor e desconforto abdominal, que tendem a ser mais insidiosos e eventuais. A presen\u00e7a de dor aguda deve levantar a suspeita de complica\u00e7\u00f5es, como trombose ou rotura do adenoma.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-quais-possiveis-complicacoes\"><span class=\"ez-toc-section\" id=\"Quais_possiveis_complicacoes\"><\/span><strong>Quais poss\u00edveis complica\u00e7\u00f5es?\u00a0\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>As complica\u00e7\u00f5es s\u00e3o mais frequentes em les\u00f5es maiores que 5 cm e incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hemorragia (15-30%): Maior risco durante a gravidez.<\/li>\n\n\n\n<li>Degenera\u00e7\u00e3o Maligna: Risco de transforma\u00e7\u00e3o para Carcinoma Hepatocelular (CHC). O subtipo beta-catenina ativado confere maior risco de malignidade.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-e-classificacao-molecular\"><span class=\"ez-toc-section\" id=\"Diagnostico_e_Classificacao_Molecular\"><\/span><strong>Diagn\u00f3stico e Classifica\u00e7\u00e3o Molecular<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O diagn\u00f3stico de AH \u00e9 feito primariamente por exames de imagem, e a classifica\u00e7\u00e3o molecular orienta o manejo.<\/p>\n\n\n\n<p>O exame de imagem ideal \u00e9 a Resson\u00e2ncia Magn\u00e9tica <strong>(RM)<\/strong>, embora a Tomografia Computadorizada <strong>(TC)<\/strong> tamb\u00e9m seja utilizada.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"837\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-1024x837.png\" alt=\"\" class=\"wp-image-38153\" style=\"width:532px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-1024x837.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-300x245.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-768x628.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-514x420.png 514w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-150x123.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-696x569.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64-1068x873.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-64.png 1178w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">TC (fase arterial): les\u00e3o hipervascular, heterog\u00eanea, regi\u00e3o hipodensa (correspondente a deposi\u00e7\u00e3o de gordura) no interior. Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"867\" height=\"681\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65.png\" alt=\"\" class=\"wp-image-38154\" style=\"width:541px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65.png 867w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65-300x236.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65-768x603.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65-535x420.png 535w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65-150x118.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-65-696x547.png 696w\" sizes=\"auto, (max-width: 867px) 100vw, 867px\" \/><figcaption class=\"wp-element-caption\">TC (fase arterial): duas les\u00f5es hipervasculares e homog\u00eaneas. Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li>RM (Meio de Contraste): Apresenta boa <strong>sensibilidade<\/strong> para o componente gorduroso e avalia o padr\u00e3o de vasculariza\u00e7\u00e3o. Adenomas s\u00e3o, em geral, hipervasculares.<\/li>\n\n\n\n<li>\u00a0Achados na TC\/RM:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Les\u00e3o hipervascular na fase arterial, com realce na periferia (telangiectasias).<\/li>\n\n\n\n<li>Presen\u00e7a de componente hipodenso (gordura) ou hiperdensidade em caso de sangramento recente.<\/li>\n<\/ul>\n\n\n\n<p>O adenoma hep\u00e1tico \u00e9 uma entidade heterog\u00eanea classificada em subtipos moleculares que se correlacionam com o risco de sangramento e malignidade:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Subtipo (2006)<\/td><td>Frequ\u00eancia&nbsp;<\/td><td>Particularidades Cl\u00ednicas\/ Risco<\/td><\/tr><tr><td>HNF-1 inativado&nbsp;<\/td><td>30-40%<\/td><td>Considerado o &#8220;Bonzinho&#8221;. S\u00e3o esteat\u00f3ticos (componente gorduroso importante)<\/td><\/tr><tr><td>Inflamat\u00f3rios (JAK\/STAT ativado)<\/td><td>40-55%<\/td><td>Associado \u00e0 obesidade e s\u00edndrome metab\u00f3lica. Aspecto telangiect\u00e1sico. O &#8220;Sinal do Atol&#8221; (anel hiperintenso na periferia em T2) pode estar presente.<\/td><\/tr><tr><td>Beta-catenina Ativado<\/td><td>10-20%<\/td><td>Risco aumentado de degenera\u00e7\u00e3o para CHC. Representa\u00e7\u00e3o maior no sexo masculino. Muta\u00e7\u00f5es no \u00e9xon 3 est\u00e3o associadas \u00e0 degenera\u00e7\u00e3o maligna.<\/td><\/tr><tr><td>N\u00e3o Classific\u00e1vel<\/td><td>5-10%<\/td><td>Subtipos n\u00e3o associados a muta\u00e7\u00f5es conhecidas. O subtipo Sonic Hedgehog (parte dos n\u00e3o classific\u00e1veis) possui risco muito maior para sangramento.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"689\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-1024x689.png\" alt=\"\" class=\"wp-image-38155\" style=\"width:434px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-1024x689.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-300x202.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-768x517.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-624x420.png 624w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-150x101.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-696x468.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66-1068x718.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-66.png 1173w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">HNF-1\u00a0 Inativado (T2 sem supress\u00e3o de gordura). Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"636\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-1024x636.png\" alt=\"\" class=\"wp-image-38156\" style=\"width:452px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-1024x636.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-300x186.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-768x477.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-676x420.png 676w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-150x93.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-696x432.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67-1068x663.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-67.png 1253w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">T2 com hiperrealce (sinal de atol). Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"917\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-1024x917.png\" alt=\"\" class=\"wp-image-38157\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-1024x917.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-300x269.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-768x688.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-469x420.png 469w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-150x134.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-696x624.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68-1068x957.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-68.png 1258w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Ilustra\u00e7\u00e3o com os principais subtipos e suas caracter\u00edsticas espec\u00edficas. Fonte: Acervo de Aulas do Grupo MedCof\u00a0<br><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-manejo-terapeutico\"><span class=\"ez-toc-section\" id=\"Manejo_Terapeutico\"><\/span><strong>Manejo Terap\u00eautico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O manejo do adenoma hep\u00e1tico \u00e9 determinado pelo sexo, tamanho da les\u00e3o, sintomas e classifica\u00e7\u00e3o molecular. A abordagem inicial para pacientes com adenoma hepatocelular \u00e9 solicitar uma <strong>RM com contraste hepatoespec\u00edfico<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-nodulo-unico\"><span class=\"ez-toc-section\" id=\"Nodulo_Unico\"><\/span><strong>N\u00f3dulo \u00danico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Masculino: o homem SEMPRE opera (Ressec\u00e7\u00e3o) devido ao risco de complica\u00e7\u00f5es e malignidade.<\/li>\n\n\n\n<li>Feminino: a conduta inicial \u00e9 parar a terapia hormonal (se em uso).<\/li>\n<\/ul>\n\n\n\n<p>Se a les\u00e3o for &lt; 5 cm inicialmente mantemos a <strong>vigil\u00e2ncia<\/strong>. Deve-se repetir a RM ap\u00f3s 6 a 12 meses da interrup\u00e7\u00e3o da terapia hormonal, pois a maioria tende a diminuir. Em les\u00e3o &gt; 5 cm (mesmo ap\u00f3s cessa\u00e7\u00e3o hormonal) ou Les\u00e3o Suspeita, devemos seguir com RM sugestiva para HNF-1 mutado: <strong>Vigil\u00e2ncia Ativa<\/strong>.<\/p>\n\n\n\n<p>Um aspecto de Adenoma Inflamat\u00f3rio ou suspeita de beta-catenina mutado sugere a ressec\u00e7\u00e3o. Em uma les\u00e3o central, n\u00e3o sugestiva para HNF-1 alpha mutado, devemos considerar <strong>Bi\u00f3psia<\/strong> e, dependendo do resultado, <strong>Emboliza\u00e7\u00e3o<\/strong> ou <strong>Vigil\u00e2ncia Ativa<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-multiplos-nodulos-adenomatose-hepatica\"><span class=\"ez-toc-section\" id=\"Multiplos_Nodulos_Adenomatose_Hepatica\"><\/span><strong>M\u00faltiplos N\u00f3dulos (Adenomatose Hep\u00e1tica)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00a0A Les\u00e3o > 5 cm requer <strong>ressec\u00e7\u00e3o<\/strong>. Se irressec\u00e1vel ou em paciente com Glicogenose, pode ser considerado <strong>Transplante Hep\u00e1tico<\/strong>. Mas a Les\u00e3o &lt; 5 cm requer <strong>Vigil\u00e2ncia Ativa.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-complicacao-aguda-ruptura-sangramento\"><span class=\"ez-toc-section\" id=\"Complicacao_Aguda_RupturaSangramento\"><\/span><strong>Complica\u00e7\u00e3o Aguda (Ruptura\/Sangramento)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Em caso de ruptura\/sangramento agudo, o tratamento inicial \u00e9 a <strong>Emboliza\u00e7\u00e3o Transarterial.<\/strong> Deve-se repetir a imagem ap\u00f3s 3 a 6 meses, aguardar a reabsor\u00e7\u00e3o do hematoma e, se houver les\u00e3o vi\u00e1vel, proceder \u00e0 Ressec\u00e7\u00e3o.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCofer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 20 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"aBr3QplIwno\"><iframe loading=\"lazy\" title=\"F\u00edgado Adenoma Hep\u00e1tico: O Que Voc\u00ea Precisa Saber. Com Dr. Carlos Obregon\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/aBr3QplIwno?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O Adenoma Hep\u00e1tico \u00e9 um tumor benigno raro do f\u00edgado, mas de grande relev\u00e2ncia cl\u00ednica devido ao potencial de complica\u00e7\u00f5es graves. Veja!<\/p>\n","protected":false},"author":21,"featured_media":38158,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[3220,2809,1215],"ppma_author":[3617],"class_list":{"0":"post-38152","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-adenoma-hepatico","9":"tag-cad","10":"tag-figado"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Adenoma Hep\u00e1tico: explorando a epidemiologia, o manejo e o tratamento correto - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"O Adenoma Hep\u00e1tico \u00e9 um tumor benigno raro do f\u00edgado, mas de grande relev\u00e2ncia cl\u00ednica devido ao potencial de complica\u00e7\u00f5es graves. 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