{"id":2282,"date":"2008-03-07T10:49:42","date_gmt":"2008-03-07T14:49:42","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=2282"},"modified":"2008-03-07T10:49:42","modified_gmt":"2008-03-07T14:49:42","slug":"consulte-a-un-colega-n-2-carcinoma-espinocelular-opciones-terapeuticas","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/2282","title":{"rendered":"Consulte a un colega N\u00ba 2: Carcinoma Espinocelular Opciones terap\u00e9uticas"},"content":{"rendered":"

Presentado por
Vargas R, Valenzuela A, Crespo L, Ch\u00f3pite M, Reyes O, Ortiz W, V\u00e1squezW.
Instituto de Biomedicina Hospital Vargas Caracas Venezuela<\/strong><\/p>\n

Masculino, edad: 56 a\u00f1os, lugar de nac: caracas, ocupaci\u00f3n: comerciante, cpmoenza enfermedad actual hace 8 meses con placa verrugosa, eritematosa, dura localizada en , dorso pie derecho, durante ese tiempo automedicado con cremas antimicoticas. No mejoria lesion, aumenta tama\u00f1o<\/p>\n

<\/p>\n

antecedentes personales <\/strong>    hta con tx (1a\u00f1o)     dm tipo 2 con tx (3 a\u00f1os) . familiares <\/strong>   padre:<\/em><\/strong>  dm tipo 2 (+)    madre:<\/em><\/strong>  hta<\/p>\n

impresi\u00f3n diagnostica clinica<\/p>\n

carcinoma espinocelular  a\/d  ti\u00f1ea pedis vs verruga viral<\/p>\n

Examenes paraclinicos<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

hemoglobina<\/p>\n<\/td>\n

\n

13,0 g\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

hematocrito<\/p>\n<\/td>\n

\n

40 %<\/p>\n<\/td>\n<\/tr>\n

\n

globulos  blancos<\/p>\n<\/td>\n

\n

10.000 mm3<\/p>\n<\/td>\n<\/tr>\n

\n

globulos rojos<\/p>\n<\/td>\n

\n

4.4000.000 mm3<\/p>\n<\/td>\n<\/tr>\n

\n

plaquetas<\/p>\n<\/td>\n

\n

232.000 mm3<\/p>\n<\/td>\n<\/tr>\n

\n

formula leucocitaria<\/p>\n<\/td>\n

 <\/td>\n<\/tr>\n
\n

segmentados<\/p>\n<\/td>\n

\n

70 %<\/p>\n<\/td>\n<\/tr>\n

\n

linfocitos<\/p>\n<\/td>\n

\n

20 %<\/p>\n<\/td>\n<\/tr>\n

\n

eosinofilos<\/p>\n<\/td>\n

\n

2 %<\/p>\n<\/td>\n<\/tr>\n

\n

glicemia<\/p>\n<\/td>\n

\n

302 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

urea<\/p>\n<\/td>\n

\n

43 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

creatinina<\/p>\n<\/td>\n

\n

1,4 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

colesterol<\/p>\n<\/td>\n

\n

353 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

trigliceridos<\/p>\n<\/td>\n

\n

684 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

acido urico<\/p>\n<\/td>\n

\n

5,9 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

proteinas totales<\/p>\n<\/td>\n

\n

7,0 g\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

albumina<\/p>\n<\/td>\n

\n

4,4 g\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

globulinas<\/p>\n<\/td>\n

\n

2,6 g\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

lipidos totales<\/p>\n<\/td>\n

\n

2.063 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

t.g.o<\/p>\n<\/td>\n

\n

12 u\/l<\/p>\n<\/td>\n<\/tr>\n

\n

t.g.p<\/p>\n<\/td>\n

\n

28 u\/l<\/p>\n<\/td>\n<\/tr>\n

\n

v.d.r.l<\/p>\n<\/td>\n

\n

no reactor<\/p>\n<\/td>\n<\/tr>\n

\n

h.i.v<\/p>\n<\/td>\n

\n

no reactor<\/p>\n<\/td>\n<\/tr>\n

\n

p.t<\/p>\n<\/td>\n

\n

12,5 seg<\/p>\n<\/td>\n<\/tr>\n

\n

p.t.t<\/p>\n<\/td>\n

\n

1 seg<\/p>\n<\/td>\n<\/tr>\n

\n

 <\/strong><\/p>\n<\/td>\n

\n

 <\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

 <\/strong><\/p>\n<\/td>\n

\n

 <\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

 <\/strong><\/p>\n<\/td>\n

\n

 <\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

 <\/strong><\/p>\n<\/td>\n

\n

 <\/strong><\/p>\n<\/td>\n<\/tr>\n<\/table>\n

 <\/strong><\/p>\n

Ex de orina : proteinuria con glusuria<\/strong><\/p>\n

Rx de pie derecho:<\/strong> sin particularidades<\/strong><\/p>\n

  Estudio micologico:<\/strong> negativo<\/strong><\/p>\n

Biopsia: <\/strong><\/p>\n

Carcinoma espinocelular moderadamente diferenciado<\/strong><\/p>\n

Diagnostico definitivo: <\/strong><\/p>\n

Carcinoma espinocelular<\/strong><\/p>\n\n\n\n\n
\"img0.jpg\"<\/a><\/td>\n\"img1.jpg\"<\/a><\/td>\n<\/tr>\n
\"img2.jpg\"<\/a><\/td>\n\"img3.jpg\"<\/a><\/td>\n<\/tr>\n
\"img4.jpg\"<\/a><\/td>\n <\/td>\n<\/tr>\n<\/table>\n

\u00bf Que opciones terapeuticas proponen considerando que es un diabetico y la lesion esta localizada acralmente?<\/p>\n","protected":false},"excerpt":{"rendered":"

Presentado por Vargas R, Valenzuela A, Crespo L, Ch\u00f3pite M, Reyes O, Ortiz W, V\u00e1squezW. Instituto de Biomedicina Hospital Vargas Caracas Venezuela Masculino, edad: 56 a\u00f1os, lugar de nac: caracas, ocupaci\u00f3n: comerciante, cpmoenza enfermedad actual hace 8 meses con placa verrugosa, eritematosa, dura localizada en , dorso pie derecho, durante ese tiempo automedicado con cremas …<\/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-2282","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\/2282","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=2282"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/2282\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=2282"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=2282"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=2282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}