{"id":5088,"date":"2008-11-28T20:33:14","date_gmt":"2008-11-29T00:33:14","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=5088"},"modified":"2008-11-29T08:55:31","modified_gmt":"2008-11-29T12:55:31","slug":"consulta-a-un-colega-n2-melanoma-maligno-clark-iv-como-manejarlo","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/5088","title":{"rendered":"Consulta a un Colega N\u00b02: Melanoma Maligno Clark IV \u00bf Como Manejarlo?"},"content":{"rendered":"<p><strong>Dr. Daniel Sesto <br \/>\nEdgar la Rotta. <br \/>\nClinica de  la Piel\/ Clinica Sanatrix<\/strong><\/p>\n<p>Paciente de 50  a\u00f1os quien consulta por presentar tumoraci\u00f3n de 1 cm de diametro localizada en  cara lateral izquierda posterior del cuello de varios meses de  evoluci\u00f3n.&nbsp;Con el diagn\u00f3stico cl\u00ednico de Melanoma Maligno se realiza  extirpaci\u00f3n quirurgica con margen de 1 cm&nbsp;por fuera de su borde.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/casos-clinicos-13-11-2008-012.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/casos-clinicos-13-11-2008-012-300x200.jpg\" alt=\"\" title=\"casos-clinicos-13-11-2008-012\" class=\"alignnone size-medium wp-image-5089\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/casos-clinicos-13-11-2008-012-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/casos-clinicos-13-11-2008-012.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/casos-clinicos-13-11-2008-013.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/casos-clinicos-13-11-2008-013-300x200.jpg\" alt=\"\" title=\"casos-clinicos-13-11-2008-013\" class=\"alignnone size-medium wp-image-5090\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/casos-clinicos-13-11-2008-013-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/casos-clinicos-13-11-2008-013.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/agresion-de-paquete-vasculoneural.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/agresion-de-paquete-vasculoneural-300x225.jpg\" alt=\"\" title=\"agresion-de-paquete-vasculoneural\" class=\"alignnone size-medium wp-image-5091\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/agresion-de-paquete-vasculoneural-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/agresion-de-paquete-vasculoneural.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nagresion-de-paquete-vasculoneural<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/area-de-epitelio-ulcerado.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/area-de-epitelio-ulcerado-300x225.jpg\" alt=\"\" title=\"area-de-epitelio-ulcerado\" class=\"alignnone size-medium wp-image-5092\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/area-de-epitelio-ulcerado-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/area-de-epitelio-ulcerado.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\narea-de-epitelio-ulcerado<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/atipias.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/atipias-300x225.jpg\" alt=\"\" title=\"atipias\" class=\"alignnone size-medium wp-image-5093\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/atipias-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/atipias.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\natipias<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/centro.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/centro-300x225.jpg\" alt=\"\" title=\"centro\" class=\"alignnone size-medium wp-image-5094\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/centro-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/centro.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\ncentro<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/centro-del-nodulo.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/centro-del-nodulo-300x225.jpg\" alt=\"\" title=\"centro-del-nodulo\" class=\"alignnone size-medium wp-image-5095\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/centro-del-nodulo-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/centro-del-nodulo.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\ncentro-del-nodulo<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-lateral-derecho.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-lateral-derecho-300x225.jpg\" alt=\"\" title=\"margen-lateral-derecho\" class=\"alignnone size-medium wp-image-5096\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-lateral-derecho-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-lateral-derecho.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nmargen-lateral-derecho<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-lateral-izquierdo.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-lateral-izquierdo-300x225.jpg\" alt=\"\" title=\"margen-lateral-izquierdo\" class=\"alignnone size-medium wp-image-5097\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-lateral-izquierdo-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-lateral-izquierdo.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nmargen-lateral-izquierdo<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-profunda.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/margen-profunda-300x225.jpg\" alt=\"\" title=\"margen-profunda\" class=\"alignnone size-medium wp-image-5098\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-profunda-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/margen-profunda.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nmargen-profunda<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/mitosis-y-atipias.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/11\/mitosis-y-atipias-300x225.jpg\" alt=\"\" title=\"mitosis-y-atipias\" class=\"alignnone size-medium wp-image-5099\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/mitosis-y-atipias-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/11\/mitosis-y-atipias.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nmitosis-y-atipias<br \/>\n&nbsp;<\/p>\n<p>\n<span style=\"font-size: larger;\"><strong>Al tener un  MM&nbsp;estas caracteristicas, \u00bf Que sugieren en su manejo?&nbsp;&nbsp;<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Daniel Sesto Edgar la Rotta. Clinica de la Piel\/ Clinica Sanatrix Paciente de 50 a\u00f1os quien consulta por presentar tumoraci\u00f3n de 1 cm de diametro localizada en cara lateral izquierda posterior del cuello de varios meses de evoluci\u00f3n.&nbsp;Con el diagn\u00f3stico cl\u00ednico de Melanoma Maligno se realiza extirpaci\u00f3n quirurgica con margen de 1 cm&nbsp;por fuera &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-5088","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5088","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=5088"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5088\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=5088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=5088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=5088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}