{"id":10711,"date":"2016-11-09T20:22:41","date_gmt":"2016-11-09T19:22:41","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=10711"},"modified":"2016-11-09T20:22:41","modified_gmt":"2016-11-09T19:22:41","slug":"solucion-al-caso-clinico-del-2-de-noviembre-de-2016","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2016-11-09\/solucion-al-caso-clinico-del-2-de-noviembre-de-2016\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 30\/2016: Carcinoma escamoso t\u00edpico"},"content":{"rendered":"<p style=\"text-align:justify;\">Recordamos que se trataba de un var\u00f3n de 77 a\u00f1os que consultaba en la Unidad de Diagn\u00f3stico R\u00e1pido por dolor epig\u00e1strico y s\u00edndrome genral. En los antecedentes solo destacaba HTA y la intervenci\u00f3n anterior de un aneurisma intracarneal. En la Rx T\u00f3rax se apreciaba un ensanchamiento mediast\u00ednico.<img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-10722 alignright\" src=\"https:\/\/mileon.files.wordpress.com\/2016\/11\/imagen11.jpg\" alt=\"imagen1\" width=\"172\" height=\"160\" \/><\/p>\n<p style=\"text-align:justify;\">El diagn\u00f3stico diferencial lo hizo la Dra. Ana Mart\u00ednez, R1 de nuestro Servicio. Se centr\u00f3 en el diagn\u00f3stico diferencial de las masas de mediastino anterior, proponiendo como posibles diagn\u00f3sticos carcinoma t\u00edmico, timoma o linfoma. La soluci\u00f3n la aport\u00f3 el Dr. Herrera: en el TAC se apreciaba una masa en mediastino anterior que contactaba con pericardio, una lesi\u00f3n l\u00edtica esternal y m\u00faltiples LOES hep\u00e1ticas sugestivas de metast\u00e1sicas. La biopsia tru-cut con control ecogr\u00e1fico di\u00f3 el resultado de Carcinoma escamoso de origen t\u00edmico.<\/p>\n<p style=\"text-align:justify;\">Para ver la presentaci\u00f3n completa <em><strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaR3dCdDZmS3lXaTg\/view?usp=sharing\">pinchar AQUI<\/a><\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recordamos que se trataba de un var\u00f3n de 77 a\u00f1os que consultaba en la Unidad de Diagn\u00f3stico R\u00e1pido por dolor epig\u00e1strico y s\u00edndrome genral. En los antecedentes solo destacaba HTA y la intervenci\u00f3n anterior de un aneurisma intracarneal. En la Rx T\u00f3rax se apreciaba un ensanchamiento mediast\u00ednico. El diagn\u00f3stico diferencial lo hizo la Dra. Ana [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[868],"class_list":["post-10711","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-herrera"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/10711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=10711"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/10711\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=10711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=10711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=10711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}