{"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-imunohistoquimicas","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/manchas-de-inmunohistoquimica\/","title":{"rendered":"Manchas imuno-histoqu\u00edmicas"},"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\">Conte\u00fado<\/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=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/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\/pt\/wiki\/manchas-de-inmunohistoquimica\/#Que-es-inmunohistoquimica\" >O que \u00e9 imunohistoqu\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\/pt\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFComo-se-realiza-la-inmunohistoquimica\" >Como \u00e9 realizada a imunohistoqu\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\/pt\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFCuales-son-las-ventajas-y-desventajas-de-la-inmunohistoquimica\" >Quais s\u00e3o as vantagens e desvantagens da imunohistoqu\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\/pt\/wiki\/manchas-de-inmunohistoquimica\/#%C2%BFCuales-son-algunos-ejemplos-de-manchas-de-inmunohistoquimica\" >Quais s\u00e3o alguns exemplos de manchas imuno-histoqu\u00edmicas?<\/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\/pt\/wiki\/manchas-de-inmunohistoquimica\/#Manchas-de-inmunohistoquimica\" >Manchas imuno-histoqu\u00edmicas<\/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>O que \u00e9 <span class=\"term\" data-term-id=\"1421\">imuno-histoqu\u00edmica<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A imunohistoqu\u00edmica (IHC) \u00e9 considerada uma forma avan\u00e7ada de <span class=\"term\" data-term-id=\"129\">histopatologia<\/span>. A imunohistoqu\u00edmica geralmente n\u00e3o \u00e9 usada inicialmente, mas \u00e9 adicionada quando rotineira \/ regular <span class=\"term\" data-term-id=\"474\">histol\u00f3gico<\/span> o teste \u00e9 insuficiente para formar um diagn\u00f3stico.<\/p>\n<p>IHC usa <span class=\"term\" data-term-id=\"949\">prim\u00e1rio<\/span> <span class=\"term\" data-term-id=\"426\">anticorpos<\/span> para marcar uma prote\u00edna, em seguida, use um secund\u00e1rio <span class=\"term\" data-term-id=\"425\">anticorpo<\/span> que est\u00e1 vinculado ao prim\u00e1rio. Na colora\u00e7\u00e3o de imunoperoxidase, um anticorpo se liga a um <span class=\"term\" data-term-id=\"1525\">enzima<\/span>, peroxidase, que catalisa uma rea\u00e7\u00e3o na qual a prote\u00edna se cora especificamente de marrom. IHC tamb\u00e9m pode envolver anticorpos marcados com fluoresc\u00eancia, de modo que, quando visto em um microsc\u00f3pio de luz, um certo padr\u00e3o \u00e9 observado a partir da fluoresc\u00eancia emitida.<\/p>\n<p>O padr\u00e3o IHC \u00e9 considerado diagn\u00f3stico, o que mostra <span class=\"term\" data-term-id=\"1612\">nuclear<\/span>, padr\u00f5es membranosos ou citoplasm\u00e1ticos. O IHC \u00e9 frequentemente usado em situa\u00e7\u00f5es em que a presen\u00e7a ou aus\u00eancia de certas prote\u00ednas pode servir de base para um diagn\u00f3stico. Tamb\u00e9m pode ser usado para distinguir entre dois processos de doen\u00e7a diferentes que podem parecer semelhantes a <span class=\"term\" data-term-id=\"808\">patologista<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-realiza-la-inmunohistoquimica\"><\/span>Como \u00e9 realizada a imunohistoqu\u00edmica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O processo mais comum para a prepara\u00e7\u00e3o de l\u00e2minas imunohistoqu\u00edmicas \u00e9 o seguinte:<\/p>\n<ol>\n<li>Fixa\u00e7\u00e3o de tecido (em geral, as manchas de IHC s\u00e3o fixadas com formalina)<\/li>\n<li>Incorpora\u00e7\u00e3o do tecido (em parafina)<\/li>\n<li>Seccionamento de tecidos.<\/li>\n<li>Recupera\u00e7\u00e3o (feita com aplica\u00e7\u00e3o de calor ou <span class=\"term\" data-term-id=\"1743\">proteol\u00edtico<\/span> <span class=\"term\" data-term-id=\"1526\">enzimas<\/span>)<\/li>\n<li>Montagem e desidrata\u00e7\u00e3o.<\/li>\n<li>Limpeza e observa\u00e7\u00e3o das l\u00e2minas.<\/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>Quais s\u00e3o as vantagens e desvantagens da imunohistoqu\u00edmica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As vantagens do IHC incluem:<\/p>\n<ul>\n<li>Amostras de tecido frescas ou congeladas podem ser usadas para IHC.<\/li>\n<li>O IHC est\u00e1 bem estabelecido e prontamente dispon\u00edvel.<\/li>\n<li>O custo do IHC \u00e9 relativamente baixo<\/li>\n<li>Possui um tempo de resposta r\u00e1pido.<\/li>\n<li>Como nenhum agente infeccioso vivo est\u00e1 envolvido, o risco para a sa\u00fade humana \u00e9 m\u00ednimo.<\/li>\n<\/ul>\n<p>As desvantagens do IHC s\u00e3o as seguintes:<\/p>\n<ul>\n<li>As manchas de IHC n\u00e3o s\u00e3o padronizadas em todo o mundo.<\/li>\n<li>Embora o custo do procedimento seja relativamente barato, o equipamento necess\u00e1rio para realizar a IHQ \u00e9 caro.<\/li>\n<li>Quantificar os resultados \u00e9 dif\u00edcil.<\/li>\n<li>O IHC est\u00e1 sujeito a erro humano. Uma equipe bem treinada \u00e9 fundamental.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-algunos-ejemplos-de-manchas-de-inmunohistoquimica\"><\/span>Quais s\u00e3o alguns exemplos de manchas imuno-histoqu\u00edmicas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Centenas de colora\u00e7\u00f5es imunohistoqu\u00edmicas s\u00e3o usadas para identificar diferentes tumores e outros <span class=\"term\" data-term-id=\"786\">neoplasias<\/span>. Apenas algumas das manchas IHC usadas em <span class=\"term\" data-term-id=\"55\">dermatologia<\/span> eles est\u00e3o listados abaixo.<\/p>\n<table>\n<tbody>\n<tr>\n<th>Mancha IHC<\/th>\n<th>Usos \/ T\u00edtulo da imagem<\/th>\n<\/tr>\n<tr>\n<td>BCL2<\/td>\n<td>\u00c9 usado para distinguir entre <span class=\"term\" data-term-id=\"831\">basal<\/span> carcinomas celulares e tricoepiteliomas<\/td>\n<\/tr>\n<tr>\n<td>CD3<\/td>\n<td>\n<span class=\"term\" data-term-id=\"631\">C\u00e9lula T<\/span> marcador; fortemente positivo em micose fung\u00f3ide<\/td>\n<\/tr>\n<tr>\n<td>CD4<\/td>\n<td>Marcador de c\u00e9lula T auxiliar<\/td>\n<\/tr>\n<tr>\n<td>CD8<\/td>\n<td>Marcador de c\u00e9lula T supressora<\/td>\n<\/tr>\n<tr>\n<td>CD20<\/td>\n<td>Marcador de c\u00e9lula B<\/td>\n<\/tr>\n<tr>\n<td>CD30<\/td>\n<td>Pode ser usado no diagn\u00f3stico de Hodgkin <span class=\"term\" data-term-id=\"976\">linfoma<\/span> e <span class=\"term\" data-term-id=\"1327\">anapl\u00e1sico<\/span> Linfomas de grandes c\u00e9lulas: aparelho de Golgi e colora\u00e7\u00e3o membranosa.<\/td>\n<\/tr>\n<tr>\n<td>CD31<\/td>\n<td>Ajuda a identificar <span class=\"term\" data-term-id=\"758\">endotelial<\/span> <span class=\"term\" data-term-id=\"289\">tumor<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>CD34<\/td>\n<td>Ele distingue diferentes tumores endoteliais e \u00e9 positivo para dermatofibrossarcoma.<\/td>\n<\/tr>\n<tr>\n<td>CD56<\/td>\n<td>Usado no diagn\u00f3stico de linfomas n\u00e3o Hodgkin, <span class=\"term\" data-term-id=\"1460\">leucemias<\/span> e carcinomas de c\u00e9lulas pequenas<\/td>\n<\/tr>\n<tr>\n<td>CD117<\/td>\n<td>Marcador para KIT <span class=\"term\" data-term-id=\"782\">receptor<\/span> e positivo em v\u00e1rios tumores, incluindo mastocitose<\/td>\n<\/tr>\n<tr>\n<td>CDKN2A (p16)<\/td>\n<td>Marcador supressor de tumor positivo em tumores associados ao HPV, <span class=\"term\" data-term-id=\"1144\">act\u00ednico <span class=\"term\" data-term-id=\"1596\">queratose<\/span><\/span>  e <span class=\"term\" data-term-id=\"270\">escamoso<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"32\">carcinoma<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>CK (v\u00e1rios)<\/td>\n<td>\n<span class=\"term\" data-term-id=\"1613\">Citoqueratinas<\/span> pode ser usado para ajudar a distinguir <span class=\"term\" data-term-id=\"22\">benigno<\/span> Desde a <span class=\"term\" data-term-id=\"176\">maligno<\/span> <span class=\"term\" data-term-id=\"1827\">em anexo<\/span> tumores<\/td>\n<\/tr>\n<tr>\n<td>CK 20<\/td>\n<td>Espec\u00edfico para carcinoma de c\u00e9lulas Merkel. Pode ajudar a identificar adenocarcinomas do sistema gastrointestinal e reprodutivo, bem como gastrointestinal <span class=\"term\" data-term-id=\"847\">epitelial<\/span> tumores<\/td>\n<\/tr>\n<tr>\n<td>\n<span class=\"term\" data-term-id=\"1614\">Citoqueratina<\/span> Alta <span class=\"term\" data-term-id=\"1851\">Molecular<\/span> Peso<\/td>\n<td>\u00c9 usado para detectar carcinomas ductais, carcinomas de c\u00e9lulas escamosas e outras neoplasias epiteliais.<\/td>\n<\/tr>\n<tr>\n<td>Desmin<\/td>\n<td>Marcador muscular<\/td>\n<\/tr>\n<tr>\n<td>EMA<\/td>\n<td>Usado para identificar <span class=\"term\" data-term-id=\"844\">\u00e9crino<\/span> neoplasias, doen\u00e7a de Paget e <span class=\"term\" data-term-id=\"262\">seb\u00e1ceo<\/span> carcinomas<\/td>\n<\/tr>\n<tr>\n<td>Fator 13<\/td>\n<td>Pode ajudar os m\u00e9dicos a distinguir entre dermatofibrossarcoma e dermatofibroma<\/td>\n<\/tr>\n<tr>\n<td>HHV8<\/td>\n<td>V\u00edrus do herpes humano 8<\/td>\n<\/tr>\n<tr>\n<td>HMB 45<\/td>\n<td>Usado para detectar <span class=\"term\" data-term-id=\"181\">melan\u00f3citos<\/span>, especialmente em <span class=\"term\" data-term-id=\"1670\">melanoma<\/span> mas negativo em <span class=\"term\" data-term-id=\"1662\">desmopl\u00e1stico<\/span> melanoma<\/td>\n<\/tr>\n<tr>\n<td>Melan-a<\/td>\n<td>Pode ajudar a identificar <span class=\"term\" data-term-id=\"785\">melanoc\u00edtico<\/span> <span class=\"term\" data-term-id=\"353\">nevo<\/span> c\u00e9lulas e <span class=\"term\" data-term-id=\"1671\">melanomas<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>PDL1<\/td>\n<td>Ligando de morte cronometrada 1<\/td>\n<\/tr>\n<tr>\n<td>S-100<\/td>\n<td>\u00c9 usado para marcar tumores de melan\u00f3citos, ambos <span class=\"term\" data-term-id=\"354\">naevi<\/span> e melanoma<\/td>\n<\/tr>\n<tr>\n<td>SMA<\/td>\n<td>M\u00fasculo liso <span class=\"term\" data-term-id=\"410\">ant\u00edgeno<\/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>Shows <span class=\"term\" data-term-id=\"883\">organismos<\/span> na s\u00edfilis secund\u00e1ria<\/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>Manchas imuno-histoqu\u00edmicas<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='transform-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='transform-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='sinet-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='epiteli\u00f3ide-angiossarcoma-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-immunohistochemistry__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='rabdomiossarcoma-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='fator-13a-imuno-histoqu\u00edmica__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\">Fator 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\/pt\/wp-json\/wp\/v2\/wiki\/14733","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=14733"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/14733\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=14733"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=14733"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=14733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}