{"id":15034,"date":"2010-04-30T22:47:58","date_gmt":"2010-05-01T02:47:58","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=15034"},"modified":"2010-05-01T07:42:13","modified_gmt":"2010-05-01T11:42:13","slug":"consulta-a-un-colega-n%c2%ba5-edicion-268-lunar-aumentando-en-diametro-y-acompanado-de-prurito","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/15034","title":{"rendered":"Consulta a un Colega N\u00ba5 Edici\u00f3n 268: \u00ablunar\u00bb aumentando en di\u00e1metro y acompa\u00f1ado de prurito"},"content":{"rendered":"

Presentado por Carmen J. Bastida Montilla (m\u00e9dico dermat\u00f3logo)<\/span>
\n Nelly Mar\u00eda Tovar Montesino (m\u00e9dico cirujano)<\/span>
\n Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<\/span>
\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/span><\/strong><\/em><\/p>\n

Paciente femenina de 73 a\u00f1os de edad, natural y procedente de la poblaci\u00f3n de Ciudad Bolivia, Barinas, de ocupaci\u00f3n oficios del hogar en finca agropecuaria, consulta por presentar \u00ablunar\u00bb que no precisa el tiempo de evoluci\u00f3n, pero que ha notado que en los \u00faltimos meses ha venido, no hay antecedentes patol\u00f3gicos relevantes.<\/p>\n

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<\/p>\n

Al examen dermatol\u00f3gico, piel II-III de Fitzpatrick, con moderado fotoda\u00f1o, presenta placa color pardo oscuro, bordes regulares, de 2 cm. de di\u00e1metro, aspecto verrugoso, localizado en regi\u00f3n lateral del cuello, no se palpan adenopat\u00edas.<\/p>\n

Se plantea toma de muestra para biopsia, la cual se toma del \u00e1rea m\u00e1s irregular, plante\u00e1ndose los diagn\u00f3sticos de ingreso de nevus displasico vs. melanoma maligno.
\n Ex\u00e1menes paraclinicos dentro de la normalidad<\/p>\n


<\/p>\n

Cu\u00e1l es su conducta?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Presentado por Carmen J. Bastida Montilla (m\u00e9dico dermat\u00f3logo) Nelly Mar\u00eda Tovar Montesino (m\u00e9dico cirujano) Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente femenina de 73 a\u00f1os de edad, natural y procedente de la poblaci\u00f3n de Ciudad Bolivia, Barinas, de ocupaci\u00f3n oficios del hogar en finca agropecuaria, consulta por presentar \u00ablunar\u00bb que …<\/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":[482,405],"class_list":["post-15034","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-lunar","tag-prurito"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15034","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=15034"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15034\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=15034"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=15034"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=15034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}