{"id":24044,"date":"2011-12-16T12:02:49","date_gmt":"2011-12-16T16:32:49","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=24044"},"modified":"2012-01-13T05:30:44","modified_gmt":"2012-01-13T10:00:44","slug":"la-importancia-de-la-correlacion-clinico-patologica-dermatoscopica-en-dermatologia","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/24044","title":{"rendered":"Correlaci\u00f3n cl\u00ednico-patol\u00f3gica-dermatosc\u00f3pica"},"content":{"rendered":"<p><em><strong>Dr. Jose Maria Ollague Torres<\/strong><\/em><br \/><span style=\"font-size: xx-small;\"><em><strong>Dermatologo &#8211; Dermatopatologo<br \/>Comit\u00e9 editorial Piel Latinoamericana. Ecuador\u00a0<\/strong><\/em><\/span><\/p>\n<p>Paciente de 84 a\u00f1os de edad, diabetica II bajo control con antidiabeticos orales en buen estado de salud. 3 meses antes de la consulta desarrolla lesion asintomatica, pigmentaria, no infiltrada, de 3 cm. De diametro, con distintas tonalidades, algo descamativa con bordes irregulares, localizada en tercio medio externo de muslo derecho .<\/p>\n<p><!--more--><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide031.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-24045 alignnone\" title=\"Slide03\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide031-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide031-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide031.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide041.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-24046 alignnone\" title=\"Slide04\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide041-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide041-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide041.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide051.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-24047\" title=\"Slide05\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide051-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide051-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide051.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><strong>Diagn\u00f3sticos<\/strong><\/p>\n<p>Melanoma maligno<\/p>\n<p>Nevus atipico<\/p>\n<p>Queratosis seborreica<\/p>\n<p>Lentigo solar mas queratosis seborreica<\/p>\n<p>Otros diagnosticos<\/p>\n<p>\u00a0<a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide071.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-24048\" title=\"Slide07\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide071-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide071-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide071.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide081.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-24049\" title=\"Slide08\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide081-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide081-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide081.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><strong>Dermatoscopia<\/strong><\/p>\n<ul>\n<li>Melanoma maligno<\/li>\n<li>Queratosis seborreica<\/li>\n<li>Nevus atipico<\/li>\n<li>Otros diagnosticos<\/li>\n<\/ul>\n<div id='gallery-1' class='gallery galleryid-24044 gallery-columns-1 gallery-size-medium'><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\/\/2011\/12\/Slide031.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide031-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide031-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide031.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide041.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide041-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide041-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide041.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide051.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide051-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide051-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide051.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide071.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide071-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide071-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide071.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide081.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide081-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide081-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide081.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide101.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide101-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide101-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide101.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide111.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide111-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide111-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide111.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide121.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide121-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide121-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide121.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide131.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide131-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide131-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide131.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide141.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide141-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide141-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide141.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide151.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide151-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide151-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide151.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/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\/\/2011\/12\/Slide171.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"292\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide171-390x292.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide171-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide171.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><strong>\u00a0Carcinoma Intraepitelial \u000b\u201cIn Situ\u201d (Bowen)<\/strong><\/p>\n<ul>\n<li>Acantosis epidermica.<\/li>\n<li>Multicelularidad intraepidermica.<\/li>\n<li>Perdida de la arquitectura y orientacion normal de las celulas del del epitelio.<\/li>\n<li>Atipia celular marcada.<\/li>\n<li>Celulas gigantes atipicas y multinucleadas.<\/li>\n<li>Celulas disqueratosicas aisladas.<\/li>\n<li>Mitosis atipicas ocasionales.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide171.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-24058\" title=\"Slide17\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/12\/Slide171-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide171-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2011\/12\/Slide171.jpg 720w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jose Maria Ollague TorresDermatologo &#8211; DermatopatologoComit\u00e9 editorial Piel Latinoamericana. Ecuador\u00a0 Paciente de 84 a\u00f1os de edad, diabetica II bajo control con antidiabeticos orales en buen estado de salud. 3 meses antes de la consulta desarrolla lesion asintomatica, pigmentaria, no infiltrada, de 3 cm. De diametro, con distintas tonalidades, algo descamativa con bordes irregulares, localizada &hellip;<\/p>\n","protected":false},"author":59,"featured_media":24045,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,445],"tags":[],"class_list":["post-24044","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-foro-dermatopatologico"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/24044","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\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=24044"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/24044\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/24045"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=24044"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=24044"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=24044"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}