{"id":7859,"date":"2020-04-26T04:20:39","date_gmt":"2020-04-26T07:20:39","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatofibrosarcoma-patologia-protuberans\/"},"modified":"2020-04-30T21:09:01","modified_gmt":"2020-05-01T00:09:01","slug":"dermatofibrosarcome-pathologie-protuberants","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/dermatofibrosarcoma-patologia-protuberans\/","title":{"rendered":"Dermatofibrosarcome pathologie protuberans"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 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\/dermatofibrosarcoma-patologia-protuberans\/#Introduccion\" >introduction<\/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\/dermatofibrosarcoma-patologia-protuberans\/#Histologia-de-dermatofibrosarcoma-protuberans\" >Histologie des protub\u00e9rants du dermatofibrosarcome<\/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-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/dermatofibrosarcoma-patologia-protuberans\/#Dermatofibrosarcoma-patologia-protuberans\" >Dermatofibrosarcome pathologie protuberans<\/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-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/dermatofibrosarcoma-patologia-protuberans\/#Estudios-especiales-de-dermatofibrosarcoma-protuberans\" >\u00c9tudes sp\u00e9ciales des protub\u00e9rants du dermatofibrosarcome<\/a><\/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\/dermatofibrosarcoma-patologia-protuberans\/#Diagnostico-diferencial-de-dermatofibrosarcoma-protuberans\" >Diagnostic diff\u00e9rentiel des protub\u00e9rants du dermatofibrosarcome<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le dermatofibrosarcome protuberans (DFSP) est un site agressif <span class=\"term\" data-term-id=\"289\">tumeur<\/span> d&#039;origine fibroblastique. La premi\u00e8re <span class=\"term\" data-term-id=\"164\">blessure<\/span> c&#039;est une couleur de peau <span class=\"term\" data-term-id=\"235\">plaque d&#039;immatriculation<\/span> il d\u00e9veloppe une couleur rouge \/ marron et <span class=\"term\" data-term-id=\"733\">nodulaire<\/span> surface.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-dermatofibrosarcoma-protuberans\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> des protub\u00e9rants du dermatofibrosarcome<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dermatofibrosarcome protuberans se compose d&#039;un <span class=\"term\" data-term-id=\"893\">prolif\u00e9ration<\/span> de cellules en forme de fuseau dans les profondeurs <span class=\"term\" data-term-id=\"61\">derme<\/span> avec des blessures subs\u00e9quentes infiltrant le <span class=\"term\" data-term-id=\"900\">sous-cutan\u00e9e<\/span> graisse (figures 1, 2). Une invasion du muscle peut se produire. Il y a souvent une \u00e9conomie superficielle, mais la participation des <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> et <span class=\"term\" data-term-id=\"1278\">ulc\u00e9ration<\/span> parfois observ\u00e9es Les cellules tumorales fusiformes sont d&#039;aspect assez uniforme avec des <span class=\"term\" data-term-id=\"729\">noyaux<\/span> et peu ou rien <span class=\"term\" data-term-id=\"1539\">pl\u00e9omorphisme<\/span> (Figures 3-5) et peuvent \u00eatre dispos\u00e9s de mani\u00e8re orageuse (tourbillons et entrelacs, figure 6).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatofibrosarcoma-patologia-protuberans\"><\/span>Dermatofibrosarcome pathologie protuberans<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='dfspfigure01__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6112483-6694690' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure01__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6112483.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure02__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9559123-2313694' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure02__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9559123.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure03__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7167631-3179727' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure03__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7167631.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure04__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4938493-9582550' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure04__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4938493.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure05__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8224315-2101079' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure05__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8224315.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 5<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure06__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6215778-9109809' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure06__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6215778.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 6<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dfspfigure07__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7552043-1769775' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dfspfigure07__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7552043.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 7<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\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=\"Estudios-especiales-de-dermatofibrosarcoma-protuberans\"><\/span>\u00c9tudes sp\u00e9ciales des protub\u00e9rants du dermatofibrosarcome<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Positivit\u00e9 caract\u00e9ristique pour CD34 (figure 7). Actine CD31 n\u00e9gative et lisse.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-dermatofibrosarcoma-protuberans\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> des protub\u00e9rants du dermatofibrosarcome<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"956\">Cellulaire<\/span> dermatofibrome: une prolif\u00e9ration radiale de cellules \u00e0 gros noyaux. Peut avoir <span class=\"term\" data-term-id=\"119\">h\u00e9mosmosine<\/span> D\u00e9p\u00f4ts Partie centrale n\u00e9gative pour CD34, positive pour le facteur XIIIa.<\/p>\n<p><span class=\"term\" data-term-id=\"52\">Dermique<\/span> <span class=\"term\" data-term-id=\"1665\">sarcome<\/span> - marqu\u00e9 <span class=\"term\" data-term-id=\"1612\">nucl\u00e9aire<\/span> <span class=\"term\" data-term-id=\"930\">polymorphisme<\/span> et fr\u00e9quent <span class=\"term\" data-term-id=\"1535\">mitose<\/span> ce sont des caract\u00e9ristiques diff\u00e9renciantes des protub\u00e9rants du dermatofibrosarcome.<\/p>\n<p><span class=\"term\" data-term-id=\"1673\">L\u00e9iomyosarcome<\/span> &#8211; <span class=\"term\" data-term-id=\"1540\">pl\u00e9omorphe<\/span> <span class=\"term\" data-term-id=\"1659\">cellule de broche<\/span> tumeur \u00e0 noyaux en forme de cigare et mitose. Actine musculaire lisse positive.<\/p>\n<p><span class=\"term\" data-term-id=\"1662\">Desmoplastique<\/span> <span class=\"term\" data-term-id=\"1670\">m\u00e9lanome<\/span> &#8211; <span class=\"term\" data-term-id=\"102\">fibrose<\/span> et <span class=\"term\" data-term-id=\"489\">focal<\/span> <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> <span class=\"term\" data-term-id=\"542\">les Infiltr\u00e9s<\/span> Ce sont des fonctionnalit\u00e9s suppl\u00e9mentaires. Les cellules tumorales sont positives pour S100.<\/p>\n<p><span class=\"term\" data-term-id=\"875\">Neurofibrome<\/span> - Tumeur \u00e0 cellules fusiformes positive S100. <span class=\"term\" data-term-id=\"582\">Mastocytes<\/span> peuvent \u00eatre pr\u00e9sents.<\/p>\n<p>Dermatofibrosarcome protuberans fibrosarcomatous: une variante des dermatofibrosarcoma protuberans qui repr\u00e9sente la progression tumorale. Un motif focal fasciculaire ou en ar\u00eate de poisson se produit. Dermatofibrosarcome cellulaire plus protub\u00e9rant que d&#039;habitude avec pl\u00e9omorphisme nucl\u00e9aire accru et <span class=\"term\" data-term-id=\"1536\">mitotique<\/span> nombre de chiffres. La coloration pour CD34 est r\u00e9duite.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Dermatofibrosarcoma protuberans (DFSP) es un local agresivo tumor de origen fibrobl\u00e1stico. La inicial lesi\u00f3n es un color de piel placa que desarrolla un color rojo \/ marr\u00f3n y nodular&#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-7859","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7859","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=7859"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7859\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=7859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=7859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=7859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}