{"id":8099,"date":"2009-05-15T23:24:43","date_gmt":"2009-05-16T03:24:43","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8099"},"modified":"2009-05-19T06:00:45","modified_gmt":"2009-05-19T10:00:45","slug":"235-consulta-a-un-colega-n%c2%ba2-carcinoma-espinocelular","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8099","title":{"rendered":"235 &#8211; Consulta a un Colega N\u00ba2: Carcinoma espinocelular"},"content":{"rendered":"<p><em><strong>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo, Carmen Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Sagrario del Ni\u00f1o Jes\u00fas Mart\u00ednez (m\u00e9dico onc\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<\/strong><\/em><\/p>\n<p>Paciente de 73 a\u00f1os de edad, natural y procedente de Santa B\u00e1rbara de Barinas (lim\u00edtrofe con Estado T\u00e1chira) quien consult\u00f3\u00a0 por neoformaci\u00f3n tumoral, redondeada, crateriforme, con borde romo, en forma de labios y centro blando, espiculoso, mal oliente, con 1 a\u00f1o de evoluci\u00f3n, aproximadamente, localizada en piel de la mejilla derecha.<\/p>\n<p><!--more--><\/p>\n<p>Numerosas queratosis act\u00ednica; piel fotoda\u00f1ada.<\/p>\n<p>Refiere el paciente de forma muy bien relatada y con detalles que todo empieza con la picada un insecto, a el cual mata con la palma de su mano, d\u00edas despu\u00e9s,\u00a0 formaci\u00f3n de p\u00e1pulo-ves\u00edcula-neoformaci\u00f3n ulcerada, crateriforme de crecimiento r\u00e1pido.<\/p>\n<p>Antecedente personales: diab\u00e9tico controlado irregularmente con antibiabeticos orales y dieta.<\/p>\n<p>Hipertensi\u00f3n arterial mal controlada.<\/p>\n<p>Laboratorio convencional. Glicemia en 480 mg, Trigliceridos 800\u00a0 Colesterol 350<\/p>\n<p>Infecci\u00f3n urinaria.<\/p>\n<p>RX de t\u00f3rax dentro de la normalidad.<\/p>\n<p>Leishmanina (-)<\/p>\n<p>Se plantea diagnostico cl\u00ednico de.<\/p>\n<p>a) Queratoacantoma<br \/>\n b) Leismaniasis cut\u00e1nea<br \/>\n c) Carcinoma Espinocelular<br \/>\n d)\u00a0 Carcinoma Basocelular<\/p>\n<p>Biopsia: carcinoma espinocelular<\/p>\n<p>Se realizo extirpaci\u00f3n quir\u00fargica con margen de 0,8 cm y en profundidad hasta la capa muscular.<br \/>\n Se envi\u00f3 la pieza con referencia y orientaci\u00f3n para el pat\u00f3logo.<\/p>\n<p>Biospia: Carcinoma Espinocelular<\/p>\n<div id='gallery-1' class='gallery galleryid-8099 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00640-1280x768.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00640-1280x768-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00639-1280x768.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00639-1280x768-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image30.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image30-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image29.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image29-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image28.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image28-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image27.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image27-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p>ID: Carcinoma espinocelular<\/p>\n<p>\u00bfCu\u00e1l es su comentario?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo, Carmen Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Sagrario del Ni\u00f1o Jes\u00fas Mart\u00ednez (m\u00e9dico onc\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Paciente de 73 a\u00f1os de edad, natural y procedente de Santa B\u00e1rbara de Barinas (lim\u00edtrofe con Estado T\u00e1chira) quien consult\u00f3\u00a0 por neoformaci\u00f3n tumoral, redondeada, crateriforme, con borde romo, en forma de &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":[264],"class_list":["post-8099","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-carcinoma-espinocelular"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8099","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=8099"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8099\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}