{"id":11605,"date":"2009-11-20T22:40:23","date_gmt":"2009-11-21T02:40:23","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11605"},"modified":"2009-11-21T00:24:36","modified_gmt":"2009-11-21T04:24:36","slug":"253-consulta-a-un-colegan-n%c2%ba2-caso-clinico-discusion-de-tratamiento-quirurgico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11605","title":{"rendered":"253 Consulta a un colegan N\u00ba2: Caso Cl\u00ednico. Discusi\u00f3n de tratamiento quir\u00fargico"},"content":{"rendered":"<p><strong><em>Presentado por Dra. Hilda Ramos Zerpa<br \/>\n Centro Policl\u00ednico Valencia. La Vi\u00f1a <\/em><\/strong><\/p>\n<p>Paciente Femenina de 56 anos de edad, natural de Portugal y procedente de Valencia, la cual es referida a mi consulta por colega para resoluci\u00f3n quir\u00fargica de m\u00faltiples lesiones tumorales, de varios anos de evoluci\u00f3n.<\/p>\n<p><!--more--><strong>Al  examen  f\u00edsico .<\/strong><br \/>\n Fototipo I. <br \/>\n 1.Lesi\u00f3n Tumoral que inicia en Angulo interno de ojo derecho que lentamente se extendiendo, hasta abarcar dorso nasal y ala nasal derecha.<br \/>\n 2.Lesion  Nodular n regi\u00f3n  fronto \u2013temporal  derecho.<br \/>\n 3. Lesi\u00f3n  tumoral  atr\u00f3fica, da\u00f1o act\u00ednico severo regi\u00f3n malar derecha<br \/>\n 4. Lesion tumoral  p\u00e1pula nodular en brazo derecho<br \/>\n 5. Lesi\u00f3n localizada en rodilla izquierda, caracterizada por placas eritemato -descamativas, bordes sobreelevados pruriginosas de larga data.<\/p>\n<p> <strong>Estudio Histopatologico  de: <\/strong><br \/>\n 1.lesi\u00f3n de Angulo Interno de ojo   y ala nasal izquierda. Carcinoma Basocelular   de patr\u00f3n solido y morfeiforme.<br \/>\n 2. Punch de placa de rodilla izquierda. Carcinoma Basocelular<br \/>\n (Dra. Nelly Vigil Q.)<\/p>\n<p>Inicia como lesi\u00f3n nodular  en angulo interno de ojo derecho que  se extiende progresivamente , con piel atrofica, apergaminada<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11597\" title=\"Imagen1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen1-225x300.jpg\" alt=\"Imagen1\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen1-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen1.jpg 558w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11598\" title=\"Imagen2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen2-300x225.jpg\" alt=\"Imagen2\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen2-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen2.jpg 992w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Extendi\u00e9ndose a Dorso Nasal, piel atrofica, esclerotica<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11599\" title=\"Imagen3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen3-300x225.jpg\" alt=\"Imagen3\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen3-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen3.jpg 992w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Ala nasal Izquierda<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11600\" title=\"Imagen4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen4-300x225.jpg\" alt=\"Imagen4\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen4-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen4.jpg 992w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Adem\u00e1s  prsenta Lesi\u00f3n nodular en regi\u00f3n fronto-temporal derecha<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11601\" title=\"Imagen5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen5-300x225.jpg\" alt=\"Imagen5\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen5-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen5.jpg 991w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Lesi\u00f3n   en Mejilla derecha con da\u00f1o act\u00ednico severo, con piel apergaminada, atroficasangrante  al tacto<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11602\" title=\"Imagen6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen6-300x225.jpg\" alt=\"Imagen6\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen6-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen6.jpg 992w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Lesi\u00f3n Nodular en Brazo derecho<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11603\" title=\"Imagen7\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen7-300x225.jpg\" alt=\"Imagen7\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen7-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen7.jpg 992w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Placa eritemato descamativa, bordes sobre elevados  en rodilla izquierda<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11604\" title=\"Imagen8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Imagen8-225x300.jpg\" alt=\"Imagen8\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen8-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/Imagen8.jpg 558w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><strong>Planteamiento quir\u00fargico:<br \/>\n Lesi\u00f3n Tumoral de nariz. <br \/>\n Exeresis  quir\u00fargica amplia mas injerto libre.<\/strong><\/p>\n<p><strong>Como lo tratar\u00eda Ud?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Dra. Hilda Ramos Zerpa Centro Policl\u00ednico Valencia. La Vi\u00f1a Paciente Femenina de 56 anos de edad, natural de Portugal y procedente de Valencia, la cual es referida a mi consulta por colega para resoluci\u00f3n quir\u00fargica de m\u00faltiples lesiones tumorales, de varios anos de evoluci\u00f3n.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-11605","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11605","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\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=11605"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11605\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}