{"id":6834,"date":"2020-04-23T09:17:40","date_gmt":"2020-04-23T12:17:40","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/"},"modified":"2020-05-03T18:25:15","modified_gmt":"2020-05-03T21:25:15","slug":"patologia-agresiva-del-adenocarcinoma-papilar-digital-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/","title":{"rendered":"Patologia agressiva do adenocarcinoma papilar digital"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 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\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/#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-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/#Histologia-de-adenocarcinoma-papilar-digital-agresivo\" >Histolog\u00eda de adenocarcinoma papilar digital agresivo<\/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\/pt\/wiki\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/#Patologia-agresiva-del-adenocarcinoma-papilar-digital\" >Patologia agressiva do adenocarcinoma papilar digital<\/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\/pt\/wiki\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/#Estudios-especiales-de-adenocarcinoma-papilar-digital-agresivo\" >Estudios especiales de adenocarcinoma papilar digital agresivo<\/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\/pt\/wiki\/patologia-agresiva-del-adenocarcinoma-papilar-digital-2\/#Diagnostico-diferencial-de-adenocarcinoma-papilar-digital-agresivo\" >Diagn\u00f3stico diferencial de adenocarcinoma papilar digital agresivo<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los adenocarcinomas papilares digitales agresivos son <span class=\"term\" data-term-id=\"496\">acral<\/span> tumores, que tienen un amplio espectro morfol\u00f3gico y pueden causar confusi\u00f3n diagn\u00f3stica. Anteriormente, los tumores se divid\u00edan en <span class=\"term\" data-term-id=\"597\">adenoma<\/span> y adenocarcinoma basado en <span class=\"term\" data-term-id=\"1305\">atypia<\/span>, pero esto ha sido revisado: incluso los tumores blandos pueden comportarse en un <span class=\"term\" data-term-id=\"176\">maligno<\/span> Moda.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-adenocarcinoma-papilar-digital-agresivo\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de adenocarcinoma papilar digital agresivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En el adenocarcinoma papilar digital agresivo, las secciones muestran una base d\u00e9rmica <span class=\"term\" data-term-id=\"289\">tumor<\/span>, que puede conectarse con la capa superior <span class=\"term\" data-term-id=\"85\">epiderme<\/span> (Figura 1). El tumor puede ser <span class=\"term\" data-term-id=\"1306\">c\u00edstico<\/span>, papilar, ductal o <span class=\"term\" data-term-id=\"1128\">s\u00f3lido<\/span>. El ejemplo ilustrado aqu\u00ed tiene predominantemente s\u00f3lido y ductal. <span class=\"term\" data-term-id=\"187\">morfologia<\/span> con solo <span class=\"term\" data-term-id=\"489\">focal<\/span> \u00e1reas de formaci\u00f3n papilar. Las celdas son <span class=\"term\" data-term-id=\"1654\">basal\u00f3ide<\/span>, mostrar ampliado <span class=\"term\" data-term-id=\"1395\">at\u00edpico<\/span> <span class=\"term\" data-term-id=\"729\">n\u00facleos<\/span>, nucleolos grandes y aumentados <span class=\"term\" data-term-id=\"1535\">mitose<\/span> (figuras 1-6). <span class=\"term\" data-term-id=\"270\">Escamoso<\/span> <span class=\"term\" data-term-id=\"184\">metaplasia<\/span> dentro del tumor puede verse (figura 5).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-agresiva-del-adenocarcinoma-papilar-digital\"><\/span>Patologia agressiva do adenocarcinoma papilar digital<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='aggressive-adenocarcinoma-fig1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9409384-5851829' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9409384.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='aggressive-adenocarcinoma-fig2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5724638-4489662' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5724638.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='aggressive-adenocarcinoma-fig3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9963564-2636267' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9963564.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='aggressive-adenocarcinoma-fig4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2850345-9197946' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2850345.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='aggressive-adenocarcinoma-fig5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4378112-9323152' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4378112.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 5<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='aggressive-adenocarcinoma-fig6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1822533-6871841' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aggressive-adenocarcinoma-fig6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1822533.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 6<\/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-adenocarcinoma-papilar-digital-agresivo\"><\/span>Estudios especiales de adenocarcinoma papilar digital agresivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generalmente no se necesita ninguno. En los casos que se encuentran en <span class=\"term\" data-term-id=\"1775\">g\u00e2nglios linf\u00e1ticos<\/span> estudios inmunohistoqu\u00edmicos para descartar <span class=\"term\" data-term-id=\"185\">met\u00e1stase<\/span> de mama, tiroides o sitios gastrointestinales pueden ser necesarios.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-adenocarcinoma-papilar-digital-agresivo\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> de adenocarcinoma papilar digital agresivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1000\">Metast\u00e1tico<\/span> adenocarcinoma: pueden ser necesarios antecedentes cl\u00ednicos y estudios inmunohistoqu\u00edmicos para descartar un <span class=\"term\" data-term-id=\"52\">d\u00e9rmico<\/span> ou <span class=\"term\" data-term-id=\"1001\">nodal<\/span> met\u00e1stasis de otro sitio.<\/p>\n<p><span class=\"term\" data-term-id=\"22\">Benigno<\/span> <span class=\"term\" data-term-id=\"1827\">em anexo<\/span> tumor: algunos de estos tumores pueden ser enga\u00f1osamente suaves. El sitio acral, <span class=\"term\" data-term-id=\"543\">infiltra\u00e7\u00e3o<\/span> de estructuras profundas y epidermis y el patr\u00f3n de crecimiento ayuda a llegar al diagn\u00f3stico correcto (maligno).<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Los adenocarcinomas papilares digitales agresivos son acral tumores, que tienen un amplio espectro morfol\u00f3gico y pueden causar confusi\u00f3n diagn\u00f3stica. Anteriormente, los tumores se divid\u00edan en adenoma y adenocarcinoma basado&#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-6834","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6834","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=6834"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6834\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}