{"id":11245,"date":"2009-10-30T20:28:42","date_gmt":"2009-10-31T00:28:42","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11245"},"modified":"2009-10-31T16:55:15","modified_gmt":"2009-10-31T20:55:15","slug":"como-lo-hago-n%c2%ba-37-solucion-ca-basocelular-recidivante-preauricular","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11245","title":{"rendered":"C\u00f3mo lo Hago N\u00ba 37, soluci\u00f3n: Ca. basocelular recidivante preauricular"},"content":{"rendered":"<p>Paciente masculino, 63 a., con lesi\u00f2n  preauricular izquierda, recidivante despu\u00e8s de tres tratamientos  previos con cauterizaci\u00f2n. En vista de la recidiva despu\u00e8s de la  3ra intervenci\u00f2n, el paciente dej\u00f2 pasar m\u00e0s de 4 anos, antes  consultar.<br \/>\n Diagn\u00f2stico cl\u00ecnico: carcinoma basocelular recivante  ulcerado.<\/p>\n<p><!--more--><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11246\" title=\"1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/12.jpg\" alt=\"1\" width=\"203\" height=\"276\" \/><\/p>\n<p><strong>Tramiento realizado:<\/strong> <br \/>\n La  lesi\u00f2n, al retirar la costra, presentaba m\u00e0rgenes cl\u00ecnicos  bastante netos.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11247\" title=\"2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/22.jpg\" alt=\"2\" width=\"203\" height=\"276\" \/><\/p>\n<p>Se realiz\u00f2 excisi\u00f2n en bloque con un  margen de aproximadamente 4 mm. de piel sana alrededor (foto 2), en  profundidad hasta la fascia.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11248\" title=\"3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/3.jpg\" alt=\"3\" width=\"203\" height=\"276\" \/><\/p>\n<p>Se procedi\u00f2 a decolar a nivel de  tejido celular subcut\u00e0neo y se procedi\u00f2 al cierre primario en los  extremos, despu\u00e8s de realizar extirpaci\u00f2n en ojal a nivel distal  (maxilar) de donde se obtuvo injerto que fu\u00e8 colocado en la porci\u00f2n  central (foto 3).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11249\" title=\"4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/4.jpg\" alt=\"4\" width=\"212\" height=\"276\" \/><\/p>\n<p>La foto 4 fu\u00e8 tomada 3 meses despu\u00e8s  de la reconstrucci\u00f2n. Hemos hablado telefonicamente con el paciente,  operado en el 2005, y <em>seg\u00f9n \u00e8l<\/em> no hay recidivas; <em>dice  estar muy agradecido <\/em><em><strong>pero no volvi\u00f2 a consulta<\/strong><\/em>!<\/p>\n<p>Gracias por vuestros comentarios,<br \/>\n Vito  Abrusci<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente masculino, 63 a., con lesi\u00f2n preauricular izquierda, recidivante despu\u00e8s de tres tratamientos previos con cauterizaci\u00f2n. En vista de la recidiva despu\u00e8s de la 3ra intervenci\u00f2n, el paciente dej\u00f2 pasar m\u00e0s de 4 anos, antes consultar. Diagn\u00f2stico cl\u00ecnico: carcinoma basocelular recivante ulcerado.<\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[],"class_list":["post-11245","post","type-post","status-publish","format-standard","","category-como-lo-hago"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=11245"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11245\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}