{"id":2403,"date":"2011-04-07T20:43:23","date_gmt":"2011-04-07T19:43:23","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=2403"},"modified":"2011-04-07T20:43:23","modified_gmt":"2011-04-07T19:43:23","slug":"solucion-caso-clinico-del-6-de-abril-de-2011-melanoma","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2011-04-07\/solucion-caso-clinico-del-6-de-abril-de-2011-melanoma\/","title":{"rendered":"Soluci\u00f3n Caso Cl\u00ednico del 6 de abril de 2011: Melanoma."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2011\/04\/images.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-2404\" title=\"images\" src=\"https:\/\/mileon.files.wordpress.com\/2011\/04\/images.jpg?w=150\" alt=\"\" width=\"150\" height=\"95\" \/><\/a>La Dra. Esperanza Castelar Delgado (R3 MI) present\u00f3 el diagn\u00f3stico diferencial (<a href=\"https:\/\/mileon.files.wordpress.com\/2011\/04\/dra-castelar-sesclin-abr11.pdf\">ver<\/a>) de la sesi\u00f3n cl\u00ednica. Recordar que se trataba de un var\u00f3n de 81 a\u00f1os con anemia ferrop\u00e9nica severa sintom\u00e1tica y una masa abdominal en vacio izquierdo con LDH elevada. El Dr. Jose Antonio Carro Alonso (m\u00e9dico adjunto MI) aport\u00f3 m\u00e1s datos entre los que destacamos una ecograf\u00eda y TAC abdominales que muestran una masa de intestino delgado exc\u00e9ntrica sin obstrucci\u00f3n de la luz junto con adenopat\u00edas. La discusi\u00f3n del caso llevo a pensar fundamentalmente en un linfoma. La PAAF de la lesi\u00f3n tras estudio por histoqu\u00edmica dio el diagn\u00f3stico de melanoma. Se decid\u00edo intervenci\u00f3n quir\u00fargica con extirpaci\u00f3n total de la masa, la evoluci\u00f3n en el postoperatorio fue desfavorable. Se confirmo el melanoma. No se hizo necropsia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La Dra. Esperanza Castelar Delgado (R3 MI) present\u00f3 el diagn\u00f3stico diferencial (ver) de la sesi\u00f3n cl\u00ednica. Recordar que se trataba de un var\u00f3n de 81 a\u00f1os con anemia ferrop\u00e9nica severa sintom\u00e1tica y una masa abdominal en vacio izquierdo con LDH elevada. El Dr. Jose Antonio Carro Alonso (m\u00e9dico adjunto MI) aport\u00f3 m\u00e1s datos entre los [&hellip;]<\/p>\n","protected":false},"author":6,"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":[],"class_list":["post-2403","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas"],"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\/2403","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\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=2403"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/2403\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=2403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=2403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=2403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}