{"id":7832,"date":"2009-05-01T23:21:07","date_gmt":"2009-05-02T03:21:07","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=7832"},"modified":"2009-05-01T23:21:07","modified_gmt":"2009-05-02T03:21:07","slug":"233-consulta-a-un-colega-n%c2%ba4-carcinoma-basocelular-en-punta-nasal","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/7832","title":{"rendered":"233 &#8211; Consulta a un Colega N\u00ba4: Carcinoma basocelular en punta nasal"},"content":{"rendered":"<p><strong><em><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02310-2331.jpg\"><\/a>Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo). Hospital General \u201cDr. Luis Razetti\u201d, Barinas\/Venezuela<\/em><\/strong><\/p>\n<p>Paciente de 78 a\u00f1os de edad, natural y procedente de la ciudad de Guanare (Edo. Portuguesa\/Venezuela), fototipo de piel II, con m\u00faltiples queratsosis act\u00ednica y tres (3) carcinomas basocelulares (confirmados con biopsia) y un gran carcinoma basocelular en punta nasal de dif\u00edcil tratamiento.<\/p>\n<p><!--more--><\/p>\n<p>Antecedente de insuficiencia card\u00edaca e hipertensi\u00f3n arterial en tratamiento m\u00e9dico, arritmia ventricular, marcapaso.<\/p>\n<p>Laboratorio convencional dentro de la normalidad.<\/p>\n<p>RX de t\u00f3rax dentro de la normalidad.<\/p>\n<p>Debido a la edad de la paciente y la dificultad terap\u00e9utica del carcinoma de punta nasal se decide tratamiento con criocirug\u00eda.<\/p>\n<p>Previa anestesia regional con cifarcaina 2% se procede a decorticar con asa de radiocirug\u00eda (Ellman) y luego se procede a congelar con probeta de contacto de diferentes tama\u00f1os con margen lateral oncol\u00f3gico de 0.8 mm, dos tiempo de 2 minutos cada uno y control del tiempo de descongelaci\u00f3n.<\/p>\n<p>Nota: favor ver evoluci\u00f3n en 70 d\u00edas antes y despu\u00e9s del tratamiento<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02305-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7833\" title=\"dsc02305-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02305-233-300x225.jpg\" alt=\"dsc02305-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02305-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02305-233.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\/dsc02307-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7834\" title=\"dsc02307-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02307-233-225x300.jpg\" alt=\"dsc02307-233\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02307-233-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02307-233.jpg 576w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02308-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7835\" title=\"dsc02308-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02308-233-300x225.jpg\" alt=\"dsc02308-233\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02308-233-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02308-233.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\/dsc02309-2331.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7838\" title=\"dsc02309-2331\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02309-2331-225x300.jpg\" alt=\"dsc02309-2331\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02309-2331-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02309-2331.jpg 576w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02310-2331.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7839\" title=\"dsc02310-2331\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02310-2331-300x225.jpg\" alt=\"dsc02310-2331\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02310-2331-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02310-2331.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<hr style=\"width: 100%; color: #ffffff; height: 1px; border: #cccccc 1px solid;\" size=\"1\" noshade=\"noshade\" \/>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02362-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7840\" title=\"dsc02362-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02362-233-225x300.jpg\" alt=\"dsc02362-233\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02362-233-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02362-233.jpg 576w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02363-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7841\" title=\"dsc02363-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc02363-233-225x300.jpg\" alt=\"dsc02363-233\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02363-233-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc02363-233.jpg 576w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<hr style=\"width: 100%; color: #ffffff; height: 1px; border: #cccccc 1px solid;\" size=\"1\" noshade=\"noshade\" \/>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00651-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7842\" title=\"dsc00651-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00651-233-225x300.jpg\" alt=\"dsc00651-233\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00651-233-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00651-233.jpg 576w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00652-233.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7843\" title=\"dsc00652-233\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00652-233-300x187.jpg\" alt=\"dsc00652-233\" width=\"300\" height=\"187\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00652-233-300x187.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/dsc00652-233.jpg 1020w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo). Hospital General \u201cDr. Luis Razetti\u201d, Barinas\/Venezuela Paciente de 78 a\u00f1os de edad, natural y procedente de la ciudad de Guanare (Edo. Portuguesa\/Venezuela), fototipo de piel II, con m\u00faltiples queratsosis act\u00ednica y tres (3) carcinomas basocelulares (confirmados con biopsia) y &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":[122],"class_list":["post-7832","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-carcinoma-basocelular"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7832","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=7832"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7832\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=7832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=7832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=7832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}