{"id":402,"date":"2007-05-12T07:19:37","date_gmt":"2007-05-12T11:19:37","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=402"},"modified":"2007-05-12T12:26:36","modified_gmt":"2007-05-12T16:26:36","slug":"melanoma-nodular-como-lo-manejaria-ud","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/402","title":{"rendered":"Melanoma nodular. \u00bfC\u00f3mo lo manejar\u00eda Ud?"},"content":{"rendered":"

Autores: Rodr\u00edguez Z, S\u00e1nchez M, P\u00e1ez E, Reyes O, Oliver M, Sesto D, Henr\u00edquez J , Chopite M.
Instituto de Biomedicina
Hospital Vargas. Caracas Venezuela<\/strong><\/p>\n

Caso enviado por: Dr. Jaime Piquero Mart\u00edn<\/strong><\/p>\n

Paciente femenino de 54 a\u00f1os,  <\/span>Ama de casa, Natural y Procedente del Edo Miranda<\/span><\/p>\n

Antecedentes: Familiares: Madre fallecida por neoplasia en piel no especificada. Personales: TBC pulmonar en infancia, tratada. Litiasis vesicular y gastritis erosiva desde hace 2 a\u00f1os en trto con omeprazol .Quir\u00fargicos: Cura de prolapso genital en Hospital Vargas en 1997.<\/span><\/p>\n

<\/p>\n

Enfermedad Actual: Refiere el comienzo de su enfermedad en el a\u00f1o 2005 cuando , aparece lesion pigmentada en el tal\u00f3n con aumento de tama\u00f1o progresivo (lesi\u00f3n melanoc\u00edtica pre-existente), con sangrado ocasional.<\/span><\/span><\/p>\n

Plan deTrabajo: Dermatocospia. Examenes de Laboratorio:<\/span><\/p>\n

Hb:12,8 gr\/dl   <\/span>Hcto:40%     <\/span>CB:3.700 mm Seg:70%, Linf:24%, Mon:3%, Eos:1%, Bas:2%. Plaquetas:147000mm3                  <\/span>VSG:24mm\/1h.<\/span><\/p>\n

Glicemia:82 mg\/dL      <\/span>Urea:32 mg\/dL   <\/span>Creatinina:0,8mg\/dL<\/span><\/p>\n

Ac Urico:4,0mg\/dL       <\/span>AST:9,9 U\/L        <\/span>ALT:14,7 U\/L<\/span><\/p>\n

BT:1,07umol\/L             <\/span>BD:0,24umol\/L    <\/span>BI:0,84umol\/L<\/span><\/p>\n

LDH:208 U\/L                <\/span>FAL:15 U\/L         <\/span>TP-TPT:normal<\/span><\/p>\n

VDRL:No reactivo       <\/span>HIV: Negativo.<\/span><\/p>\n

 <\/p>\n

\"caso\"<\/a><\/p>\n

\"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> \"caso\"<\/a> <\/p>\n

\u00bf;C\u00f3mo lo hubiera manejado usted?<\/p>\n","protected":false},"excerpt":{"rendered":"

Autores: Rodr\u00edguez Z, S\u00e1nchez M, P\u00e1ez E, Reyes O, Oliver M, Sesto D, Henr\u00edquez J , Chopite M. Instituto de Biomedicina Hospital Vargas. Caracas Venezuela Caso enviado por: Dr. Jaime Piquero Mart\u00edn Paciente femenino de 54 a\u00f1os,  Ama de casa, Natural y Procedente del Edo Miranda Antecedentes: Familiares: Madre fallecida por neoplasia en piel no …<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[],"class_list":["post-402","post","type-post","status-publish","format-standard","","category-caso-de-la-semana"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/402","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=402"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/402\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}