{"id":40477,"date":"2015-07-17T10:08:22","date_gmt":"2015-07-17T14:38:22","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=40477"},"modified":"2015-07-17T20:12:32","modified_gmt":"2015-07-18T00:42:32","slug":"dermatoscopia-ed-375","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/40477","title":{"rendered":"Dermatoscopia Ed. 375"},"content":{"rendered":"<p><strong>SOLUCI\u00d3N AL ANTERIOR<\/strong><\/p>\n<p>(\u00a0<a title=\"Permanent Link to Dermatoscopia Ed. 372\" href=\"http:\/\/piel-l.org\/blog\/40165\" rel=\"bookmark\">Dermatoscopia Ed. 372<\/a>\u00a0:\u00a0<span style=\"font-size: 10pt;\"><em>Paciente masculino de 60 a\u00f1os quien presenta antecedentes personales de 2 melanomas malignos delgados ya tratados y como hallazgo del examen f\u00edsico se evidenci\u00f3 esta lesi\u00f3n en hipocondrio derecho<\/em><\/span>)<\/p>\n<blockquote><p><em><strong>Diagn\u00f3stico: MELANOMA MALIGNO in situ.<\/strong><\/em><\/p>\n<p>Discusi\u00f3n: Las claves dermatosc\u00f3picas en esta lesi\u00f3n lo constituyen una red o ret\u00edculo pigmentario at\u00edpico y esa sensaci\u00f3n de crecimiento que da la imagen de la lesi\u00f3n, no se puede saber si es una lesi\u00f3n pre-existente que creci\u00f3 o si es el crecimiento de una lesi\u00f3n que hizo que se fusionara con otra. En todo caso a los 60 a\u00f1os de edad no es de esperar un crecimiento acelerado de una lesi\u00f3n melanoc\u00edtica, Estas caracter\u00edsticas dermatosc\u00f3picas son fundamentales para el diagn\u00f3stico adecuado de esta lesi\u00f3n.<\/p><\/blockquote>\n<p><strong>CASO NUEVO<\/strong><\/p>\n<p>Ante estas im\u00e1genes cl\u00ednica(1), dermatosc\u00f3pica con luz polarizada(2) y dermatosc\u00f3pica sin luz polarizada(3),<\/p>\n<figure id=\"attachment_40478\" aria-describedby=\"caption-attachment-40478\" style=\"width: 390px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-40478\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-1-390x293.jpg\" alt=\"FOTO 1\" width=\"390\" height=\"293\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-1-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-1-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-1.jpg 1280w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-40478\" class=\"wp-caption-text\">FOTO 1<\/figcaption><\/figure>\n<figure id=\"attachment_40479\" aria-describedby=\"caption-attachment-40479\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-40479\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-2-360x480.jpg\" alt=\"FOTO 2\" width=\"360\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-2-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-2.jpg 768w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><figcaption id=\"caption-attachment-40479\" class=\"wp-caption-text\">FOTO 2<\/figcaption><\/figure>\n<figure id=\"attachment_40480\" aria-describedby=\"caption-attachment-40480\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-40480\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/07\/ed375-lopez-foto-3-360x480.jpg\" alt=\"FOTO 3\" width=\"360\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-3-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/07\/ed375-lopez-foto-3.jpg 768w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><figcaption id=\"caption-attachment-40480\" class=\"wp-caption-text\">FOTO 3<\/figcaption><\/figure>\n<p><strong>\u00bfCu\u00e1l ser\u00eda su diagn\u00f3stico?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>SOLUCI\u00d3N AL ANTERIOR (\u00a0Dermatoscopia Ed. 372\u00a0:\u00a0Paciente masculino de 60 a\u00f1os quien presenta antecedentes personales de 2 melanomas malignos delgados ya tratados y como hallazgo del examen f\u00edsico se evidenci\u00f3 esta lesi\u00f3n en hipocondrio derecho) Diagn\u00f3stico: MELANOMA MALIGNO in situ. Discusi\u00f3n: Las claves dermatosc\u00f3picas en esta lesi\u00f3n lo constituyen una red o ret\u00edculo pigmentario at\u00edpico y &hellip;<\/p>\n","protected":false},"author":52,"featured_media":40478,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[375],"tags":[],"class_list":["post-40477","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-dermatoscopia-en-el-consultorio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/40477","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=40477"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/40477\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/40478"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=40477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=40477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=40477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}