{"id":5704,"date":"2009-01-16T23:37:14","date_gmt":"2009-01-17T03:37:14","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=5704"},"modified":"2009-01-17T01:49:13","modified_gmt":"2009-01-17T05:49:13","slug":"221-consulte-a-un-colega-no2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/5704","title":{"rendered":"221 – CONSULTE A UN COLEGA No.2"},"content":{"rendered":"

<\/p>\n

Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermatolog\u00eda), Eugenio Vega Mart\u00ednez (m\u00e9dico pediatra), Marisela Acosta Casanova (medico Anatomopat\u00f3logo). Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/p>\n

<\/strong><\/em><\/p>\n

Paciente de 7 a\u00f1os de edad con lesi\u00f3n nodular, dura, eritematosa, brillante, mamelonada, de l\u00edmites no bien definidos, asintom\u00e1tica en piel de la nariz de crecimiento r\u00e1pido, con 4 meses de evoluci\u00f3n.<\/p>\n

<\/p>\n

(Favor ver foto cl\u00ednica N\u00ba DSC00209.jpg-DSC00211.jpg)<\/strong><\/p>\n

\"dsc00209\"<\/a>
dsc00209<\/figcaption><\/figure>\n
\"dsc00211\"<\/a>
dsc00211<\/figcaption><\/figure>\n


<\/p>\n

Examen cl\u00ednico y de laboratorio dentro de la normalidad.<\/p>\n

ID.(Cl\u00ednica)<\/p>\n

    \n
  1. Granuloma facial<\/li>\n
  2. Granuloma reticulohistoc\u00edtico.<\/li>\n
  3. Pseudolinfoma (picada de insecto)<\/li>\n
  4. Nevo de Spitz<\/li>\n
  5. Xantogranuloma juvenil solitario<\/li>\n
  6. Tumor de c\u00e9lulas granulosas<\/li>\n
  7. Dermatofibroma<\/li>\n
  8. Neutequeoma (Neurotecoma \u2013mixoma de la vaina de los nervios perif\u00e9rico)<\/li>\n<\/ol>\n

    Histopatolog\u00eda<\/strong>: Favor ver foto histopatol\u00f3gica N\u00ba: DSCN4279.jpg-DSCN4282.jpg-DSCN4284.jpg-DSCN4306.jpg-DSCN4307.jpg-DSCN4308.jpg-DSCN4309.jpg-DSCN4310.jpg-DSCN4311.jpg) <\/strong><\/p>\n

    \"dscn4311\"<\/a>
    dscn4311<\/figcaption><\/figure>\n
    \"dscn4310\"<\/a>
    dscn4310<\/figcaption><\/figure>\n
    \"dscn4309\"<\/a>
    dscn4309<\/figcaption><\/figure>\n
    \"dscn4308\"<\/a>
    dscn4308<\/figcaption><\/figure>\n
    \"dscn4307\"<\/a>
    dscn4307<\/figcaption><\/figure>\n
    \"dscn4306\"<\/a>
    dscn4306<\/figcaption><\/figure>\n
    \"dscn4284\"<\/a>
    dscn4284<\/figcaption><\/figure>\n
    \"dscn4282\"<\/a>
    dscn4282<\/figcaption><\/figure>\n
    \"dscn4279\"<\/a>
    dscn4279<\/figcaption><\/figure>\n


    <\/p>\n

    Neoplasia que abarca dermis papilar, reticular y profunda, de l\u00edmites mal definidos, constituido por n\u00f3dulos o l\u00f3bulos de c\u00e9lulas epiteliodes, abundante citoplasma eosinof\u00edlico, n\u00facleos redondeados, con cromatina dispersa en grumos finos y aislados nucl\u00e9olos, siendo este el patr\u00f3n predominante (celular). Se advierten aisladas \u00e1reas mixoides, con pocas c\u00e9lulas fusocelulares. Estroma hialinizado.<\/strong>
    \n Se solicit\u00f3 inmunohistoqu\u00edmica, actualmente en espera.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermatolog\u00eda), Eugenio Vega Mart\u00ednez (m\u00e9dico pediatra), Marisela Acosta Casanova (medico Anatomopat\u00f3logo). Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente de 7 a\u00f1os de edad con lesi\u00f3n nodular, dura, eritematosa, brillante, mamelonada, de l\u00edmites no bien definidos, asintom\u00e1tica en piel de la nariz de crecimiento r\u00e1pido, con 4 meses de evoluci\u00f3n.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[184,267],"class_list":["post-5704","post","type-post","status-publish","format-standard","","category-generales","tag-melanoma","tag-neoplasia"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5704","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=5704"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5704\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=5704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=5704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=5704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}