{"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":"dermatofibrosarcoma-patologia-protuberans","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatofibrosarcoma-patologia-protuberans\/","title":{"rendered":"Patologia protuberante do dermatofibrossarcoma"},"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\/dermatofibrosarcoma-patologia-protuberans\/#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\/dermatofibrosarcoma-patologia-protuberans\/#Histologia-de-dermatofibrosarcoma-protuberans\" >Histolog\u00eda de dermatofibrosarcoma protuberans<\/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\/dermatofibrosarcoma-patologia-protuberans\/#Dermatofibrosarcoma-patologia-protuberans\" >Patologia protuberante do dermatofibrossarcoma<\/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\/dermatofibrosarcoma-patologia-protuberans\/#Estudios-especiales-de-dermatofibrosarcoma-protuberans\" >Estudios especiales de dermatofibrosarcoma protuberans<\/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\/dermatofibrosarcoma-patologia-protuberans\/#Diagnostico-diferencial-de-dermatofibrosarcoma-protuberans\" >Diagn\u00f3stico diferencial de dermatofibrosarcoma protuberans<\/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>Dermatofibrosarcoma protuberans (DFSP) es un local agresivo <span class=\"term\" data-term-id=\"289\">tumor<\/span> de origen fibrobl\u00e1stico. La inicial <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> es un color de piel <span class=\"term\" data-term-id=\"235\">placa de carro<\/span> que desarrolla un color rojo \/ marr\u00f3n y <span class=\"term\" data-term-id=\"733\">nodular<\/span> superf\u00edcie.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-dermatofibrosarcoma-protuberans\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de dermatofibrosarcoma protuberans<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El dermatofibrosarcoma protuberans consiste en un <span class=\"term\" data-term-id=\"893\">prolifera\u00e7\u00e3o<\/span> de c\u00e9lulas en forma de huso en las profundidades <span class=\"term\" data-term-id=\"61\">derme<\/span> con lesiones posteriores infiltrando el <span class=\"term\" data-term-id=\"900\">subcut\u00e2neo<\/span> grasa (Figuras 1, 2). La invasi\u00f3n del m\u00fasculo puede ocurrir. A menudo hay un ahorro superficial, sin embargo, la participaci\u00f3n de la <span class=\"term\" data-term-id=\"85\">epiderme<\/span> e <span class=\"term\" data-term-id=\"1278\">ulcera\u00e7\u00e3o<\/span> a veces se ve Las c\u00e9lulas tumorales spindled son bastante uniformes en apariencia con alargado <span class=\"term\" data-term-id=\"729\">n\u00facleos<\/span> y poco o nada <span class=\"term\" data-term-id=\"1539\">pleomorfismo<\/span> (Figuras 3-5) y se pueden disponer de manera tormentosa (remolinos y entretejidos, figura 6).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatofibrosarcoma-patologia-protuberans\"><\/span>Patologia protuberante do dermatofibrossarcoma<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\">figura 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\">Figura 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\">Figura 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\">Figura 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\">Figura 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\">Figura 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\">Figura 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>Estudios especiales de dermatofibrosarcoma protuberans<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Positividad caracter\u00edstica para CD34 (Figura 7). CD31 negativo y actina del m\u00fasculo liso.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-dermatofibrosarcoma-protuberans\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> de dermatofibrosarcoma protuberans<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"956\">Celular<\/span> dermatofibroma: una proliferaci\u00f3n radial de c\u00e9lulas con n\u00facleos grandes. Puede tener <span class=\"term\" data-term-id=\"119\">hemossmosina<\/span> dep\u00f3sitos Parte central negativa para CD34, positiva para Factor XIIIa.<\/p>\n<p><span class=\"term\" data-term-id=\"52\">D\u00e9rmica<\/span> <span class=\"term\" data-term-id=\"1665\">sarcoma<\/span> &#8211; marcado <span class=\"term\" data-term-id=\"1612\">nuclear<\/span> <span class=\"term\" data-term-id=\"930\">polimorfismo<\/span> y frecuente <span class=\"term\" data-term-id=\"1535\">mitose<\/span> son caracter\u00edsticas diferenciadoras del dermatofibrosarcoma protuberans.<\/p>\n<p><span class=\"term\" data-term-id=\"1673\">Leiomiossarcoma<\/span> &#8211; <span class=\"term\" data-term-id=\"1540\">pleom\u00f3rfico<\/span> <span class=\"term\" data-term-id=\"1659\">c\u00e9lula do eixo<\/span> tumor con n\u00facleos en forma de cigarro y mitosis. Actina positiva del m\u00fasculo liso.<\/p>\n<p><span class=\"term\" data-term-id=\"1662\">Desmoplastic<\/span> <span class=\"term\" data-term-id=\"1670\">melanoma<\/span> &#8211; <span class=\"term\" data-term-id=\"102\">fibrose<\/span> e <span class=\"term\" data-term-id=\"489\">focal<\/span> <span class=\"term\" data-term-id=\"422\">linfoc\u00edtico<\/span> <span class=\"term\" data-term-id=\"542\">infiltradores<\/span> Son caracter\u00edsticas adicionales. Las c\u00e9lulas tumorales son positivas para S100.<\/p>\n<p><span class=\"term\" data-term-id=\"875\">Neurofibroma<\/span> &#8211; Tumor positivo de c\u00e9lulas fusiformes S100. <span class=\"term\" data-term-id=\"582\">Mast\u00f3citos<\/span> pode estar presente.<\/p>\n<p>Dermatofibrosarcoma protuberans fibrosarcomatoso: una variante del dermatofibrosarcoma protuberans que representa la progresi\u00f3n del tumor. Se presenta un patr\u00f3n focal fascicular o de espina de pescado. M\u00e1s dermatofibrosarcoma protuberans celular que lo habitual con aumento del pleomorfismo nuclear y <span class=\"term\" data-term-id=\"1536\">mit\u00f3tico<\/span> recuento de figuras. La tinci\u00f3n para CD34 se reduce.<\/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\/pt\/wp-json\/wp\/v2\/wiki\/7859","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=7859"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7859\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=7859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=7859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=7859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}