{"id":28315,"date":"2012-10-05T15:22:39","date_gmt":"2012-10-05T19:52:39","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=28315"},"modified":"2012-10-06T15:22:57","modified_gmt":"2012-10-06T19:52:57","slug":"dermatoscopia-edicion-319","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/28315","title":{"rendered":"Dermatoscopia Edici\u00f3n 319"},"content":{"rendered":"<p><strong>\u00a0SOLUCION CASO ANTERIOR<\/strong><\/p>\n<p>(<a href=\"http:\/\/piel-l.org\/blog\/27628\"><em>Clic aqui para ver presentaci\u00f3n completa del caso<\/em><\/a>)<\/p>\n<p>Diagn\u00f3stico Histopatol\u00f3gico<br \/>CARCINOMA BASOCELULAR NODULAR<\/p>\n<p>Discusi\u00f3n<br \/><em>Para este caso la estructuta dermatosc\u00f3pica clave que nos acercar\u00eda al diagn\u00f3stico son las ruedas de carro, que alguna pudo obsevarse en la perferia, habia una tendencia a formar estructuras en hoja de arce pero con menos claridad. En algunos sitios se observ\u00f3 color rosado y un esbozo de red negativa, que obligaba a descartar melanoma como diagn\u00f3stico diferencial. Como siempre en caso de dudas, una buena biopsia tomada con buena t\u00e9cnica y que sea representativa nos aclara el panorama.<\/em><\/p>\n<hr \/>\n<p><strong>CASO NUEVO<\/strong><\/p>\n<p>Paciente masculino de 54 a\u00f1os, quien al examen con Videodermatoscopia Digital, se evidenci\u00f3 macula pigmentada de 10 mm localizada en regi\u00f3n escapular derecha (foto 1).<\/p>\n<figure id=\"attachment_28316\" aria-describedby=\"caption-attachment-28316\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/10\/Foto-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-28316\" title=\"Foto 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/10\/Foto-1-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/10\/Foto-1-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/10\/Foto-1.jpg 768w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-28316\" class=\"wp-caption-text\">Foto 1<\/figcaption><\/figure>\n<p>A la dermatoscopia se evidencia entre otras caracter\u00edsticas red de pigmento at\u00edpica y asimetr\u00eda de estructuras (foto 2).<\/p>\n<figure id=\"attachment_28317\" aria-describedby=\"caption-attachment-28317\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/10\/Foto2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-28317\" title=\"Foto2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/10\/Foto2-390x292.jpg\" alt=\"\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/10\/Foto2-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/10\/Foto2.jpg 768w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-28317\" class=\"wp-caption-text\">Foto 2<\/figcaption><\/figure>\n<p><strong>\u00bfCu\u00e1l ser\u00eda su diagn\u00f3stico y su conducta?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0SOLUCION CASO ANTERIOR (Clic aqui para ver presentaci\u00f3n completa del caso) Diagn\u00f3stico Histopatol\u00f3gicoCARCINOMA BASOCELULAR NODULAR Discusi\u00f3nPara este caso la estructuta dermatosc\u00f3pica clave que nos acercar\u00eda al diagn\u00f3stico son las ruedas de carro, que alguna pudo obsevarse en la perferia, habia una tendencia a formar estructuras en hoja de arce pero con menos claridad. En algunos &hellip;<\/p>\n","protected":false},"author":52,"featured_media":28317,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,375],"tags":[],"class_list":["post-28315","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-dermatoscopia-en-el-consultorio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/28315","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\/52"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=28315"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/28315\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/28317"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=28315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=28315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=28315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}