{"id":6091,"date":"2009-01-30T09:00:03","date_gmt":"2009-01-30T13:00:03","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=6091"},"modified":"2009-01-31T12:51:31","modified_gmt":"2009-01-31T16:51:31","slug":"cierre-del-caso-para-diagnositco-n2-ed221","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/6091","title":{"rendered":"Cierre del Caso para diagn\u00f3sitco N\u00ba2, Ed.221"},"content":{"rendered":"

Caso publicado en PIEL-L LATINOAMERICANA EDICI\u00d3N N\u00ba 221 del Viernes 16\/01\/2009.\u00a0 CONSULTE A UN COLEGA N\u00ba 2<\/a><\/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<\/em>
\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

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

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dsc00211<\/p>\n<\/div>\n

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

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

1) Granuloma facial<\/p>\n

2) Granuloma reticulohistoc\u00edtico.<\/p>\n

3) Pseudolinfoma (picada de insecto)<\/p>\n

4) Nevo de Spitz<\/p>\n

5) Xantogranuloma juvenil solitario<\/p>\n

6) Tumor de c\u00e9lulas granulosas<\/p>\n

7) Dermatofibroma<\/p>\n

8) Neurotekeoma (Neurotecoma \u2013mixoma de la vaina de los nervios perif\u00e9rico)<\/p>\n

Histopatolog\u00eda:<\/p>\n

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)<\/p>\n

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dscn4311<\/p>\n<\/div>\n


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dscn4310<\/p>\n<\/div>\n


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dscn4308<\/p>\n<\/div>\n


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dscn4307<\/p>\n<\/div>\n


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dscn4306<\/p>\n<\/div>\n


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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.<\/p>\n

Se solicit\u00f3 inmunohistoqu\u00edmica, actualmente en espera.<\/p>\n

INMUNOHISTOQU\u00cdMICA<\/strong><\/p>\n

Descripci\u00f3n inmunohistoqu\u00edmica: Se utiliz\u00f3 la t\u00e9cnica de Estreptavidina-Biotina, el m\u00e9todo de recuperaci\u00f3n de ant\u00edgeno y controles positivos adecuados.<\/p>\n

Vimentina<\/p>\n

Positiva en c\u00e9lulas neopl\u00e1sicas.<\/p>\n

Actina M\u00fasculo liso Espec\u00edfica<\/p>\n

Positiva en paredes de los vasos sangu\u00edneos.<\/p>\n

CD34<\/p>\n

Positiva en vasos sangu\u00edneos<\/p>\n

Prote\u00edna S100<\/p>\n

Positiva en algunas c\u00e9lulas neopl\u00e1sicas<\/p>\n

Ant\u00edgeno de membrana epitelial (EMA)<\/p>\n

Negativa<\/p>\n

Enolasa Neuronal Espec\u00edfica (ENS)<\/p>\n

Negativa<\/p>\n


<\/p>\n

DIAGNOSTICO: NEUROTECOMA
\n <\/strong>(Dra. Adriana Morales de Montenegro)
\n SERDIPATMOL. CA
\n Servicio de Diagnostico de Patolog\u00eda Molecula
\n Maracaibo\/Zulia\/Venezuela<\/p>\n","protected":false},"excerpt":{"rendered":"

Caso publicado en PIEL-L LATINOAMERICANA EDICI\u00d3N N\u00ba 221 del Viernes 16\/01\/2009.\u00a0 CONSULTE A UN COLEGA N\u00ba 2 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 …<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[],"class_list":["post-6091","post","type-post","status-publish","format-standard","","category-casos-pendientes-cierres-de-casos"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6091","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=6091"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6091\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=6091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=6091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=6091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}