{"id":12965,"date":"2010-01-22T20:09:22","date_gmt":"2010-01-23T00:09:22","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=12965"},"modified":"2010-02-06T07:36:25","modified_gmt":"2010-02-06T11:36:25","slug":"carcinoma-basocelular-recidivante","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/12965","title":{"rendered":"Carcinoma Basocelular Recidivante"},"content":{"rendered":"<p><strong><em>Presentador por:<br \/>\n Dr.   Jos\u00e9   R.   Sardi   B., Dra.   Rosmery   Martin. Servicio de dermatolog\u00eda del Hospital Universitario de Caracas.<\/em><\/strong><\/p>\n<p>Paciente de 56 a\u00f1os de edad que se encuentra hospitalizado en el servicio de gastroenterolog\u00eda, por presentar una lesi\u00f3n en la piel de la nariz solicitan la interconsulta con nuestro servicio.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12966\" title=\"foto1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto1-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto1-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto1.jpg 581w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>La historia remonta a tres a\u00f1os atr\u00e1s, cuando le practican electrocoagulaci\u00f3n en un dispensario m\u00e9dico sin diagn\u00f3stico, al poco tiempo la lesi\u00f3n reaparece, entonces es operado en otro hospital pero la lesi\u00f3n recidiva. <strong> \u00bfC\u00f3mo afrontar\u00eda el manejo?<\/strong><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12967\" title=\"foto2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto2-272x300.jpg\" alt=\"\" width=\"272\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto2-272x300.jpg 272w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto2.jpg 440w\" sizes=\"auto, (max-width: 272px) 100vw, 272px\" \/><\/a><\/p>\n<p>La neoplasia se resec\u00f3 con todo el grosor del ala nasal puesto que la mucosa estaba infiltrada. La reparaci\u00f3n en esta situaci\u00f3n se puede realizar usando varias modalidades reconstructivas, optamos por reparar la p\u00e9rdida tisular con la combinaci\u00f3n de dos colgajos de vecindad y en un solo tiempo.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-12968\" title=\"foto3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto3.jpg\" alt=\"\" width=\"323\" height=\"256\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto3.jpg 323w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto3-300x237.jpg 300w\" sizes=\"auto, (max-width: 323px) 100vw, 323px\" \/><\/a><\/p>\n<p>Primero se practic\u00f3 un colgajo en \u201cbisagra\u201d para reconstruir la cobertura interna del ala nasal (1) luego un colgajo de transposici\u00f3n tomado de la regi\u00f3n malar, entre ellos se coloc\u00f3 un injerto de cart\u00edlago tomado de la oreja derecha (2), en el umbral se coloc\u00f3 un injerto de piel (3).<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12969\" title=\"foto4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto4-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12970\" title=\"foto5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto5-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12971\" title=\"foto6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto6-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-12972\" title=\"foto7\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto7-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Resultado final, queda pendiente remodelar el pliegue del neol\u00f3bulo nasal.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-12973\" title=\"foto8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/01\/foto8.jpg\" alt=\"\" width=\"533\" height=\"433\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto8.jpg 533w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/01\/foto8-300x243.jpg 300w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentador por: Dr. Jos\u00e9 R. Sardi B., Dra. Rosmery Martin. Servicio de dermatolog\u00eda del Hospital Universitario de Caracas. Paciente de 56 a\u00f1os de edad que se encuentra hospitalizado en el servicio de gastroenterolog\u00eda, por presentar una lesi\u00f3n en la piel de la nariz solicitan la interconsulta con nuestro servicio.<\/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-12965","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\/12965","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=12965"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12965\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=12965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=12965"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=12965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}