{"id":21589,"date":"2011-07-29T19:24:08","date_gmt":"2011-07-29T23:54:08","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=21589"},"modified":"2011-07-30T19:31:24","modified_gmt":"2011-07-31T00:01:24","slug":"cual-es-su-diagnostico-clinico-y-como-afronta-el-tratamiento","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/21589","title":{"rendered":"Cu\u00e1l es su diagn\u00f3stico cl\u00ednico y c\u00f3mo afronta el tratamiento (Presentaci\u00f3n completa)"},"content":{"rendered":"<p><em><strong>Jose R.Sardi<\/strong><\/em><br \/><span style=\"font-size: x-small;\"><em><strong>Caracas, Venezuela<\/strong><\/em><\/span><\/p>\n<p>Se trata de una paciente de 42 a\u00f1os de edad natural y procedente de Caracas, que nos consulta por presentar desde hace dos a\u00f1os una distrofia de la u\u00f1a del primer dedo del pie derecho.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/294-cirugia-sardi.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-21590\" title=\"294-cirugia-sardi\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/294-cirugia-sardi-368x480.jpg\" alt=\"\" width=\"368\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/06\/294-cirugia-sardi-368x480.jpg 368w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/06\/294-cirugia-sardi.jpg 415w\" sizes=\"auto, (max-width: 368px) 100vw, 368px\" \/><\/a><\/p>\n<hr \/>\n<p><span style=\"font-size: large;\"><strong>Actualizaci\u00f3n 15 Julio 2011<\/strong><\/span><\/p>\n<p>Se practico ex\u00e9resis de la unidad ungueal bajo anestesia local troncular, retirando tambi\u00e9n el periostio de la falange distal. Despu\u00e9s se dejo cicatrizar por segunda intensi\u00f3n. El resto del examen f\u00edsico fue normal. Los estudios de extensi\u00f3n, todos resultaron normales. La biopsia mostr\u00f3 un melanoma maligno acral subungueal. Se controla peri\u00f3dicamente (cada dos meses) y hasta ahora esta asintom\u00e1tica (dos a\u00f1os de operada).<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-21843\" title=\"complemento-sardi-295-1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-1-390x259.jpg\" alt=\"\" width=\"390\" height=\"259\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-1-390x259.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-1.jpg 915w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-21844\" title=\"complemento-sardi-295-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-2-318x480.jpg\" alt=\"\" width=\"318\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-2-318x480.jpg 318w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-2.jpg 431w\" sizes=\"auto, (max-width: 318px) 100vw, 318px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-21845\" title=\"complemento-sardi-295-3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/complemento-sardi-295-3-318x480.jpg\" alt=\"\" width=\"318\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-3-318x480.jpg 318w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/complemento-sardi-295-3.jpg 501w\" sizes=\"auto, (max-width: 318px) 100vw, 318px\" \/><\/a><\/p>\n<p>falta la foto histol\u00f3gica,<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><span style=\"font-size: large;\"><strong>\u00a0Actualizaci\u00f3n 29 Julio 2011<\/strong><\/span><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/021.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-22136\" title=\"021\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/07\/021-318x480.jpg\" alt=\"\" width=\"318\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/021-318x480.jpg 318w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/021-680x1024.jpg 680w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/07\/021.jpg 900w\" sizes=\"auto, (max-width: 318px) 100vw, 318px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jose R.SardiCaracas, Venezuela Se trata de una paciente de 42 a\u00f1os de edad natural y procedente de Caracas, que nos consulta por presentar desde hace dos a\u00f1os una distrofia de la u\u00f1a del primer dedo del pie derecho.<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[565],"tags":[],"class_list":["post-21589","post","type-post","status-publish","format-standard","","category-foro-de-cirugia-oncologia-y-nuevas-tecnologias"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/21589","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=21589"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/21589\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=21589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=21589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=21589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}