{"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":"melanoma-subungueal-patologia","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/melanoma-subungueal-patologia\/","title":{"rendered":"Patologia subungueal do melanoma"},"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\">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' ><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\/pt\/wiki\/melanoma-subungueal-patologia\/#Cancer-de-piel\" >C\u00e2ncer de pele<\/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\/pt\/wiki\/melanoma-subungueal-patologia\/#Introduccion\" >Introdu\u00e7\u00e3o<\/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\/melanoma-subungueal-patologia\/#Histologia-de-melanoma-subungueal\" >Histolog\u00eda de melanoma subungueal<\/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\/pt\/wiki\/melanoma-subungueal-patologia\/#Melanoma-subungueal\" >Melanoma subungueal<\/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\/pt\/wiki\/melanoma-subungueal-patologia\/#Estudios-especiales-para-melanoma-subungueal\" >Estudios especiales para melanoma subungueal.<\/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\/pt\/wiki\/melanoma-subungueal-patologia\/#Diagnostico-diferencial-para-melanoma-subungueal\" >Diagn\u00f3stico diferencial para melanoma subungueal<\/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='Voc\u00ea est\u00e1 em: P\u00e1gina Inicial&gt; Imprensa&gt; Not\u00edcias' 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>de An\u00fancios<\/em><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Cancer-de-piel\"><\/span>C\u00e2ncer de pele<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Aplicativo para facilitar o auto-exame da pele e a detec\u00e7\u00e3o precoce<\/strong>. <strong><span style=\"text-decoration: underline\">consulte Mais informa\u00e7\u00e3o<\/span>.<\/strong><\/p>\n<\/blockquote>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/div>\n<div class=\"cmsBlock__title\">Texto: Miiskin.<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"622\">Subunual<\/span> <span class=\"term\" data-term-id=\"1670\">melanoma<\/span> \u00e9 um <span class=\"term\" data-term-id=\"30\">C\u00e2ncer<\/span> que surge de un <span class=\"term\" data-term-id=\"176\">maligno<\/span> <span class=\"term\" data-term-id=\"893\">prolifera\u00e7\u00e3o<\/span> do <span class=\"term\" data-term-id=\"181\">melan\u00f3citos<\/span> en la matriz ungueal. Por lo general, se presenta cl\u00ednicamente como un <span class=\"term\" data-term-id=\"1520\">pigmentado<\/span> raya en la placa de la u\u00f1a, que se expande lentamente en la <span class=\"term\" data-term-id=\"242\">proximal<\/span> borde y puede extenderse para involucrar a la <span class=\"term\" data-term-id=\"1351\">adjacente<\/span> prega de unhas (Hutchinson <span class=\"term\" data-term-id=\"899\">placa<\/span>; Figura 1).<\/p>\n<div class=\"mceGallery mceNonEditable\" data-ids=\"35471:Figure 1\" data-copyright-ids=\"undefined\">Melanoma subungueal<\/div>\n<h2 class=\"FreeForm\"><span class=\"ez-toc-section\" id=\"Histologia-de-melanoma-subungueal\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de melanoma subungueal<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"FreeForm\"><span class=\"term\" data-term-id=\"1420\">Histopatol\u00f3gicamente<\/span>, la placa de la u\u00f1a en el melanoma subungueal mostrar\u00e1 abundante <span class=\"term\" data-term-id=\"1769\">difuso<\/span> <span class=\"term\" data-term-id=\"180\">melanina<\/span> <span class=\"term\" data-term-id=\"370\">declara\u00e7\u00e3o<\/span> (Figura 2). Las secciones de la matriz y el lecho ungueal muestran un <span class=\"term\" data-term-id=\"785\">melanoc\u00edtico<\/span> <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> con poca circunscripci\u00f3n, predominantemente crecimiento unicelular, y <span class=\"term\" data-term-id=\"1212\">pagetoid<\/span> dispersi\u00f3n (figuras 3 y 4). Se pueden observar anidaciones de uni\u00f3n y confluencia. La mayor\u00eda de los casos demuestran una combinaci\u00f3n de <span class=\"term\" data-term-id=\"1667\">epiteli\u00f3ide<\/span> y citomorfolog\u00eda dendr\u00edtica (figura 5). <span class=\"term\" data-term-id=\"1612\">Nuclear<\/span> <span class=\"term\" data-term-id=\"1305\">atypia<\/span> y los nucl\u00e9olos conspicuos a menudo son evidentes pero pueden ser sutiles.  <\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Melanoma-subungueal\"><\/span>Melanoma subungueal<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='subungual-melanoma-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\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='subungual-melanoma-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\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='subungual-melanoma-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\">Figura 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>Estudios especiales para melanoma subungueal.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"FreeForm\"><span class=\"term\" data-term-id=\"1421\">Imuno-histoqu\u00edmica<\/span> El uso de Melan-A y SOX10 puede ser \u00fatil para resaltar la extensi\u00f3n y el patr\u00f3n de la lesi\u00f3n melanoc\u00edtica y ayudar a confirmar o descartar la invasi\u00f3n. <span class=\"term\" data-term-id=\"895\">Proliferativa<\/span> los marcadores (p. ej., Ki-67) se pueden usar para resaltar un \u00edndice proliferativo aumentado.<\/p>\n<p class=\"FreeForm\">Fluorescente <span class=\"term\" data-term-id=\"1077\">no lugar<\/span> hibrida\u00e7\u00e3o (<span class=\"term\" data-term-id=\"1237\">PEIXE<\/span>) puede usarse para diferenciar melanoma de <span class=\"term\" data-term-id=\"22\">benigno<\/span> les\u00f5es melanoc\u00edticas <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-para-melanoma-subungueal\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> para melanoma subungueal<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Outros diagn\u00f3sticos a serem considerados incluem:<\/p>\n<ul>\n<li>Subunual <span class=\"term\" data-term-id=\"1395\">at\u00edpico<\/span> proliferaci\u00f3n melanoc\u00edtica lentiginosa: este apodo se ha propuesto para casos dif\u00edciles que no cumplen todos los criterios para el melanoma, particularmente en <span class=\"term\" data-term-id=\"919\">pedi\u00e1trico<\/span> casos; generalmente se recomienda que estos casos l\u00edmite se traten como melanoma (FISH puede usarse para ayudar a ilustrar un clon aneuploide, que probablemente sea maligno).<\/li>\n<li>Matrical <span class=\"term\" data-term-id=\"354\">naevi<\/span> e <span class=\"term\" data-term-id=\"1394\">lentigines<\/span> &#8211; estos carecen de lo at\u00edpico <span class=\"term\" data-term-id=\"1419\">histopatol\u00f3gico<\/span> caracter\u00edsticas observadas en el melanoma. <\/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\/pt\/wp-json\/wp\/v2\/wiki\/6754","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=6754"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6754\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}