{"id":13288,"date":"2010-02-05T19:09:46","date_gmt":"2010-02-05T23:09:46","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=13288"},"modified":"2010-02-26T23:43:20","modified_gmt":"2010-02-27T03:43:20","slug":"261-consulta-a-un-colega-n%c2%ba4-melanoma-maligno-%e2%80%9cinsitu%e2%80%9d-en-brazo","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/13288","title":{"rendered":"(261) Consulta a un Colega N\u00ba4: Melanoma maligno \u201cinsitu\u201d en brazo"},"content":{"rendered":"

Enviado por Jaime Piquero-Martin (Dermat\u00f3logo) Carmen L\u00f3pez ( Anatomo-pat\u00f3logo)
\n Clinica sanatrix. Caracas Venezuela.<\/strong><\/em><\/p>\n

Valenciano de 61 a\u00f1os quien presenta tumoraci\u00f3n plana muy pigmentada de 1 cm de di\u00e1metro, asim\u00e9trica localizada en cara externa tercio medio de brazo derecho.
\nAntecedente de importancia: Hermana con melanoma maligno tres a\u00f1os atras. Se realiza, sin previa biopsia, extirpaci\u00f3n losangica con un margen de 5 mm por lado.<\/p>\n

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\"\"<\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n


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<\/p>\n\n\n\n\n
\n

\"foto<\/a>
\n foto 1 de melanoma in situ 4x<\/p>\n<\/td>\n

\n

\"FOTO<\/a>
\n FOTO 2 DE MM IN SITU, 25x<\/span><\/p>\n<\/td>\n<\/tr>\n

\"FOTO<\/a>
\n FOTO 3 DE MM IN SITU (40X)<\/span><\/td>\n		\"FOTO<\/a>
\n FOTO 4 DE MM IN SITU 25 X<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Biopsia es reportada:<\/strong><\/p>\n


<\/p>\n

Melanoma maligno in situ, variante diseminacion superficial<\/p>\n

Nivel de Clark I<\/p>\n

Breslow: No aplicable por ser lesion in situ<\/p>\n

indice mitotico:0<\/p>\n

Ausencia de ulceracion<\/p>\n

Presencia de regresion focal<\/p>\n

Ausencia de invasion vascular y neural<\/p>\n

Bordes de reseccion laterales y profundo libres de neoplasia<\/p>\n

Margenes amplios<\/p>\n

Se realiza evaluaci\u00f3n f\u00edsica completa en b\u00fasqueda de otros lunares sospechosos, y palpacion de adenopatias, no palpables Se solicita hemogramas, evaluaci\u00f3n qu\u00edmica del h\u00edgado, ecosonograma hepatico, Tac de torax: se esperan resultados<\/p>\n

Estamos em presencia de um Melanoma in situ (Tis) cb, ub Breslow de menos de 1 mm (T1a), Sin adenopatias palpables (N0), metastasis no establecida (Mx)<\/p>\n

Preguntamos:<\/p>\n

\u00bfAmpliarian Margenes?
\n<\/strong>\u00bfAmpliarian margenes y har\u00edan estudio del ganglio centinela?
\n\u00bfQue har\u00edan si lo tuvieran ustedes?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Enviado por Jaime Piquero-Martin (Dermat\u00f3logo) Carmen L\u00f3pez ( Anatomo-pat\u00f3logo) Clinica sanatrix. Caracas Venezuela. Valenciano de 61 a\u00f1os quien presenta tumoraci\u00f3n plana muy pigmentada de 1 cm de di\u00e1metro, asim\u00e9trica localizada en cara externa tercio medio de brazo derecho. Antecedente de importancia: Hermana con melanoma maligno tres a\u00f1os atras. Se realiza, sin previa biopsia, extirpaci\u00f3n losangica …<\/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":[454,184],"class_list":["post-13288","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-maligno","tag-melanoma"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/13288","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=13288"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/13288\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=13288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=13288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=13288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}