{"id":48521,"date":"2020-10-09T09:13:38","date_gmt":"2020-10-09T13:43:38","guid":{"rendered":"https:\/\/piel-l.org\/blog\/?p=48521"},"modified":"2020-10-10T00:49:00","modified_gmt":"2020-10-10T05:19:00","slug":"dermatoscopia-edicion-no-462-reto-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/48521","title":{"rendered":"Dermatoscopia Edici\u00f3n N\u00ba 462. 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\/48338\" target=\"_blank\" rel=\"noopener noreferrer\">Edici\u00f3n N\u00ba 456<\/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<\/strong>: L\u00c9NTIGO MALIGNO<\/p>\n<p><strong>Discusi\u00f3n<\/strong>: Si utilizamos el m\u00e9todo de descarte de patolog\u00edas benignas primero, esta lesi\u00f3n muestra orificios foliculares prominentes con algunos c\u00edrculos blancos y rosetas, lo cual podr\u00eda confundirnos y hacernos pensar que pudiese tratase de una queratosis act\u00ednica pigmentada, sin embargo lo que mas predomina en la lesi\u00f3n son caracter\u00edsticas que sugieren malignidad melanoc\u00edtica, como lo son, el color gris, la granularidad gris, la pigmentaci\u00f3n perifolicular asim\u00e9trica, la invasi\u00f3n de los orificios por parte de la lesi\u00f3n pigmentada, estructuras romboidales y poligonales. Tambi\u00e9n es posible en la parte inferior de la foto observar caracter\u00edsticas como el borde en apolillado que pueden hacernos pensar en l\u00e9ntigo solar, no hay que olvidar que en estas zonas expuestas al sol con tanto fotoda\u00f1o son frecuentes lo tumores de colisi\u00f3n, y es ac\u00e1 en donde la dermatoscopia toma relevancia para decidir en que sitio hacer la biopsia cuando nos planteamos hacer diagn\u00f3stico mediante biopsia incisionales.<\/p>\n<div class=\"su-divider su-divider-style-dotted\" style=\"margin:10px 0;border-width:4px;border-color:#eae9e9\"><\/div>\n<p><strong>CASO PARA DIAGN\u00d3STICO<\/strong><\/p>\n<p>Paciente masculino de 65 a\u00f1os quien presenta esta lesi\u00f3n pigmentada en t\u00f3rax posterior.<\/p>\n<div id='gallery-1' class='gallery galleryid-48521 gallery-columns-2 gallery-size-medium'><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\/10\/IMG_0274.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"360\" height=\"480\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/10\/IMG_0274-360x480.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0274-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0274-768x1024.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0274-1152x1536.jpg 1152w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0274.jpg 1280w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/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\/\/2020\/10\/IMG_0277.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"293\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2020\/10\/IMG_0277-390x293.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0277-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0277-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0277-768x576.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2020\/10\/IMG_0277.jpg 1280w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><strong>\u00bfCual ser\u00eda su diagn\u00f3stico y conducta?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enfermedades con m\u00faltiples presentaciones cl\u00ednicas y\/o histol\u00f3gicas diferentes a la forma cl\u00e1sica llevando a diagn\u00f3sticos err\u00f3neos o retardo del mismo y como consecuencia del tratamiento o conducta adecuada<\/p>\n","protected":false},"author":52,"featured_media":48523,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[375],"tags":[],"class_list":["post-48521","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\/48521","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=48521"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/48521\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/48523"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=48521"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=48521"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=48521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}