{"id":643,"date":"2025-07-21T06:59:53","date_gmt":"2025-07-21T06:59:53","guid":{"rendered":"https:\/\/drstratan.md\/?page_id=643"},"modified":"2025-08-13T07:07:47","modified_gmt":"2025-08-13T07:07:47","slug":"chirurgia-tumorilor-tegumentare","status":"publish","type":"page","link":"https:\/\/drstratan.md\/ru\/servicii\/chirurgia-tumorilor-tegumentare\/","title":{"rendered":"\u0425\u0438\u0440\u0443\u0440\u0433\u0438\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439 \u043a\u043e\u0436\u043d\u044b\u0445 \u043f\u043e\u043a\u0440\u043e\u0432\u043e\u0432"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"643\" class=\"elementor elementor-643\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-64a8791e e-con-full e-flex e-con e-parent\" data-id=\"64a8791e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fb4bd3d elementor-widget elementor-widget-heading\" data-id=\"1fb4bd3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Chirurgia tumorilor tegumentare<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b3eb8f6 e-flex e-con-boxed e-con e-parent\" data-id=\"b3eb8f6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75baca0 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"75baca0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"319\" height=\"223\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/07\/photo_2025-07-10_14-49-34-e1753085476623.jpg\" class=\"attachment-full size-full wp-image-92\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/07\/photo_2025-07-10_14-49-34-e1753085476623.jpg 319w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/07\/photo_2025-07-10_14-49-34-e1753085476623-300x210.jpg 300w\" sizes=\"(max-width: 319px) 100vw, 319px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6bab3b0 e-flex e-con-boxed e-con e-parent\" data-id=\"6bab3b0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-93815fa e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"93815fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"154670586\" aria-label=\"File. Deschizi elementele cu tasta Enter sau Spa\u021biu, le \u00eenchizi cu Esc \u0219i navighezi folosind tastele s\u0103ge\u021bi.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t<button id=\"e-n-tab-title-1546705861\" data-tab-title-id=\"e-n-tab-title-1546705861\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-1546705861\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tCilindromul\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705862\" data-tab-title-id=\"e-n-tab-title-1546705862\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705862\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tPilomatrixomul \t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705863\" data-tab-title-id=\"e-n-tab-title-1546705863\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705863\" style=\"--n-tabs-title-order: 3;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNevul albastru\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705864\" data-tab-title-id=\"e-n-tab-title-1546705864\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705864\" style=\"--n-tabs-title-order: 4;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tHistiocitomul fibros benign\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705865\" data-tab-title-id=\"e-n-tab-title-1546705865\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705865\" style=\"--n-tabs-title-order: 5;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tLentigo Maligna\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705866\" data-tab-title-id=\"e-n-tab-title-1546705866\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"6\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705866\" style=\"--n-tabs-title-order: 6;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNevul Spitz\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705867\" data-tab-title-id=\"e-n-tab-title-1546705867\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"7\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705867\" style=\"--n-tabs-title-order: 7;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNeurofibromul\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705868\" data-tab-title-id=\"e-n-tab-title-1546705868\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"8\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705868\" style=\"--n-tabs-title-order: 8;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNevul displazic\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-1546705869\" data-tab-title-id=\"e-n-tab-title-1546705869\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"9\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-1546705869\" style=\"--n-tabs-title-order: 9;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tCornul cutanat\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058610\" data-tab-title-id=\"e-n-tab-title-15467058610\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"10\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058610\" style=\"--n-tabs-title-order: 10;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tKeratoacantomul \t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058611\" data-tab-title-id=\"e-n-tab-title-15467058611\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"11\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058611\" style=\"--n-tabs-title-order: 11;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tCarcinomul trichilemal\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058612\" data-tab-title-id=\"e-n-tab-title-15467058612\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"12\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058612\" style=\"--n-tabs-title-order: 12;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tMolluscum pendulum\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058613\" data-tab-title-id=\"e-n-tab-title-15467058613\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"13\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058613\" style=\"--n-tabs-title-order: 13;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDermatofibromul\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058614\" data-tab-title-id=\"e-n-tab-title-15467058614\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"14\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058614\" style=\"--n-tabs-title-order: 14;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tHemangiomul\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058615\" data-tab-title-id=\"e-n-tab-title-15467058615\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"15\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058615\" style=\"--n-tabs-title-order: 15;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tCarcinomul bazocelular\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058616\" data-tab-title-id=\"e-n-tab-title-15467058616\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"16\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058616\" style=\"--n-tabs-title-order: 16;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tLIPOMUL\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058617\" data-tab-title-id=\"e-n-tab-title-15467058617\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"17\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058617\" style=\"--n-tabs-title-order: 17;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tLIPOMATOZA\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-15467058618\" data-tab-title-id=\"e-n-tab-title-15467058618\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"18\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-15467058618\" style=\"--n-tabs-title-order: 18;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNEVUL CONGENITAL GIGANT\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div id=\"e-n-tab-content-1546705861\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705861\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-ae0b2a5 e-con-full e-flex e-con e-child\" data-id=\"ae0b2a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-432bbde elementor-widget elementor-widget-text-editor\" data-id=\"432bbde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"373\" data-end=\"419\"><strong data-start=\"373\" data-end=\"417\">Cilindrom \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"421\" data-end=\"701\"><strong data-start=\"421\" data-end=\"445\">Ce este cilindromul?<\/strong><br data-start=\"445\" data-end=\"448\" \/>Cilindromul este o tumor\u0103 benign\u0103 rar\u0103 a glandelor sudoripare, cel mai frecvent localizat\u0103 pe scalp sau fa\u021b\u0103, dar care poate ap\u0103rea \u0219i pe alte zone ale pielii. Se dezvolt\u0103 din structurile anexiale (glande eccrine sau apocrine) \u0219i are o cre\u0219tere lent\u0103.<\/p><p data-start=\"703\" data-end=\"733\"><strong data-start=\"703\" data-end=\"731\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"734\" data-end=\"979\"><li data-start=\"734\" data-end=\"778\"><p data-start=\"736\" data-end=\"778\">Origine anexial\u0103, din glande sudoripare.<\/p><\/li><li data-start=\"779\" data-end=\"907\"><p data-start=\"781\" data-end=\"907\">Poate ap\u0103rea sporadic sau \u00een cadrul <strong data-start=\"817\" data-end=\"848\">sindromului Brooke-Spiegler<\/strong> (afec\u021biune genetic\u0103 rar\u0103, transmis\u0103 autosomal dominant).<\/p><\/li><li data-start=\"908\" data-end=\"979\"><p data-start=\"910\" data-end=\"979\">Asociat\u0103 cu muta\u021bii ale genei <strong data-start=\"940\" data-end=\"948\">CYLD<\/strong>, cu rol de supresor tumoral.<\/p><\/li><\/ul><p data-start=\"981\" data-end=\"1018\"><strong data-start=\"981\" data-end=\"1016\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"1019\" data-end=\"1190\"><li data-start=\"1019\" data-end=\"1089\"><p data-start=\"1021\" data-end=\"1089\">Noduli rotunzi sau ovalari, bine delimita\u021bi, cu consisten\u021b\u0103 ferm\u0103.<\/p><\/li><li data-start=\"1090\" data-end=\"1115\"><p data-start=\"1092\" data-end=\"1115\">De obicei nedurero\u0219i.<\/p><\/li><li data-start=\"1116\" data-end=\"1159\"><p data-start=\"1118\" data-end=\"1159\">Culoare rozalie sau identic\u0103 cu pielea.<\/p><\/li><li data-start=\"1160\" data-end=\"1190\"><p data-start=\"1162\" data-end=\"1190\">Pot fi unici sau multipli.<\/p><\/li><\/ul><p data-start=\"1192\" data-end=\"1208\"><strong data-start=\"1192\" data-end=\"1206\">Diagnostic<\/strong><\/p><ul data-start=\"1209\" data-end=\"1457\"><li data-start=\"1209\" data-end=\"1263\"><p data-start=\"1211\" data-end=\"1263\">Examinare clinic\u0103 pentru identificarea leziunilor.<\/p><\/li><li data-start=\"1264\" data-end=\"1457\"><p data-start=\"1266\" data-end=\"1309\">Examinare histopatologic\u0103 ce eviden\u021biaz\u0103:<\/p><ul data-start=\"1312\" data-end=\"1457\"><li data-start=\"1312\" data-end=\"1343\"><p data-start=\"1314\" data-end=\"1343\">insule de celule bazaloide,<\/p><\/li><li data-start=\"1346\" data-end=\"1384\"><p data-start=\"1348\" data-end=\"1384\">aspect \u00een \u201emozaic\u201d sau \u201e\u021bigl\u0103rie\u201d,<\/p><\/li><li data-start=\"1387\" data-end=\"1457\"><p data-start=\"1389\" data-end=\"1457\">depuneri de material hialin \u00eentre celule, cu aspect de \u201ecilindru\u201d.<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"1459\" data-end=\"1474\"><strong data-start=\"1459\" data-end=\"1472\">Tratament<\/strong><\/p><ul data-start=\"1475\" data-end=\"1614\"><li data-start=\"1475\" data-end=\"1537\"><p data-start=\"1477\" data-end=\"1537\"><strong data-start=\"1477\" data-end=\"1510\">Excizie chirurgical\u0103 complet\u0103<\/strong> cu margini de siguran\u021b\u0103.<\/p><\/li><li data-start=\"1538\" data-end=\"1614\"><p data-start=\"1540\" data-end=\"1614\">\u00cen forme multiple: excizii seriate, laser CO\u2082 sau metode reconstructive.<\/p><\/li><\/ul><p data-start=\"1616\" data-end=\"1644\"><strong data-start=\"1616\" data-end=\"1642\">Evolu\u021bie \u0219i prognostic<\/strong><\/p><ul data-start=\"1645\" data-end=\"1858\"><li data-start=\"1645\" data-end=\"1689\"><p data-start=\"1647\" data-end=\"1689\">Majoritatea cazurilor au prognostic bun.<\/p><\/li><li data-start=\"1690\" data-end=\"1782\"><p data-start=\"1692\" data-end=\"1782\">Transformarea malign\u0103 este rar\u0103, dar posibil\u0103 \u00een tumori mari, recidivante sau netratate.<\/p><\/li><li data-start=\"1783\" data-end=\"1858\"><p data-start=\"1785\" data-end=\"1858\">\u00cen sindromul Brooke-Spiegler este necesar\u0103 monitorizare pe termen lung.<\/p><\/li><\/ul><p data-start=\"1860\" data-end=\"2066\"><strong data-start=\"1860\" data-end=\"1873\">Concluzie<\/strong><br data-start=\"1873\" data-end=\"1876\" \/>Cilindromul este o tumor\u0103 benign\u0103, tratabil\u0103 prin excizie complet\u0103. Identificarea formelor genetice \u0219i urm\u0103rirea periodic\u0103 sunt esen\u021biale pentru prevenirea recidivelor \u0219i a complica\u021biilor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705862\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705862\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-6b3f077 e-con-full e-flex e-con e-child\" data-id=\"6b3f077\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ecef34 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"5ecef34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"540\" height=\"420\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Trigger-finger-Deget-blocat-2-Mini-Artic-Bestetic-540x420-1.webp\" class=\"attachment-large size-large wp-image-977\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Trigger-finger-Deget-blocat-2-Mini-Artic-Bestetic-540x420-1.webp 540w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Trigger-finger-Deget-blocat-2-Mini-Artic-Bestetic-540x420-1-300x233.webp 300w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b74cec8 elementor-widget elementor-widget-text-editor\" data-id=\"b74cec8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"87\" data-end=\"136\"><strong data-start=\"87\" data-end=\"134\">Pilomatrixom \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"138\" data-end=\"409\"><strong data-start=\"138\" data-end=\"165\">Ce este pilomatrixomul?<\/strong><br data-start=\"165\" data-end=\"168\" \/>Pilomatrixomul (sau pilomatricom, tumora calcificant\u0103 Malherbe) este o tumor\u0103 benign\u0103 a pielii, dezvoltat\u0103 din celulele matriciale ale foliculului pilos. Este mai frecvent \u00eent\u00e2lnit la copii \u0219i adolescen\u021bi, dar poate ap\u0103rea la orice v\u00e2rst\u0103.<\/p><p data-start=\"411\" data-end=\"441\"><strong data-start=\"411\" data-end=\"439\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"442\" data-end=\"645\"><li data-start=\"442\" data-end=\"485\"><p data-start=\"444\" data-end=\"485\">Origine din celulele foliculului pilos.<\/p><\/li><li data-start=\"486\" data-end=\"517\"><p data-start=\"488\" data-end=\"517\">Inciden\u021b\u0103 mai mare la fete.<\/p><\/li><li data-start=\"518\" data-end=\"645\"><p data-start=\"520\" data-end=\"645\">Poate ap\u0103rea sporadic sau \u00een cadrul unor sindroame genetice: <strong data-start=\"581\" data-end=\"592\">Gardner<\/strong>, <strong data-start=\"594\" data-end=\"614\">Rubinstein-Taybi<\/strong>, <strong data-start=\"616\" data-end=\"626\">Turner<\/strong>, <strong data-start=\"628\" data-end=\"642\">trisomie 9<\/strong>.<\/p><\/li><\/ul><p data-start=\"647\" data-end=\"684\"><strong data-start=\"647\" data-end=\"682\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"685\" data-end=\"959\"><li data-start=\"685\" data-end=\"748\"><p data-start=\"687\" data-end=\"748\">Nodul subcutanat ferm, bine delimitat, de obicei nedureros.<\/p><\/li><li data-start=\"749\" data-end=\"818\"><p data-start=\"751\" data-end=\"818\">Localiz\u0103ri frecvente: fa\u021b\u0103, g\u00e2t, partea superioar\u0103 a trunchiului.<\/p><\/li><li data-start=\"819\" data-end=\"890\"><p data-start=\"821\" data-end=\"890\">Pielea de deasupra poate fi normal\u0103 sau u\u0219or alb\u0103struie\/tensionat\u0103.<\/p><\/li><li data-start=\"891\" data-end=\"959\"><p data-start=\"893\" data-end=\"959\">Cre\u0219tere lent\u0103, posibil confundat cu chist epidermoid sau lipom.<\/p><\/li><\/ul><p data-start=\"961\" data-end=\"977\"><strong data-start=\"961\" data-end=\"975\">Diagnostic<\/strong><\/p><ul data-start=\"978\" data-end=\"1271\"><li data-start=\"978\" data-end=\"1000\"><p data-start=\"980\" data-end=\"1000\">Examinare clinic\u0103.<\/p><\/li><li data-start=\"1001\" data-end=\"1158\"><p data-start=\"1003\" data-end=\"1023\">Histopatologie cu:<\/p><ul data-start=\"1026\" data-end=\"1158\"><li data-start=\"1026\" data-end=\"1061\"><p data-start=\"1028\" data-end=\"1061\">celule bazaloide proliferative,<\/p><\/li><li data-start=\"1064\" data-end=\"1111\"><p data-start=\"1066\" data-end=\"1111\">celule \u201efantom\u0103\u201d (keratinizate, anucleate),<\/p><\/li><li data-start=\"1114\" data-end=\"1158\"><p data-start=\"1116\" data-end=\"1158\">zone de calcificare \u0219i uneori osificare.<\/p><\/li><\/ul><\/li><li data-start=\"1159\" data-end=\"1271\"><p data-start=\"1161\" data-end=\"1271\">Diagnostic diferen\u021bial cu: chist epidermoid, lipom, dermatofibrom, calcinoz\u0103 cutanat\u0103, leziuni maligne rare.<\/p><\/li><\/ul><p data-start=\"1273\" data-end=\"1288\"><strong data-start=\"1273\" data-end=\"1286\">Tratament<\/strong><\/p><ul data-start=\"1289\" data-end=\"1398\"><li data-start=\"1289\" data-end=\"1347\"><p data-start=\"1291\" data-end=\"1347\"><strong data-start=\"1291\" data-end=\"1324\">Excizie chirurgical\u0103 complet\u0103<\/strong> \u2013 metod\u0103 de elec\u021bie.<\/p><\/li><li data-start=\"1348\" data-end=\"1398\"><p data-start=\"1350\" data-end=\"1398\">Recidiva este rar\u0103 dac\u0103 excizia este complet\u0103.<\/p><\/li><\/ul><p data-start=\"1400\" data-end=\"1428\"><strong data-start=\"1400\" data-end=\"1426\">Evolu\u021bie \u0219i prognostic<\/strong><\/p><ul data-start=\"1429\" data-end=\"1573\"><li data-start=\"1429\" data-end=\"1471\"><p data-start=\"1431\" data-end=\"1471\">Tumor\u0103 benign\u0103, f\u0103r\u0103 poten\u021bial malign.<\/p><\/li><li data-start=\"1472\" data-end=\"1511\"><p data-start=\"1474\" data-end=\"1511\">Prognostic excelent dup\u0103 tratament.<\/p><\/li><li data-start=\"1512\" data-end=\"1573\"><p data-start=\"1514\" data-end=\"1573\">Formele maligne (pilomatrixcarcinom) sunt extrem de rare.<\/p><\/li><\/ul><p data-start=\"1575\" data-end=\"1762\"><strong data-start=\"1575\" data-end=\"1588\">Concluzie<\/strong><br data-start=\"1588\" data-end=\"1591\" \/>Pilomatrixomul este o tumor\u0103 benign\u0103 u\u0219or de tratat prin excizie complet\u0103. Identificarea corect\u0103 \u0219i interven\u021bia precoce previn recidiva \u0219i elimin\u0103 riscul de complica\u021bii.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705863\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705863\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-f84c165 e-con-full e-flex e-con e-child\" data-id=\"f84c165\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-8df53e6 e-flex e-con-boxed e-con e-child\" data-id=\"8df53e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6369483 gallery-spacing-custom elementor-widget__width-initial elementor-widget elementor-widget-image-gallery\" data-id=\"6369483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t<div id='gallery-1' class='gallery galleryid-643 gallery-columns-1 gallery-size-2048x2048'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"6369483\" data-elementor-lightbox-title=\"Chistul Sinovial\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAxNiwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy40Ni4zNl9kYzU1YmQ0MS0xLmpwZyIsInNsaWRlc2hvdyI6IjYzNjk0ODMifQ%3D%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1.jpg'><img decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_dc55bd41-1-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"6369483\" data-elementor-lightbox-title=\"Chistul Sinovial\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAxNywidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy40Ni4zNl9kYTQ1NGQ3NC0xLmpwZyIsInNsaWRlc2hvdyI6IjYzNjk0ODMifQ%3D%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_da454d74-1-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"6369483\" data-elementor-lightbox-title=\"Chistul Sinovial\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAwOSwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy40Ni4zNl84M2VhNzJkMC5qcGciLCJzbGlkZXNob3ciOiI2MzY5NDgzIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.46.36_83ea72d0-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"6369483\" data-elementor-lightbox-title=\"Chistul\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAyNCwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xNC4wMC40NF8xOGM4NWEyYy5qcGciLCJzbGlkZXNob3ciOiI2MzY5NDgzIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1200\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c.jpg 1600w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c-300x225.jpg 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c-1024x768.jpg 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c-768x576.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.00.44_18c85a2c-1536x1152.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6dffa5 elementor-widget elementor-widget-text-editor\" data-id=\"a6dffa5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"53\" data-end=\"104\"><strong data-start=\"53\" data-end=\"102\">Nevul Albastru \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"106\" data-end=\"365\"><strong data-start=\"106\" data-end=\"133\">Ce este nevul albastru?<\/strong><br data-start=\"133\" data-end=\"136\" \/>Nevul albastru este o leziune benign\u0103 pigmentat\u0103 a pielii, cauzat\u0103 de prezen\u021ba melanocitelor \u00een stratul profund al dermului. Aceast\u0103 localizare produce culoarea albastru-\u00eenchis sau albastru-negricioas\u0103 prin <strong data-start=\"343\" data-end=\"362\">efectul Tyndall<\/strong>.<\/p><p data-start=\"367\" data-end=\"397\"><strong data-start=\"367\" data-end=\"395\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"398\" data-end=\"587\"><li data-start=\"398\" data-end=\"433\"><p data-start=\"400\" data-end=\"433\">Origine din melanocite dermice.<\/p><\/li><li data-start=\"434\" data-end=\"491\"><p data-start=\"436\" data-end=\"491\">Poate ap\u0103rea din copil\u0103rie, adolescen\u021b\u0103 sau la adult.<\/p><\/li><li data-start=\"492\" data-end=\"587\"><p data-start=\"494\" data-end=\"587\">Forme mai mari \u0219i multiple pot fi asociate cu un risc u\u0219or crescut de transformare malign\u0103.<\/p><\/li><\/ul><p data-start=\"589\" data-end=\"626\"><strong data-start=\"589\" data-end=\"624\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"627\" data-end=\"880\"><li data-start=\"627\" data-end=\"752\"><p data-start=\"629\" data-end=\"752\">Papul\u0103 sau nodul mic (sub 1 cm), bine delimitat, neted, de culoare albastru-\u00eenchis, gri-alb\u0103strui sau albastru-negricios.<\/p><\/li><li data-start=\"753\" data-end=\"834\"><p data-start=\"755\" data-end=\"834\">Localizare frecvent\u0103: fa\u021b\u0103, scalp, m\u00e2ini, picioare, dar poate ap\u0103rea oriunde.<\/p><\/li><li data-start=\"835\" data-end=\"880\"><p data-start=\"837\" data-end=\"880\">Evolu\u021bie stabil\u0103, f\u0103r\u0103 modific\u0103ri rapide.<\/p><\/li><\/ul><p data-start=\"882\" data-end=\"901\"><strong data-start=\"882\" data-end=\"899\">Forme clinice<\/strong><\/p><ul data-start=\"902\" data-end=\"1118\"><li data-start=\"902\" data-end=\"952\"><p data-start=\"904\" data-end=\"952\"><strong data-start=\"904\" data-end=\"926\">Nev albastru comun<\/strong> \u2013 mic, solitar, stabil.<\/p><\/li><li data-start=\"953\" data-end=\"1035\"><p data-start=\"955\" data-end=\"1035\"><strong data-start=\"955\" data-end=\"979\">Nev albastru celular<\/strong> \u2013 mai mare, nodular, adesea pe fese sau zona sacral\u0103.<\/p><\/li><li data-start=\"1036\" data-end=\"1118\"><p data-start=\"1038\" data-end=\"1118\"><strong data-start=\"1038\" data-end=\"1061\">Nev albastru atipic<\/strong> \u2013 rar, necesit\u0103 biopsie pentru excluderea melanomului.<\/p><\/li><\/ul><p data-start=\"1120\" data-end=\"1136\"><strong data-start=\"1120\" data-end=\"1134\">Diagnostic<\/strong><\/p><ul data-start=\"1137\" data-end=\"1364\"><li data-start=\"1137\" data-end=\"1159\"><p data-start=\"1139\" data-end=\"1159\">Examinare clinic\u0103.<\/p><\/li><li data-start=\"1160\" data-end=\"1255\"><p data-start=\"1162\" data-end=\"1255\">Histopatologie: melanocite fusiforme\/dendritice \u00een derm profund, pigment melanic dispersat.<\/p><\/li><li data-start=\"1256\" data-end=\"1364\"><p data-start=\"1258\" data-end=\"1364\">Diagnostic diferen\u021bial: melanom nodular, dermatofibrom pigmentat, hemangiom trombozat, tatuaj traumatic.<\/p><\/li><\/ul><p data-start=\"1366\" data-end=\"1391\"><strong data-start=\"1366\" data-end=\"1389\">Riscuri \u0219i evolu\u021bie<\/strong><\/p><ul data-start=\"1392\" data-end=\"1598\"><li data-start=\"1392\" data-end=\"1437\"><p data-start=\"1394\" data-end=\"1437\">Leziune benign\u0103 \u00een majoritatea cazurilor.<\/p><\/li><li data-start=\"1438\" data-end=\"1539\"><p data-start=\"1440\" data-end=\"1539\">Transformarea malign\u0103 \u00een melanom este foarte rar\u0103, mai ales la formele celulare mari sau atipice.<\/p><\/li><li data-start=\"1540\" data-end=\"1598\"><p data-start=\"1542\" data-end=\"1598\">Monitorizare periodic\u0103 dac\u0103 apar modific\u0103ri de aspect.<\/p><\/li><\/ul><p data-start=\"1600\" data-end=\"1615\"><strong data-start=\"1600\" data-end=\"1613\">Tratament<\/strong><\/p><ul data-start=\"1616\" data-end=\"1842\"><li data-start=\"1616\" data-end=\"1667\"><p data-start=\"1618\" data-end=\"1667\">Nu necesit\u0103 tratament \u00een absen\u021ba modific\u0103rilor.<\/p><\/li><li data-start=\"1668\" data-end=\"1842\"><p data-start=\"1670\" data-end=\"1714\"><strong data-start=\"1670\" data-end=\"1694\">Excizie chirurgical\u0103<\/strong> recomandat\u0103 dac\u0103:<\/p><ul data-start=\"1717\" data-end=\"1842\"><li data-start=\"1717\" data-end=\"1765\"><p data-start=\"1719\" data-end=\"1765\">\u00ee\u0219i schimb\u0103 dimensiunea, forma sau culoarea,<\/p><\/li><li data-start=\"1768\" data-end=\"1802\"><p data-start=\"1770\" data-end=\"1802\">devine dureros sau s\u00e2ngereaz\u0103,<\/p><\/li><li data-start=\"1805\" data-end=\"1842\"><p data-start=\"1807\" data-end=\"1842\">exist\u0103 suspiciune de malignitate.<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"1844\" data-end=\"2048\"><strong data-start=\"1844\" data-end=\"1857\">Concluzie<\/strong><br data-start=\"1857\" data-end=\"1860\" \/>Nevul albastru este o leziune benign\u0103, u\u0219or de diagnosticat clinic. Excizia este rezervat\u0103 cazurilor cu modific\u0103ri suspecte, iar supravegherea regulat\u0103 asigur\u0103 prevenirea complica\u021biilor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705864\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705864\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-6945b02 e-con-full e-flex e-con e-child\" data-id=\"6945b02\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-709674b gallery-spacing-custom elementor-widget__width-initial elementor-widget elementor-widget-image-gallery\" data-id=\"709674b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t<div id='gallery-2' class='gallery galleryid-643 gallery-columns-1 gallery-size-2048x2048'><figure class='gallery-item'>\n\t\t\t<div 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size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_e9e48b7d.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_e9e48b7d-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_e9e48b7d-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_e9e48b7d-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" 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srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_7f907507.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_7f907507-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_7f907507-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_7f907507-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"709674b\" data-elementor-lightbox-title=\"Butonier\u0103\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAyOCwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy41MC4xMV84MWQ5MjM1Zi5qcGciLCJzbGlkZXNob3ciOiI3MDk2NzRiIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_81d9235f-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"709674b\" data-elementor-lightbox-title=\"Butonier\u0103\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAyOSwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy41MC4xMV9iZmRlNTRkMi5qcGciLCJzbGlkZXNob3ciOiI3MDk2NzRiIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.50.11_bfde54d2-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13b8c1d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"13b8c1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"61\" data-end=\"139\"><strong data-start=\"61\" data-end=\"137\">Histiocitom Fibros Benign (Dermatofibrom) \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"141\" data-end=\"420\"><strong data-start=\"141\" data-end=\"169\">Ce este dermatofibromul?<\/strong><br data-start=\"169\" data-end=\"172\" \/>Dermatofibromul este o tumor\u0103 cutanat\u0103 benign\u0103, frecvent \u00eent\u00e2lnit\u0103, cauzat\u0103 de proliferarea fibroblastelor \u0219i histiocitelor \u00een derm. De obicei, apare ca reac\u021bie proliferativ\u0103 benign\u0103, posibil dup\u0103 traumatisme minore, precum \u00een\u021bep\u0103turi de insecte.<\/p><p data-start=\"422\" data-end=\"452\"><strong data-start=\"422\" data-end=\"450\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"453\" data-end=\"543\"><li data-start=\"453\" data-end=\"480\"><p data-start=\"455\" data-end=\"480\">Traume cutanate minore.<\/p><\/li><li data-start=\"481\" data-end=\"543\"><p data-start=\"483\" data-end=\"543\">Mai frecvent la femei, \u00een special la v\u00e2rsta adult\u0103 t\u00e2n\u0103r\u0103.<\/p><\/li><\/ul><p data-start=\"545\" data-end=\"582\"><strong data-start=\"545\" data-end=\"580\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"583\" data-end=\"897\"><li data-start=\"583\" data-end=\"642\"><p data-start=\"585\" data-end=\"642\">Papul\u0103 sau nodul ferm, bine delimitat, rotund sau oval.<\/p><\/li><li data-start=\"643\" data-end=\"698\"><p data-start=\"645\" data-end=\"698\">Culoare: roz-brun\u0103, galben-maronie sau negricioas\u0103.<\/p><\/li><li data-start=\"699\" data-end=\"726\"><p data-start=\"701\" data-end=\"726\">Dimensiuni: 0,5 \u2013 2 cm.<\/p><\/li><li data-start=\"727\" data-end=\"805\"><p data-start=\"729\" data-end=\"805\">Semnul \u201edimple sign\u201d: la comprimarea lateral\u0103 apare o depresiune central\u0103.<\/p><\/li><li data-start=\"806\" data-end=\"897\"><p data-start=\"808\" data-end=\"897\">Localizare frecvent\u0103: membrele inferioare (\u00een special gambe), dar poate ap\u0103rea oriunde.<\/p><\/li><\/ul><p data-start=\"899\" data-end=\"915\"><strong data-start=\"899\" data-end=\"913\">Diagnostic<\/strong><\/p><ul data-start=\"916\" data-end=\"1293\"><li data-start=\"916\" data-end=\"938\"><p data-start=\"918\" data-end=\"938\">Examinare clinic\u0103.<\/p><\/li><li data-start=\"939\" data-end=\"1133\"><p data-start=\"941\" data-end=\"1133\">Histopatologie: proliferare de celule fusiforme (fibroblaste \u0219i histiocite) \u00een derm profund, dispunere \u00een fascicule storiforme, hemosiderin\u0103 \u0219i celule spumoase, epiderm suprapus hiperplazic.<\/p><\/li><li data-start=\"1134\" data-end=\"1293\"><p data-start=\"1136\" data-end=\"1293\">Diagnostic diferen\u021bial: nev intradermic, melanom amelanotic, keratoacantom, leiomiom cutanat, dermatofibrosarcom protuberans (\u00een leziuni mari sau atipice).<\/p><\/li><\/ul><p data-start=\"1295\" data-end=\"1320\"><strong data-start=\"1295\" data-end=\"1318\">Riscuri \u0219i evolu\u021bie<\/strong><\/p><ul data-start=\"1321\" data-end=\"1420\"><li data-start=\"1321\" data-end=\"1368\"><p data-start=\"1323\" data-end=\"1368\">Leziune benign\u0103, f\u0103r\u0103 poten\u021bial metastatic.<\/p><\/li><li data-start=\"1369\" data-end=\"1420\"><p data-start=\"1371\" data-end=\"1420\">Foarte rar recidiveaz\u0103 dup\u0103 excizie incomplet\u0103.<\/p><\/li><\/ul><p data-start=\"1422\" data-end=\"1437\"><strong data-start=\"1422\" data-end=\"1435\">Tratament<\/strong><\/p><ul data-start=\"1438\" data-end=\"1652\"><li data-start=\"1438\" data-end=\"1497\"><p data-start=\"1440\" data-end=\"1497\">Nu necesit\u0103 tratament dac\u0103 este stabil \u0219i asimptomatic.<\/p><\/li><li data-start=\"1498\" data-end=\"1652\"><p data-start=\"1500\" data-end=\"1544\"><strong data-start=\"1500\" data-end=\"1524\">Excizie chirurgical\u0103<\/strong> recomandat\u0103 dac\u0103:<\/p><ul data-start=\"1547\" data-end=\"1652\"><li data-start=\"1547\" data-end=\"1582\"><p data-start=\"1549\" data-end=\"1582\">devine dureroas\u0103 sau iritativ\u0103,<\/p><\/li><li data-start=\"1585\" data-end=\"1602\"><p data-start=\"1587\" data-end=\"1602\">se ulcereaz\u0103,<\/p><\/li><li data-start=\"1605\" data-end=\"1627\"><p data-start=\"1607\" data-end=\"1627\">se modific\u0103 rapid,<\/p><\/li><li data-start=\"1630\" data-end=\"1652\"><p data-start=\"1632\" data-end=\"1652\">afecteaz\u0103 estetic.<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"1654\" data-end=\"1824\"><strong data-start=\"1654\" data-end=\"1667\">Concluzie<\/strong><br data-start=\"1667\" data-end=\"1670\" \/>Dermatofibromul este o leziune benign\u0103, comun\u0103 \u0219i stabil\u0103, cu prognostic excelent. Monitorizarea sau excizia complet\u0103 sunt suficiente pentru gestionare.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705865\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705865\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-3d220b1 e-con-full e-flex e-con e-child\" data-id=\"3d220b1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35e2fcd elementor-widget elementor-widget-text-editor\" data-id=\"35e2fcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"65\" data-end=\"117\"><strong data-start=\"65\" data-end=\"115\">Lentigo Maligna \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"119\" data-end=\"366\"><strong data-start=\"119\" data-end=\"147\">Ce este Lentigo Maligna?<\/strong><br data-start=\"147\" data-end=\"150\" \/>Lentigo Maligna (LM) este o form\u0103 <em data-start=\"184\" data-end=\"193\">in situ<\/em> de melanom malign, aflat\u0103 \u00een stadiu precoce, limitat\u0103 la epiderm, f\u0103r\u0103 invazie dermic\u0103. Apare frecvent la v\u00e2rstnici, pe zonele expuse cronic la soare, \u00een special pe fa\u021b\u0103.<\/p><p data-start=\"368\" data-end=\"398\"><strong data-start=\"368\" data-end=\"396\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"399\" data-end=\"491\"><li data-start=\"399\" data-end=\"427\"><p data-start=\"401\" data-end=\"427\">Expunere solar\u0103 cronic\u0103.<\/p><\/li><li data-start=\"428\" data-end=\"463\"><p data-start=\"430\" data-end=\"463\">Fototip cutanat deschis (I\u2013II).<\/p><\/li><li data-start=\"464\" data-end=\"491\"><p data-start=\"466\" data-end=\"491\">V\u00e2rsta peste 60 de ani.<\/p><\/li><\/ul><p data-start=\"493\" data-end=\"530\"><strong data-start=\"493\" data-end=\"528\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"531\" data-end=\"735\"><li data-start=\"531\" data-end=\"587\"><p data-start=\"533\" data-end=\"587\">Plac\u0103 hiperpigmentat\u0103, plan\u0103, cu margini neregulate.<\/p><\/li><li data-start=\"588\" data-end=\"647\"><p data-start=\"590\" data-end=\"647\">Culoare variabil\u0103: maro, gri, negru, uneori albicioas\u0103.<\/p><\/li><li data-start=\"648\" data-end=\"683\"><p data-start=\"650\" data-end=\"683\">Dezvoltare lent\u0103 (ani de zile).<\/p><\/li><li data-start=\"684\" data-end=\"735\"><p data-start=\"686\" data-end=\"735\">Localizare tipic\u0103: nas, obraji, frunte, urechi.<\/p><\/li><\/ul><p data-start=\"737\" data-end=\"753\"><strong data-start=\"737\" data-end=\"751\">Diagnostic<\/strong><\/p><ul data-start=\"754\" data-end=\"1088\"><li data-start=\"754\" data-end=\"844\"><p data-start=\"756\" data-end=\"844\"><strong data-start=\"756\" data-end=\"773\">Dermatoscopie<\/strong>: re\u021bea pigmentar\u0103 neregulat\u0103, pseudore\u021bea, structuri gri-albicioase.<\/p><\/li><li data-start=\"845\" data-end=\"954\"><p data-start=\"847\" data-end=\"954\"><strong data-start=\"847\" data-end=\"858\">Biopsie<\/strong> \u2013 confirm\u0103 proliferarea de melanocite atipice \u00een stratul bazal, cu distribu\u021bie lentiginioas\u0103.<\/p><\/li><li data-start=\"955\" data-end=\"1088\"><p data-start=\"957\" data-end=\"1088\">Diagnostic diferen\u021bial: lentigo solar, keratoz\u0103 actinic\u0103 pigmentat\u0103, keratoz\u0103 seboreic\u0103 pigmentat\u0103, melanom superficial extensiv.<\/p><\/li><\/ul><p data-start=\"1090\" data-end=\"1115\"><strong data-start=\"1090\" data-end=\"1113\">Riscuri \u0219i evolu\u021bie<\/strong><\/p><ul data-start=\"1116\" data-end=\"1257\"><li data-start=\"1116\" data-end=\"1161\"><p data-start=\"1118\" data-end=\"1161\">Prognostic excelent \u00een stadiul <em data-start=\"1149\" data-end=\"1158\">in situ<\/em>.<\/p><\/li><li data-start=\"1162\" data-end=\"1257\"><p data-start=\"1164\" data-end=\"1257\">Poate progresa la Lentigo Maligna Melanom (LMM) cu invazie dermic\u0103 \u0219i poten\u021bial metastatic.<\/p><\/li><\/ul><p data-start=\"1259\" data-end=\"1274\"><strong data-start=\"1259\" data-end=\"1272\">Tratament<\/strong><\/p><ul data-start=\"1275\" data-end=\"1500\"><li data-start=\"1275\" data-end=\"1335\"><p data-start=\"1277\" data-end=\"1335\"><strong data-start=\"1277\" data-end=\"1310\">Excizie chirurgical\u0103 complet\u0103<\/strong> cu margini oncologice.<\/p><\/li><li data-start=\"1336\" data-end=\"1433\"><p data-start=\"1338\" data-end=\"1433\">Alternative (pacien\u021bi v\u00e2rstnici\/inoperabili): laser CO\u2082, imiquimod topic, radioterapie (rar).<\/p><\/li><li data-start=\"1434\" data-end=\"1500\"><p data-start=\"1436\" data-end=\"1500\">Monitorizare periodic\u0103 pentru depistarea transform\u0103rii \u00een LMM.<\/p><\/li><\/ul><p data-start=\"1502\" data-end=\"1684\"><strong data-start=\"1502\" data-end=\"1515\">Concluzie<\/strong><br data-start=\"1515\" data-end=\"1518\" \/>Lentigo Maligna este o form\u0103 incipient\u0103 de melanom, tratabil\u0103 complet dac\u0103 este diagnosticat\u0103 la timp. Supravegherea atent\u0103 \u0219i excizia precoce previn complica\u021biile.<\/p><p>\u00a0<\/p><div class=\"_tableContainer_1rjym_1\"><div class=\"_tableWrapper_1rjym_13 group flex w-fit flex-col-reverse\" tabindex=\"-1\"><table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"1537\" data-end=\"1927\"><thead data-start=\"1537\" data-end=\"1616\"><tr data-start=\"1537\" data-end=\"1616\"><th data-start=\"1537\" data-end=\"1558\" data-col-size=\"sm\">\u00a0<\/th><th data-start=\"1558\" data-end=\"1575\" data-col-size=\"sm\">\u00a0<\/th><th data-start=\"1575\" data-end=\"1616\" data-col-size=\"sm\">\u00a0<\/th><\/tr><\/thead><tbody data-start=\"1695\" data-end=\"1927\"><tr data-start=\"1695\" data-end=\"1772\"><td data-start=\"1695\" data-end=\"1716\" data-col-size=\"sm\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1716\" data-end=\"1733\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1733\" data-end=\"1772\">\u00a0<\/td><\/tr><tr data-start=\"1773\" data-end=\"1850\"><td data-start=\"1773\" data-end=\"1798\" data-col-size=\"sm\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1798\" data-end=\"1811\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1811\" data-end=\"1850\">\u00a0<\/td><\/tr><tr data-start=\"1851\" data-end=\"1927\"><td data-start=\"1851\" data-end=\"1875\" data-col-size=\"sm\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1875\" data-end=\"1888\">\u00a0<\/td><td data-col-size=\"sm\" data-start=\"1888\" data-end=\"1927\">\u00a0<\/td><\/tr><\/tbody><\/table><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705866\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705866\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-e3b24fa e-con-full e-flex e-con e-child\" data-id=\"e3b24fa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d7f1db elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"1d7f1db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/triggerfinger_1280-1024x576.jpg\" class=\"attachment-large size-large wp-image-981\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/triggerfinger_1280-1024x576.jpg 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/triggerfinger_1280-300x169.jpg 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/triggerfinger_1280-768x432.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/triggerfinger_1280.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a51a310 elementor-widget elementor-widget-text-editor\" data-id=\"a51a310\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"78\" data-end=\"126\"><strong data-start=\"78\" data-end=\"124\">Nevul Spitz \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"128\" data-end=\"367\"><strong data-start=\"128\" data-end=\"152\">Ce este nevul Spitz?<\/strong><br data-start=\"152\" data-end=\"155\" \/>Nevul Spitz este o tumor\u0103 melanocitar\u0103 benign\u0103, frecvent confundat\u0103 cu melanomul, mai ales la examinarea clinic\u0103 \u0219i histologic\u0103. Apare predominant la copii \u0219i adolescen\u021bi, dar poate fi \u00eent\u00e2lnit la orice v\u00e2rst\u0103.<\/p><p data-start=\"369\" data-end=\"399\"><strong data-start=\"369\" data-end=\"397\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"400\" data-end=\"531\"><li data-start=\"400\" data-end=\"447\"><p data-start=\"402\" data-end=\"447\">Mai frecvent la persoane cu piele deschis\u0103.<\/p><\/li><li data-start=\"448\" data-end=\"483\"><p data-start=\"450\" data-end=\"483\">Inciden\u021b\u0103 egal\u0103 la ambele sexe.<\/p><\/li><li data-start=\"484\" data-end=\"531\"><p data-start=\"486\" data-end=\"531\">Cel mai des diagnosticat \u00eentre 3\u201320 de ani.<\/p><\/li><\/ul><p data-start=\"533\" data-end=\"570\"><strong data-start=\"533\" data-end=\"568\">Simptome \u0219i manifest\u0103ri clinice<\/strong><\/p><ul data-start=\"571\" data-end=\"818\"><li data-start=\"571\" data-end=\"629\"><p data-start=\"573\" data-end=\"629\">Papul\u0103 sau nodul roz, ro\u0219u, maro sau pigmentat \u00eenchis.<\/p><\/li><li data-start=\"630\" data-end=\"683\"><p data-start=\"632\" data-end=\"683\">Neted, bine delimitat, uneori cu form\u0103 de cupol\u0103.<\/p><\/li><li data-start=\"684\" data-end=\"706\"><p data-start=\"686\" data-end=\"706\">Diametru sub 1 cm.<\/p><\/li><li data-start=\"707\" data-end=\"752\"><p data-start=\"709\" data-end=\"752\">Cre\u0219tere rapid\u0103 \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni\/luni.<\/p><\/li><li data-start=\"753\" data-end=\"818\"><p data-start=\"755\" data-end=\"818\">Localizare frecvent\u0103: fa\u021b\u0103, membre, dar poate ap\u0103rea oriunde.<\/p><\/li><\/ul><p data-start=\"820\" data-end=\"836\"><strong data-start=\"820\" data-end=\"834\">Diagnostic<\/strong><\/p><ul data-start=\"837\" data-end=\"1167\"><li data-start=\"837\" data-end=\"922\"><p data-start=\"839\" data-end=\"922\"><strong data-start=\"839\" data-end=\"856\">Dermatoscopie<\/strong> \u2013 adesea nespecific\u0103, ceea ce impune excizia pentru confirmare.<\/p><\/li><li data-start=\"923\" data-end=\"1094\"><p data-start=\"925\" data-end=\"1094\"><strong data-start=\"925\" data-end=\"943\">Histopatologie<\/strong>: proliferare simetric\u0103 de melanocite epitelioide \u0219i fusiforme, maturare \u00een profunzime, mitoze rare \u0219i superficiale, f\u0103r\u0103 atipii marcate sau invazie.<\/p><\/li><li data-start=\"1095\" data-end=\"1167\"><p data-start=\"1097\" data-end=\"1167\">Diagnostic diferen\u021bial: melanom, nev pigmentar comun, nev displazic.<\/p><\/li><\/ul><p data-start=\"1169\" data-end=\"1194\"><strong data-start=\"1169\" data-end=\"1192\">Riscuri \u0219i evolu\u021bie<\/strong><\/p><ul data-start=\"1195\" data-end=\"1346\"><li data-start=\"1195\" data-end=\"1238\"><p data-start=\"1197\" data-end=\"1238\">Leziune benign\u0103 cu prognostic excelent.<\/p><\/li><li data-start=\"1239\" data-end=\"1279\"><p data-start=\"1241\" data-end=\"1279\">Risc extrem de redus de malignizare.<\/p><\/li><li data-start=\"1280\" data-end=\"1346\"><p data-start=\"1282\" data-end=\"1346\">Formele atipice (\u201eSpitz atipic\u201d) necesit\u0103 monitorizare atent\u0103.<\/p><\/li><\/ul><p data-start=\"1348\" data-end=\"1363\"><strong data-start=\"1348\" data-end=\"1361\">Tratament<\/strong><\/p><ul data-start=\"1364\" data-end=\"1555\"><li data-start=\"1364\" data-end=\"1422\"><p data-start=\"1366\" data-end=\"1422\">Excizie chirurgical\u0103 complet\u0103 cu margini de siguran\u021b\u0103.<\/p><\/li><li data-start=\"1423\" data-end=\"1502\"><p data-start=\"1425\" data-end=\"1502\">Monitorizare clinic\u0103, mai ales la pacien\u021bii adul\u021bi sau \u00een cazurile atipice.<\/p><\/li><li data-start=\"1503\" data-end=\"1555\"><p data-start=\"1505\" data-end=\"1555\">\u00cen situa\u021bii neclare: evaluare multidisciplinar\u0103.<\/p><\/li><\/ul><p data-start=\"1557\" data-end=\"1728\"><strong data-start=\"1557\" data-end=\"1570\">Concluzie<\/strong><br data-start=\"1570\" data-end=\"1573\" \/>Nevul Spitz este o leziune benign\u0103, cu evolu\u021bie favorabil\u0103 dac\u0103 este excizat\u0103 \u0219i diagnosticat\u0103 corect. Supravegherea r\u0103m\u00e2ne esen\u021bial\u0103 \u00een formele atipice.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705867\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705867\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-e06aadc e-con-full e-flex e-con e-child\" data-id=\"e06aadc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b83d7f3 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"b83d7f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"760\" height=\"590\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Maladia-De-Quervain-Mini-Artic-Bestetic.webp\" class=\"attachment-large size-large wp-image-982\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Maladia-De-Quervain-Mini-Artic-Bestetic.webp 760w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/0-Maladia-De-Quervain-Mini-Artic-Bestetic-300x233.webp 300w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0008e50 elementor-widget elementor-widget-text-editor\" data-id=\"0008e50\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"73\" data-end=\"121\"><strong data-start=\"73\" data-end=\"119\">Neurofibrom \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"123\" data-end=\"397\"><strong data-start=\"123\" data-end=\"149\">Ce este neurofibromul?<\/strong><br data-start=\"149\" data-end=\"152\" \/>Neurofibromul este o tumor\u0103 benign\u0103 a tecii nervilor periferici, alc\u0103tuit\u0103 din celule Schwann, fibroblaste \u0219i celule perineurale. Poate ap\u0103rea izolat sau ca manifestare a <strong data-start=\"323\" data-end=\"356\">neurofibromatozei tip I (NF1)<\/strong>, o boal\u0103 genetic\u0103 autozomal dominant\u0103.<\/p><p data-start=\"399\" data-end=\"419\"><strong data-start=\"399\" data-end=\"417\">Cauze \u0219i forme<\/strong><\/p><ul data-start=\"420\" data-end=\"549\"><li data-start=\"420\" data-end=\"476\"><p data-start=\"422\" data-end=\"476\"><strong data-start=\"422\" data-end=\"434\">Sporadic<\/strong> \u2013 nodul unic, f\u0103r\u0103 component\u0103 genetic\u0103.<\/p><\/li><li data-start=\"477\" data-end=\"549\"><p data-start=\"479\" data-end=\"549\"><strong data-start=\"479\" data-end=\"497\">Asociat cu NF1<\/strong> \u2013 forme multiple, cu risc crescut de complica\u021bii.<\/p><\/li><\/ul><p data-start=\"551\" data-end=\"570\"><strong data-start=\"551\" data-end=\"568\">Forme clinice<\/strong><\/p><ul data-start=\"571\" data-end=\"788\"><li data-start=\"571\" data-end=\"622\"><p data-start=\"573\" data-end=\"622\"><strong data-start=\"573\" data-end=\"596\">Neurofibrom solitar<\/strong> \u2013 nodul bine delimitat.<\/p><\/li><li data-start=\"623\" data-end=\"702\"><p data-start=\"625\" data-end=\"702\"><strong data-start=\"625\" data-end=\"650\">Neurofibrom plexiform<\/strong> \u2013 tumori difuze, infiltrative, tipice pentru NF1.<\/p><\/li><li data-start=\"703\" data-end=\"788\"><p data-start=\"705\" data-end=\"788\"><strong data-start=\"705\" data-end=\"726\">Neurofibrom difuz<\/strong> \u2013 form\u0103 plan\u0103, infiltrativ\u0103, frecvent pe scalp sau trunchi.<\/p><\/li><\/ul><p data-start=\"790\" data-end=\"821\"><strong data-start=\"790\" data-end=\"819\">Simptome \u0219i aspect clinic<\/strong><\/p><ul data-start=\"822\" data-end=\"1089\"><li data-start=\"822\" data-end=\"898\"><p data-start=\"824\" data-end=\"898\">Nodul moale, mobil, de obicei nedureros (poate fi sensibil la presiune).<\/p><\/li><li data-start=\"899\" data-end=\"947\"><p data-start=\"901\" data-end=\"947\">Culoare: normal\u0103, roz, brun\u0103 sau pigmentat\u0103.<\/p><\/li><li data-start=\"948\" data-end=\"1008\"><p data-start=\"950\" data-end=\"1008\">Localizare: piele, nervi periferici, rar organe interne.<\/p><\/li><li data-start=\"1009\" data-end=\"1089\"><p data-start=\"1011\" data-end=\"1089\">Semn caracteristic: <strong data-start=\"1031\" data-end=\"1053\">\u201esemnul butonului\u201d<\/strong> \u2013 leziunea se retrage la ap\u0103sare.<\/p><\/li><\/ul><p data-start=\"1091\" data-end=\"1107\"><strong data-start=\"1091\" data-end=\"1105\">Diagnostic<\/strong><\/p><ul data-start=\"1108\" data-end=\"1313\"><li data-start=\"1108\" data-end=\"1159\"><p data-start=\"1110\" data-end=\"1159\"><strong data-start=\"1110\" data-end=\"1120\">Clinic<\/strong> \u2013 suficient pentru leziunile tipice.<\/p><\/li><li data-start=\"1160\" data-end=\"1233\"><p data-start=\"1162\" data-end=\"1233\"><strong data-start=\"1162\" data-end=\"1173\">Biopsie<\/strong> \u2013 indicat\u0103 la leziuni atipice sau cu modific\u0103ri suspecte.<\/p><\/li><li data-start=\"1234\" data-end=\"1313\"><p data-start=\"1236\" data-end=\"1313\"><strong data-start=\"1236\" data-end=\"1250\">Histologie<\/strong> \u2013 proliferare de celule fusiforme, colagen lax, f\u0103r\u0103 atipii.<\/p><\/li><\/ul><p data-start=\"1315\" data-end=\"1423\"><strong data-start=\"1315\" data-end=\"1341\">Diagnostic diferen\u021bial<\/strong><br data-start=\"1341\" data-end=\"1344\" \/>Dermatofibrom, lipom, leiomiom, schwannom, tumori maligne ale tecii nervoase.<\/p><p data-start=\"1425\" data-end=\"1442\"><strong data-start=\"1425\" data-end=\"1440\">Complica\u021bii<\/strong><\/p><ul data-start=\"1443\" data-end=\"1630\"><li data-start=\"1443\" data-end=\"1517\"><p data-start=\"1445\" data-end=\"1517\">Transformare malign\u0103 (mai ales la neurofibroamele plexiforme din NF1).<\/p><\/li><li data-start=\"1518\" data-end=\"1575\"><p data-start=\"1520\" data-end=\"1575\">Tulbur\u0103ri func\u021bionale locale prin compresia nervilor.<\/p><\/li><li data-start=\"1576\" data-end=\"1630\"><p data-start=\"1578\" data-end=\"1630\">Deform\u0103ri estetice \u00een formele multiple sau difuze.<\/p><\/li><\/ul><p data-start=\"1632\" data-end=\"1647\"><strong data-start=\"1632\" data-end=\"1645\">Tratament<\/strong><\/p><ul data-start=\"1648\" data-end=\"1814\"><li data-start=\"1648\" data-end=\"1752\"><p data-start=\"1650\" data-end=\"1752\">Excizie chirurgical\u0103 \u00een caz de cre\u0219tere rapid\u0103, durere, suspiciune de malignitate sau motiv estetic.<\/p><\/li><li data-start=\"1753\" data-end=\"1814\"><p data-start=\"1755\" data-end=\"1814\">Monitorizare \u00een formele multiple sau la pacien\u021bii cu NF1.<\/p><\/li><\/ul><p data-start=\"1816\" data-end=\"1832\"><strong data-start=\"1816\" data-end=\"1830\">Prognostic<\/strong><\/p><ul data-start=\"1833\" data-end=\"1970\"><li data-start=\"1833\" data-end=\"1869\"><p data-start=\"1835\" data-end=\"1869\">Favorabil \u00een cazurile sporadice.<\/p><\/li><li data-start=\"1870\" data-end=\"1970\"><p data-start=\"1872\" data-end=\"1970\">\u00cen NF1, necesit\u0103 supraveghere atent\u0103 din cauza riscului oncologic \u0219i complica\u021biilor neurologice.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705868\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705868\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-abc7567 e-con-full e-flex e-con e-child\" data-id=\"abc7567\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ffea52 gallery-spacing-custom elementor-widget__width-initial elementor-widget elementor-widget-image-gallery\" data-id=\"2ffea52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t<div id='gallery-3' class='gallery galleryid-643 gallery-columns-1 gallery-size-2048x2048'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"2ffea52\" data-elementor-lightbox-title=\"Dupuytren\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzNywidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy41MS40MF9kOTVmMmRjYi5qcGciLCJzbGlkZXNob3ciOiIyZmZlYTUyIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_d95f2dcb-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"2ffea52\" data-elementor-lightbox-title=\"Dupuytren\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzOCwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy41MS40MF9lMDk4Y2VkYi5qcGciLCJzbGlkZXNob3ciOiIyZmZlYTUyIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_e098cedb-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"2ffea52\" data-elementor-lightbox-title=\"Dupuytren\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzOSwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xMy41MS40MF9lYmExNmIxNi5qcGciLCJzbGlkZXNob3ciOiIyZmZlYTUyIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-13.51.40_eba16b16-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5851f5 elementor-widget elementor-widget-text-editor\" data-id=\"a5851f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"78\" data-end=\"143\"><strong data-start=\"78\" data-end=\"141\">Nevul Displazic (Nev Atipic) \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"145\" data-end=\"467\"><strong data-start=\"145\" data-end=\"173\">Ce este nevul displazic?<\/strong><br data-start=\"173\" data-end=\"176\" \/>Nevul displazic este o leziune melanocitar\u0103 benign\u0103, cu tr\u0103s\u0103turi clinice \u0219i histologice atipice. Poate sem\u0103na cu melanomul, dar nu \u00eendepline\u0219te criteriile complete ale acestuia. Leziunile pot fi sporadice sau parte a <strong data-start=\"394\" data-end=\"428\">sindromului nevilor displazici<\/strong>, asociat cu risc crescut de melanom.<\/p><p data-start=\"469\" data-end=\"499\"><strong data-start=\"469\" data-end=\"497\">Cauze \u0219i context genetic<\/strong><\/p><ul data-start=\"500\" data-end=\"697\"><li data-start=\"500\" data-end=\"551\"><p data-start=\"502\" data-end=\"551\">Apare frecvent la adolescen\u021bi \u0219i adul\u021bi tineri.<\/p><\/li><li data-start=\"552\" data-end=\"625\"><p data-start=\"554\" data-end=\"625\">Forme <strong data-start=\"560\" data-end=\"573\">sporadice<\/strong> sau <strong data-start=\"578\" data-end=\"591\">familiale<\/strong> (sindromul nevilor displazici).<\/p><\/li><li data-start=\"626\" data-end=\"697\"><p data-start=\"628\" data-end=\"697\">\u00cen sindromul familial, riscul de melanom este semnificativ crescut.<\/p><\/li><\/ul><p data-start=\"699\" data-end=\"718\"><strong data-start=\"699\" data-end=\"716\">Aspect clinic<\/strong><\/p><ul data-start=\"719\" data-end=\"969\"><li data-start=\"719\" data-end=\"832\"><p data-start=\"721\" data-end=\"832\">Leziune pigmentat\u0103, cu <strong data-start=\"744\" data-end=\"766\">margini neregulate<\/strong> \u0219i <strong data-start=\"770\" data-end=\"791\">culoare variabil\u0103<\/strong> (maro deschis, maro \u00eenchis, roz, gri).<\/p><\/li><li data-start=\"833\" data-end=\"862\"><p data-start=\"835\" data-end=\"862\">Diametru de obicei &gt;5 mm.<\/p><\/li><li data-start=\"863\" data-end=\"884\"><p data-start=\"865\" data-end=\"884\">Form\u0103 asimetric\u0103.<\/p><\/li><li data-start=\"885\" data-end=\"939\"><p data-start=\"887\" data-end=\"939\">Localizare frecvent\u0103: trunchi, g\u00e2t, scalp, membre.<\/p><\/li><li data-start=\"940\" data-end=\"969\"><p data-start=\"942\" data-end=\"969\">Deseori leziuni multiple.<\/p><\/li><\/ul><p data-start=\"971\" data-end=\"987\"><strong data-start=\"971\" data-end=\"985\">Diagnostic<\/strong><\/p><ul data-start=\"988\" data-end=\"1240\"><li data-start=\"988\" data-end=\"1074\"><p data-start=\"990\" data-end=\"1074\"><strong data-start=\"990\" data-end=\"1007\">Dermatoscopie<\/strong>: re\u021bele pigmentare atipice, zone de regresie, puncte neregulate.<\/p><\/li><li data-start=\"1075\" data-end=\"1240\"><p data-start=\"1077\" data-end=\"1240\"><strong data-start=\"1077\" data-end=\"1106\">Examinare histopatologic\u0103<\/strong>: arhitectur\u0103 dezorganizat\u0103, atipii melanocitare u\u0219oare-moderate, infiltrat limfocitar perijonctional, fibroplazie lamelar\u0103 dermic\u0103.<\/p><\/li><\/ul><p data-start=\"1242\" data-end=\"1348\"><strong data-start=\"1242\" data-end=\"1268\">Diagnostic diferen\u021bial<\/strong><br data-start=\"1268\" data-end=\"1271\" \/>Melanom in situ, lentigo solar, nev compus benign, keratoacantom pigmentar.<\/p><p data-start=\"1350\" data-end=\"1378\"><strong data-start=\"1350\" data-end=\"1376\">Riscuri \u0219i complica\u021bii<\/strong><\/p><ul data-start=\"1379\" data-end=\"1543\"><li data-start=\"1379\" data-end=\"1460\"><p data-start=\"1381\" data-end=\"1460\">Transformare malign\u0103 mai frecvent\u0103 la leziunile multiple, mari sau ereditare.<\/p><\/li><li data-start=\"1461\" data-end=\"1543\"><p data-start=\"1463\" data-end=\"1543\">Sindromul nevilor displazici: istoric familial de melanom \u0219i &gt;50 nevi atipici.<\/p><\/li><\/ul><p data-start=\"1545\" data-end=\"1560\"><strong data-start=\"1545\" data-end=\"1558\">Tratament<\/strong><\/p><ul data-start=\"1561\" data-end=\"1845\"><li data-start=\"1561\" data-end=\"1734\"><p data-start=\"1563\" data-end=\"1625\"><strong data-start=\"1563\" data-end=\"1596\">Excizie chirurgical\u0103 complet\u0103<\/strong> \u2013 recomandat\u0103 dac\u0103 exist\u0103:<\/p><ul data-start=\"1628\" data-end=\"1734\"><li data-start=\"1628\" data-end=\"1671\"><p data-start=\"1630\" data-end=\"1671\">Atipii histologice moderate sau severe,<\/p><\/li><li data-start=\"1674\" data-end=\"1705\"><p data-start=\"1676\" data-end=\"1705\">Modific\u0103ri clinice recente,<\/p><\/li><li data-start=\"1708\" data-end=\"1734\"><p data-start=\"1710\" data-end=\"1734\">Suspiciune de melanom.<\/p><\/li><\/ul><\/li><li data-start=\"1735\" data-end=\"1845\"><p data-start=\"1737\" data-end=\"1845\"><strong data-start=\"1737\" data-end=\"1777\">Monitorizare dermatologic\u0103 periodic\u0103<\/strong> \u2013 esen\u021bial\u0103 la pacien\u021bii cu risc crescut sau cu leziuni multiple.<\/p><\/li><\/ul><p data-start=\"1847\" data-end=\"1873\"><strong data-start=\"1847\" data-end=\"1871\">Recomand\u0103ri generale<\/strong><\/p><ul data-start=\"1874\" data-end=\"2041\"><li data-start=\"1874\" data-end=\"1912\"><p data-start=\"1876\" data-end=\"1912\">Fotoprotec\u021bie riguroas\u0103 (SPF &gt;30).<\/p><\/li><li data-start=\"1913\" data-end=\"1962\"><p data-start=\"1915\" data-end=\"1962\">Autoexaminare lunar\u0103 a pielii (regula ABCDE).<\/p><\/li><li data-start=\"1963\" data-end=\"2041\"><p data-start=\"1965\" data-end=\"2041\">Control dermatologic anual sau la 6 luni, \u00een func\u021bie de riscul individual.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-1546705869\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-1546705869\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-051ab5d e-con-full e-flex e-con e-child\" data-id=\"051ab5d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c7e01dd gallery-spacing-custom elementor-widget__width-initial elementor-widget elementor-widget-image-gallery\" data-id=\"c7e01dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t<div id='gallery-4' class='gallery galleryid-643 gallery-columns-1 gallery-size-2048x2048'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"c7e01dd\" data-elementor-lightbox-title=\"Malett Finger\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzMCwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xNC4wMi4wN19hYzBlMDAxZS5qcGciLCJzbGlkZXNob3ciOiJjN2UwMWRkIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_ac0e001e-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"c7e01dd\" data-elementor-lightbox-title=\"Malett Finger\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzMSwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xNC4wMi4wN19jODY2YTRkNS5qcGciLCJzbGlkZXNob3ciOiJjN2UwMWRkIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c866a4d5-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"c7e01dd\" data-elementor-lightbox-title=\"Malett Finger\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTAzMiwidXJsIjoiaHR0cHM6XC9cL2Ryc3RyYXRhbi5tZFwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDhcL1x1MDQxOFx1MDQzN1x1MDQzZVx1MDQzMVx1MDQ0MFx1MDQzMFx1MDQzNlx1MDQzNVx1MDQzZFx1MDQzOFx1MDQzNS1XaGF0c0FwcC0yMDI1LTA4LTEyLVx1MDQzMi0xNC4wMi4wN19jNTQyOTc3Mi5qcGciLCJzbGlkZXNob3ciOiJjN2UwMWRkIn0%3D\" href='https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772.jpg\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772.jpg 1200w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772-225x300.jpg 225w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772-768x1024.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/\u0418\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u0435-WhatsApp-2025-08-12-\u0432-14.02.07_c5429772-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e52fafb elementor-widget elementor-widget-text-editor\" data-id=\"e52fafb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"78\" data-end=\"146\"><strong data-start=\"78\" data-end=\"144\">Cornul Cutanat (Cornu Cutaneum) \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"148\" data-end=\"436\"><strong data-start=\"148\" data-end=\"175\">Ce este Cornul Cutanat?<\/strong><br data-start=\"175\" data-end=\"178\" \/>Cornul cutanat este o forma\u021biune cutanat\u0103 conic\u0103, proeminent\u0103, format\u0103 predominant din keratin\u0103 compact\u0103, asem\u0103n\u0103toare unui corn. Este <strong data-start=\"313\" data-end=\"331\">un semn clinic<\/strong>, nu un diagnostic \u00een sine, \u0219i poate fi asociat cu leziuni <strong data-start=\"390\" data-end=\"425\">benigne, premaligne sau maligne<\/strong> la baz\u0103.<\/p><p data-start=\"438\" data-end=\"468\"><strong data-start=\"438\" data-end=\"466\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"469\" data-end=\"666\"><li data-start=\"469\" data-end=\"537\"><p data-start=\"471\" data-end=\"537\">Proliferare anormal\u0103 a keratinocitelor \u0219i hiperkeratoz\u0103 intens\u0103.<\/p><\/li><li data-start=\"538\" data-end=\"574\"><p data-start=\"540\" data-end=\"574\">Expunere cronic\u0103 la radia\u021bii UV.<\/p><\/li><li data-start=\"575\" data-end=\"600\"><p data-start=\"577\" data-end=\"600\">Traumatisme repetate.<\/p><\/li><li data-start=\"601\" data-end=\"622\"><p data-start=\"603\" data-end=\"622\">V\u00e2rst\u0103 \u00eenaintat\u0103.<\/p><\/li><li data-start=\"623\" data-end=\"666\"><p data-start=\"625\" data-end=\"666\">Infec\u021bii virale (HPV, uneori implicat).<\/p><\/li><\/ul><p data-start=\"668\" data-end=\"687\"><strong data-start=\"668\" data-end=\"685\">Aspect clinic<\/strong><\/p><ul data-start=\"688\" data-end=\"1038\"><li data-start=\"688\" data-end=\"741\"><p data-start=\"690\" data-end=\"741\">Leziune proeminent\u0103, tare, conic\u0103 sau cilindric\u0103.<\/p><\/li><li data-start=\"742\" data-end=\"784\"><p data-start=\"744\" data-end=\"784\">Culoare: galben-brun\u0103 p\u00e2n\u0103 la cenu\u0219ie.<\/p><\/li><li data-start=\"785\" data-end=\"829\"><p data-start=\"787\" data-end=\"829\">Dimensiuni: c\u00e2\u021biva mm p\u00e2n\u0103 la c\u00e2\u021biva cm.<\/p><\/li><li data-start=\"830\" data-end=\"952\"><p data-start=\"832\" data-end=\"952\">Baza leziunii poate fi eritematoas\u0103, indurat\u0103, infiltrat\u0103 sau s\u00e2nger\u00e2nd\u0103 \u2013 importante pentru suspiciunea malignit\u0103\u021bii.<\/p><\/li><li data-start=\"953\" data-end=\"1038\"><p data-start=\"955\" data-end=\"1038\">Localizare frecvent\u0103: fa\u021b\u0103, scalp, urechi, dosul m\u00e2inilor \u2013 zone expuse la soare.<\/p><\/li><\/ul><p data-start=\"1040\" data-end=\"1070\"><strong data-start=\"1040\" data-end=\"1068\">Leziuni asociate la baz\u0103<\/strong><\/p><ul data-start=\"1071\" data-end=\"1309\"><li data-start=\"1071\" data-end=\"1148\"><p data-start=\"1073\" data-end=\"1148\"><strong data-start=\"1073\" data-end=\"1090\">Benigne (60%)<\/strong>: veruci vulgare, keratoze seboreice, keratoze actinice.<\/p><\/li><li data-start=\"1149\" data-end=\"1200\"><p data-start=\"1151\" data-end=\"1200\"><strong data-start=\"1151\" data-end=\"1165\">Premaligne<\/strong>: keratoz\u0103 actinic\u0103, boala Bowen.<\/p><\/li><li data-start=\"1201\" data-end=\"1309\"><p data-start=\"1203\" data-end=\"1309\"><strong data-start=\"1203\" data-end=\"1223\">Maligne (20\u201325%)<\/strong>: carcinom spinocelular (cel mai frecvent), carcinom bazocelular, melanom (rareori).<\/p><\/li><\/ul><p data-start=\"1311\" data-end=\"1327\"><strong data-start=\"1311\" data-end=\"1325\">Diagnostic<\/strong><\/p><ul data-start=\"1328\" data-end=\"1509\"><li data-start=\"1328\" data-end=\"1374\"><p data-start=\"1330\" data-end=\"1374\"><strong data-start=\"1330\" data-end=\"1340\">Clinic<\/strong>: prin aspectul tipic de \u201ecorn\u201d.<\/p><\/li><li data-start=\"1375\" data-end=\"1509\"><p data-start=\"1377\" data-end=\"1509\"><strong data-start=\"1377\" data-end=\"1395\">Histopatologic<\/strong>: obligatoriu pentru identificarea leziunii de la baz\u0103; se realizeaz\u0103 prin excizie complet\u0103 sau biopsie a bazei.<\/p><\/li><\/ul><p data-start=\"1511\" data-end=\"1551\"><strong data-start=\"1511\" data-end=\"1549\">Semne de alarm\u0103 pentru malignitate<\/strong><\/p><ul data-start=\"1552\" data-end=\"1705\"><li data-start=\"1552\" data-end=\"1594\"><p data-start=\"1554\" data-end=\"1594\">Baz\u0103 indurat\u0103, ulcerat\u0103 sau inflamat\u0103.<\/p><\/li><li data-start=\"1595\" data-end=\"1643\"><p data-start=\"1597\" data-end=\"1643\">Leziune dureroas\u0103 sau cu s\u00e2ngerare spontan\u0103.<\/p><\/li><li data-start=\"1644\" data-end=\"1663\"><p data-start=\"1646\" data-end=\"1663\">V\u00e2rst\u0103 &gt;60 ani.<\/p><\/li><li data-start=\"1664\" data-end=\"1705\"><p data-start=\"1666\" data-end=\"1705\">Istoric de expunere cronic\u0103 la soare.<\/p><\/li><\/ul><p data-start=\"1707\" data-end=\"1722\"><strong data-start=\"1707\" data-end=\"1720\">Tratament<\/strong><\/p><ul data-start=\"1723\" data-end=\"2043\"><li data-start=\"1723\" data-end=\"1805\"><p data-start=\"1725\" data-end=\"1805\"><strong data-start=\"1725\" data-end=\"1782\">Excizie chirurgical\u0103 complet\u0103 cu margini de siguran\u021b\u0103<\/strong> \u2013 metoda de elec\u021bie.<\/p><\/li><li data-start=\"1806\" data-end=\"1911\"><p data-start=\"1808\" data-end=\"1911\"><strong data-start=\"1808\" data-end=\"1831\">Biopsie incizional\u0103<\/strong> \u2013 dac\u0103 leziunea este suspect\u0103 sau prea mare pentru excizie complet\u0103 ini\u021bial\u0103.<\/p><\/li><li data-start=\"1912\" data-end=\"2043\"><p data-start=\"1914\" data-end=\"2043\"><strong data-start=\"1914\" data-end=\"1930\">Alte op\u021biuni<\/strong> (mai rar utilizate): crioterapie, chiuretaj + electrocoagulare, laser \u2013 doar pentru leziuni confirmat benigne.<\/p><\/li><\/ul><hr data-start=\"2045\" data-end=\"2048\" \/>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058610\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058610\" data-tab-index=\"10\" style=\"--n-tabs-title-order: 10;\" class=\" elementor-element elementor-element-075e951 e-con-full e-flex e-con e-child\" data-id=\"075e951\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-420e963 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"420e963\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"480\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/Sindactilia-Dr-Vladislav-Gyebnar.webp\" class=\"attachment-large size-large wp-image-985\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/Sindactilia-Dr-Vladislav-Gyebnar.webp 1000w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/Sindactilia-Dr-Vladislav-Gyebnar-300x180.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/Sindactilia-Dr-Vladislav-Gyebnar-768x461.webp 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26d8102 elementor-widget elementor-widget-text-editor\" data-id=\"26d8102\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"66\" data-end=\"123\"><strong data-start=\"66\" data-end=\"121\">Keratoacantomul (KA) \u2013 Cauze, Simptome \u0219i Tratament<\/strong><\/p><p data-start=\"125\" data-end=\"393\"><strong data-start=\"125\" data-end=\"153\">Ce este Keratoacantomul?<\/strong><br data-start=\"153\" data-end=\"156\" \/>Keratoacantomul este o tumoare cutanat\u0103 benign\u0103, cu cre\u0219tere rapid\u0103, asem\u0103n\u0103toare clinic \u0219i histologic cu <strong data-start=\"262\" data-end=\"295\">carcinomul spinocelular (SCC)<\/strong>. De\u0219i benign, poate fi agresiv local \u0219i necesit\u0103 evaluare atent\u0103 pentru a exclude malignitatea.<\/p><p data-start=\"395\" data-end=\"425\"><strong data-start=\"395\" data-end=\"423\">Cauze \u0219i factori de risc<\/strong><\/p><ul data-start=\"426\" data-end=\"682\"><li data-start=\"426\" data-end=\"462\"><p data-start=\"428\" data-end=\"462\">Se dezvolt\u0103 din foliculul pilos.<\/p><\/li><li data-start=\"463\" data-end=\"499\"><p data-start=\"465\" data-end=\"499\">Expunere cronic\u0103 la radia\u021bii UV.<\/p><\/li><li data-start=\"500\" data-end=\"560\"><p data-start=\"502\" data-end=\"560\">Contact cu substan\u021be carcinogene (gudron, hidrocarburi).<\/p><\/li><li data-start=\"561\" data-end=\"613\"><p data-start=\"563\" data-end=\"613\">Traumatisme locale sau interven\u021bii chirurgicale.<\/p><\/li><li data-start=\"614\" data-end=\"632\"><p data-start=\"616\" data-end=\"632\">Imunosupresie.<\/p><\/li><li data-start=\"633\" data-end=\"682\"><p data-start=\"635\" data-end=\"682\">Uneori: infec\u021bie cu HPV (papilomavirus uman).<\/p><\/li><\/ul><p data-start=\"684\" data-end=\"703\"><strong data-start=\"684\" data-end=\"701\">Aspect clinic<\/strong><\/p><ul data-start=\"704\" data-end=\"1021\"><li data-start=\"704\" data-end=\"751\"><p data-start=\"706\" data-end=\"751\">Leziune nodular\u0103, rotund\u0103, bine delimitat\u0103.<\/p><\/li><li data-start=\"752\" data-end=\"830\"><p data-start=\"754\" data-end=\"830\">Centrul crateriform, cu keratin\u0103 groas\u0103 \u2013 aspect de \u201evulcan\u201d sau \u201ecrater\u201d.<\/p><\/li><li data-start=\"831\" data-end=\"879\"><p data-start=\"833\" data-end=\"879\">Cre\u0219tere rapid\u0103: 1\u20132 cm \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni.<\/p><\/li><li data-start=\"880\" data-end=\"943\"><p data-start=\"882\" data-end=\"943\">Poate regresa spontan \u00een 4\u20136 luni, l\u0103s\u00e2nd adesea cicatrici.<\/p><\/li><li data-start=\"944\" data-end=\"1021\"><p data-start=\"946\" data-end=\"1021\">Localizare: fa\u021b\u0103, nas, buze, urechi, scalp, m\u00e2ini \u2013 zone expuse la soare.<\/p><\/li><\/ul><p data-start=\"1023\" data-end=\"1051\"><strong data-start=\"1023\" data-end=\"1049\">Diagnostic diferen\u021bial<\/strong><\/p><ul data-start=\"1052\" data-end=\"1205\"><li data-start=\"1052\" data-end=\"1114\"><p data-start=\"1054\" data-end=\"1114\">Carcinom spinocelular (SCC) \u2013 cea mai important\u0103 confuzie.<\/p><\/li><li data-start=\"1115\" data-end=\"1137\"><p data-start=\"1117\" data-end=\"1137\">Keratoza actinic\u0103.<\/p><\/li><li data-start=\"1138\" data-end=\"1159\"><p data-start=\"1140\" data-end=\"1159\">Bazaliom nodular.<\/p><\/li><li data-start=\"1160\" data-end=\"1205\"><p data-start=\"1162\" data-end=\"1205\">Leishmanioz\u0103 cutanat\u0103 (\u00een zone endemice).<\/p><\/li><\/ul><p data-start=\"1207\" data-end=\"1223\"><strong data-start=\"1207\" data-end=\"1221\">Diagnostic<\/strong><\/p><ul data-start=\"1224\" data-end=\"1489\"><li data-start=\"1224\" data-end=\"1301\"><p data-start=\"1226\" data-end=\"1301\">Biopsie excizional\u0103 sau incizional\u0103, incluz\u00e2nd marginea \u0219i baza leziunii.<\/p><\/li><li data-start=\"1302\" data-end=\"1489\"><p data-start=\"1304\" data-end=\"1489\"><strong data-start=\"1304\" data-end=\"1322\">Histopatologie<\/strong>: lobuli de keratinocite cu atipii u\u0219oare, simetrie \u0219i maturare periferic\u0103, inflama\u021bie mixt\u0103 la baz\u0103, f\u0103r\u0103 invazie perineural\u0103 sau vascular\u0103 (spre deosebire de SCC).<\/p><\/li><\/ul><p data-start=\"1491\" data-end=\"1511\"><strong data-start=\"1491\" data-end=\"1509\">Tipuri clinice<\/strong><\/p><ul data-start=\"1512\" data-end=\"1713\"><li data-start=\"1512\" data-end=\"1551\"><p data-start=\"1514\" data-end=\"1551\">Sporadic (unic) \u2013 cel mai frecvent.<\/p><\/li><li data-start=\"1552\" data-end=\"1582\"><p data-start=\"1554\" data-end=\"1582\">Multiplu (familial) \u2013 rar.<\/p><\/li><li data-start=\"1583\" data-end=\"1644\"><p data-start=\"1585\" data-end=\"1644\">Asociat cu sindroame genetice (ex. sindromul Muir-Torre).<\/p><\/li><li data-start=\"1645\" data-end=\"1664\"><p data-start=\"1647\" data-end=\"1664\">Gigant (&gt;3 cm).<\/p><\/li><li data-start=\"1665\" data-end=\"1713\"><p data-start=\"1667\" data-end=\"1713\">Subungual, mucoas\u0103, keratoacantom centrifug.<\/p><\/li><\/ul><p data-start=\"1715\" data-end=\"1730\"><strong data-start=\"1715\" data-end=\"1728\">Tratament<\/strong><\/p><ul data-start=\"1731\" data-end=\"2043\"><li data-start=\"1731\" data-end=\"1818\"><p data-start=\"1733\" data-end=\"1818\"><strong data-start=\"1733\" data-end=\"1766\">Excizie chirurgical\u0103 complet\u0103<\/strong> \u2013 metod\u0103 standard, necesar\u0103 pentru a exclude SCC.<\/p><\/li><li data-start=\"1819\" data-end=\"2043\"><p data-start=\"1821\" data-end=\"1859\">Alte op\u021biuni \u00een cazuri selec\u021bionate:<\/p><ul data-start=\"1862\" data-end=\"2043\"><li data-start=\"1862\" data-end=\"1923\"><p data-start=\"1864\" data-end=\"1923\">Injec\u021bii intralezionale cu metotrexat sau 5-fluorouracil.<\/p><\/li><li data-start=\"1926\" data-end=\"1992\"><p data-start=\"1928\" data-end=\"1992\">Crioterapie sau curetaj + electrocoagulare (risc de recidiv\u0103).<\/p><\/li><li data-start=\"1995\" data-end=\"2043\"><p data-start=\"1997\" data-end=\"2043\">Radioterapie \u2013 doar la pacien\u021bi inoperabili.<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"2045\" data-end=\"2061\"><strong data-start=\"2045\" data-end=\"2059\">Prognostic<\/strong><\/p><ul data-start=\"2062\" data-end=\"2179\"><li data-start=\"2062\" data-end=\"2108\"><p data-start=\"2064\" data-end=\"2108\">Prognostic bun, f\u0103r\u0103 poten\u021bial metastatic.<\/p><\/li><li data-start=\"2109\" data-end=\"2179\"><p data-start=\"2111\" data-end=\"2179\">Se trateaz\u0103 ca o leziune malign\u0103 p\u00e2n\u0103 la confirmarea benignit\u0103\u021bii.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058611\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058611\" data-tab-index=\"11\" style=\"--n-tabs-title-order: 11;\" class=\" elementor-element elementor-element-7d2e3bc e-con-full e-flex e-con e-child\" data-id=\"7d2e3bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4832303 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"4832303\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/6-LCU-ligament-mana-pozitie-vicioasa-schita-1024x682.webp\" class=\"attachment-large size-large wp-image-986\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/6-LCU-ligament-mana-pozitie-vicioasa-schita-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/6-LCU-ligament-mana-pozitie-vicioasa-schita-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/6-LCU-ligament-mana-pozitie-vicioasa-schita-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/6-LCU-ligament-mana-pozitie-vicioasa-schita.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26f404c elementor-widget elementor-widget-text-editor\" data-id=\"26f404c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"67\" data-end=\"131\"><strong data-start=\"67\" data-end=\"129\">Carcinomul trichilemal (carcinom trichilemal proliferativ)<\/strong><\/p><p data-start=\"133\" data-end=\"376\"><strong data-start=\"133\" data-end=\"145\">Ce este?<\/strong><br data-start=\"145\" data-end=\"148\" \/>Carcinomul trichilemal este o <strong data-start=\"178\" data-end=\"201\">tumor\u0103 malign\u0103 rar\u0103<\/strong> derivat\u0103 din celulele matricei p\u0103rului, similar celor din chistul trichilemal. Poate ap\u0103rea <strong data-start=\"294\" data-end=\"305\">de novo<\/strong> sau prin transformarea malign\u0103 a unui chist trichilemal preexistent.<\/p><p data-start=\"378\" data-end=\"397\"><strong data-start=\"378\" data-end=\"395\">Epidemiologie<\/strong><\/p><ul data-start=\"398\" data-end=\"533\"><li data-start=\"398\" data-end=\"416\"><p data-start=\"400\" data-end=\"416\">Extrem de rar.<\/p><\/li><li data-start=\"417\" data-end=\"460\"><p data-start=\"419\" data-end=\"460\">Predomin\u0103 la femei \u00een v\u00e2rst\u0103 (&gt;50 ani).<\/p><\/li><li data-start=\"461\" data-end=\"533\"><p data-start=\"463\" data-end=\"533\">Localizare frecvent\u0103: scalp (zone cu densitate folicular\u0103 crescut\u0103).<\/p><\/li><\/ul><p data-start=\"535\" data-end=\"578\"><strong data-start=\"535\" data-end=\"576\">Etiopatogenez\u0103 \u0219i factori favorizan\u021bi<\/strong><\/p><ul data-start=\"579\" data-end=\"783\"><li data-start=\"579\" data-end=\"657\"><p data-start=\"581\" data-end=\"657\">Origine: celulele exterioare ale r\u0103d\u0103cinii p\u0103rului (hair follicle sheath).<\/p><\/li><li data-start=\"658\" data-end=\"724\"><p data-start=\"660\" data-end=\"724\">Factori favorizan\u021bi: traumatisme repetate, inflama\u021bii cronice.<\/p><\/li><li data-start=\"725\" data-end=\"783\"><p data-start=\"727\" data-end=\"783\">Cre\u0219tere lent\u0103 ini\u021bial, cu accelerare \u00een faza malign\u0103.<\/p><\/li><\/ul><p data-start=\"785\" data-end=\"804\"><strong data-start=\"785\" data-end=\"802\">Aspect clinic<\/strong><\/p><ul data-start=\"805\" data-end=\"1094\"><li data-start=\"805\" data-end=\"853\"><p data-start=\"807\" data-end=\"853\">Nodul subcutanat, ferm, de obicei nedureros.<\/p><\/li><li data-start=\"854\" data-end=\"902\"><p data-start=\"856\" data-end=\"902\">Cre\u0219tere lent\u0103 \u2192 accelerat\u0103 \u00een faza malign\u0103.<\/p><\/li><li data-start=\"903\" data-end=\"942\"><p data-start=\"905\" data-end=\"942\">Dimensiuni variabile, uneori &gt;5 cm.<\/p><\/li><li data-start=\"943\" data-end=\"1000\"><p data-start=\"945\" data-end=\"1000\">Suprafa\u021b\u0103 posibil ulcerat\u0103, hemoragic\u0103 sau inflamat\u0103.<\/p><\/li><li data-start=\"1001\" data-end=\"1094\"><p data-start=\"1003\" data-end=\"1094\">Poate fi confundat cu: chist epidermoid, chist trichilemal benign, carcinom spinocelular.<\/p><\/li><\/ul><p data-start=\"1096\" data-end=\"1119\"><strong data-start=\"1096\" data-end=\"1117\">Aspect histologic<\/strong><\/p><ul data-start=\"1120\" data-end=\"1399\"><li data-start=\"1120\" data-end=\"1191\"><p data-start=\"1122\" data-end=\"1191\">Celule epiteliale mari, citoplasm\u0103 abundent\u0103, nucleoli proeminen\u021bi.<\/p><\/li><li data-start=\"1192\" data-end=\"1265\"><p data-start=\"1194\" data-end=\"1265\">Keratinizare abrupt\u0103 f\u0103r\u0103 strat granular (similar chist trichilemal).<\/p><\/li><li data-start=\"1266\" data-end=\"1306\"><p data-start=\"1268\" data-end=\"1306\">Atypii celulare \u0219i mitoze frecvente.<\/p><\/li><li data-start=\"1307\" data-end=\"1368\"><p data-start=\"1309\" data-end=\"1368\">Infiltrare \u00een \u021besuturile adiacente \u2013 semn de malignitate.<\/p><\/li><li data-start=\"1369\" data-end=\"1399\"><p data-start=\"1371\" data-end=\"1399\">Posibil\u0103 necroz\u0103 central\u0103.<\/p><\/li><\/ul><p data-start=\"1401\" data-end=\"1417\"><strong data-start=\"1401\" data-end=\"1415\">Diagnostic<\/strong><\/p><ul data-start=\"1418\" data-end=\"1606\"><li data-start=\"1418\" data-end=\"1466\"><p data-start=\"1420\" data-end=\"1466\">Biopsie excizional\u0103 cu margini de siguran\u021b\u0103.<\/p><\/li><li data-start=\"1467\" data-end=\"1529\"><p data-start=\"1469\" data-end=\"1529\">Examen histopatologic \u2013 criteriul principal de diagnostic.<\/p><\/li><li data-start=\"1530\" data-end=\"1606\"><p data-start=\"1532\" data-end=\"1606\">Eventual CT sau RMN pentru evaluarea invaziei locale \u00een cazuri avansate.<\/p><\/li><\/ul><p data-start=\"1608\" data-end=\"1623\"><strong data-start=\"1608\" data-end=\"1621\">Tratament<\/strong><\/p><ul data-start=\"1624\" data-end=\"1799\"><li data-start=\"1624\" data-end=\"1702\"><p data-start=\"1626\" data-end=\"1702\"><strong data-start=\"1626\" data-end=\"1681\">Excizie chirurgical\u0103 complet\u0103 cu margini oncologice<\/strong> \u2013 metoda standard.<\/p><\/li><li data-start=\"1703\" data-end=\"1770\"><p data-start=\"1705\" data-end=\"1770\">\u00cen cazuri selectate sau recurente: radioterapie postoperatorie.<\/p><\/li><li data-start=\"1771\" data-end=\"1799\"><p data-start=\"1773\" data-end=\"1799\">Monitorizare oncologic\u0103.<\/p><\/li><\/ul><p data-start=\"1801\" data-end=\"1817\"><strong data-start=\"1801\" data-end=\"1815\">Prognostic<\/strong><\/p><ul data-start=\"1818\" data-end=\"1974\"><li data-start=\"1818\" data-end=\"1856\"><p data-start=\"1820\" data-end=\"1856\">General bun dup\u0103 excizie complet\u0103.<\/p><\/li><li data-start=\"1857\" data-end=\"1915\"><p data-start=\"1859\" data-end=\"1915\">Risc sc\u0103zut de metastaze la ganglioni sau la distan\u021b\u0103.<\/p><\/li><li data-start=\"1916\" data-end=\"1974\"><p data-start=\"1918\" data-end=\"1974\">Recidiva local\u0103 posibil\u0103 dac\u0103 excizia este incomplet\u0103.<\/p><\/li><\/ul><hr data-start=\"1976\" data-end=\"1979\" \/>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058612\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058612\" data-tab-index=\"12\" style=\"--n-tabs-title-order: 12;\" class=\" elementor-element elementor-element-bd8d1ee e-con-full e-flex e-con e-child\" data-id=\"bd8d1ee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ae145c4 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"ae145c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"420\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/gethumb-1024x538.jpg\" class=\"attachment-large size-large wp-image-987\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/gethumb-1024x538.jpg 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/gethumb-300x158.jpg 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/gethumb-768x403.jpg 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/gethumb.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a938fb elementor-widget elementor-widget-text-editor\" data-id=\"5a938fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"67\" data-end=\"150\"><strong data-start=\"67\" data-end=\"89\">Molluscum pendulum<\/strong><br data-start=\"89\" data-end=\"92\" \/><em data-start=\"92\" data-end=\"148\">(Sinonime: acrocordon, fibroepiteliom moale, skin tag)<\/em><\/p><p data-start=\"152\" data-end=\"342\"><strong data-start=\"152\" data-end=\"164\">Ce este?<\/strong><br data-start=\"164\" data-end=\"167\" \/>Molluscum pendulum este o <strong data-start=\"193\" data-end=\"221\">leziune cutanat\u0103 benign\u0103<\/strong>, moale, pediculat\u0103, format\u0103 din \u021besut conjunctiv \u0219i epitelial. Este frecvent \u00eent\u00e2lnit\u0103 \u0219i <strong data-start=\"312\" data-end=\"339\">nu are poten\u021bial malign<\/strong>.<\/p><p data-start=\"344\" data-end=\"363\"><strong data-start=\"344\" data-end=\"361\">Epidemiologie<\/strong><\/p><ul data-start=\"364\" data-end=\"569\"><li data-start=\"364\" data-end=\"413\"><p data-start=\"366\" data-end=\"413\">Foarte frecvent\u0103 la adul\u021bi, mai ales &gt;40 ani.<\/p><\/li><li data-start=\"414\" data-end=\"498\"><p data-start=\"416\" data-end=\"498\">Inciden\u021ba cre\u0219te cu v\u00e2rsta, obezitatea, sindromul metabolic \u0219i diabetul zaharat.<\/p><\/li><li data-start=\"499\" data-end=\"569\"><p data-start=\"501\" data-end=\"569\">Poate ap\u0103rea \u0219i \u00een sarcin\u0103, sub influen\u021ba modific\u0103rilor hormonale.<\/p><\/li><\/ul><p data-start=\"571\" data-end=\"590\"><strong data-start=\"571\" data-end=\"588\">Aspect clinic<\/strong><\/p><ul data-start=\"591\" data-end=\"848\"><li data-start=\"591\" data-end=\"678\"><p data-start=\"593\" data-end=\"678\">Papul\u0103 moale, pediculat\u0103 (\u201ecu codi\u021b\u0103\u201d), culoare normal\u0103, brun\u0103 sau u\u0219or pigmentat\u0103.<\/p><\/li><li data-start=\"679\" data-end=\"717\"><p data-start=\"681\" data-end=\"717\">Dimensiuni: 1\u20132 mm p\u00e2n\u0103 la 1\u20132 cm.<\/p><\/li><li data-start=\"718\" data-end=\"764\"><p data-start=\"720\" data-end=\"764\">Poate fi solitar\u0103 sau multiplu-diseminat\u0103.<\/p><\/li><li data-start=\"765\" data-end=\"848\"><p data-start=\"767\" data-end=\"848\">Localizare frecvent\u0103: g\u00e2t, axile, pleoape, submamar, inghinal, zone de frecare.<\/p><\/li><\/ul><p data-start=\"850\" data-end=\"864\"><strong data-start=\"850\" data-end=\"862\">Simptome<\/strong><\/p><ul data-start=\"865\" data-end=\"1044\"><li data-start=\"865\" data-end=\"893\"><p data-start=\"867\" data-end=\"893\">De obicei asimptomatice.<\/p><\/li><li data-start=\"894\" data-end=\"1000\"><p data-start=\"896\" data-end=\"1000\">Pot deveni iritate, dureroase sau s\u00e2ngera dac\u0103 sunt traumatizate (ex: frecare cu haine sau bijuterii).<\/p><\/li><li data-start=\"1001\" data-end=\"1044\"><p data-start=\"1003\" data-end=\"1044\">Rar se pot torsiona \u0219i necroza spontan.<\/p><\/li><\/ul><p data-start=\"1046\" data-end=\"1066\"><strong data-start=\"1046\" data-end=\"1064\">Histopatologie<\/strong><\/p><ul data-start=\"1067\" data-end=\"1255\"><li data-start=\"1067\" data-end=\"1150\"><p data-start=\"1069\" data-end=\"1150\">Proliferare de \u021besut conjunctiv lax acoperit de epiderm normal sau hiperplazic.<\/p><\/li><li data-start=\"1151\" data-end=\"1179\"><p data-start=\"1153\" data-end=\"1179\">F\u0103r\u0103 atipii sau invazie.<\/p><\/li><li data-start=\"1180\" data-end=\"1255\"><p data-start=\"1182\" data-end=\"1255\">Examen histologic necesar doar dac\u0103 leziunea este atipic\u0103 sau excizat\u0103.<\/p><\/li><\/ul><p data-start=\"1257\" data-end=\"1285\"><strong data-start=\"1257\" data-end=\"1283\">Diagnostic diferen\u021bial<\/strong><\/p><ul data-start=\"1286\" data-end=\"1466\"><li data-start=\"1286\" data-end=\"1312\"><p data-start=\"1288\" data-end=\"1312\">Papiloame virale (HPV)<\/p><\/li><li data-start=\"1313\" data-end=\"1335\"><p data-start=\"1315\" data-end=\"1335\">Keratoze seboreice<\/p><\/li><li data-start=\"1336\" data-end=\"1363\"><p data-start=\"1338\" data-end=\"1363\">Nevi dermici pedicula\u021bi<\/p><\/li><li data-start=\"1364\" data-end=\"1404\"><p data-start=\"1366\" data-end=\"1404\">Condiloame acuminate (zona genital\u0103)<\/p><\/li><li data-start=\"1405\" data-end=\"1466\"><p data-start=\"1407\" data-end=\"1466\">Leziuni maligne (dac\u0103 sunt mari, ulcerate sau s\u00e2ngereaz\u0103)<\/p><\/li><\/ul><p data-start=\"1468\" data-end=\"1483\"><strong data-start=\"1468\" data-end=\"1481\">Tratament<\/strong><\/p><ul data-start=\"1484\" data-end=\"1744\"><li data-start=\"1484\" data-end=\"1699\"><p data-start=\"1486\" data-end=\"1531\">De obicei, doar pentru estetic sau confort:<\/p><ul data-start=\"1534\" data-end=\"1699\"><li data-start=\"1534\" data-end=\"1585\"><p data-start=\"1536\" data-end=\"1585\">Excizie chirurgical\u0103 simpl\u0103 (bisturiu\/foarfece)<\/p><\/li><li data-start=\"1588\" data-end=\"1608\"><p data-start=\"1590\" data-end=\"1608\">Electrocoagulare<\/p><\/li><li data-start=\"1611\" data-end=\"1641\"><p data-start=\"1613\" data-end=\"1641\">Crioterapie cu azot lichid<\/p><\/li><li data-start=\"1644\" data-end=\"1699\"><p data-start=\"1646\" data-end=\"1699\">Laser CO\u2082 \u2013 \u00een cazuri multiple sau \u00een zone vizibile<\/p><\/li><\/ul><\/li><li data-start=\"1700\" data-end=\"1744\"><p data-start=\"1702\" data-end=\"1744\">\u26a0\ufe0f Nu recidiveaz\u0103 dup\u0103 excizie complet\u0103.<\/p><\/li><\/ul><p data-start=\"1746\" data-end=\"1775\"><strong data-start=\"1746\" data-end=\"1773\">Educa\u021bie pentru pacient<\/strong><\/p><ul data-start=\"1776\" data-end=\"1924\"><li data-start=\"1776\" data-end=\"1817\"><p data-start=\"1778\" data-end=\"1817\">Leziune benign\u0103, f\u0103r\u0103 risc oncologic.<\/p><\/li><li data-start=\"1818\" data-end=\"1869\"><p data-start=\"1820\" data-end=\"1869\">Nu se transmite \u0219i nu este cauzat\u0103 de virusuri.<\/p><\/li><li data-start=\"1870\" data-end=\"1924\"><p data-start=\"1872\" data-end=\"1924\">\u00cendep\u0103rtarea este simpl\u0103 \u0219i nu necesit\u0103 internare.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058613\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058613\" data-tab-index=\"13\" style=\"--n-tabs-title-order: 13;\" class=\" elementor-element elementor-element-4a8b9ae e-con-full e-flex e-con e-child\" data-id=\"4a8b9ae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cca72be elementor-widget elementor-widget-text-editor\" data-id=\"cca72be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"55\" data-end=\"115\"><strong data-start=\"55\" data-end=\"72\">Dermatofibrom<\/strong><br data-start=\"72\" data-end=\"75\" \/><em data-start=\"75\" data-end=\"113\">(Sinonim: histiocitom fibros benign)<\/em><\/p><p data-start=\"117\" data-end=\"367\"><strong data-start=\"117\" data-end=\"129\">Ce este?<\/strong><br data-start=\"129\" data-end=\"132\" \/>Dermatofibromul este o <strong data-start=\"155\" data-end=\"182\">tumor\u0103 cutanat\u0103 benign\u0103<\/strong>, format\u0103 din proliferare de fibroblaste \u0219i histiocite \u00een dermul profund. Se prezint\u0103 sub forma unui nodul ferm, bine delimitat, frecvent confundat cu alte leziuni benigne ale pielii.<\/p><p data-start=\"369\" data-end=\"388\"><strong data-start=\"369\" data-end=\"386\">Epidemiologie<\/strong><\/p><ul data-start=\"389\" data-end=\"578\"><li data-start=\"389\" data-end=\"431\"><p data-start=\"391\" data-end=\"431\">Frecvent la adul\u021bi tineri (20\u201340 ani).<\/p><\/li><li data-start=\"432\" data-end=\"462\"><p data-start=\"434\" data-end=\"462\">Mai des \u00eent\u00e2lnit la femei.<\/p><\/li><li data-start=\"463\" data-end=\"494\"><p data-start=\"465\" data-end=\"494\">Leziuni unice sau multiple.<\/p><\/li><li data-start=\"495\" data-end=\"578\"><p data-start=\"497\" data-end=\"578\">Factori declan\u0219atori: traumatisme minore (\u00een\u021bep\u0103turi de insecte, microleziuni).<\/p><\/li><\/ul><p data-start=\"580\" data-end=\"599\"><strong data-start=\"580\" data-end=\"597\">Aspect clinic<\/strong><\/p><ul data-start=\"600\" data-end=\"910\"><li data-start=\"600\" data-end=\"671\"><p data-start=\"602\" data-end=\"671\">Nodul ferm, rotund sau oval, de culoare maro, brun\u0103, gri-ro\u0219iatic\u0103.<\/p><\/li><li data-start=\"672\" data-end=\"699\"><p data-start=\"674\" data-end=\"699\">Diametru: 0,5 \u2013 1,5 cm.<\/p><\/li><li data-start=\"700\" data-end=\"752\"><p data-start=\"702\" data-end=\"752\">Fixat la derm, mobil fa\u021b\u0103 de planurile profunde.<\/p><\/li><li data-start=\"753\" data-end=\"859\"><p data-start=\"755\" data-end=\"859\">Semn caracteristic: <strong data-start=\"775\" data-end=\"789\">\u201edimpling\u201d<\/strong> \u2013 la compresie lateral\u0103, leziunea se retrage (\u201eg\u0103ure\u0219te\u201d) \u00een piele.<\/p><\/li><li data-start=\"860\" data-end=\"910\"><p data-start=\"862\" data-end=\"910\">Localizare: membre inferioare, bra\u021be, trunchi.<\/p><\/li><\/ul><p data-start=\"912\" data-end=\"926\"><strong data-start=\"912\" data-end=\"924\">Simptome<\/strong><\/p><ul data-start=\"927\" data-end=\"1057\"><li data-start=\"927\" data-end=\"954\"><p data-start=\"929\" data-end=\"954\">De obicei asimptomatic.<\/p><\/li><li data-start=\"955\" data-end=\"1021\"><p data-start=\"957\" data-end=\"1021\">Uneori u\u0219or dureros sau pruriginos la atingere sau traumatism.<\/p><\/li><li data-start=\"1022\" data-end=\"1057\"><p data-start=\"1024\" data-end=\"1057\">Cre\u0219tere lent\u0103, stabil \u00een timp.<\/p><\/li><\/ul><p data-start=\"1059\" data-end=\"1079\"><strong data-start=\"1059\" data-end=\"1077\">Histopatologie<\/strong><\/p><ul data-start=\"1080\" data-end=\"1254\"><li data-start=\"1080\" data-end=\"1160\"><p data-start=\"1082\" data-end=\"1160\">Proliferare de fibroblaste fusiforme \u0219i histiocite, cu colagen dens \u00een derm.<\/p><\/li><li data-start=\"1161\" data-end=\"1217\"><p data-start=\"1163\" data-end=\"1217\">Delimitare frecvent\u0103 de o zon\u0103 de colagen sclerotic.<\/p><\/li><li data-start=\"1218\" data-end=\"1254\"><p data-start=\"1220\" data-end=\"1254\">F\u0103r\u0103 atipii sau mitoze anormale.<\/p><\/li><\/ul><p data-start=\"1256\" data-end=\"1284\"><strong data-start=\"1256\" data-end=\"1282\">Diagnostic diferen\u021bial<\/strong><\/p><ul data-start=\"1285\" data-end=\"1464\"><li data-start=\"1285\" data-end=\"1301\"><p data-start=\"1287\" data-end=\"1301\">Nevus dermic<\/p><\/li><li data-start=\"1302\" data-end=\"1338\"><p data-start=\"1304\" data-end=\"1338\">Melanom nodular (dac\u0103 pigmentat)<\/p><\/li><li data-start=\"1339\" data-end=\"1356\"><p data-start=\"1341\" data-end=\"1356\">Keratoacantom<\/p><\/li><li data-start=\"1357\" data-end=\"1411\"><p data-start=\"1359\" data-end=\"1411\">Tumori cutanate (carcinom bazocelular sau scuamos)<\/p><\/li><li data-start=\"1412\" data-end=\"1464\"><p data-start=\"1414\" data-end=\"1464\">Dermatofibrosarcom protuberans (DFSP) \u2013 mai rare<\/p><\/li><\/ul><p data-start=\"1466\" data-end=\"1481\"><strong data-start=\"1466\" data-end=\"1479\">Tratament<\/strong><\/p><ul data-start=\"1482\" data-end=\"1731\"><li data-start=\"1482\" data-end=\"1540\"><p data-start=\"1484\" data-end=\"1540\">Observa\u021bie dac\u0103 leziunea este tipic\u0103 \u0219i asimptomatic\u0103.<\/p><\/li><li data-start=\"1541\" data-end=\"1679\"><p data-start=\"1543\" data-end=\"1679\">Excizie chirurgical\u0103 complet\u0103 \u2013 indicat\u0103 dac\u0103 leziunea devine simptomatic\u0103, cre\u0219te, este dureroas\u0103 sau pacientul dore\u0219te \u00eendep\u0103rtarea.<\/p><\/li><li data-start=\"1680\" data-end=\"1731\"><p data-start=\"1682\" data-end=\"1731\">Rareori recidiveaz\u0103 dac\u0103 excizia este complet\u0103.<\/p><\/li><\/ul><p data-start=\"1733\" data-end=\"1749\"><strong data-start=\"1733\" data-end=\"1747\">Prognostic<\/strong><\/p><ul data-start=\"1750\" data-end=\"1855\"><li data-start=\"1750\" data-end=\"1815\"><p data-start=\"1752\" data-end=\"1815\">Excelent. Leziune benign\u0103, f\u0103r\u0103 risc de transformare malign\u0103.<\/p><\/li><li data-start=\"1816\" data-end=\"1855\"><p data-start=\"1818\" data-end=\"1855\">Stabil\u0103 sau lent regresiv\u0103 \u00een timp.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058614\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058614\" data-tab-index=\"14\" style=\"--n-tabs-title-order: 14;\" class=\" elementor-element elementor-element-0947950 e-con-full e-flex e-con e-child\" data-id=\"0947950\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4843356 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"4843356\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp\" class=\"attachment-large size-large wp-image-988\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0d046 elementor-widget elementor-widget-text-editor\" data-id=\"bd0d046\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"67\" data-end=\"161\"><strong data-start=\"67\" data-end=\"80\">Hemangiom<\/strong><br data-start=\"80\" data-end=\"83\" \/><em data-start=\"83\" data-end=\"159\">(Sinonime: hemangiom infantil, angioma capilar\u0103, tumor\u0103 vascular\u0103 benign\u0103)<\/em><\/p><p data-start=\"163\" data-end=\"365\"><strong data-start=\"163\" data-end=\"175\">Ce este?<\/strong><br data-start=\"175\" data-end=\"178\" \/>Hemangiomul este o <strong data-start=\"197\" data-end=\"225\">tumor\u0103 vascular\u0103 benign\u0103<\/strong>, frecvent congenital\u0103, caracterizat\u0103 prin proliferarea capilarelor sau vaselor de s\u00e2nge. Este cea mai frecvent\u0103 tumor\u0103 benign\u0103 la sugari.<\/p><p data-start=\"367\" data-end=\"384\"><strong data-start=\"367\" data-end=\"382\">Clasificare<\/strong><\/p><ul data-start=\"385\" data-end=\"616\"><li data-start=\"385\" data-end=\"470\"><p data-start=\"387\" data-end=\"470\"><strong data-start=\"387\" data-end=\"409\">Hemangiom infantil<\/strong> \u2013 apare la 1\u20134 s\u0103pt\u0103m\u00e2ni dup\u0103 na\u0219tere, cu cre\u0219tere rapid\u0103.<\/p><\/li><li data-start=\"471\" data-end=\"559\"><p data-start=\"473\" data-end=\"559\"><strong data-start=\"473\" data-end=\"497\">Hemangiom congenital<\/strong> \u2013 prezent la na\u0219tere (subtipuri: rapid sau lent involutiv).<\/p><\/li><li data-start=\"560\" data-end=\"616\"><p data-start=\"562\" data-end=\"616\">Dup\u0103 structur\u0103 histologic\u0103: capilar, cavernos, mixt.<\/p><\/li><\/ul><p data-start=\"618\" data-end=\"637\"><strong data-start=\"618\" data-end=\"635\">Epidemiologie<\/strong><\/p><ul data-start=\"638\" data-end=\"780\"><li data-start=\"638\" data-end=\"672\"><p data-start=\"640\" data-end=\"672\">Apare la 1 din 10 nou-n\u0103scu\u021bi.<\/p><\/li><li data-start=\"673\" data-end=\"729\"><p data-start=\"675\" data-end=\"729\">Mai frecvent la fete, prematuri \u0219i sarcini gemelare.<\/p><\/li><li data-start=\"730\" data-end=\"780\"><p data-start=\"732\" data-end=\"780\">Localizare: fa\u021b\u0103, scalp, trunchi, extremit\u0103\u021bi.<\/p><\/li><\/ul><p data-start=\"782\" data-end=\"801\"><strong data-start=\"782\" data-end=\"799\">Aspect clinic<\/strong><\/p><ul data-start=\"802\" data-end=\"1003\"><li data-start=\"802\" data-end=\"872\"><p data-start=\"804\" data-end=\"872\">Leziune ro\u0219ie intens\u0103, moale, bine delimitat\u0103 (\u201epata de c\u0103p\u0219un\u0103\u201d).<\/p><\/li><li data-start=\"873\" data-end=\"915\"><p data-start=\"875\" data-end=\"915\">Cre\u0219te rapid \u00een primele luni de via\u021b\u0103.<\/p><\/li><li data-start=\"916\" data-end=\"959\"><p data-start=\"918\" data-end=\"959\">Poate fi superficial, profund sau mixt.<\/p><\/li><li data-start=\"960\" data-end=\"1003\"><p data-start=\"962\" data-end=\"1003\">Ulcerarea este o complica\u021bie frecvent\u0103.<\/p><\/li><\/ul><p data-start=\"1005\" data-end=\"1049\"><strong data-start=\"1005\" data-end=\"1047\">Evolu\u021bie natural\u0103 (hemangiom infantil)<\/strong><\/p><ol data-start=\"1050\" data-end=\"1210\"><li data-start=\"1050\" data-end=\"1107\"><p data-start=\"1053\" data-end=\"1107\"><strong data-start=\"1053\" data-end=\"1075\">Faz\u0103 proliferativ\u0103<\/strong>: cre\u0219tere rapid\u0103 (0\u201312 luni).<\/p><\/li><li data-start=\"1108\" data-end=\"1149\"><p data-start=\"1111\" data-end=\"1149\"><strong data-start=\"1111\" data-end=\"1134\">Faz\u0103 de stabilizare<\/strong>: 12\u201318 luni.<\/p><\/li><li data-start=\"1150\" data-end=\"1210\"><p data-start=\"1153\" data-end=\"1210\"><strong data-start=\"1153\" data-end=\"1174\">Faz\u0103 de involu\u021bie<\/strong>: regresie lent\u0103 p\u00e2n\u0103 la 5\u201310 ani.<\/p><\/li><\/ol><ul data-start=\"1211\" data-end=\"1268\"><li data-start=\"1211\" data-end=\"1268\"><p data-start=\"1213\" data-end=\"1268\">50% dispar complet p\u00e2n\u0103 la 5 ani, 90% p\u00e2n\u0103 la 10 ani.<\/p><\/li><\/ul><p data-start=\"1270\" data-end=\"1287\"><strong data-start=\"1270\" data-end=\"1285\">Complica\u021bii<\/strong><\/p><ul data-start=\"1288\" data-end=\"1426\"><li data-start=\"1288\" data-end=\"1323\"><p data-start=\"1290\" data-end=\"1323\">Ulcera\u021bie, s\u00e2ngerare, infec\u021bie.<\/p><\/li><li data-start=\"1324\" data-end=\"1386\"><p data-start=\"1326\" data-end=\"1386\">Compresie pe structuri anatomice (ochi, c\u0103i respiratorii).<\/p><\/li><li data-start=\"1387\" data-end=\"1426\"><p data-start=\"1389\" data-end=\"1426\">Cicatrici reziduale dup\u0103 involu\u021bie.<\/p><\/li><\/ul><p data-start=\"1428\" data-end=\"1444\"><strong data-start=\"1428\" data-end=\"1442\">Diagnostic<\/strong><\/p><ul data-start=\"1445\" data-end=\"1618\"><li data-start=\"1445\" data-end=\"1481\"><p data-start=\"1447\" data-end=\"1481\">Clinic \u00een majoritatea cazurilor.<\/p><\/li><li data-start=\"1482\" data-end=\"1542\"><p data-start=\"1484\" data-end=\"1542\">Ecografie Doppler \u2013 pentru leziuni profunde sau atipice.<\/p><\/li><li data-start=\"1543\" data-end=\"1618\"><p data-start=\"1545\" data-end=\"1618\">RMN \u2013 pentru leziuni voluminoase sau cu suspiciune de afectare intern\u0103.<\/p><\/li><\/ul><p data-start=\"1620\" data-end=\"1635\"><strong data-start=\"1620\" data-end=\"1633\">Tratament<\/strong><\/p><ul data-start=\"1636\" data-end=\"1950\"><li data-start=\"1636\" data-end=\"1695\"><p data-start=\"1638\" data-end=\"1695\"><strong data-start=\"1638\" data-end=\"1652\">Observa\u021bie<\/strong> \u2013 \u00een majoritatea cazurilor necomplicate.<\/p><\/li><li data-start=\"1696\" data-end=\"1797\"><p data-start=\"1698\" data-end=\"1797\"><strong data-start=\"1698\" data-end=\"1718\">Propranolol oral<\/strong> \u2013 tratamentul de prim\u0103 linie pentru hemangioame problematice (1\u20133 mg\/kg\/zi).<\/p><\/li><li data-start=\"1798\" data-end=\"1876\"><p data-start=\"1800\" data-end=\"1876\">Alte op\u021biuni: corticosteroizi, laser, interferon (\u00een cazuri selec\u021bionate).<\/p><\/li><li data-start=\"1877\" data-end=\"1950\"><p data-start=\"1879\" data-end=\"1950\">Excizie chirurgical\u0103 \u2013 dac\u0103 leziunea este simptomatic\u0103 sau rezidual\u0103.<\/p><\/li><\/ul><p data-start=\"1952\" data-end=\"1986\"><strong data-start=\"1952\" data-end=\"1984\">Indica\u021bii de tratament activ<\/strong><\/p><ul data-start=\"1987\" data-end=\"2154\"><li data-start=\"1987\" data-end=\"2043\"><p data-start=\"1989\" data-end=\"2043\">Hemangioame \u00een zona ocular\u0103, nazal\u0103, bucal\u0103 sau g\u00e2t.<\/p><\/li><li data-start=\"2044\" data-end=\"2080\"><p data-start=\"2046\" data-end=\"2080\">Leziuni ulcerate sau s\u00e2nger\u00e2nde.<\/p><\/li><li data-start=\"2081\" data-end=\"2154\"><p data-start=\"2083\" data-end=\"2154\">Hemangioame care afecteaz\u0103 func\u021bia sau pot l\u0103sa cicatrici importante.<\/p><\/li><\/ul><p data-start=\"2156\" data-end=\"2176\"><strong data-start=\"2156\" data-end=\"2174\">Histopatologie<\/strong><\/p><ul data-start=\"2177\" data-end=\"2332\"><li data-start=\"2177\" data-end=\"2243\"><p data-start=\"2179\" data-end=\"2243\">Proliferare de celule endoteliale \u0219i vase capilare \u00eenghesuite.<\/p><\/li><li data-start=\"2244\" data-end=\"2282\"><p data-start=\"2246\" data-end=\"2282\">F\u0103r\u0103 atipii sau mitoze patologice.<\/p><\/li><li data-start=\"2283\" data-end=\"2332\"><p data-start=\"2285\" data-end=\"2332\">\u00cen involu\u021bie: fibroz\u0103 \u0219i depunere de gr\u0103sime.<\/p><\/li><\/ul><p data-start=\"2334\" data-end=\"2350\"><strong data-start=\"2334\" data-end=\"2348\">Prognostic<\/strong><\/p><ul data-start=\"2351\" data-end=\"2465\"><li data-start=\"2351\" data-end=\"2398\"><p data-start=\"2353\" data-end=\"2398\">Excelent pentru hemangioamele necomplicate.<\/p><\/li><li data-start=\"2399\" data-end=\"2465\"><p data-start=\"2401\" data-end=\"2465\">Majoritatea se remit complet, unele pot l\u0103sa cicatrici minore.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058615\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058615\" data-tab-index=\"15\" style=\"--n-tabs-title-order: 15;\" class=\" elementor-element elementor-element-fb9e1b7 e-con-full e-flex e-con e-child\" data-id=\"fb9e1b7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-916962c elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"916962c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp\" class=\"attachment-large size-large wp-image-988\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b945d32 elementor-widget elementor-widget-text-editor\" data-id=\"b945d32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"86\" data-end=\"166\"><strong data-start=\"86\" data-end=\"116\">Carcinom bazocelular (CBC)<\/strong><br data-start=\"116\" data-end=\"119\" \/><em data-start=\"119\" data-end=\"164\">(Sinonime: epiteliom bazocelular, bazaliom)<\/em><\/p><p data-start=\"168\" data-end=\"359\"><strong data-start=\"168\" data-end=\"180\">Ce este?<\/strong><br data-start=\"180\" data-end=\"183\" \/>CBC este o <strong data-start=\"194\" data-end=\"221\">tumor\u0103 cutanat\u0103 malign\u0103<\/strong> derivat\u0103 din celulele bazale ale epidermului sau anexelor cutanate. Are cre\u0219tere lent\u0103, invaziv\u0103 local, dar extrem de rar metastazeaz\u0103.<\/p><p data-start=\"361\" data-end=\"380\"><strong data-start=\"361\" data-end=\"378\">Epidemiologie<\/strong><\/p><ul data-start=\"381\" data-end=\"610\"><li data-start=\"381\" data-end=\"427\"><p data-start=\"383\" data-end=\"427\">Cel mai frecvent cancer cutanat (\u224875\u201380%).<\/p><\/li><li data-start=\"428\" data-end=\"473\"><p data-start=\"430\" data-end=\"473\">Afecteaz\u0103 predominant persoanele &gt;50 ani.<\/p><\/li><li data-start=\"474\" data-end=\"545\"><p data-start=\"476\" data-end=\"545\">Mai frecvent la b\u0103rba\u021bi \u0219i la persoanele cu fototip deschis (I\u2013II).<\/p><\/li><li data-start=\"546\" data-end=\"610\"><p data-start=\"548\" data-end=\"610\">Localizare: fa\u021b\u0103, g\u00e2t, urechi, scalp \u2013 zone expuse la soare.<\/p><\/li><\/ul><p data-start=\"612\" data-end=\"633\"><strong data-start=\"612\" data-end=\"631\">Factori de risc<\/strong><\/p><ul data-start=\"634\" data-end=\"808\"><li data-start=\"634\" data-end=\"670\"><p data-start=\"636\" data-end=\"670\">Expunere cronic\u0103 la radia\u021bii UV.<\/p><\/li><li data-start=\"671\" data-end=\"718\"><p data-start=\"673\" data-end=\"718\">Piele deschis\u0103, arsuri solare \u00een copil\u0103rie.<\/p><\/li><li data-start=\"719\" data-end=\"755\"><p data-start=\"721\" data-end=\"755\">Imunosupresie (transplant, HIV).<\/p><\/li><li data-start=\"756\" data-end=\"808\"><p data-start=\"758\" data-end=\"808\">Sindroame genetice (ex: sindromul Gorlin-Goltz).<\/p><\/li><\/ul><p data-start=\"810\" data-end=\"829\"><strong data-start=\"810\" data-end=\"827\">Aspect clinic<\/strong><\/p><ul data-start=\"830\" data-end=\"943\"><li data-start=\"830\" data-end=\"890\"><p data-start=\"832\" data-end=\"890\">Papul\u0103 perlat\u0103 cu margini translucide \u0219i telangiectazii.<\/p><\/li><li data-start=\"891\" data-end=\"943\"><p data-start=\"893\" data-end=\"943\">Poate ulcera central \u2013 aspect de \u201eulcus rodens\u201d.<\/p><\/li><\/ul><p data-start=\"945\" data-end=\"964\"><strong data-start=\"945\" data-end=\"962\">Forme clinice<\/strong><\/p><ul data-start=\"965\" data-end=\"1128\"><li data-start=\"965\" data-end=\"995\"><p data-start=\"967\" data-end=\"995\">Nodular (cel mai frecvent)<\/p><\/li><li data-start=\"996\" data-end=\"1009\"><p data-start=\"998\" data-end=\"1009\">Ulcerativ<\/p><\/li><li data-start=\"1010\" data-end=\"1052\"><p data-start=\"1012\" data-end=\"1052\">Sclerodermiform (infiltrativ, agresiv)<\/p><\/li><li data-start=\"1053\" data-end=\"1066\"><p data-start=\"1055\" data-end=\"1066\">Pigmentar<\/p><\/li><li data-start=\"1067\" data-end=\"1128\"><p data-start=\"1069\" data-end=\"1128\">Superficial (plag\u0103 eritematoas\u0103, mai frecvent pe trunchi)<\/p><\/li><\/ul><p data-start=\"1130\" data-end=\"1146\"><strong data-start=\"1130\" data-end=\"1144\">Diagnostic<\/strong><\/p><ul data-start=\"1147\" data-end=\"1315\"><li data-start=\"1147\" data-end=\"1174\"><p data-start=\"1149\" data-end=\"1174\">Clinic + dermatoscopie.<\/p><\/li><li data-start=\"1175\" data-end=\"1220\"><p data-start=\"1177\" data-end=\"1220\">Confirmare prin biopsie cutanat\u0103\/excizie.<\/p><\/li><li data-start=\"1221\" data-end=\"1315\"><p data-start=\"1223\" data-end=\"1315\"><strong data-start=\"1223\" data-end=\"1237\">Histologie<\/strong>: noduli de celule bazaloide, palisadare periferic\u0103, artefacte de retrac\u021bie.<\/p><\/li><\/ul><p data-start=\"1317\" data-end=\"1345\"><strong data-start=\"1317\" data-end=\"1343\">Diagnostic diferen\u021bial<\/strong><\/p><ul data-start=\"1346\" data-end=\"1441\"><li data-start=\"1346\" data-end=\"1379\"><p data-start=\"1348\" data-end=\"1379\">Melanom (\u00een forme pigmentate)<\/p><\/li><li data-start=\"1380\" data-end=\"1405\"><p data-start=\"1382\" data-end=\"1405\">Carcinom spinocelular<\/p><\/li><li data-start=\"1406\" data-end=\"1423\"><p data-start=\"1408\" data-end=\"1423\">Keratoacantom<\/p><\/li><li data-start=\"1424\" data-end=\"1441\"><p data-start=\"1426\" data-end=\"1441\">Dermatofibrom<\/p><\/li><\/ul><p data-start=\"1443\" data-end=\"1458\"><strong data-start=\"1443\" data-end=\"1456\">Tratament<\/strong><\/p><ul data-start=\"1459\" data-end=\"1805\"><li data-start=\"1459\" data-end=\"1517\"><p data-start=\"1461\" data-end=\"1517\">Excizie chirurgical\u0103 cu margini de siguran\u021b\u0103 (3\u20135 mm).<\/p><\/li><li data-start=\"1518\" data-end=\"1611\"><p data-start=\"1520\" data-end=\"1611\">Microchirurgie Mohs \u2013 pentru leziuni recidivante sau \u00een zone critice (fa\u021b\u0103, nas, ureche).<\/p><\/li><li data-start=\"1612\" data-end=\"1670\"><p data-start=\"1614\" data-end=\"1670\">Terapie topic\u0103 (imiquimod, 5-FU) \u2013 forme superficiale.<\/p><\/li><li data-start=\"1671\" data-end=\"1711\"><p data-start=\"1673\" data-end=\"1711\">Radioterapie \u2013 pacien\u021bi inoperabili.<\/p><\/li><li data-start=\"1712\" data-end=\"1805\"><p data-start=\"1714\" data-end=\"1805\">Vismodegib, sonidegib \u2013 inhibitori hedgehog pathway, \u00een forme local avansate\/metastatice.<\/p><\/li><\/ul><p data-start=\"1807\" data-end=\"1835\"><strong data-start=\"1807\" data-end=\"1833\">Prognostic \u0219i recidiv\u0103<\/strong><\/p><ul data-start=\"1836\" data-end=\"2012\"><li data-start=\"1836\" data-end=\"1881\"><p data-start=\"1838\" data-end=\"1881\">Prognostic excelent cu tratament adecvat.<\/p><\/li><li data-start=\"1882\" data-end=\"1972\"><p data-start=\"1884\" data-end=\"1972\">Risc de recidiv\u0103 local\u0103, mai ales \u00een formele infiltrative sau dup\u0103 excizii incomplete.<\/p><\/li><li data-start=\"1973\" data-end=\"2012\"><p data-start=\"1975\" data-end=\"2012\">Metastazare extrem de rar\u0103 (&lt;0,1%).<\/p><\/li><\/ul><p data-start=\"2014\" data-end=\"2034\"><strong data-start=\"2014\" data-end=\"2032\">Histopatologie<\/strong><\/p><ul data-start=\"2035\" data-end=\"2188\"><li data-start=\"2035\" data-end=\"2091\"><p data-start=\"2037\" data-end=\"2091\">Noduli de celule bazaloide cu palisadare periferic\u0103.<\/p><\/li><li data-start=\"2092\" data-end=\"2129\"><p data-start=\"2094\" data-end=\"2129\">Clefting \u00eentre tumoare \u0219i strom\u0103.<\/p><\/li><li data-start=\"2130\" data-end=\"2188\"><p data-start=\"2132\" data-end=\"2188\">Forme agresive: infiltrativ, micronodular, morfeiform.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058616\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058616\" data-tab-index=\"16\" style=\"--n-tabs-title-order: 16;\" class=\" elementor-element elementor-element-f86d0df e-con-full e-flex e-con e-child\" data-id=\"f86d0df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b3998d elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"4b3998d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp\" class=\"attachment-large size-large wp-image-988\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53a2b9a elementor-widget elementor-widget-text-editor\" data-id=\"53a2b9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"85\" data-end=\"136\"><strong data-start=\"85\" data-end=\"94\">Lipom<\/strong><br data-start=\"94\" data-end=\"97\" \/><em data-start=\"97\" data-end=\"134\">(Tumor\u0103 benign\u0103 a \u021besutului adipos)<\/em><\/p><p data-start=\"138\" data-end=\"285\"><strong data-start=\"138\" data-end=\"150\">Ce este?<\/strong><br data-start=\"150\" data-end=\"153\" \/>Lipomul este o <strong data-start=\"168\" data-end=\"186\">tumor\u0103 benign\u0103<\/strong> alc\u0103tuit\u0103 din adipocite mature, reprezent\u00e2nd cea mai frecvent\u0103 tumor\u0103 benign\u0103 a \u021besuturilor moi.<\/p><p data-start=\"287\" data-end=\"306\"><strong data-start=\"287\" data-end=\"304\">Epidemiologie<\/strong><\/p><ul data-start=\"307\" data-end=\"427\"><li data-start=\"307\" data-end=\"328\"><p data-start=\"309\" data-end=\"328\">V\u00e2rst\u0103: 40\u201360 ani<\/p><\/li><li data-start=\"329\" data-end=\"379\"><p data-start=\"331\" data-end=\"379\">Sex: ambele sexe, u\u0219or mai frecvent la b\u0103rba\u021bi<\/p><\/li><li data-start=\"380\" data-end=\"427\"><p data-start=\"382\" data-end=\"427\">Poate fi singular sau multiplu (lipomatoz\u0103)<\/p><\/li><\/ul><p data-start=\"429\" data-end=\"455\"><strong data-start=\"429\" data-end=\"453\">Localizare frecvent\u0103<\/strong><\/p><ul data-start=\"456\" data-end=\"587\"><li data-start=\"456\" data-end=\"482\"><p data-start=\"458\" data-end=\"482\">Trunchi (spate, umeri)<\/p><\/li><li data-start=\"483\" data-end=\"490\"><p data-start=\"485\" data-end=\"490\">G\u00e2t<\/p><\/li><li data-start=\"491\" data-end=\"508\"><p data-start=\"493\" data-end=\"508\">Coapse, bra\u021be<\/p><\/li><li data-start=\"509\" data-end=\"587\"><p data-start=\"511\" data-end=\"587\">Rareori: organe interne, tract gastrointestinal, mediastin, retroperitoneu<\/p><\/li><\/ul><p data-start=\"589\" data-end=\"608\"><strong data-start=\"589\" data-end=\"606\">Aspect clinic<\/strong><\/p><ul data-start=\"609\" data-end=\"764\"><li data-start=\"609\" data-end=\"642\"><p data-start=\"611\" data-end=\"642\">Nodul moale, mobil, nedureros<\/p><\/li><li data-start=\"643\" data-end=\"689\"><p data-start=\"645\" data-end=\"689\">Dimensiuni variabile: 1\u201310 cm sau mai mare<\/p><\/li><li data-start=\"690\" data-end=\"708\"><p data-start=\"692\" data-end=\"708\">Cre\u0219tere lent\u0103<\/p><\/li><li data-start=\"709\" data-end=\"764\"><p data-start=\"711\" data-end=\"764\">De obicei subcutanat, dar pot ap\u0103rea forme profunde<\/p><\/li><\/ul><p data-start=\"766\" data-end=\"782\"><strong data-start=\"766\" data-end=\"780\">Diagnostic<\/strong><\/p><ul data-start=\"783\" data-end=\"986\"><li data-start=\"783\" data-end=\"818\"><p data-start=\"785\" data-end=\"818\">Clinic \u00een majoritatea cazurilor<\/p><\/li><li data-start=\"819\" data-end=\"874\"><p data-start=\"821\" data-end=\"874\">Ecografie: forma\u021biune hiperecogen\u0103, bine delimitat\u0103<\/p><\/li><li data-start=\"875\" data-end=\"924\"><p data-start=\"877\" data-end=\"924\">RMN: pentru lipom profunde sau intramusculare<\/p><\/li><li data-start=\"925\" data-end=\"986\"><p data-start=\"927\" data-end=\"986\">Biopsie\/excizie: confirmare histologic\u0103 la cazuri atipice<\/p><\/li><\/ul><p data-start=\"988\" data-end=\"1008\"><strong data-start=\"988\" data-end=\"1006\">Histopatologie<\/strong><\/p><ul data-start=\"1009\" data-end=\"1134\"><li data-start=\"1009\" data-end=\"1055\"><p data-start=\"1011\" data-end=\"1055\">Adipocite mature, identice cu cele normale<\/p><\/li><li data-start=\"1056\" data-end=\"1107\"><p data-start=\"1058\" data-end=\"1107\">\u021aesut conjunctiv slab vascularizat \u00eentre celule<\/p><\/li><li data-start=\"1108\" data-end=\"1134\"><p data-start=\"1110\" data-end=\"1134\">F\u0103r\u0103 atipii sau mitoze<\/p><\/li><\/ul><p data-start=\"1136\" data-end=\"1164\"><strong data-start=\"1136\" data-end=\"1162\">Diagnostic diferen\u021bial<\/strong><\/p><ul data-start=\"1165\" data-end=\"1243\"><li data-start=\"1165\" data-end=\"1195\"><p data-start=\"1167\" data-end=\"1195\">Liposarcom (form\u0103 malign\u0103)<\/p><\/li><li data-start=\"1196\" data-end=\"1213\"><p data-start=\"1198\" data-end=\"1213\">Chist sebaceu<\/p><\/li><li data-start=\"1214\" data-end=\"1229\"><p data-start=\"1216\" data-end=\"1229\">Neurofibrom<\/p><\/li><li data-start=\"1230\" data-end=\"1243\"><p data-start=\"1232\" data-end=\"1243\">Hemangiom<\/p><\/li><\/ul><p data-start=\"1245\" data-end=\"1260\"><strong data-start=\"1245\" data-end=\"1258\">Tratament<\/strong><\/p><ul data-start=\"1261\" data-end=\"1472\"><li data-start=\"1261\" data-end=\"1327\"><p data-start=\"1263\" data-end=\"1327\"><strong data-start=\"1263\" data-end=\"1296\">Excizie chirurgical\u0103 complet\u0103<\/strong> \u2013 singurul tratament curativ<\/p><\/li><li data-start=\"1328\" data-end=\"1472\"><p data-start=\"1330\" data-end=\"1342\">Indica\u021bii:<\/p><ul data-start=\"1345\" data-end=\"1472\"><li data-start=\"1345\" data-end=\"1370\"><p data-start=\"1347\" data-end=\"1370\">Durere sau disconfort<\/p><\/li><li data-start=\"1373\" data-end=\"1392\"><p data-start=\"1375\" data-end=\"1392\">Cre\u0219tere rapid\u0103<\/p><\/li><li data-start=\"1395\" data-end=\"1440\"><p data-start=\"1397\" data-end=\"1440\">Localizare estetic\u0103\/func\u021bional\u0103 nepl\u0103cut\u0103<\/p><\/li><li data-start=\"1443\" data-end=\"1472\"><p data-start=\"1445\" data-end=\"1472\">Incertitudine diagnostic\u0103<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"1474\" data-end=\"1490\"><strong data-start=\"1474\" data-end=\"1488\">Prognostic<\/strong><\/p><ul data-start=\"1491\" data-end=\"1592\"><li data-start=\"1491\" data-end=\"1546\"><p data-start=\"1493\" data-end=\"1546\">Excelent. Leziune benign\u0103, f\u0103r\u0103 risc de malignizare<\/p><\/li><li data-start=\"1547\" data-end=\"1592\"><p data-start=\"1549\" data-end=\"1592\">Rareori recidiveaz\u0103 dup\u0103 excizie complet\u0103<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058617\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058617\" data-tab-index=\"17\" style=\"--n-tabs-title-order: 17;\" class=\" elementor-element elementor-element-eb3f0b4 e-con-full e-flex e-con e-child\" data-id=\"eb3f0b4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0acac78 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"0acac78\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp\" class=\"attachment-large size-large wp-image-988\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b12b4b1 elementor-widget elementor-widget-text-editor\" data-id=\"b12b4b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"84\" data-end=\"164\"><strong data-start=\"84\" data-end=\"98\">Lipomatoza<\/strong><br data-start=\"98\" data-end=\"101\" \/><em data-start=\"101\" data-end=\"162\">(Afec\u021biune caracterizat\u0103 prin prezen\u021ba multiplilor lipoame)<\/em><\/p><p data-start=\"166\" data-end=\"330\"><strong data-start=\"166\" data-end=\"178\">Ce este?<\/strong><br data-start=\"178\" data-end=\"181\" \/>Lipomatoza reprezint\u0103 <strong data-start=\"203\" data-end=\"263\">acumularea multipl\u0103 de lipoame subcutanate sau viscerale<\/strong>, simetric distribuite. Poate fi <strong data-start=\"296\" data-end=\"309\">sporadic\u0103<\/strong> sau <strong data-start=\"314\" data-end=\"327\">ereditar\u0103<\/strong>.<\/p><p data-start=\"332\" data-end=\"358\"><strong data-start=\"332\" data-end=\"356\">Forme clinice majore<\/strong><\/p><ul data-start=\"359\" data-end=\"789\"><li data-start=\"359\" data-end=\"547\"><p data-start=\"361\" data-end=\"424\"><strong data-start=\"361\" data-end=\"393\">Lipomatoza benign\u0103 simetric\u0103<\/strong> (Boerhaave-Madelung disease)<\/p><ul data-start=\"427\" data-end=\"547\"><li data-start=\"427\" data-end=\"490\"><p data-start=\"429\" data-end=\"490\">Acumulare de gr\u0103sime la nivelul g\u00e2tului, umerilor, bra\u021belor<\/p><\/li><li data-start=\"493\" data-end=\"547\"><p data-start=\"495\" data-end=\"547\">Mai frecvent la b\u0103rba\u021bi cu consum cronic de alcool<\/p><\/li><\/ul><\/li><li data-start=\"548\" data-end=\"621\"><p data-start=\"550\" data-end=\"585\"><strong data-start=\"550\" data-end=\"583\">Lipomatoz\u0103 familial\u0103 multipl\u0103<\/strong><\/p><ul data-start=\"588\" data-end=\"621\"><li data-start=\"588\" data-end=\"621\"><p data-start=\"590\" data-end=\"621\">Mo\u0219tenire autosomal dominant\u0103<\/p><\/li><\/ul><\/li><li data-start=\"622\" data-end=\"704\"><p data-start=\"624\" data-end=\"650\"><strong data-start=\"624\" data-end=\"648\">Lipomatoza visceral\u0103<\/strong><\/p><ul data-start=\"653\" data-end=\"704\"><li data-start=\"653\" data-end=\"704\"><p data-start=\"655\" data-end=\"704\">Afectare intern\u0103 (ex: pericard, retroperitoneu)<\/p><\/li><\/ul><\/li><li data-start=\"705\" data-end=\"789\"><p data-start=\"707\" data-end=\"733\"><strong data-start=\"707\" data-end=\"731\">Lipomatoza epidural\u0103<\/strong><\/p><ul data-start=\"736\" data-end=\"789\"><li data-start=\"736\" data-end=\"789\"><p data-start=\"738\" data-end=\"789\">\u00cen canalul spinal, poate cauza compresie medular\u0103<\/p><\/li><\/ul><\/li><\/ul><p data-start=\"791\" data-end=\"824\"><strong data-start=\"791\" data-end=\"822\">Sindroame genetice asociate<\/strong><\/p><ul data-start=\"825\" data-end=\"928\"><li data-start=\"825\" data-end=\"868\"><p data-start=\"827\" data-end=\"868\">Sindromul Dercum (lipomatoz\u0103 dureroas\u0103)<\/p><\/li><li data-start=\"869\" data-end=\"907\"><p data-start=\"871\" data-end=\"907\">Sindromul Bannayan-Riley-Ruvalcaba<\/p><\/li><li data-start=\"908\" data-end=\"928\"><p data-start=\"910\" data-end=\"928\">Sindromul Cowden<\/p><\/li><\/ul><p data-start=\"930\" data-end=\"956\"><strong data-start=\"930\" data-end=\"954\">Complica\u021bii posibile<\/strong><\/p><ul data-start=\"957\" data-end=\"1104\"><li data-start=\"957\" data-end=\"1024\"><p data-start=\"959\" data-end=\"1024\">Compresii nervoase sau vasculare (mai ales \u00een formele profunde)<\/p><\/li><li data-start=\"1025\" data-end=\"1065\"><p data-start=\"1027\" data-end=\"1065\">Dureri cronice (\u00een sindromul Dercum)<\/p><\/li><li data-start=\"1066\" data-end=\"1104\"><p data-start=\"1068\" data-end=\"1104\">Tulbur\u0103ri estetice sau func\u021bionale<\/p><\/li><\/ul><p data-start=\"1106\" data-end=\"1122\"><strong data-start=\"1106\" data-end=\"1120\">Diagnostic<\/strong><\/p><ul data-start=\"1123\" data-end=\"1207\"><li data-start=\"1123\" data-end=\"1165\"><p data-start=\"1125\" data-end=\"1165\">Clinic + imagistic: ecografie, RMN, CT<\/p><\/li><li data-start=\"1166\" data-end=\"1207\"><p data-start=\"1168\" data-end=\"1207\">Histologic: identic cu lipomul simplu<\/p><\/li><\/ul><p data-start=\"1209\" data-end=\"1224\"><strong data-start=\"1209\" data-end=\"1222\">Tratament<\/strong><\/p><ul data-start=\"1225\" data-end=\"1426\"><li data-start=\"1225\" data-end=\"1291\"><p data-start=\"1227\" data-end=\"1291\"><strong data-start=\"1227\" data-end=\"1242\">Chirurgical<\/strong>: excizie selectiv\u0103 pentru leziuni simptomatice<\/p><\/li><li data-start=\"1292\" data-end=\"1379\"><p data-start=\"1294\" data-end=\"1379\"><strong data-start=\"1294\" data-end=\"1320\">Management conservator<\/strong>: dac\u0103 nu exist\u0103 afectare func\u021bional\u0103 sau estetic\u0103 sever\u0103<\/p><\/li><li data-start=\"1380\" data-end=\"1426\"><p data-start=\"1382\" data-end=\"1426\">Recidive frecvente \u00een formele generalizate<\/p><\/li><\/ul><p data-start=\"1428\" data-end=\"1444\"><strong data-start=\"1428\" data-end=\"1442\">Prognostic<\/strong><\/p><ul data-start=\"1445\" data-end=\"1568\"><li data-start=\"1445\" data-end=\"1509\"><p data-start=\"1447\" data-end=\"1509\">Benign, dar poate cauza complica\u021bii estetice sau func\u021bionale<\/p><\/li><li data-start=\"1510\" data-end=\"1568\"><p data-start=\"1512\" data-end=\"1568\">Necesit\u0103 monitorizare \u00een formele extinse sau viscerale<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-15467058618\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-15467058618\" data-tab-index=\"18\" style=\"--n-tabs-title-order: 18;\" class=\" elementor-element elementor-element-83aff3d e-con-full e-flex e-con e-child\" data-id=\"83aff3d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77e0f9b elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"77e0f9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp\" class=\"attachment-large size-large wp-image-988\" alt=\"\" srcset=\"https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-1024x682.webp 1024w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-300x200.webp 300w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital-768x512.webp 768w, https:\/\/drstratan.md\/wp-content\/uploads\/2025\/08\/2-nerv-ulnar-cot-cubital.webp 1100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26c4576 elementor-widget elementor-widget-text-editor\" data-id=\"26c4576\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"121\" data-end=\"241\"><strong data-start=\"121\" data-end=\"154\">Nevul Congenital Gigant (NCG)<\/strong><br data-start=\"154\" data-end=\"157\" \/><em data-start=\"157\" data-end=\"239\">(Malforma\u021bie melanocitar\u0103 prezent\u0103 la na\u0219tere sau \u00een primele s\u0103pt\u0103m\u00e2ni de via\u021b\u0103)<\/em><\/p><p data-start=\"243\" data-end=\"378\"><strong data-start=\"243\" data-end=\"257\">Defini\u021bie:<\/strong><br data-start=\"257\" data-end=\"260\" \/>Leziune pigmentat\u0103 mare, prezent\u0103 la na\u0219tere sau ap\u0103rut\u0103 precoce, cu <strong data-start=\"329\" data-end=\"375\">risc oncologic \u0219i psihosocial semnificativ<\/strong>.<\/p><p data-start=\"380\" data-end=\"409\"><strong data-start=\"380\" data-end=\"407\">Criterii de dimensiune:<\/strong><\/p><ul data-start=\"410\" data-end=\"548\"><li data-start=\"410\" data-end=\"440\"><p data-start=\"412\" data-end=\"440\"><strong data-start=\"412\" data-end=\"422\">Adult:<\/strong> \u226520 cm diametru<\/p><\/li><li data-start=\"441\" data-end=\"494\"><p data-start=\"443\" data-end=\"494\"><strong data-start=\"443\" data-end=\"458\">Nou-n\u0103scut:<\/strong> \u22659 cm pe scalp \/ \u22656 cm pe trunchi<\/p><\/li><li data-start=\"495\" data-end=\"548\"><p data-start=\"497\" data-end=\"548\">Poate acoperi regiuni extinse: spate, fese, scalp<\/p><\/li><\/ul><p data-start=\"550\" data-end=\"570\"><strong data-start=\"550\" data-end=\"568\">Etiopatogenie:<\/strong><\/p><ul data-start=\"571\" data-end=\"736\"><li data-start=\"571\" data-end=\"621\"><p data-start=\"573\" data-end=\"621\">Mutatii somatice: <strong data-start=\"591\" data-end=\"605\">NRAS, BRAF<\/strong> \u00een melanocite<\/p><\/li><li data-start=\"622\" data-end=\"684\"><p data-start=\"624\" data-end=\"684\">Afecteaz\u0103 dezvoltarea melanocitelor \u00een perioada embrionar\u0103<\/p><\/li><li data-start=\"685\" data-end=\"736\"><p data-start=\"687\" data-end=\"736\">Face parte din malforma\u021biile <strong data-start=\"716\" data-end=\"734\">hamartomatoase<\/strong><\/p><\/li><\/ul><p data-start=\"738\" data-end=\"758\"><strong data-start=\"738\" data-end=\"756\">Aspect clinic:<\/strong><\/p><ul data-start=\"759\" data-end=\"1002\"><li data-start=\"759\" data-end=\"809\"><p data-start=\"761\" data-end=\"809\">Leziune bine delimitat\u0103, brun\u0103-maro sau neagr\u0103<\/p><\/li><li data-start=\"810\" data-end=\"893\"><p data-start=\"812\" data-end=\"893\">Suprafa\u021ba poate fi: neted\u0103 sau rugoas\u0103, cu <strong data-start=\"855\" data-end=\"871\">hipertricoz\u0103<\/strong> (p\u0103r terminal dens)<\/p><\/li><li data-start=\"894\" data-end=\"942\"><p data-start=\"896\" data-end=\"942\">Sateli\u021bi pigmentari frecvent prezen\u021bi \u00een jur<\/p><\/li><li data-start=\"943\" data-end=\"1002\"><p data-start=\"945\" data-end=\"1002\">Form\u0103 neregulat\u0103, uneori \u201epelerin\u0103\u201d pe trunchi \u0219i umeri<\/p><\/li><\/ul><p data-start=\"1004\" data-end=\"1024\"><strong data-start=\"1004\" data-end=\"1022\">Epidemiologie:<\/strong><\/p><ul data-start=\"1025\" data-end=\"1108\"><li data-start=\"1025\" data-end=\"1077\"><p data-start=\"1027\" data-end=\"1077\">Inciden\u021b\u0103 rar\u0103: 1:20.000 \u2013 1:500.000 nou-n\u0103scu\u021bi<\/p><\/li><li data-start=\"1078\" data-end=\"1108\"><p data-start=\"1080\" data-end=\"1108\">Mai frecvent la <strong data-start=\"1096\" data-end=\"1106\">femele<\/strong><\/p><\/li><\/ul><p data-start=\"1110\" data-end=\"1133\"><strong data-start=\"1110\" data-end=\"1131\">Riscuri asociate:<\/strong><\/p><ul data-start=\"1134\" data-end=\"1338\"><li data-start=\"1134\" data-end=\"1187\"><p data-start=\"1136\" data-end=\"1187\"><strong data-start=\"1136\" data-end=\"1156\">Melanom cutanat:<\/strong> 5\u201310%, mai ales primii 5 ani<\/p><\/li><li data-start=\"1188\" data-end=\"1263\"><p data-start=\"1190\" data-end=\"1263\"><strong data-start=\"1190\" data-end=\"1217\">Melanom leptomeningeal:<\/strong> asociat cu <strong data-start=\"1229\" data-end=\"1261\">melanoza neurocutanat\u0103 (NCM)<\/strong><\/p><\/li><li data-start=\"1264\" data-end=\"1303\"><p data-start=\"1266\" data-end=\"1303\">Ulcera\u021bii, s\u00e2nger\u0103ri, suprainfec\u021bii<\/p><\/li><li data-start=\"1304\" data-end=\"1338\"><p data-start=\"1306\" data-end=\"1338\">Impact psihologic semnificativ<\/p><\/li><\/ul><p data-start=\"1340\" data-end=\"1369\"><strong data-start=\"1340\" data-end=\"1367\">Evaluare \u0219i diagnostic:<\/strong><\/p><ul data-start=\"1370\" data-end=\"1587\"><li data-start=\"1370\" data-end=\"1411\"><p data-start=\"1372\" data-end=\"1411\">Examinare clinic\u0103 complet\u0103 la na\u0219tere<\/p><\/li><li data-start=\"1412\" data-end=\"1471\"><p data-start=\"1414\" data-end=\"1471\"><strong data-start=\"1414\" data-end=\"1440\">RMN cerebral \u0219i spinal<\/strong> \u00een primul an \u2192 excludere NCM<\/p><\/li><li data-start=\"1472\" data-end=\"1520\"><p data-start=\"1474\" data-end=\"1520\">Biopsie cutanat\u0103 doar la modific\u0103ri suspecte<\/p><\/li><li data-start=\"1521\" data-end=\"1587\"><p data-start=\"1523\" data-end=\"1587\">Dermatoscopie digital\u0103 \u0219i fotografii periodice pentru urm\u0103rire<\/p><\/li><\/ul><p data-start=\"1589\" data-end=\"1605\"><strong data-start=\"1589\" data-end=\"1603\">Tratament:<\/strong><\/p><ul data-start=\"1606\" data-end=\"1900\"><li data-start=\"1606\" data-end=\"1640\"><p data-start=\"1608\" data-end=\"1640\"><strong data-start=\"1608\" data-end=\"1638\">Abordare multidisciplinar\u0103<\/strong><\/p><\/li><li data-start=\"1641\" data-end=\"1761\"><p data-start=\"1643\" data-end=\"1697\"><strong data-start=\"1643\" data-end=\"1659\">Chirurgical:<\/strong> excizie complet\u0103 dac\u0103 este posibil\u0103<\/p><ul data-start=\"1700\" data-end=\"1761\"><li data-start=\"1700\" data-end=\"1761\"><p data-start=\"1702\" data-end=\"1761\">Excizie \u00een etape, expandoare tisulare, grefe sau lambouri<\/p><\/li><\/ul><\/li><li data-start=\"1762\" data-end=\"1847\"><p data-start=\"1764\" data-end=\"1847\"><strong data-start=\"1764\" data-end=\"1787\">Laser CO\u2082 \/ erbium:<\/strong> pentru \u00eembun\u0103t\u0103\u021bire estetic\u0103, NU reduce riscul de melanom<\/p><\/li><li data-start=\"1848\" data-end=\"1900\"><p data-start=\"1850\" data-end=\"1900\"><strong data-start=\"1850\" data-end=\"1872\">Suport psihologic:<\/strong> pentru pacient \u0219i familie<\/p><\/li><\/ul><p data-start=\"1902\" data-end=\"1934\"><strong data-start=\"1902\" data-end=\"1932\">Management pe termen lung:<\/strong><\/p><ul data-start=\"1935\" data-end=\"2083\"><li data-start=\"1935\" data-end=\"1975\"><p data-start=\"1937\" data-end=\"1975\">Monitorizare dermatologic\u0103 periodic\u0103<\/p><\/li><li data-start=\"1976\" data-end=\"2019\"><p data-start=\"1978\" data-end=\"2019\">RMN repetat dac\u0103 apar semne neurologice<\/p><\/li><li data-start=\"2020\" data-end=\"2083\"><p data-start=\"2022\" data-end=\"2083\">Educa\u021bia p\u0103rin\u021bilor asupra semnelor de transformare malign\u0103<\/p><\/li><\/ul><p data-start=\"2085\" data-end=\"2120\"><strong data-start=\"2085\" data-end=\"2118\">Melanoza neurocutanat\u0103 (NCM):<\/strong><\/p><ul data-start=\"2121\" data-end=\"2353\"><li data-start=\"2121\" data-end=\"2172\"><p data-start=\"2123\" data-end=\"2172\">Afectare leptomeningeal\u0103 cu melanocite aberante<\/p><\/li><li data-start=\"2173\" data-end=\"2248\"><p data-start=\"2175\" data-end=\"2248\">Manifest\u0103ri: convulsii, hipertensiune intracranian\u0103, regres neuropsihic<\/p><\/li><li data-start=\"2249\" data-end=\"2304\"><p data-start=\"2251\" data-end=\"2304\">Investiga\u021bii: <strong data-start=\"2265\" data-end=\"2302\">RMN cu contrast + punc\u021bie lombar\u0103<\/strong><\/p><\/li><li data-start=\"2305\" data-end=\"2353\"><p data-start=\"2307\" data-end=\"2353\">Prognostic sever \u00een cazurile cu afectare CNS<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-56af676 e-con-full e-flex e-con e-parent\" data-id=\"56af676\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-30930de e-con-full e-flex e-con e-child\" data-id=\"30930de\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b07ea24 elementor-widget elementor-widget-heading\" data-id=\"b07ea24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ai o \u00eentrebare? R\u0103spunsul e la un mesaj distan\u021b\u0103.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f907f2 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6f907f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-832a93e elementor-widget elementor-widget-shortcode\" data-id=\"832a93e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"mf-form-shortcode\">\r\n\t\t<div\r\n\t\t\tid=\"metform-wrap-175-175\"\r\n\t\t\tclass=\"mf-form-wrapper\"\r\n\t\t\tdata-form-id=\"175\"\r\n\t\t\tdata-action=\"https:\/\/drstratan.md\/ru\/wp-json\/metform\/v1\/entries\/insert\/175\"\r\n\t\t\tdata-wp-nonce=\"52cfa394c8\"\r\n\t\t\tdata-form-nonce=\"7c30d583f0\"\r\n\t\t\tdata-quiz-summery = \"false\"\r\n\t\t\tdata-save-progress = \"false\"\r\n\t\t\tdata-form-type=\"general-form\"\r\n\t\t\tdata-stop-vertical-effect=\"\"\r\n\t\t\t><\/div>\r\n\r\n\r\n\t\t<!----------------------------- \r\n\t\t\t* controls_data : find the the props passed indie of data attribute\r\n\t\t\t* props.SubmitResponseMarkup : contains the markup of error or success message\r\n\t\t\t* https:\/\/developer.mozilla.org\/en-US\/docs\/Web\/JavaScript\/Reference\/Template_literals\r\n\t\t--------------------------- -->\r\n\r\n\t\t\t\t<script type=\"text\/mf\" class=\"mf-template\">\r\n\t\t\tfunction controls_data (value){\r\n\t\t\t\tlet currentWrapper = \"mf-response-props-id-175\";\r\n\t\t\t\tlet currentEl = document.getElementById(currentWrapper);\r\n\t\t\t\t\r\n\t\t\t\treturn currentEl ? currentEl.dataset[value] : false\r\n\t\t\t}\r\n\r\n\r\n\t\t\tlet is_edit_mode = '' ? true : false;\r\n\t\t\tlet message_position = controls_data('messageposition') || 'top';\r\n\r\n\t\t\t\r\n\t\t\tlet message_successIcon = controls_data('successicon') || '';\r\n\t\t\tlet message_errorIcon = controls_data('erroricon') || '';\r\n\t\t\tlet message_editSwitch = controls_data('editswitchopen') === 'yes' ? true : false;\r\n\t\t\tlet message_proClass = controls_data('editswitchopen') === 'yes' ? 'mf_pro_activated' : '';\r\n\t\t\t\r\n\t\t\tlet is_dummy_markup = is_edit_mode && message_editSwitch ? true : false;\r\n\r\n\t\t\t\r\n\t\t\treturn html`\r\n\t\t\t\t<form\r\n\t\t\t\t\tclassName=\"metform-form-content\"\r\n\t\t\t\t\tref=${parent.formContainerRef}\r\n\t\t\t\t\tonSubmit=${ validation.handleSubmit( parent.handleFormSubmit ) }\r\n\t\t\t\t\r\n\t\t\t\t\t>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'top' ?  props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' :  message_position === 'top' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\r\n\t\t\t\t\t<!--------------------------------------------------------\r\n\t\t\t\t\t*** IMPORTANT \/ DANGEROUS ***\r\n\t\t\t\t\t${html``} must be used as in immediate child of \"metform-form-main-wrapper\"\r\n\t\t\t\t\tclass otherwise multistep form will not run at all\r\n\t\t\t\t\t---------------------------------------------------------->\r\n\r\n\t\t\t\t\t<div className=\"metform-form-main-wrapper\" key=${'hide-form-after-submit'} ref=${parent.formRef}>\r\n\t\t\t\t\t${html`\r\n\t\t\t\t\t\t\t\t<div data-elementor-type=\"wp-post\" key=\"2\" data-elementor-id=\"175\" className=\"elementor elementor-175\" data-elementor-post-type=\"metform-form\">\n\t\t\t\t<div className=\"elementor-element elementor-element-40e5104 e-flex e-con-boxed e-con e-parent\" data-id=\"40e5104\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div className=\"e-con-inner\">\n\t\t<div className=\"elementor-element elementor-element-0e8ae74 e-con-full e-flex e-con e-child\" data-id=\"0e8ae74\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div className=\"elementor-element elementor-element-430f8fc elementor-widget__width-initial elementor-widget elementor-widget-mf-listing-fname\" data-id=\"430f8fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-listing-fname&quot;}\" data-widget_type=\"mf-listing-fname.default\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\n\t\t\t<input type=\"text\" className=\"mf-input \" id=\"mf-input-text-430f8fc\" \n\t\t\t\tname=\"mf-listing-fname\" \n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Nume*`) } \"\n\t\t\t\tonInput=${ parent.handleChange }\n\n\t\t\t\t\t\t\t\t\taria-invalid=${validation.errors['mf-listing-fname'] ? 'true' : 'false'}\n\t\t\t\t\tref=${ el => parent.activateValidation({\"message\":\"Acest spa\\u021biu este obligatoriu.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el) }\n\t\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-listing-fname\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-2f99bb6 elementor-widget__width-initial elementor-widget elementor-widget-mf-listing-lname\" data-id=\"2f99bb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-listing-lname&quot;}\" data-widget_type=\"mf-listing-lname.default\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\n\t\t\t<input type=\"text\" className=\"mf-input \" id=\"mf-input-text-2f99bb6\" \n\t\t\t\tname=\"mf-listing-lname\" \n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Prenume*`) } \"\n\t\t\t\tonInput=${ parent.handleChange }\t\n\n\t\t\t\t\t\t\t\t\taria-invalid=${validation.errors['mf-listing-lname'] ? 'true' : 'false'}\n\t\t\t\t\tref=${ el => parent.activateValidation({\"message\":\"Acest spa\\u021biu este obligatoriu.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el) }\n\t\t\t\t\t\t\t\t\n\t\t\t\/>\n\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-listing-lname\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div className=\"elementor-element elementor-element-46a4e07 e-con-full e-flex e-con e-child\" data-id=\"46a4e07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div className=\"elementor-element elementor-element-cae5111 elementor-widget__width-initial elementor-widget elementor-widget-mf-email\" data-id=\"cae5111\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-email&quot;}\" data-widget_type=\"mf-email.default\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\r\n\t\t\t<input \r\n\t\t\t\ttype=\"email\" \r\n\t\t\t\t \r\n\t\t\t\tdefaultValue=\"\" \r\n\t\t\t\tclassName=\"mf-input \" \r\n\t\t\t\tid=\"mf-input-email-cae5111\" \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Email*`) } \" \r\n\t\t\t\t \r\n\t\t\t\tonBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } \r\n\t\t\t\tref=${el=> parent.activateValidation({\"message\":\"Acest spa\\u021biu este obligatoriu.\",\"emailMessage\":\"\\u041f\\u043e\\u0436\\u0430\\u043b\\u0443\\u0439\\u0441\\u0442\\u0430, \\u0432\\u0432\\u0435\\u0434\\u0438\\u0442\\u0435 \\u0434\\u0435\\u0439\\u0441\\u0442\\u0432\\u0438\\u0442\\u0435\\u043b\\u044c\\u043d\\u044b\\u0439 email\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t<${validation.ErrorMessage} \r\n\t\t\t\terrors=${validation.errors} \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-7fb9004 elementor-widget__width-initial elementor-widget elementor-widget-mf-telephone\" data-id=\"7fb9004\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-telephone&quot;}\" data-widget_type=\"mf-telephone.default\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\n\t\t\t<input\n\t\t\t\ttype=\"tel\"\n\t\t\t\tclassName=\"mf-input \"\n\t\t\t\tid=\"mf-input-telephone-7fb9004\" \n\t\t\t\tname=\"mf-telephone\"\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Telefon*`) } \"\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\n\t\t\t\t\taria-invalid=${validation.errors['mf-telephone'] ? 'true' : 'false'}\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"Acest spa\\u021biu este obligatoriu.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\n\t\t\t\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-telephone\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div className=\"elementor-element elementor-element-6587f2a e-con-full e-flex e-con e-child\" data-id=\"6587f2a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div className=\"elementor-element elementor-element-b1effc9 elementor-widget__width-inherit elementor-widget elementor-widget-mf-textarea\" data-id=\"b1effc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-textarea&quot;}\" data-widget_type=\"mf-textarea.default\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\r\n\t\t\t<textarea className=\"mf-input mf-textarea \" id=\"mf-input-text-area-b1effc9\"\r\n\t\t\t\tname=\"mf-textarea\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`\u00centrebarea Dvs.`) } \"\r\n\t\t\t\tcols=\"30\" rows=\"10\"\r\n\t\t\t\t\t\t\t\t\tonInput=${ parent.handleChange }\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-textarea'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${ el => parent.activateValidation({\"message\":\"\\u041e\\u0431\\u044f\\u0437\\u0430\\u0442\\u0435\\u043b\\u044c\\u043d\\u043e\\u0435 \\u043f\\u043e\\u043b\\u0435.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\t><\/textarea>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-textarea\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div className=\"elementor-element elementor-element-40505b2 e-con-full e-flex e-con e-child\" data-id=\"40505b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div className=\"elementor-element elementor-element-d36fa04 mf-btn--center elementor-widget elementor-widget-mf-button\" data-id=\"d36fa04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mf-button.default\">\n\t\t\t\t\t\t\t<div className=\"mf-btn-wraper \" data-mf-form-conditional-logic-requirement=\"\">\r\n\t\t\t\t\t\t\t<button type=\"submit\" className=\"metform-btn metform-submit-btn \" id=\"\">\r\n\t\t\t\t\t<span>${ parent.decodeEntities(`Trimite`) } <\/span>\r\n\t\t\t\t<\/button>\r\n\t\t\t        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t`}\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\t\t\t\t\r\n\t\t\t\t<\/form>\r\n\t\t\t`\r\n\t\t<\/script>\r\n\r\n\t\t<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-87372a1 e-con-full e-flex e-con e-child\" data-id=\"87372a1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Chirurgia tumorilor tegumentare Cilindromul Pilomatrixomul Nevul albastru Histiocitomul fibros benign Lentigo Maligna Nevul Spitz Neurofibromul Nevul displazic Cornul cutanat Keratoacantomul Carcinomul trichilemal Molluscum pendulum Dermatofibromul Hemangiomul Carcinomul bazocelular LIPOMUL LIPOMATOZA NEVUL CONGENITAL GIGANT Cilindrom \u2013 Cauze, Simptome \u0219i Tratament Ce este cilindromul?Cilindromul este o tumor\u0103 benign\u0103 rar\u0103 a glandelor sudoripare, cel mai frecvent localizat\u0103 pe [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":31,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-643","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/pages\/643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/comments?post=643"}],"version-history":[{"count":10,"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/pages\/643\/revisions"}],"predecessor-version":[{"id":1055,"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/pages\/643\/revisions\/1055"}],"up":[{"embeddable":true,"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/pages\/31"}],"wp:attachment":[{"href":"https:\/\/drstratan.md\/ru\/wp-json\/wp\/v2\/media?parent=643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}