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2015, Número 1

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Dermatología Cosmética, Médica y Quirúrgica 2015; 13 (1)


Lesiones pigmentadas de origen melanocítico en las mucosas y su evaluación mediante técnicas no invasivas

García HA, Roldán MR, Carlos OB

Idioma: Español
Referencias bibliográficas: 51
Paginas: 73-78
Archivo PDF: 225.85 Kb.


RESUMEN

Las mucosas no están uniformemente pigmentadas y existen diversos grados de variación cromática, tanto en estado fisiológico como patológico. Las distintas tonalidades de coloración se deben a factores como el origen y la localización del pigmento, el grado de queratinización, número y actividad de los melanocitos, la vascularización y el tipo de tejido submucoso (óseo, cartilaginoso, muscular).
Las lesiones pigmentadas de las mucosas son un verdadero reto diagnóstico pues su origen es muy diverso. El melanoma maligno de mucosas se asocia con un mal pronóstico. La dermatoscopia y la microscopía confocal de reflectancia son auxiliares diagnósticos que, como en la piel, facilitan el reconocimiento oportuno de lesiones benignas y malignas de origen melanocítico.


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