{"id":6754,"date":"2020-04-23T00:48:31","date_gmt":"2020-04-23T03:48:31","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/melanoma-subungueal-patologia\/"},"modified":"2020-05-03T18:25:16","modified_gmt":"2020-05-03T21:25:16","slug":"melanome-pathologie-sous-ungueale","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/melanoma-subungueal-patologia\/","title":{"rendered":"Pathologie du m\u00e9lanome sous-ungu\u00e9al"},"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' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/melanoma-subungueal-patologia\/#Cancer-de-piel\" >Cancer de la peau<\/a><\/li><\/ul><\/li><\/ul><\/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\/melanoma-subungueal-patologia\/#Introduccion\" >introduction<\/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\/melanoma-subungueal-patologia\/#Histologia-de-melanoma-subungueal\" >Histologie du m\u00e9lanome sous-ungu\u00e9al<\/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-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/melanoma-subungueal-patologia\/#Melanoma-subungueal\" >M\u00e9lanome subungual<\/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-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/melanoma-subungueal-patologia\/#Estudios-especiales-para-melanoma-subungueal\" >\u00c9tudes sp\u00e9ciales pour le m\u00e9lanome sous-ungu\u00e9al.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/melanoma-subungueal-patologia\/#Diagnostico-diferencial-para-melanoma-subungueal\" >Diagnostic diff\u00e9rentiel du m\u00e9lanome sous-ungu\u00e9al<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<div class=\"cmsBlock\">\n<div class=\"cmsBlock__shortcode\">\n<section class=\"textBlock\">\n<p><img alt='miiskin-3-2-133__scalewidthwzewmf0-8268734-6234750' class=\"right\" title=\"\" src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/miiskin-3-2-133__ScaleWidthWzEwMF0-8268734.jpg' width=\"100\" height=\"100\"><\/p>\n<blockquote>\n<p style=\"text-align: center\"><em>Un d<\/em><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Cancer-de-piel\"><\/span>Cancer de la peau<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Application pour faciliter l&#039;auto-examen de la peau et la d\u00e9tection pr\u00e9coce<\/strong>. <strong><span style=\"text-decoration: underline\">Lire la suite<\/span>.<\/strong><\/p>\n<\/blockquote>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/div>\n<div class=\"cmsBlock__title\">Texte: Miiskin.<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"622\">Subungual<\/span> <span class=\"term\" data-term-id=\"1670\">m\u00e9lanome<\/span> c&#039;est un <span class=\"term\" data-term-id=\"30\">Cancer<\/span> qui d\u00e9coule d&#039;un <span class=\"term\" data-term-id=\"176\">le mal<\/span> <span class=\"term\" data-term-id=\"893\">prolif\u00e9ration<\/span> de <span class=\"term\" data-term-id=\"181\">m\u00e9lanocytes<\/span> dans la matrice de l&#039;ongle. Il se pr\u00e9sente g\u00e9n\u00e9ralement cliniquement comme un <span class=\"term\" data-term-id=\"1520\">pigment\u00e9<\/span> \u00e9gratignure sur la plaque \u00e0 ongles, se dilatant lentement dans le <span class=\"term\" data-term-id=\"242\">proximal<\/span> bord et peut \u00eatre \u00e9tendu pour impliquer le <span class=\"term\" data-term-id=\"1351\">adjacent<\/span> pli d&#039;ongle (Hutchinson <span class=\"term\" data-term-id=\"899\">signer<\/span>; Figure 1).<\/p>\n<div class=\"mceGallery mceNonEditable\" data-ids=\"35471:Figure 1\" data-copyright-ids=\"undefined\">M\u00e9lanome subungual<\/div>\n<h2 class=\"FreeForm\"><span class=\"ez-toc-section\" id=\"Histologia-de-melanoma-subungueal\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> m\u00e9lanome sous-ungu\u00e9al<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"FreeForm\"><span class=\"term\" data-term-id=\"1420\">Histopathologiquement<\/span>, la plaque de l&#039;ongle dans le m\u00e9lanome sous-ungu\u00e9al montrera abondante <span class=\"term\" data-term-id=\"1769\">diffuser<\/span> <span class=\"term\" data-term-id=\"180\">m\u00e9lanine<\/span> <span class=\"term\" data-term-id=\"370\">d\u00e9claration<\/span> (Figure 2). Les sections de la matrice et du lit de l&#039;ongle montrent un <span class=\"term\" data-term-id=\"785\">m\u00e9lanocytaire<\/span> <span class=\"term\" data-term-id=\"164\">blessure<\/span> avec peu de circonscription, croissance principalement unicellulaire, et <span class=\"term\" data-term-id=\"1212\">pag\u00e9to\u00efde<\/span> dispersion (figures 3 et 4). Des nids de jonction et de confluence peuvent \u00eatre observ\u00e9s. La plupart des cas d\u00e9montrent une combinaison de <span class=\"term\" data-term-id=\"1667\">\u00e9pith\u00e9lio\u00efde<\/span> et cytomorphologie dendritique (figure 5). <span class=\"term\" data-term-id=\"1612\">Nucl\u00e9aire<\/span> <span class=\"term\" data-term-id=\"1305\">atypie<\/span> et les nucl\u00e9oles bien visibles sont souvent \u00e9vidents mais peuvent \u00eatre subtils.  <\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Melanoma-subungueal\"><\/span>M\u00e9lanome subungual<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='sous-ungu\u00e9ale-m\u00e9lanome-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildexxq-1082464-5682026' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/subungual-melanoma-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDExXQ-1082464.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sous-ungu\u00e9ale-m\u00e9lanome-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildfd-1834206-8473172' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/subungual-melanoma-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDFd-1834206.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sous-ungu\u00e9ale-m\u00e9lanome-figure-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildq4xq-4403410-9817714' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/subungual-melanoma-figure-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDQ4XQ-4403410.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-melanoma-subungueal\"><\/span>\u00c9tudes sp\u00e9ciales pour le m\u00e9lanome sous-ungu\u00e9al.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"FreeForm\"><span class=\"term\" data-term-id=\"1421\">Immunohistochimie<\/span> L&#039;utilisation de Melan-A et SOX10 peut \u00eatre utile pour mettre en \u00e9vidence l&#039;\u00e9tendue et le mod\u00e8le de la l\u00e9sion m\u00e9lanocytaire et aider \u00e0 confirmer ou \u00e0 exclure l&#039;invasion. <span class=\"term\" data-term-id=\"895\">Prolif\u00e9ratif<\/span> des marqueurs (par exemple, Ki-67) peuvent \u00eatre utilis\u00e9s pour mettre en \u00e9vidence un indice prolif\u00e9ratif accru.<\/p>\n<p class=\"FreeForm\">Fluorescent <span class=\"term\" data-term-id=\"1077\">sur place<\/span> hybridation (<span class=\"term\" data-term-id=\"1237\">POISSON<\/span>) peut \u00eatre utilis\u00e9 pour diff\u00e9rencier le m\u00e9lanome de <span class=\"term\" data-term-id=\"22\">b\u00e9nin<\/span> l\u00e9sions m\u00e9lanocytaires <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-para-melanoma-subungueal\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> pour le m\u00e9lanome sous-ungu\u00e9al<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D&#039;autres diagnostics \u00e0 consid\u00e9rer incluent:<\/p>\n<ul>\n<li>Subungual <span class=\"term\" data-term-id=\"1395\">atypique<\/span> prolif\u00e9ration m\u00e9lanocytaire lentigineuse: Ce surnom a \u00e9t\u00e9 propos\u00e9 pour les cas difficiles ne r\u00e9pondant pas \u00e0 tous les crit\u00e8res de m\u00e9lanome, en particulier <span class=\"term\" data-term-id=\"919\">p\u00e9diatrique<\/span> cas; il est g\u00e9n\u00e9ralement recommand\u00e9 de traiter ces cas limites comme un m\u00e9lanome (le FISH peut \u00eatre utilis\u00e9 pour illustrer un clone aneuplo\u00efde, qui est susceptible d&#039;\u00eatre malin).<\/li>\n<li>Matrical <span class=\"term\" data-term-id=\"354\">naevi<\/span> et <span class=\"term\" data-term-id=\"1394\">lentigines<\/span> - ceux-ci n&#039;ont pas l&#039;atypique <span class=\"term\" data-term-id=\"1419\">histopathologique<\/span> caract\u00e9ristiques observ\u00e9es dans le m\u00e9lanome. <\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Anuncio C\u00e1ncer de piel Aplicaci\u00f3n para facilitar el autoexamen de la piel y la detecci\u00f3n temprana. Lee mas. Texto: Miiskin. Introducci\u00f3n Subungueal melanoma es un c\u00e1ncer que surge de un&#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-6754","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6754","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=6754"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6754\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}