{"id":8919,"date":"2009-06-12T19:23:57","date_gmt":"2009-06-12T23:23:57","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8919"},"modified":"2009-06-12T19:23:57","modified_gmt":"2009-06-12T23:23:57","slug":"239-consulta-a-un-colega-n%c2%ba-4-dos-lesiones-aparentemente-quisticas","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8919","title":{"rendered":"239 &#8211; Consulta a un Colega N\u00ba 4: Dos lesiones aparentemente qu\u00edsticas"},"content":{"rendered":"<p><em><strong>PRESENTADO  POR: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo). Marisela  Acosta Casanova (anatomopat\u00f3logo). Lola Sumatra Castell\u00f3 (m\u00e9dico  Residente)<\/strong><\/em><\/p>\n<p>Paciente de  45 a\u00f1os de edad, ama de casa,quien consulta por dos lesiones aparentemente  qu\u00edsticas, localizada en tercio externo del dorso de la falange distal del  segundo dedo del pi\u00e9 (bilareral) discretamente transparente, con dos (2 a\u00f1os de  evoluci\u00f3n)\u00a0 sin deformidad de la l\u00e1mina  ungueal. Refie que en dos oportunidades han drenado expontaneamente material  gelatinosos.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 200px;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-dsc02352.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8920\" title=\"239-dsc02352\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-dsc02352-150x150.jpg\" alt=\"239-dsc02352\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-dsc02353.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8921\" title=\"239-dsc02353\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-dsc02353-150x150.jpg\" alt=\"239-dsc02353\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Laboratorio  convencional dentro de la normalidad.<\/p>\n<p>Biopsia:<\/p>\n<table style=\"width: 200px;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image65.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8922\" title=\"239-image65\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image65-150x150.jpg\" alt=\"239-image65\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image66.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8923\" title=\"239-image66\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image66-150x150.jpg\" alt=\"239-image66\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image67.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8924\" title=\"239-image67\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image67-150x150.jpg\" alt=\"239-image67\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image68.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8925\" title=\"239-image68\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/239-image68-150x150.jpg\" alt=\"239-image68\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong><\/strong><\/p>\n<ol>\n<li>Hiperqueratosis compacta y en cesta.  Acantosis marcada, acantosis marcada; papilomatosis; en dermis papilar se  advierte restos de pared qu\u00edstica simple (desprovista de revestimiento  epitelial)<\/li>\n<li>Se logra ver el revestimiento del  quiste (pared) constituido por tejido conectivo muy delgada.<\/li>\n<\/ol>\n<p>Nosotros  cureteamos primero y usamos criocirug\u00eda en \u201cspray\u201d\u00a0 en la\u00a0  base o fondo de la lesi\u00f3n. Buena evoluci\u00f3n; solo cicatrizaci\u00f3n demorada.<\/p>\n<p>Gracias por  sus comentarios.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PRESENTADO POR: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo). Marisela Acosta Casanova (anatomopat\u00f3logo). Lola Sumatra Castell\u00f3 (m\u00e9dico Residente) Paciente de 45 a\u00f1os de edad, ama de casa,quien consulta por dos lesiones aparentemente qu\u00edsticas, localizada en tercio externo del dorso de la falange distal del segundo dedo del pi\u00e9 (bilareral) discretamente transparente, con dos (2 a\u00f1os de evoluci\u00f3n)\u00a0 &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":[],"class_list":["post-8919","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8919","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=8919"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8919\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}