{"id":12583,"date":"2009-12-18T20:06:40","date_gmt":"2009-12-19T00:06:40","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=12583"},"modified":"2009-12-19T07:59:45","modified_gmt":"2009-12-19T11:59:45","slug":"tatuaje-por-amalgama-presentacion-de-dos-casos-2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/12583","title":{"rendered":"Un caso de carcinoma espinocelular en el labio superior"},"content":{"rendered":"<p>Dr. Jos\u00e9 R. Sardi B., Dra. Valentina Morantes, Dra. Amheny Dugarte<br \/>\nServicio de dermatolog\u00eda del Hospital Universitario de Caracas.<\/p>\n<p>Se trata de un paciente de 57 a\u00f1os de edad, procedente de Valencia, que informa haber sido operado de un carcinoma basocelular en el lado derecho del labio superior hace siete a\u00f1os, no concurri\u00f3 a controles postoperatorios. Relata la formaci\u00f3n de una \u00falcera en el bermell\u00f3n, justo al lado de la cicatriz quir\u00fargica, de dos meses de evoluci\u00f3n.<\/p>\n<p><!--more--><\/p>\n<p>Examen f\u00edsico: se aprecia una deformaci\u00f3n de la comisura bucal derecha, a espensas de la cicatriz quir\u00fargica anterior y la \u00falcera de bordes indurados.<\/p>\n<table style=\"width: 350px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12643\" title=\"257_labio_1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_1-150x150.jpg\" alt=\"257_labio_1\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12644\" title=\"257_labio_2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_2-150x150.jpg\" alt=\"257_labio_2\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12645\" title=\"257_labio_3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_3-150x150.jpg\" alt=\"257_labio_3\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Al  palpar  la zona se constata  induraci\u00f3n alrededor  de la \u00falcera y  de la  comisura.<\/p>\n<p>Considerando  como valedero lo  informado por el enfermo se pens\u00f3 en un carcinoma basocelular ,   tomamos biopsia con un \u201cpunch\u201d,  \u00e9sta fue informada  como  carcinoma espinocelular.<\/p>\n<p>Lo  que  nos  permite concluir  que no  es una recidiva del carcinoma basocelular, como pensamos originamente.<\/p>\n<p>La recontrucci\u00f3n se realiza con un colgajo tomado del surco buconasal<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12646\" title=\"257_labio_4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_4-300x232.jpg\" alt=\"257_labio_4\" width=\"300\" height=\"232\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_4-300x232.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_4.jpg 524w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Se razona el uso de un colgajo de Abbe-Slander, que fue re-chazado por el enfermo.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12647\" title=\"257_labio_5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_5-300x293.jpg\" alt=\"257_labio_5\" width=\"300\" height=\"293\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_5-300x293.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_5.jpg 538w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>La neoplasia ha sido resecada (m\u00e1s de la mitad del labio superior), incluso la comisura<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12648\" title=\"257_labio_6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_6-300x200.jpg\" alt=\"257_labio_6\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_6-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_6.jpg 677w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Resultado inmediato de la reconstrucci\u00f3n, ahora hay que practicar otros tiempos qui-r\u00fargicos: comisuropl\u00e1stia, el bermell\u00f3n e injertar pelos en el bigote.<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12650\" title=\"257_labio_8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_8-300x194.jpg\" alt=\"257_labio_8\" width=\"300\" height=\"194\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_8-300x194.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/257_labio_8.jpg 324w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>La comisura se repara mediante una plastia en \u201cY\u201d acostada<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-12651\" title=\"257_labio_9\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/257_labio_9.jpg\" alt=\"257_labio_9\" width=\"222\" height=\"150\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jos\u00e9 R. Sardi B., Dra. Valentina Morantes, Dra. Amheny Dugarte Servicio de dermatolog\u00eda del Hospital Universitario de Caracas. Se trata de un paciente de 57 a\u00f1os de edad, procedente de Valencia, que informa haber sido operado de un carcinoma basocelular en el lado derecho del labio superior hace siete a\u00f1os, no concurri\u00f3 a controles &hellip;<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-12583","post","type-post","status-publish","format-standard","","category-el-escalpelo-de-la-piel"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12583","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=12583"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12583\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=12583"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=12583"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=12583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}