{"id":9185,"date":"2009-06-19T19:59:41","date_gmt":"2009-06-19T23:59:41","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9185"},"modified":"2009-06-19T19:59:41","modified_gmt":"2009-06-19T23:59:41","slug":"240-consulta-a-un-colega-n%c2%ba5-interesante-tumor","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9185","title":{"rendered":"240 &#8211; Consulta a un Colega N\u00ba5: Interesante tumor"},"content":{"rendered":"<p><em><strong>Dres Jaime Piquero Martin ( Dermat\u00f3logo), Carmen Lopez (Anatomopat\u00f3logo y Dermatopatologo)<\/strong><\/em><\/p>\n<p>Paciente femenina de 77 a\u00f1os quien consulta por presentar tumoraci\u00f3n pediculada del tama\u00f1o de una aceituna, localizada en regi\u00f3n anterior del t\u00f3rax de varias meses de evoluci\u00f3n, aunque desde hace una semana se ha inflamado y molestado.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-9185 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\/06\/casos-31-mayo-2009-013.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-013-150x150.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\/06\/casos-31-mayo-2009-015.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-015-150x150.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\/06\/carcinoma-sebaceo_pagina_1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/carcinoma-sebaceo_pagina_1-150x150.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\/06\/carcinoma-sebaceo_pagina_2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/carcinoma-sebaceo_pagina_2-150x150.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\/06\/carcinoma-sebaceo_pagina_3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/carcinoma-sebaceo_pagina_3-150x150.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\/06\/carcinoma-sebaceo_pagina_4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/carcinoma-sebaceo_pagina_4-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Con el diagn\u00f3stico de tumor a precisar\u00a0 se procede a extirpaci\u00f3n total (ver cl\u00ednica y pieza macrosc\u00f3pica del tumor).<\/p>\n<p>DESCRIPCION HISTOLOGICA : CARCINOMA SEB\u00c1CEO:<\/p>\n<p>Cortes histologicos de piel. Epitelio parcialmente ulcerado. Presencia de lesion que ocupa toda la dermis, constituida por celulas de aspecto seb\u00e1ceo, y de aspecto basaloide focalmente, con pleomorfismo moderado y presencia de mitosis at\u00edpicas con necrosis geogr\u00e1fica. Focos de diferenciaci\u00f3n escamosa incompleta.<\/p>\n<p>Diagnostico: CARCINOMA SEB\u00c1CEO MODERADAMENTE DIFERENCIADO GRADO II\/III.<br \/>\n <strong><br \/>\n Ampliamos la extirpaci\u00f3n?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dres Jaime Piquero Martin ( Dermat\u00f3logo), Carmen Lopez (Anatomopat\u00f3logo y Dermatopatologo) Paciente femenina de 77 a\u00f1os quien consulta por presentar tumoraci\u00f3n pediculada del tama\u00f1o de una aceituna, localizada en regi\u00f3n anterior del t\u00f3rax de varias meses de evoluci\u00f3n, aunque desde hace una semana se ha inflamado y molestado.<\/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-9185","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\/9185","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=9185"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9185\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}