{"id":14733,"date":"2020-04-28T09:48:24","date_gmt":"2020-04-28T12:48:24","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/manchas-de-inmunohistoquimica\/"},"modified":"2020-04-28T09:48:24","modified_gmt":"2020-04-28T12:48:24","slug":"manchas-de-inmunohistoquimica","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/","title":{"rendered":"Taches immunohistochimiques"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenu<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/#Que-es-inmunohistoquimica\" >Que es inmunohistoqu\u00edmica?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFComo-se-realiza-la-inmunohistoquimica\" >\u00bfC\u00f3mo se realiza la inmunohistoqu\u00edmica?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFCuales-son-las-ventajas-y-desventajas-de-la-inmunohistoquimica\" >\u00bfCu\u00e1les son las ventajas y desventajas de la inmunohistoqu\u00edmica?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFCuales-son-algunos-ejemplos-de-manchas-de-inmunohistoquimica\" >\u00bfCu\u00e1les son algunos ejemplos de manchas de inmunohistoqu\u00edmica?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/manchas-de-inmunohistoquimica\/#Manchas-de-inmunohistoquimica\" >Taches immunohistochimiques<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-inmunohistoquimica\"><\/span>Qu&#039;est que c&#039;est <span class=\"term\" data-term-id=\"1421\">immunohistochimie<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La inmunohistoqu\u00edmica (IHC) se considera una forma avanzada de <span class=\"term\" data-term-id=\"129\">histopathologie<\/span>. La inmunohistoqu\u00edmica generalmente no se usa inicialmente, pero se agrega cuando la rutina \/ regular <span class=\"term\" data-term-id=\"474\">histologique<\/span> la prueba es insuficiente para formar un diagn\u00f3stico.<\/p>\n<p>IHC utiliza <span class=\"term\" data-term-id=\"949\">primaire<\/span> <span class=\"term\" data-term-id=\"426\">des anticorps<\/span> para etiquetar una prote\u00edna, luego usa un secundario <span class=\"term\" data-term-id=\"425\">anticorps<\/span> que est\u00e1 vinculado a la primaria. En la tinci\u00f3n de inmunoperoxidasa, un anticuerpo se une a un <span class=\"term\" data-term-id=\"1525\">enzyme<\/span>, peroxidasa, que cataliza una reacci\u00f3n en la que la prote\u00edna se ti\u00f1e espec\u00edficamente de marr\u00f3n. IHC tambi\u00e9n puede involucrar anticuerpos marcados con fluorescencia de modo que cuando se observa bajo un microscopio \u00f3ptico se observa un cierto patr\u00f3n a partir de la fluorescencia emitida.<\/p>\n<p>El patr\u00f3n IHC se considera diagn\u00f3stico, lo que demuestra <span class=\"term\" data-term-id=\"1612\">nucl\u00e9aire<\/span>, patrones membranosos o citoplasm\u00e1ticos. La IHC a menudo se usa en situaciones donde la presencia o ausencia de ciertas prote\u00ednas puede formar una base para un diagn\u00f3stico. Tambi\u00e9n se puede usar para distinguir entre dos procesos de enfermedad diferentes que de otro modo podr\u00edan parecer similares a <span class=\"term\" data-term-id=\"808\">pathologiste<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-realiza-la-inmunohistoquimica\"><\/span>\u00bfC\u00f3mo se realiza la inmunohistoqu\u00edmica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El proceso m\u00e1s com\u00fan de preparaci\u00f3n de portaobjetos inmunohistoqu\u00edmicos es el siguiente:<\/p>\n<ol>\n<li>Fijaci\u00f3n del tejido (en general, las manchas de IHC se fijan con formalina)<\/li>\n<li>Incrustaci\u00f3n del tejido (en parafina)<\/li>\n<li>Seccionamiento de los tejidos.<\/li>\n<li>Recuperaci\u00f3n (hecho con la aplicaci\u00f3n de calor o <span class=\"term\" data-term-id=\"1743\">prot\u00e9olytique<\/span> <span class=\"term\" data-term-id=\"1526\">enzymes<\/span>)<\/li>\n<li>Montaje y deshidrataci\u00f3n.<\/li>\n<li>Limpieza y observaci\u00f3n de las diapositivas.<\/li>\n<\/ol>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-ventajas-y-desventajas-de-la-inmunohistoquimica\"><\/span>\u00bfCu\u00e1les son las ventajas y desventajas de la inmunohistoqu\u00edmica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Las ventajas de IHC incluyen:<\/p>\n<ul>\n<li>Es posible utilizar muestras de tejido fresco o congelado para IHC.<\/li>\n<li>IHC est\u00e1 bien establecido y f\u00e1cilmente disponible.<\/li>\n<li>El costo de IHC es relativamente bajo<\/li>\n<li>Tiene un tiempo de respuesta r\u00e1pido.<\/li>\n<li>Debido a que no est\u00e1n involucrados agentes infecciosos vivos, el riesgo para la salud humana es m\u00ednimo.<\/li>\n<\/ul>\n<p>Las desventajas de IHC son las siguientes:<\/p>\n<ul>\n<li>Las manchas de IHC no est\u00e1n estandarizadas en todo el mundo.<\/li>\n<li>Si bien el costo del procedimiento es relativamente econ\u00f3mico, el equipo necesario para realizar IHC es costoso.<\/li>\n<li>Cuantificar los resultados es dif\u00edcil.<\/li>\n<li>IHC est\u00e1 sujeto a errores humanos. El personal bien entrenado es primordial.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-algunos-ejemplos-de-manchas-de-inmunohistoquimica\"><\/span>\u00bfCu\u00e1les son algunos ejemplos de manchas de inmunohistoqu\u00edmica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cientos de manchas inmunohistoqu\u00edmicas se utilizan para identificar diferentes tumores y otros <span class=\"term\" data-term-id=\"786\">n\u00e9oplasmes<\/span>. Solo algunas de las manchas de IHC utilizadas en <span class=\"term\" data-term-id=\"55\">dermatologie<\/span> est\u00e1n enlistados debajo.<\/p>\n<table>\n<tbody>\n<tr>\n<th>IHC Stain<\/th>\n<th>Usos \/ T\u00edtulo de imagen<\/th>\n<\/tr>\n<tr>\n<td>BCL2<\/td>\n<td>Se usa para distinguir entre <span class=\"term\" data-term-id=\"831\">basal<\/span> carcinomas de c\u00e9lulas y trichoepiteliomas<\/td>\n<\/tr>\n<tr>\n<td>CD3<\/td>\n<td>\n<span class=\"term\" data-term-id=\"631\">Cellule T<\/span> marcador; fuertemente positivo en micosis fungoide<\/td>\n<\/tr>\n<tr>\n<td>CD4<\/td>\n<td>Marcador de c\u00e9lulas T auxiliar<\/td>\n<\/tr>\n<tr>\n<td>CD8<\/td>\n<td>Marcador de c\u00e9lulas T supresoras<\/td>\n<\/tr>\n<tr>\n<td>CD20<\/td>\n<td>Marcador de c\u00e9lulas B<\/td>\n<\/tr>\n<tr>\n<td>CD30<\/td>\n<td>Se puede utilizar en el diagn\u00f3stico de Hodgkin <span class=\"term\" data-term-id=\"976\">lymphome<\/span> et <span class=\"term\" data-term-id=\"1327\">anaplasique<\/span> linfomas C\u00e9lulas grandes: aparato de Golgi y tinci\u00f3n membranosa.<\/td>\n<\/tr>\n<tr>\n<td>CD31<\/td>\n<td>Ayuda a identificar <span class=\"term\" data-term-id=\"758\">endoth\u00e9liale<\/span> <span class=\"term\" data-term-id=\"289\">tumeur<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>CD34<\/td>\n<td>Distingue diferentes tumores endoteliales y es positivo en dermatofibrosarcoma.<\/td>\n<\/tr>\n<tr>\n<td>CD56<\/td>\n<td>Utilizado en el diagn\u00f3stico de linfomas no Hodgkin, <span class=\"term\" data-term-id=\"1460\">leuc\u00e9mies<\/span> y carcinomas de c\u00e9lulas peque\u00f1as<\/td>\n<\/tr>\n<tr>\n<td>CD117<\/td>\n<td>Marcador para KIT <span class=\"term\" data-term-id=\"782\">destinataire<\/span> y positivo en varios tumores, incluida la mastocitosis<\/td>\n<\/tr>\n<tr>\n<td>CDKN2A (p16)<\/td>\n<td>Marcador supresor tumoral positivo en tumores asociados al VPH, <span class=\"term\" data-term-id=\"1144\">actinique <span class=\"term\" data-term-id=\"1596\">k\u00e9ratose<\/span><\/span>  et <span class=\"term\" data-term-id=\"270\">squameux<\/span> cellule <span class=\"term\" data-term-id=\"32\">carcinome<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>CK (varios)<\/td>\n<td>\n<span class=\"term\" data-term-id=\"1613\">Citoqueratinas<\/span> puede usarse para ayudar a distinguir <span class=\"term\" data-term-id=\"22\">b\u00e9nin<\/span> depuis <span class=\"term\" data-term-id=\"176\">le mal<\/span> <span class=\"term\" data-term-id=\"1827\">attach\u00e9<\/span> tumeurs<\/td>\n<\/tr>\n<tr>\n<td>CK 20<\/td>\n<td>Espec\u00edfico para el carcinoma de c\u00e9lulas de Merkel. Puede ayudar a identificar adenocarcinomas del sistema gastrointestinal y reproductivo, as\u00ed como gastrointestinal <span class=\"term\" data-term-id=\"847\">\u00e9pith\u00e9lium<\/span> tumeurs<\/td>\n<\/tr>\n<tr>\n<td>\n<span class=\"term\" data-term-id=\"1614\">Cytokeratin<\/span> Grand <span class=\"term\" data-term-id=\"1851\">Mol\u00e9culaire<\/span> Peso<\/td>\n<td>Se utiliza para detectar carcinomas ductales, carcinomas de c\u00e9lulas escamosas y otras neoplasias epiteliales.<\/td>\n<\/tr>\n<tr>\n<td>Desmin<\/td>\n<td>Marcador muscular<\/td>\n<\/tr>\n<tr>\n<td>EMA<\/td>\n<td>Utilizado para identificar <span class=\"term\" data-term-id=\"844\">eccrine<\/span> neoplasias, enfermedad de Paget y <span class=\"term\" data-term-id=\"262\">s\u00e9bac\u00e9<\/span> carcinomas<\/td>\n<\/tr>\n<tr>\n<td>Factor 13<\/td>\n<td>Puede ayudar a los m\u00e9dicos a distinguir entre dermatofibrosarcoma y dermatofibroma<\/td>\n<\/tr>\n<tr>\n<td>HHV8<\/td>\n<td>Virus del herpes humano 8<\/td>\n<\/tr>\n<tr>\n<td>HMB 45<\/td>\n<td>Utilizado para detectar <span class=\"term\" data-term-id=\"181\">m\u00e9lanocytes<\/span>, especialmente en <span class=\"term\" data-term-id=\"1670\">m\u00e9lanome<\/span> pero negativo en <span class=\"term\" data-term-id=\"1662\">desmoplastique<\/span> m\u00e9lanome<\/td>\n<\/tr>\n<tr>\n<td>Melan-a<\/td>\n<td>Puede ayudar a identificar <span class=\"term\" data-term-id=\"785\">m\u00e9lanocytaire<\/span> <span class=\"term\" data-term-id=\"353\">naevus<\/span> cellules et <span class=\"term\" data-term-id=\"1671\">m\u00e9lanomes<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>PDL1<\/td>\n<td>Ligando de muerte programada 1<\/td>\n<\/tr>\n<tr>\n<td>S-100<\/td>\n<td>Se usa para marcar tumores de los melanocitos, ambos <span class=\"term\" data-term-id=\"354\">naevi<\/span> y melanoma<\/td>\n<\/tr>\n<tr>\n<td>SMA<\/td>\n<td>Muscle lisse <span class=\"term\" data-term-id=\"410\">antig\u00e8ne<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>SOX-10<\/td>\n<td>Marcador nuclear para tumores melanoc\u00edticos<\/td>\n<\/tr>\n<tr>\n<td>Treponema pallidum<\/td>\n<td>Demuestra <span class=\"term\" data-term-id=\"883\">organismes<\/span> en s\u00edfilis secundaria<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Manchas-de-inmunohistoquimica\"><\/span>Taches immunohistochimiques<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dlbclbcl2figure9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2661707-6417291' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dlbclbcl2figure9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2661707.jpg'>\n<\/div>\n<p class=\"p-small\">BCL2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='transformed-mf-cd3x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6636414-7931859' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/transformed-mf-cd3x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6636414.jpg'>\n<\/div>\n<p class=\"p-small\">CD3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='transformed-mf-cd4x200__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1785782-5020186' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/transformed-mf-cd4x200__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1785782.jpg'>\n<\/div>\n<p class=\"p-small\">CD4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lymphomatoid-papulosis-cd8x40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3449700-2273078' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lymphomatoid-papulosis-cd8x40__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3449700.jpg'>\n<\/div>\n<p class=\"p-small\">CD8<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='signet-ring-lymphoma-cd20-x400__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7562964-8781957' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/signet-ring-lymphoma-cd20-x400__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7562964.jpg'>\n<\/div>\n<p class=\"p-small\">CD20<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure6cd30__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5007303-9186526' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure6cd30__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5007303.jpg'>\n<\/div>\n<p class=\"p-small\">CD30<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='epithelioid-angiosarcoma-cd31-x400__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3784975-2749921' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/epithelioid-angiosarcoma-cd31-x400__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3784975.jpg'>\n<\/div>\n<p class=\"p-small\">CD31<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cd34-immunohistochimie__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1658298-2162974' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cd34-immunohistochemistry__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1658298.jpg'>\n<\/div>\n<p class=\"p-small\">CD34<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nk-t-cell-nasal-type-cd56-x200__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2154718-6041055' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nk-t-cell-nasal-type-cd56-x200__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2154718.jpg'>\n<\/div>\n<p class=\"p-small\">CD56<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='urticaria-pigmentosa-cd117-x200__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1900834-5469736' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/urticaria-pigmentosa-cd117-x200__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1900834.jpg'>\n<\/div>\n<p class=\"p-small\">CD117<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='vin-p16-x40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2769685-8340215' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/vin-p16-x40__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2769685.jpg'>\n<\/div>\n<p class=\"p-small\">CDKN2A-P16<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='civatte-bods-ck-x40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7299242-5635913' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/civatte-bods-ck-x40__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7299242.jpg'>\n<\/div>\n<p class=\"p-small\">CK<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='merkel-cell-carcinoma-figure-5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6420686-7952529' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/merkel-cell-carcinoma-figure-5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6420686.jpg'>\n<\/div>\n<p class=\"p-small\">CK20<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='paget-ck7-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8558201-2953285' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/paget-ck7-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8558201.jpg'>\n<\/div>\n<p class=\"p-small\">CK7<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='rhabdomyosarcoma-desmin-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4110829-2117817' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/rhabdomyosarcoma-desmin-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4110829.jpg'>\n<\/div>\n<p class=\"p-small\">Desmin<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='clear-cell-acanthoma-ema-x40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8137992-2909149' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/clear-cell-acanthoma-ema-x40__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8137992.jpg'>\n<\/div>\n<p class=\"p-small\">EMA<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='immunohistochimie du facteur 13a__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2142841-3662311' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/factor-13a-immunohistochemistry__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2142841.jpg'>\n<\/div>\n<p class=\"p-small\">Factor 13a<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='kaposi-hhv8-x400__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9610939-4476137' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/kaposi-hhv8-x400__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9610939.jpg'>\n<\/div>\n<p class=\"p-small\">HHV8<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='melanoma-hmb45-bngn-and-mlgn-x40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8877398-8601758' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/melanoma-hmb45-bngn-and-mlgn-x40__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8877398.jpg'>\n<\/div>\n<p class=\"p-small\">HMB45<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='melanoma-melan-a-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7160404-3990339' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/melanoma-melan-a-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7160404.jpg'>\n<\/div>\n<p class=\"p-small\">Melan A<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ait-cl-pd-1-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5572917-8580642' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ait-cl-pd-1-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5572917.jpg'>\n<\/div>\n<p class=\"p-small\">PDL1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='melanoma-folliculotropic-s100-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3045363-1086386' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/melanoma-folliculotropic-s100-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3045363.jpg'>\n<\/div>\n<p class=\"p-small\">S100<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='glomus-sma-x100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5393338-5261765' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/glomus-sma-x100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5393338.jpg'>\n<\/div>\n<p class=\"p-small\">SMA<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='keratotic-mis-sox10-x20__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8879341-7726134' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/keratotic-mis-sox10-x20__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8879341.jpg'>\n<\/div>\n<p class=\"p-small\">SOX10<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='syphilis-tp-x400__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5935080-3030670' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/syphilis-tp-x400__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5935080.jpg'>\n<\/div>\n<p class=\"p-small\">Treponema pallidum<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es inmunohistoqu\u00edmica? La inmunohistoqu\u00edmica (IHC) se considera una forma avanzada de histopatolog\u00eda. La inmunohistoqu\u00edmica generalmente no se usa inicialmente, pero se agrega cuando la rutina \/ regular histol\u00f3gico la&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-14733","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/14733","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=14733"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/14733\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=14733"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=14733"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=14733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}