CARCINOMA BASOCELULAR GRUPO 005
TIPOS
Nodular
Ulceroso
Escleroatrófico
Pigmentado
FRECUENCIA
Constitiye más del 70% de
las neoplasias malignas de piel. Siendo la neoplasia más frecuente
El 80% de estos casos se localiza
principalmente en la cabeza y cuello
15% en espalda y torax
Predomina en grupos de mayor
edad.(65 años).
Predominio en personas de
raza blanca
Predominio en hombres
FACTORES CAUSALES O
PREDISPONENTES.
Piel Clara
Luz Ultravioleta.
Radiaciones ionizantes
Inmudepresión primaria o
secundaria(SIDA).
Asociada en
adultos jóvenes y en niños a padecimientos genéticos. (Xeroderma Pigmentoso,
Albinismo, Sindrome de carcinomas basocelulares nevoides).
ASPECTOS CLÍNICOS- CARCINOMA
BASOCELULAR NODULAR.
Forma clínica más común.
se manifiesta como un nódulo
pequeño , blando e indoloro, bien delimitado.
superficie lisa y brillante,
eritematosa y talangientásica (diminutas venillas en la superficie).
ASPECTOS CLÍNICOS- CARCINOMA
BASOCELULAR ULCEROSO
se presenta ulceroso desde el principio, o
puede venir de la variedad nodular.
algunos de estos tumores
pueden ser muy infiltrantes
comprometiendo estructuras sub-yacentes.(cartílago o hueso).
Úlcera delimitada por un
borde elevado y brillante
ASPECTOS CLÍNICOS- CARCINOMA
BASOCELULAR ESCLEROATRÓFICO
Son placas de aspecto
atrófico y cicatricial, y en ocasiones con un borde perleado característico.
ASPECTOS CLÍNICOS- CARCINOMA
BASOCELULAR PIGMENTADO
Carcinoma basocelular en el
cual se forma pigmento melánico.
Poco frecuente este tipo en
poblaciones de piel blanca.
MORFOLOGÍA
Las células recuerdan a las de
la capa basal.
Los tumores nacen de la
epidermis o del epitelio folicular.
TRATAMIENTO
Electrocoagulación y raspado
Extirpación quirurgica
Radioterápia
Cirugía de Mohs
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