{"id":17138,"date":"2010-09-24T17:59:18","date_gmt":"2010-09-24T21:59:18","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17138"},"modified":"2010-09-24T23:00:08","modified_gmt":"2010-09-25T03:00:08","slug":"%c2%bfque-piensa-usted-n%c2%ba4-edicion-277-a-proposito-de-dos-casos","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17138","title":{"rendered":"\u00bfQu\u00e9 piensa Usted? N\u00ba3 Edici\u00f3n 277: CBC, a prop\u00f3sito de dos casos"},"content":{"rendered":"<p><strong><em><span style=\"font-size: x-small;\">Presentado por:<br \/>\n Rosalba Sanchez Flores<br \/>\n Policl\u00ednica Santa F\u00e9.\u00a0M\u00e9rida\/Venezuela<\/span><\/em><\/strong><\/p>\n<p><!--more--><\/p>\n<p><strong>CBC CASO SOCIAL:<\/strong><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_17151\" aria-describedby=\"caption-attachment-17151\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-PRE-TTO-CASO-SOCIAL.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17151\" title=\"CBC-PRE-TTO-CASO-SOCIAL\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-PRE-TTO-CASO-SOCIAL-150x150.jpg\" alt=\"CBC-PRE-TTO-CASO-SOCIAL\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17151\" class=\"wp-caption-text\">CBC-PRE-TTO-CASO-SOCIAL<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td>\n<figure id=\"attachment_17150\" aria-describedby=\"caption-attachment-17150\" style=\"width: 150px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17150\" title=\"CBC-POST-TTO-CASO-SOCIAL\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-POST-TTO-CASO-SOCIAL-150x150.jpg\" alt=\"CBC-POST-TTO-CASO-SOCIAL\" width=\"150\" height=\"150\" \/><figcaption id=\"caption-attachment-17150\" class=\"wp-caption-text\">CBC-POST-TTO-CASO-SOCIAL<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li>Paciente masculino de 69 a\u00f1os de edad natural de Colombia y procedente de la localidad el cual comienza enfermedad actual hace 20 a\u00f1os<\/li>\n<li>Caso social <\/li>\n<li>Conocido por el servicio de cirug\u00eda general, oftalmolog\u00eda y dermatolog\u00eda del\u00a0 IAHULA con m\u00faltiples carcinomas basocelulares<\/li>\n<\/ul>\n<ul>\n<li>Trat\u00e1ndose los tumores menores de dos cent\u00edmetros ambulatoriamente <\/li>\n<li>Es internado en la Unidad de Larga Estancia del Ambulatorio Venezuela en el 2005, y enviado a la Cl\u00ednica Razetti de Barquisimeto, a trav\u00e9s de Desarrollo Social, donde se le realiza radioterapia en parpados de ojo derecho y l\u00f3bulo de oreja izquierda.<\/li>\n<li>Posteriormente con aparici\u00f3n de m\u00faltiples CBC mm tratados con criocirug\u00eda y electrocoagulaci\u00f3n<\/li>\n<li>Actualmente asintom\u00e1tico sin recidivas en las zonas irradiadas; con controles trimestrales dermatol\u00f3gicos.<\/li>\n<li><strong>Inter\u00e9s del caso : <\/strong>Respuesta terap\u00e9utica depende de la constancia de los controles postoperatorios, trimestrales<\/li>\n<\/ul>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>CBC EXTENSIVO SUPERFICIAL TRATADO CON CRIOCIRUG\u00cdA E IMIQUIMOD 5% (Virosupril\u00ae)<\/strong><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_17152\" aria-describedby=\"caption-attachment-17152\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17152\" title=\"CBC-SUP-1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-1-150x150.jpg\" alt=\"CBC-SUP-1\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17152\" class=\"wp-caption-text\">CBC-SUP-1<\/figcaption><\/figure>\n<\/td>\n<td>\n<figure id=\"attachment_17153\" aria-describedby=\"caption-attachment-17153\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17153\" title=\"CBC-SUP-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-2-150x150.jpg\" alt=\"CBC-SUP-2\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17153\" class=\"wp-caption-text\">CBC-SUP-2<\/figcaption><\/figure>\n<\/td>\n<td>\n<figure id=\"attachment_17154\" aria-describedby=\"caption-attachment-17154\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17154\" title=\"CBC-SUP-3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-3-150x150.jpg\" alt=\"CBC-SUP-3\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17154\" class=\"wp-caption-text\">CBC-SUP-3<\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<figure id=\"attachment_17158\" aria-describedby=\"caption-attachment-17158\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-2-MESES-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17158\" title=\"CBC-SUP-POST-CRIO-2-MESES-1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-2-MESES-1-150x150.jpg\" alt=\"CBC-SUP-POST-CRIO-2-MESES-1\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17158\" class=\"wp-caption-text\">CBC-SUP-POST-CRIO-2-MESES-1<\/figcaption><\/figure>\n<\/td>\n<td>\n<figure id=\"attachment_17159\" aria-describedby=\"caption-attachment-17159\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-2-MESES-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17159\" title=\"CBC-SUP-POST-CRIO-2-MESES-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-2-MESES-2-150x150.jpg\" alt=\"CBC-SUP-POST-CRIO-2-MESES-2\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17159\" class=\"wp-caption-text\">CBC-SUP-POST-CRIO-2-MESES-2<\/figcaption><\/figure>\n<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\n<figure id=\"attachment_17155\" aria-describedby=\"caption-attachment-17155\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-3-MESES-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17155\" title=\"CBC-SUP-POST-CRIO-+-IMQ-3-MESES-1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-3-MESES-1-150x150.jpg\" alt=\"CBC-SUP-POST-CRIO-+-IMQ-3-MESES-1\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17155\" class=\"wp-caption-text\">CBC-SUP-POST-CRIO-+-IMQ-3-MESES-1<\/figcaption><\/figure>\n<\/td>\n<td>\n<figure id=\"attachment_17156\" aria-describedby=\"caption-attachment-17156\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-3-MESES-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17156\" title=\"CBC-SUP-POST-CRIO-+-IMQ-3-MESES-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-3-MESES-2-150x150.jpg\" alt=\"CBC-SUP-POST-CRIO-+-IMQ-3-MESES-2\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17156\" class=\"wp-caption-text\">CBC-SUP-POST-CRIO-+-IMQ-3-MESES-2<\/figcaption><\/figure>\n<\/td>\n<td>\n<figure id=\"attachment_17157\" aria-describedby=\"caption-attachment-17157\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-4-MESES.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17157\" title=\"CBC-SUP-POST-CRIO-+-IMQ-4--MESES\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/CBC-SUP-POST-CRIO-+-IMQ-4-MESES-150x150.jpg\" alt=\"CBC-SUP-POST-CRIO-+-IMQ-4--MESES\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-17157\" class=\"wp-caption-text\">CBC-SUP-POST-CRIO-+-IMQ-4--MESES<\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li>Paciente masculino de 72 a\u00f1os de edad natural y procedente de El Vig\u00eda el cual comienza enfermedad actual 1998. <\/li>\n<li>Caracterizado por una placa eritematosa perlada pigmentada con borde\u00a0 cil\u00edndricos en regi\u00f3n frontal a derecha<\/li>\n<li>Es valorado en la CAMPA\u00d1A DE PREVENCI\u00d3N DE C\u00c1NCER DE PIEL 2010 M\u00e9rida, en El Vig\u00eda,\u00a0 se toma la\u00a0 biopsia y se le realiza criocirug\u00eda<\/li>\n<li>Al los dos meses de haberle realizado criocirug\u00eda se le indica imiquimod en crema, una aplicaci\u00f3n tres veces por semana. <\/li>\n<li>Actualmente con placa cicatricial.<\/li>\n<li><strong>Inter\u00e9s del caso<\/strong>: La criocirug\u00eda y el\u00a0 imiquimod son una\u00a0 opci\u00f3n de indicaci\u00f3n en el tratamiento ambulatorio de pacientes de la poblaci\u00f3n rural con carcinomas basocelulares extensivos superficiales. <\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por: Rosalba Sanchez Flores Policl\u00ednica Santa F\u00e9.\u00a0M\u00e9rida\/Venezuela<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[424],"tags":[532,453],"class_list":["post-17138","post","type-post","status-publish","format-standard","","category-que-piensa-usted","tag-carcinomas","tag-cbc"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17138","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=17138"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17138\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}