{"id":48189,"date":"2020-05-01T10:39:44","date_gmt":"2020-05-01T15:09:44","guid":{"rendered":"https:\/\/piel-l.org\/blog\/?p=48189"},"modified":"2020-05-04T09:40:10","modified_gmt":"2020-05-04T14:10:10","slug":"dermatoscopia-ed-no-456-reto-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/48189","title":{"rendered":"Dermatoscopia Edici\u00f3n N\u00ba 456. Reto diagn\u00f3stico"},"content":{"rendered":"<p><strong>En esta Edici\u00f3n:<\/strong><\/p>\n<ul>\n<li>Soluci\u00f3n al caso anterior<a href=\"https:\/\/piel-l.org\/blog\/46721\" target=\"_blank\" rel=\"noopener noreferrer\"> Edici\u00f3n N\u00ba 429<\/a><\/li>\n<li>Caso\u00a0 para diagn\u00f3stico<\/li>\n<\/ul>\n<div class=\"su-divider su-divider-style-dotted\" style=\"margin:10px 0;border-width:4px;border-color:#eae9e9\"><\/div>\n<p><strong>Diagn\u00f3stico definitivo:<\/strong> Carcinoma espinocelular bien diferenciado<\/p>\n<p>Discusi\u00f3n: La clave diagn\u00f3stica en este caso est\u00e1 representada por los c\u00edrculos blancos que son evidentes en la porci\u00f3n cut\u00e1nea del labio, no en la parte mucosa ya que esas estructuras circulares que se observan corresponden a estructuras glandulares.<br \/>\nEl patr\u00f3n vascular con vasos lineales y puntiformes se observa en carcinomas espinocelulares invasivos tambi\u00e9n es evidente el predominio de los orificios foliculares e incluso es posible observar en el interior de algunos de ellos estructuras puntiformes blancas brillantes en disposici\u00f3n de tr\u00e9bol a las cuales llamamos rosetas, esto me hace pensar que esta lesi\u00f3n se origin\u00f3 de una queratosis act\u00ednica. En los \u00faltimos a\u00f1os la dermatoscopia se ha establecido como una herramienta muy \u00fatil en el manejo de este tipo de tumores.<\/p>\n<div class=\"su-divider su-divider-style-dotted\" style=\"margin:10px 0;border-width:4px;border-color:#eae9e9\"><\/div>\n<p>Paciente masculino de 68 a\u00f1os quien presenta lesi\u00f3n pigmentada en regi\u00f3n del brazo izquierdo.<\/p>\n<p>Ante esta lesi\u00f3n con esta imagen dermatosc\u00f3pica, \u00bfCuales estructuras dermatosc\u00f3picas llaman su atenci\u00f3n? \u00bfCu\u00e1l ser\u00eda su diagn\u00f3stico y conducta?<\/p>\n<div id='gallery-1' class='gallery galleryid-48189 gallery-columns-2 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/05\/IMG_0089_result.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"768\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/05\/IMG_0089_result.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/05\/IMG_0089_result.jpg 576w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/05\/IMG_0089_result-360x480.jpg 360w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/05\/IMG_0091_result.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"768\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/05\/IMG_0091_result.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/05\/IMG_0091_result.jpg 576w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/05\/IMG_0091_result-360x480.jpg 360w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Ante estas lesi\u00f3n con esta imagen dermatosc\u00f3pica, \u00bfCuales estructuras dermatosc\u00f3picas llaman su atenci\u00f3n? \u00bfCu\u00e1l ser\u00eda su diagn\u00f3stico y conducta?<\/p>\n","protected":false},"author":52,"featured_media":48191,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[375],"tags":[],"class_list":["post-48189","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\/48189","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=48189"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/48189\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/48191"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=48189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=48189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=48189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}