{"id":6959,"date":"2020-04-23T22:04:52","date_gmt":"2020-04-24T01:04:52","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/leiomioma\/"},"modified":"2020-10-30T07:40:49","modified_gmt":"2020-10-30T10:40:49","slug":"leiomioma","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/","title":{"rendered":"Leiomyoma"},"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\/leiomioma\/#%C2%BFQue-es-un-leiomioma\" >\u00bfQu\u00e9 es un leiomioma?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Piloleiomioma\" >Piloleiomioma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Angioleiomioma\" >Angioleiomioma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Leiomioma-genital\" >Leiomioma genital<\/a><\/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\/leiomioma\/#%C2%BFQuien-contrae-leiomiomas\" >\u00bfQui\u00e9n contrae leiomiomas?<\/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\/leiomioma\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-los-leiomiomas\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de los leiomiomas?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Piloleiomiomas\" >Piloleiomiomas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Angioleiomiomas\" >Angioleiomiomas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Leiomiomas-genitales\" >Leiomiomas genitales<\/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'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#Leiomioma\" >Leiomyoma<\/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-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#%C2%BFComo-se-diagnostican-generalmente-los-leiomiomas-cutaneos\" >\u00bfC\u00f3mo se diagnostican generalmente los leiomiomas cut\u00e1neos?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/leiomioma\/#%C2%BFComo-se-tratan-los-leiomiomas\" >\u00bfC\u00f3mo se tratan los leiomiomas?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-un-leiomioma\"><\/span>\u00bfQu\u00e9 es un leiomioma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Un leiomioma es un <span class=\"term\" data-term-id=\"22\">benigno<\/span> <span class=\"term\" data-term-id=\"289\">tumor<\/span> compuesto de m\u00fasculo liso. Es capaz de surgir donde sea que est\u00e9 presente el m\u00fasculo liso. Una forma de leiomioma surge del m\u00fasculo liso uterino, y tambi\u00e9n se conoce como fibromas uterinos.  <\/p>\n<p><span class=\"term\" data-term-id=\"47\">Cut\u00e2neo<\/span> Los leiomiomas se pueden clasificar en tres tipos:<\/p>\n<ul>\n<li>Piloleiomioma<\/li>\n<li>Angioleiomioma<\/li>\n<li>Leiomioma genital<\/li>\n<\/ul>\n<p>Cada tipo surge del m\u00fasculo liso en tejidos u \u00f3rganos espec\u00edficos y tiene caracter\u00edsticas cl\u00ednicas o cl\u00ednicas distintas. <span class=\"term\" data-term-id=\"474\">histol\u00f3gico<\/span> caracteristicas.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Piloleiomioma\"><\/span>Piloleiomioma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Se origina en el m\u00fasculo retractor pili de la unidad piloseb\u00e1cea.  <\/li>\n<li>Lesiones solitarias o m\u00faltiples.<\/li>\n<li>Las lesiones m\u00faltiples pueden ocurrir espor\u00e1dicamente o se heredan junto con fibromas uterinos en un <span class=\"term\" data-term-id=\"828\">autoss\u00f4mico<\/span> patr\u00f3n dominante como parte de <span class=\"term\" data-term-id=\"1745\">heredit\u00e1rio<\/span> leiomiomatose e <span class=\"term\" data-term-id=\"896\">renal<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"30\">C\u00e2ncer<\/span> <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span> o como parte del s\u00edndrome de Reed (leiomiomatosis m\u00faltiple cut\u00e1nea y uterina)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Angioleiomioma\"><\/span>Angioleiomioma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Se origina en <span class=\"term\" data-term-id=\"753\">vascular<\/span> tejido muscular liso de la pared<\/li>\n<li>T\u00edpicamente ocurre como un solitario <span class=\"term\" data-term-id=\"164\">ferimentos<\/span>\n<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Leiomioma-genital\"><\/span>Leiomioma genital<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Se origina en el m\u00fasculo dartos en el escroto o el labio mayor, o en el m\u00fasculo er\u00e9ctil en los pezones.<\/li>\n<li>T\u00edpicamente ocurre como una lesi\u00f3n solitaria<\/li>\n<li>Menos com\u00fan del leiomioma cut\u00e1neo<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-leiomiomas\"><\/span>\u00bfQui\u00e9n contrae leiomiomas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los leiomiomas uterinos representan el 95% de todos los leiomiomas reportados. Los leiomiomas cut\u00e1neos representan el 75% de todos los leiomiomas extrauterinos.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"578\">Incid\u00eancia<\/span> no est\u00e1 relacionado en gran medida con la raza.<\/li>\n<li>La mayor\u00eda de los leiomiomas cut\u00e1neos solitarios ocurren en la edad adulta. Los piloleiomiomas m\u00faltiples generalmente ocurren entre las edades de 10 y 30 a\u00f1os.<\/li>\n<li>Excluyendo <span class=\"term\" data-term-id=\"829\">autoss\u00f4mico dominante<\/span> s\u00edndromes, la incidencia de piloleiomioma es igual en hombres y mujeres. Los angioleiomiomas son generalmente m\u00e1s comunes en mujeres que en hombres (2: 1) aunque cavernosos y <span class=\"term\" data-term-id=\"1178\">venoso<\/span> Los subtipos son m\u00e1s comunes en los hombres.<\/li>\n<\/ul>\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-caracteristicas-clinicas-de-los-leiomiomas\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de los leiomiomas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los leiomiomas a menudo son dolorosos.<\/p>\n<ul>\n<li>El dolor puede ser espont\u00e1neo o desencadenado por est\u00edmulos f\u00edsicos y \/ o emocionales, incluida la temperatura o la presi\u00f3n del fr\u00edo. La menstruaci\u00f3n o el embarazo tambi\u00e9n pueden actuar como desencadenantes<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Piloleiomiomas\"><\/span>Piloleiomiomas<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Probable presentarse con dolor asociado<\/li>\n<li>T\u00edpicamente tierno, m\u00f3vil <span class=\"term\" data-term-id=\"815\">hiperpigmentado<\/span> o marr\u00f3n rojizo <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span> (\u2264 2 cm de di\u00e1metro) con una superficie lisa y consistencia firme<\/li>\n<li>Las lesiones solitarias t\u00edpicamente en las extremidades inferiores, mientras que los piloleiomiomas m\u00faltiples aparecen en cualquier lugar en una variedad de <span class=\"term\" data-term-id=\"69\">distribui\u00e7\u00e3o<\/span> patrones<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Angioleiomiomas\"><\/span>Angioleiomiomas<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>60% report\u00f3 ser doloroso<\/li>\n<li>La ternura es menos com\u00fan que en los piloleiomiomas.<\/li>\n<li>Bien <span class=\"term\" data-term-id=\"37\">circunscrito<\/span>, color de piel, n\u00f3dulos solitarios \u2264 4 cm de di\u00e1metro que se encuentran generalmente en la parte inferior de las piernas. Poco frecuente en la cabeza, tronco, manos o boca.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Leiomiomas-genitales\"><\/span>Leiomiomas genitales<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>T\u00edpicamente no tierno e indoloro<\/li>\n<li>Firme, solitario, color de piel, m\u00f3vil. <span class=\"term\" data-term-id=\"198\">n\u00f3dulo<\/span> sobre ele <span class=\"term\" data-term-id=\"1004\">vulva<\/span>, escroto o pez\u00f3n. El tama\u00f1o es m\u00e1s variable que otros tipos; Las lesiones vulvares y escrotales son t\u00edpicamente m\u00e1s grandes.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Leiomioma\"><\/span>Leiomyoma<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='leiomyoma-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4264446-4787193' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/leiomyoma-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4264446.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='leiomyoma-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9987896-7279669' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/leiomyoma-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9987896.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='leiomyoma-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildizxq-8921029-6602952' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/leiomyoma-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIzXQ-8921029.jpg'>\n<\/div>\n<p class=\"p-small\">Leiomiomas<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostican-generalmente-los-leiomiomas-cutaneos\"><\/span>\u00bfC\u00f3mo se diagnostican generalmente los leiomiomas cut\u00e1neos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los leiomiomas cut\u00e1neos generalmente se diagnostican por la piel. <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span>. Cada tipo de <a class=\"wpil_keyword_link\" href=\"https:\/\/drhoogstra.com.ar\/wiki\/leiomioma\/\" title=\"leiomioma\">leiomioma<\/a> tiene caracter\u00edsticas \u00fanicas. <span class=\"term\" data-term-id=\"128\">histologia<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-tratan-los-leiomiomas\"><\/span>\u00bfC\u00f3mo se tratan los leiomiomas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cir\u00fargico <span class=\"term\" data-term-id=\"848\">excis\u00e3o<\/span> Es el tratamiento definitivo para las lesiones individuales. Los leiomiomas cut\u00e1neos m\u00faltiples tienen una alta tasa de <span class=\"term\" data-term-id=\"1074\">reaparecimento<\/span> (~ 50%) en semanas o a\u00f1os, especialmente si forma parte del HLRCC o el s\u00edndrome de Reed.<\/p>\n<p>El tratamiento m\u00e9dico no es curativo, pero la nifedipina, la fenoxibenzamina y la gabapentina pueden aliviar el dolor. <\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es un leiomioma? Un leiomioma es un benigno tumor compuesto de m\u00fasculo liso. Es capaz de surgir donde sea que est\u00e9 presente el m\u00fasculo liso. Una forma de leiomioma&#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":[],"class_list":["post-6959","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6959","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=6959"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6959\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}