{"id":15827,"date":"2015-10-27T14:51:00","date_gmt":"2015-10-27T19:51:00","guid":{"rendered":"http:\/\/www.vetpraxis.net\/?p=15827"},"modified":"2015-10-27T14:51:00","modified_gmt":"2015-10-27T19:51:00","slug":"reto-veterinario-citologia-4","status":"publish","type":"post","link":"https:\/\/vetpraxis.academy\/articles\/2015\/10\/27\/reto-veterinario-citologia-4\/","title":{"rendered":"Reto Veterinario: Citolog\u00eda"},"content":{"rendered":"<p>Por Dr. Juan Manuel Lajara Larrea. M.V, Dipl. Esp.<\/p>\n<p>Llega a consulta un paciente felino, domestico com\u00fan, macho castrado de 5 a\u00f1os que responde al nombre de Tigre. El propietario est\u00e1 preocupado por una gran herida que al parecer se origin\u00f3 peleando con otro gato de la casa. El paciente presenta constantes fisiol\u00f3gicas normales, hemograma y perfiles bioqu\u00edmicos sin alteraciones. Ecograf\u00eda abdominal de rutina sin hallazgos significativos.<\/p>\n<p>Se decide realizar estudio citol\u00f3gico de la lesi\u00f3n mediante raspado de la zona ulcerada. El paciente no muestra incomodidad mientras se realiza el procedimiento.<\/p>\n<figure id=\"attachment_15834\" aria-describedby=\"caption-attachment-15834\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15834 size-full\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-1.png\" alt=\"Fig 1\" width=\"540\" height=\"500\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-1.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-1.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15834\" class=\"wp-caption-text\">Fig. 1<\/figcaption><\/figure>\n<figure id=\"attachment_15833\" aria-describedby=\"caption-attachment-15833\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15833 size-full\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-2.png\" alt=\"Fig 2\" width=\"540\" height=\"500\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-2.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-2.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15833\" class=\"wp-caption-text\">Fig. 2<\/figcaption><\/figure>\n<p>Fig. 1 y Fig. 2.- Lesiones cut\u00e1neas ulceradas en rostro y deterioro en el \u00e1pice de ambas orejas.<\/p>\n<figure id=\"attachment_15832\" aria-describedby=\"caption-attachment-15832\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15832\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-3.png\" alt=\"Fig. 3\" width=\"540\" height=\"434\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-3.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-3.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15832\" class=\"wp-caption-text\">Fig. 3<\/figcaption><\/figure>\n<figure id=\"attachment_15831\" aria-describedby=\"caption-attachment-15831\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15831\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-4.png\" alt=\"Fig. 4\" width=\"540\" height=\"434\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-4.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-4.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15831\" class=\"wp-caption-text\">Fig. 4<\/figcaption><\/figure>\n<p>Fig. 3 y Fig. 4.- Muestra te\u00f1ida con Diff Quick con presencia de c\u00e9lulas muy grandes con nucl\u00e9olos evidentes y tendencia a agruparse. Los n\u00facleos son grandes con cromatinas rugosas.<\/p>\n<p><strong>Las lesiones macrosc\u00f3picas y citol\u00f3gicas son compatibles con:<\/strong><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2015\/10\/27\/reto-veterinario-citologia-4\/2\">A. Dermatitis por exceso de marcaje<\/a><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/2015\/10\/27\/reto-veterinario-citologia-4\/2\">B. Dermatitis act\u00ednica felina<\/a><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/2015\/10\/27\/reto-veterinario-citologia-4\/3\">C. Carcinoma de C\u00e9lulas Escamosas bien diferenciado<\/a><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/2015\/10\/27\/reto-veterinario-citologia-4\/2\">D. Complejo granuloma Eosinof\u00edlico felino<\/a><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/2015\/10\/27\/reto-veterinario-citologia-4\/2\">E. Criptococosis<\/a><\/p>\n<p><!--nextpage--><br \/>\n<strong>Respuesta incorrecta<\/strong><\/p>\n<p>Regresar<\/p>\n<p><!--nextpage--><br \/>\n<strong>Respuesta Correcta:<\/strong><\/p>\n<p><strong>C) Carcinoma de C\u00e9lulas Escamosas bien diferenciado<\/strong><br \/>\nEl carcinoma de c\u00e9lulas escamosas es una neoplasia agresiva que tiene una alta incidencia en felinos con \u00e1reas no pigmentadas. En la mayor\u00eda de casos las lesiones iniciales se restringen a la cara (mejillas, orejas, p\u00e1rpados, trufa) mientras que en los caninos es m\u00e1s com\u00fan en la piel del vientre, perineal o flancos. El tratamiento ideal es la combinaci\u00f3n de resecci\u00f3n quir\u00fargica, radioterapia y quimioterapia. El estudio histopatol\u00f3gico confirm\u00f3 el diagn\u00f3stico de Carcinoma de C\u00e9lulas Escamosas.<\/p>\n<figure id=\"attachment_15830\" aria-describedby=\"caption-attachment-15830\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15830\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-5.png\" alt=\"Fig. 5\" width=\"540\" height=\"434\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-5.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-5.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15830\" class=\"wp-caption-text\">Fig. 5<\/figcaption><\/figure>\n<figure id=\"attachment_15829\" aria-describedby=\"caption-attachment-15829\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15829\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-6.png\" alt=\"Fig. 6\" width=\"540\" height=\"434\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-6.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-6.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15829\" class=\"wp-caption-text\">Fig. 6<\/figcaption><\/figure>\n<p>Fig. 5 y Fig 6. Paciente post quir\u00fargico e imagen confirmatoria del estudio histopatol\u00f3gico para CCE bien diferenciado.<\/p>\n<figure id=\"attachment_15828\" aria-describedby=\"caption-attachment-15828\" style=\"width: 540px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15828 size-full\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-7.png\" alt=\"Fig 7\" width=\"540\" height=\"434\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-7.png 540w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2015\/10\/Fig-7.png 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><figcaption id=\"caption-attachment-15828\" class=\"wp-caption-text\">Fig. 7<\/figcaption><\/figure>\n<p>Fig.7.- Paciente un mes despu\u00e9s de la cirug\u00eda<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por Dr. Juan Manuel Lajara Larrea. M.V, Dipl. Esp. Llega a consulta un paciente felino, domestico com\u00fan, macho castrado de 5 a\u00f1os que responde al\u2026<\/p>\n","protected":false},"author":3,"featured_media":15834,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,154,96,1],"tags":[],"class_list":["post-15827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad","category-citologia-articulos","category-retoveterinario","category-sin-categoria"],"_links":{"self":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts\/15827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/comments?post=15827"}],"version-history":[{"count":0,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts\/15827\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/media\/15834"}],"wp:attachment":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/media?parent=15827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/categories?post=15827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/tags?post=15827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}