{"id":13714,"date":"2010-02-26T21:08:10","date_gmt":"2010-02-27T01:08:10","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=13714"},"modified":"2010-03-27T08:27:41","modified_gmt":"2010-03-27T12:27:41","slug":"263-consulta-a-un-colega-n%c2%ba1-carcinoma-basocelular-pigmentado-remedando-melanoma-maligno","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/13714","title":{"rendered":"263 Consulta a un Colega N\u00ba1: Carcinoma Basocelular pigmentado remedando Melanoma Maligno"},"content":{"rendered":"<p><strong>Enviado por <br \/>\n Dr. Jaime Piquero-Martin<br \/>\n Dr. E Essenfeldt Y. H. Essenfeldt M. <br \/>\n Clinica sanatrix. Caracas Venezuela<\/strong>.<\/p>\n<p>Paciente femenina de 55\u00a0\u00a0 a\u00f1os quien refiere presentar desde hace dos a\u00f1os \u201clunar\u201d pigmentado en mejilla izquierda que le ha\u00a0 crecido abruptamente en los \u00faltimos meses.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-12-e1267155245442.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-13733\" title=\"foto 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-12-e1267155245442-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-2-e1267155305725.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-13734\" title=\"foto 2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-2-e1267155305725-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-3-e1267155362429.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-13732\" title=\"foto 3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/foto-3-e1267155362429-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><br class=\"spacer_\" \/><\/p>\n<p>Al examen cl\u00ednico apreciamos tumoraci\u00f3n cupuliforme, exofitica, muy pigmentada de 1 1\/2 cent\u00edmetros de di\u00e1metro localizada en p\u00f3mulo- mejilla izquierda.<\/p>\n<p>Con el diagn\u00f3stico cl\u00ednico de posible Melanoma Maligno se practica extirpaci\u00f3n los\u00e1ngica con un margen de 3 mm, sin previa biopsia confirmatoria.<\/p>\n<p>Resultado histopatol\u00f3gico: Proliferaci\u00f3n d\u00e9rmica nodular de c\u00e9lulas basaloides. Formaci\u00f3n de islas s\u00f3lidas tumorales. Disposici\u00f3n epitelial en empalizada perif\u00e9rica, \u00e1reas adenoideas. Las c\u00e9lulas muestran n\u00facleos ovales o alargados de citoplasma escaso. Mitosis at\u00edpica. Moderada reacci\u00f3n desmoplasica del estroma peritumoral. Retracci\u00f3n peritumoral focal. Presencia de abundantes melanofagos estromales. Infiltrado inflamatorio linfoplasmocitario . (No se anexa fotografia histologica)<\/p>\n<p>Diagnostico histologico: Carcinoma Basocelular Nodular S\u00f3lido y adenoideo pigmentado, sin evidencia de lesi\u00f3n en m\u00e1rgenes laterales y profundo<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/DSC04747.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-13762\" title=\"DSC04747\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/DSC04747-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/02\/DSC04747-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/02\/DSC04747.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>\u00bfLa conducta de haber realizado\u00a0 extirpaci\u00f3n completa, aunque sin margen adecuado, es v\u00e1lida bajo la posibilidad cl\u00ednica de MM, o mas adecuado hubiera sido una extirpaci\u00f3n mas peque\u00f1a? o incluso mas amplia? <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Dr. Jaime Piquero-Martin Dr. E Essenfeldt Y. H. Essenfeldt M. Clinica sanatrix. Caracas Venezuela. Paciente femenina de 55\u00a0\u00a0 a\u00f1os quien refiere presentar desde hace dos a\u00f1os \u201clunar\u201d pigmentado en mejilla izquierda que le ha\u00a0 crecido abruptamente en los \u00faltimos meses.<\/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-13714","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\/13714","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=13714"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/13714\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=13714"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=13714"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=13714"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}