{"id":17475,"date":"2010-10-22T22:09:20","date_gmt":"2010-10-23T02:09:20","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17475"},"modified":"2010-10-23T07:18:05","modified_gmt":"2010-10-23T11:18:05","slug":"consulta-a-un-colega-n%c2%ba4-edicion-279-papulosis-bowenoide","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17475","title":{"rendered":"Consulta a un Colega N\u00ba3 Edici\u00f3n 279: Papulosis bowenoide"},"content":{"rendered":"<p><span style=\"font-size: x-small;\"><em><strong><span style=\"font-size: small;\">Jaime Piquero Martin Dermatologo <br \/>\n Edgar La Rotha Higueras <\/span><br \/>\n ( Dermatologo y Dermatopatologo) Caracas Venezuela<\/strong><\/em><\/span><\/p>\n<p>Paciente  femenina de 27 a\u00f1os quien es referida a nuestra consulta por ginecologo  de la isla de Margarita por presentar lesiones localizadas en cara  interna de labios menores, a las cuales se tomo biopsia reportada como  neoplasia intraepitelial vulvar (NIV1) focal.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-17475 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-2-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-4-3-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-5-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-2-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-3-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-4-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/10\/279-20-octubre-2010-4-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/10\/279-20-octubre-2010-4-300x298.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/10\/279-20-octubre-2010-4.jpg 771w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-6.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-20-octubre-2010-6-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><br class=\"spacer_\" \/><\/p>\n<p>Al interrogatorio nos refiere diagn\u00f3stico de VPH en cuello uterino\u00a0 hace 5 a\u00f1os con tipificacion viral 11 al que se le\u00a0 practico cono por ASSA de L\u00edpez.<\/p>\n<p>La paciente habia estado sin sintomatolog\u00eda hasta hace dos meses que presenta estas lesiones<\/p>\n<p>Al examen fisico se aprecian maculas pigmentadas \u00a0en numero de tres en cara interna de labio menor hacia introito, superficie lisa<\/p>\n<p>Se  solicita Biopsia tomada y\u00a0 re-evaluamos: Epidermis con paraqueratosis,  acantosis y papilomatosis leve, hipergranulosis focal con c\u00e9lulas  vacuolizadas rodeadas de halo claro perinuclear, alternado con areas de  epidermis normal. Presencia de algunos queratinocitos at\u00edpicos y c\u00e9lulas  disqueratosicas focalmente en tercio inferior del epitelio. En la  dermis proliferaci\u00f3n vascular e infiltrado perivascular superficial  linfomononuclear. Hallazgos histol\u00f3gicos observados en la papulosis<\/p>\n<p>La <strong>papulosis bowenoide<\/strong> se considera\u00a0 una variante de carcinoma intraepitelial\u00a0\u00a0 descrita en 1977 por Kopft, su evoluci\u00f3n hacia carcinoma infiltrante es rara.\u00a0 Histol\u00f3gicamente es un carcinoma in situ<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p>\u00bfC\u00f3mo creen que debemos manejarlo? Extirpaci\u00f3n de las tres maculas?, \u00bfImiquimod?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jaime Piquero Martin Dermatologo Edgar La Rotha Higueras ( Dermatologo y Dermatopatologo) Caracas Venezuela Paciente femenina de 27 a\u00f1os quien es referida a nuestra consulta por ginecologo de la isla de Margarita por presentar lesiones localizadas en cara interna de labios menores, a las cuales se tomo biopsia reportada como neoplasia intraepitelial vulvar (NIV1) focal.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[538,537],"class_list":["post-17475","post","type-post","status-publish","format-standard","","category-generales","tag-bowenoide","tag-papulosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17475","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=17475"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17475\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}