Incidentalomas: conceito, relevância e desafios para a prática médica

Autores

  • María Ana Mariño Sociedad Argentina de Medicina Interna General.

DOI:

https://doi.org/10.5712/rbmfc10(35)1053

Palavras-chave:

Incidentaloma, Achados Incidentais, Medicalização, Prevenção Quaternária

Resumo

O incidentaloma (ainda não incluído como um termo MeSH, nem em outros bancos de dados biomédicos ou ‘BioPortais’) é um neologismo utilizado para descrever uma massa (ou anormalidade) descoberta de modo incidental em pessoas assintomáticas. Os incidentalomas, ou achados incidentais, são extremamente comuns nos dias de hoje, e na maioria dos casos, inofensivos, mas por vezes não se pode excluir a possibilidade real de dano, e em raríssimos casos, algumas pessoas podem se beneficiar devido à sua descoberta. Isso ocorre porque a maioria dos incidentalomas representa sobrediagnóstico causado pelo uso massivo de métodos de diagnóstico de alta-resolução. Em muitos casos, o incidentaloma causa ansiedade, consome tempo e recursos, e pode até causar maiores danos para a saúde dos pacientes, como resultado dos procedimentos realizados no seguimento posterior ao achado. Sendo assim, é importante reconhecer o problema para se tentar evitá-lo tanto quanto possível, e aprender estratégias para lidar com situações onde nos deparamos com incidentalomas.

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Biografia do Autor

María Ana Mariño, Sociedad Argentina de Medicina Interna General.

Sociedad Argentina de Medicina Interna General (SAMIG).

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Publicado

2015-06-24

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1.
Mariño MA. Incidentalomas: conceito, relevância e desafios para a prática médica. Rev Bras Med Fam Comunidade [Internet]. 24º de junho de 2015 [citado 29º de março de 2024];10(35):1-9. Disponível em: https://rbmfc.org.br/rbmfc/article/view/1053

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