{"id":16665,"date":"2020-04-29T05:22:52","date_gmt":"2020-04-29T08:22:52","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-del-liposarcoma\/"},"modified":"2020-05-03T10:30:14","modified_gmt":"2020-05-03T13:30:14","slug":"patologia-del-liposarcoma","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-del-liposarcoma\/","title":{"rendered":"Pathologie du liposarcome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 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\/patologia-del-liposarcoma\/#Histologia-de-liposarcoma\" >Histolog\u00eda de liposarcoma<\/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-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-del-liposarcoma\/#Patologia-del-liposarcoma\" >Pathologie du liposarcome<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/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\/patologia-del-liposarcoma\/#Estudios-especiales-para-liposarcoma\" >Estudios especiales para liposarcoma.<\/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\/patologia-del-liposarcoma\/#Diagnostico-diferencial-de-liposarcoma\" >Diagn\u00f3stico diferencial de liposarcoma<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>El liposarcoma es el m\u00e1s com\u00fan. <span class=\"term\" data-term-id=\"176\">le mal<\/span> <span class=\"term\" data-term-id=\"1183\">Tissu doux<\/span> <span class=\"term\" data-term-id=\"1665\">sarcome<\/span>. Estos son t\u00edpicamente tumores profundos que se encuentran en la piel \/<span class=\"term\" data-term-id=\"1282\">subcutis<\/span> por invasi\u00f3n directa. Raro <span class=\"term\" data-term-id=\"52\">dermique<\/span> et <span class=\"term\" data-term-id=\"900\">sous-cutan\u00e9e<\/span> Tambi\u00e9n se han descrito tumores.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-liposarcoma\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> de liposarcoma<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El liposarcoma son tumores productores de grasa que tienen un espectro de <span class=\"term\" data-term-id=\"1663\">morphologies<\/span>.<\/p>\n<p>Bien-<span class=\"term\" data-term-id=\"1308\">diff\u00e9renci\u00e9<\/span> El liposarcoma muestra caracter\u00edsticas similares al lipoma, con una mezcla de aspecto normal <span class=\"term\" data-term-id=\"549\"><span class=\"term\" data-term-id=\"1904\">adipocytes<\/span><\/span>  entremezclado con <span class=\"term\" data-term-id=\"1395\">atypique<\/span> adipocitos (figuras 1, 2). Las c\u00e9lulas at\u00edpicas son <span class=\"term\" data-term-id=\"861\">hyperchromatique<\/span>, <span class=\"term\" data-term-id=\"1540\">pl\u00e9omorphe<\/span> e irregular Adem\u00e1s, los lipoblastos se encuentran com\u00fanmente, estos tienen un multivacuolado <span class=\"term\" data-term-id=\"838\">cytoplasme<\/span> en el que las vacuolas mellan lo at\u00edpico <span class=\"term\" data-term-id=\"728\">coeur<\/span> (Figuras 3, 4). Existe un liposarcoma bien diferenciado y menos com\u00fan, que incluye una variante esclerosante (figura 5).<\/p>\n<p>El liposarcoma pleom\u00f3rfico puede ser dif\u00edcil de reconocer como de origen lipomatoso (figuras 6, 7). Estos est\u00e1n compuestos de c\u00e9lulas mesenquimales francamente at\u00edpicas, a menudo con numerosas <span class=\"term\" data-term-id=\"1535\">mitose<\/span> et <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span>.<\/p>\n<p>El liposarcoma desdiferenciado se define como un liposarcoma bien diferenciado con desdiferenciaci\u00f3n en un sarcoma con un diferente <span class=\"term\" data-term-id=\"187\">morphologie<\/span>. En estos casos, encontrar las \u00e1reas bien diferenciadas es fundamental para el diagn\u00f3stico.<\/p>\n<p><span class=\"term\" data-term-id=\"191\">Mixoide<\/span> liposarcoma es una caracter\u00edstica muy <span class=\"term\" data-term-id=\"289\">tumeur<\/span> compuesto de abundante <span class=\"term\" data-term-id=\"1636\">mucine<\/span> <span class=\"term\" data-term-id=\"370\">d\u00e9claration<\/span> et un <span class=\"term\" data-term-id=\"891\">plexiforme<\/span> <span class=\"term\" data-term-id=\"756\">capillaire<\/span> net.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-del-liposarcoma\"><\/span>Pathologie du liposarcome<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='liposarcoma-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9340359-6124293' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9340359.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8152295-3185698' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8152295.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2789659-5894979' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2789659.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7606659-5160851' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7606659.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9394786-5284867' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9394786.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 5<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6031800-2145199' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6031800.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 6<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig7__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7097497-4407817' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig7__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7097497.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 7<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-liposarcoma\"><\/span>Estudios especiales para liposarcoma.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1421\">Immunohistochimie<\/span> para MDM2 y, en menor medida, CDK2 son positivos en liposarcoma. <span class=\"term\" data-term-id=\"1851\">Mol\u00e9culaire<\/span> t\u00e9cnicas (generalmente <span class=\"term\" data-term-id=\"1237\">POISSON<\/span> ou <span class=\"term\" data-term-id=\"942\">PCR<\/span>) tambi\u00e9n se usan ampliamente.<\/p>\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=\"Diagnostico-diferencial-de-liposarcoma\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> de liposarcoma<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lipoma: el liposarcoma bien diferenciado puede ser extremadamente suave. Los estudios de lipoblastos, mitosis y auxiliares para MDM2 y CDK2 pueden ser muy \u00fatiles. Debe recordarse que <span class=\"term\" data-term-id=\"949\">primaire<\/span> El liposarcoma subcut\u00e1neo d\u00e9rmico \/ superficial es muy raro.<\/p>\n<p>Silicona: deposici\u00f3n de silicona, de un implante mamario o tejido blando <span class=\"term\" data-term-id=\"826\">augmenter<\/span>spectacles <span class=\"term\" data-term-id=\"1339\">vacuol\u00e9<\/span> <span class=\"term\" data-term-id=\"858\">histiocytes<\/span> que imitan los lipoblastos.<\/p>\n<p>Autre <span class=\"term\" data-term-id=\"1666\">sarcomes<\/span> &#8211; Identificaci\u00f3n de grasas <span class=\"term\" data-term-id=\"1307\">diff\u00e9renciation<\/span> Es \u00fatil para distinguir el liposarcoma de otros sarcomas. Se recomienda realizar cortes extensos de sarcomas indiferenciados para excluir <span class=\"term\" data-term-id=\"489\">focal<\/span> \u00e1reas de diferenciaci\u00f3n lipomatosa. Los estudios moleculares de MDM2 son complementos diagn\u00f3sticos \u00fatiles.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>El liposarcoma es el m\u00e1s com\u00fan. maligno Tejido suave sarcoma. Estos son t\u00edpicamente tumores profundos que se encuentran en la piel \/subcutis por invasi\u00f3n directa. Raro d\u00e9rmico y subcut\u00e1neo Tambi\u00e9n&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-16665","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16665","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=16665"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16665\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16665"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16665"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}