{"id":7806,"date":"2009-05-01T23:22:44","date_gmt":"2009-05-02T03:22:44","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=7806"},"modified":"2009-05-01T23:22:44","modified_gmt":"2009-05-02T03:22:44","slug":"233-consulta-a-un-colega-n%c2%ba1-condiloma-acuminado-vph","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/7806","title":{"rendered":"233 &#8211; Consulta a un Colega N\u00ba1: Condiloma Acuminado. VPH?"},"content":{"rendered":"<p><strong><em>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)<br \/>\nCamilo Sanpatricio Allende (odont\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<br \/>\nCl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/em><\/strong><\/p>\n<p>Paciente de 54 a\u00f1os de edad, natural y procedente de Altamira de C\u00e1ceres (Edo. Barinas) pi\u00e9 de monte andino, agricultor, quien consulta por lesi\u00f3n blanca y verrugosa central en labio superior, en pleno crecimiento con 2 a\u00f1os de evoluci\u00f3n.<\/p>\n<p><!--more--><\/p>\n<p>Al examen placa blanquecina , no infiltrada con conservaci\u00f3n del cuadriculado que compromete la mucosa del labio superior en casi su totalidad, en el centro de la misma neoformaci\u00f3n tumoral, verrugosa, ligeramente amarillenta, de implantaci\u00f3n firma pero no infiltrada, que se extiende al tercio izquierdo y borde del labio.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00587-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7807 alignnone\" title=\"dsc00587-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00587-233-300x225.jpg\" alt=\"dsc00587-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00587-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00587-233.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00588-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7808 alignnone\" title=\"dsc00588-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00588-233-300x196.jpg\" alt=\"dsc00588-233\" width=\"300\" height=\"196\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00588-233-300x196.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00588-233.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00589-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7809\" title=\"dsc00589-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00589-233-300x170.jpg\" alt=\"dsc00589-233\" width=\"300\" height=\"170\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00589-233-300x170.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00589-233.jpg 1019w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>ID: 1) Leucoplasia 2) Carcinoma espinocelular 3 ) Acantoqueratoma 4) Lesiones de VPH (Condiloma acuminado)<br \/>\nNo adenopat\u00edas. Mala higiene bucal. Edentula parcial.<br \/>\nEscupe chim\u00f3. Antecedentes alcoh\u00f3licos espor\u00e1dicos. No fuma.<br \/>\nResto del examen f\u00edsico dentro de la normalidad.<br \/>\nLaboratorio convencional dentro de la normalidad. RX de t\u00f3rax dentro de la normalidad.<\/p>\n<p>Se tomaron dos muestras, a) de la placa blanca b) del tumor. En ambas zonas se obtuvieron im\u00e1genes iguales. Paraqueratosis, acantosis y papilomatosis. Inclusiones de vacuolas intracitoplasm\u00e1ticas con rechazo de los n\u00facleos a la periferia, irregularidades en la membrana basal e hipercr\u00f3mia marcada que ascienden hasta el estrato corneo.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image2-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7810\" title=\"image2-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image2-233-300x225.jpg\" alt=\"image2-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image2-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image2-233-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image2-233.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image3-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7811\" title=\"image3-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image3-233-300x225.jpg\" alt=\"image3-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image3-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image3-233-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image3-233.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image4-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7812\" title=\"image4-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image4-233-300x225.jpg\" alt=\"image4-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image4-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image4-233-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image4-233.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image6-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7813\" title=\"image6-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image6-233-300x225.jpg\" alt=\"image6-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image6-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image6-233-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/image6-233.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Cuadro histopatol\u00f3gico compatible con Condiloma Acuminado. VPH<\/p>\n<p>Deseamos compartir este caso y escuchar comentarios.<\/p>\n<p><strong>\u00bfEsta de acuerdo con este diagnostico?<br \/>\nCu\u00e1l es su tratamiento?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo) Camilo Sanpatricio Allende (odont\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente de 54 a\u00f1os de edad, natural y procedente de Altamira de C\u00e1ceres (Edo. Barinas) pi\u00e9 de monte andino, agricultor, quien consulta por lesi\u00f3n blanca y verrugosa central en labio superior, en pleno &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":[331,332],"class_list":["post-7806","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-condiloma-acuminado","tag-vph"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7806","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=7806"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7806\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=7806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=7806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=7806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}