Alon Scope
DEPARTMENT OF DERMATOLOGY AND THE ELLA INSTITUTE FOR MELANOMA, SHEBA MEDICAL CENTER, ISRAEL
La integración de nuevas técnicas de imagen en vivo no invasivas en la evaluación de lesiones pigmentadas de la piel ha mejorado la precisión del diagnóstico clínico en la detección temprana del melanoma. La dermatoscopia utiliza un aparato de amplificación óptica, que se sostiene en una mano, y que permite al médico visualizar los colores y estructuras debajo de la superficie de la piel que no son habitualmente visibles a simple vista. La microscopía confocal reflectante (MCR) es un sistema más aparatoso y caro que permite realizar exámenes no invasivos de lesiones de la piel con resolución a nivel celular, en esencia permite realizar una «biopsia óptica».
La dermatoscopia y la MCR se pueden usar como herramientas de apoyo en la evaluación del nevus melanocítico congénito (NMC). El objetivo de la conferencia es familiarizar a la audiencia con los patrones y estructuras del NMC que se ven en la dermatoscopia o la MCR, comprender el papel de la dermatoscopia y la MCR en la evaluación clínica completa del NMC, y reconocer las limitaciones de ambas técnicas en el examen del NMC.
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Con la dermatoscopia y la MCR, la profundidad efectiva de la imagen se limita a la dermis superior reticular por lo que la MCR es útil en la evaluación y monitorización de NMC pequeños o medianos que son relativamente planos. En NMC mayores, particularmente en aquellos que están elevados, son gruesos o nodulares, la evaluación por dermatoscopia y por MCR es menos probable que arroje información útil.
NECESITO UN DERMATOLOGO QUE HAGA DERMATOSCOPIAS EN ISRAEL…
PUES MIS HIJOS TIENEN MUCHOS LUNARES QUE HAY QUE ESTAR CHECANDO PERIODICAMENTE
Hola Lety, desgraciadamente no tenemos contactos en Israel. En todo caso no debería ser difícil conseguir que alguien te haga dermatoscopias porque es una tecnología bastante extendida y de resultados contrastados.
hola, soy de colombia y mi hijo tiene nevus congenito melanocitico gigante y los medicos que lo han tratado en verdad no han sabido darme un diagnostico definitivo acerca de su condicion de salud ya le han realizado tac, resonancias, biopsias y no me han sabido diagnosticar a mi hijo necesito ayuda yo tengo las fotos desde su nacimiento.
Hola Lety,
Soy de Argentina y como tu tengo esos problemas que tu mencionas con mis hijos. En Israel te recomiendo lleves a tus hijos al Ella Institute for Treatment and Research of Melanoma. El instituto esta en Tel Aviv. Los doctores alli son excelentes y de los mejores del mundo. Abajo te copio informacion en Ingles y donde encontraras todos los detalles de como hacer citas, que doctores son. El instituto es tan bueno que yo he dado contribuciones economicas para que continuen a buscar mejores tratamientos.
Para mas busca aqui http://eng.sheba.co.il/MELANOMA/
The Ella Institute for Treatment and Research of Melanoma and Skin Cancer
The Ella Institute is a center of knowledge and excellence, implementing some of the world’s most advanced and unique treatment methodologies for melanoma and skin cancer, operating within the Sheba Medical Center at Tel Hashomer.
The services of the Institute are available to patients and their families from the moment the disease is discovered, providing knowledge to patients on the stages of treatment and the procedures they would undergo, and ensuring a suitable and effective treatment for every patient, according to their condition and personal record.
The Ella Institute operates in collaboration with leading medical centers in the area of melanoma treatment worldwide, including the National Institute of Health (NIH) in The Unites States of America. The Institute incorporates advanced treatment methodologies with scientific and clinical research which is on going in the advanced research laboratories of the Institute. The Institute offers to patients the most extensive and effective treatment range, including enrollment in advanced clinical trials in the field of melanoma treatment.
The Institute operates within the Oncology Division of Sheba, directed by Professor Rafael Catane and the Cancer Research Center directed by Professor Gidi Rechavi, both world renowned leading cancer scientists..
Sheba Medical Center operates two unique clinics for the treatment of melanoma:
The Ella Institute Clinic
The clinic is designated for patients diagnosed with melanoma, beginning from the initial diagnostic stage and first line treatment. The patient is examined and evaluated by the doctors of the Institute, and referred for the treatment best suited for his condition, as detailed in the chapter on ‘treatment of melanoma’.
The Ella Institute currently offers advanced treatments, including the cutting edge treatment available for metastatic melanoma. This treatment, known as Cellular Immunotherapy, has been developed by the NIH laboratories in the USA, and is successfully implemented at the Sheba Medical Center since 2004. Although this treatment is still considered experimental, its encouraging results have been reported in the scientific literature, and The Ella Institute is the second and only center outside of the USA where this treatment is provided.
Director of The Ella Institute, Dr. Jacob Schachter, Deputy Director of the Oncology Division at Sheba.
For an appointment at The Ella Institute Clinic, please fax your medical background, along with personal and contact details.
The Institute personnel will contact you shortly.
Fax number for personal details and background: 972-3-5304934 .
Further information is available at the clinic, by telephone: 03-5304907 , or by email: Osnat.Suliman@sheba.health.gov.il.
Pigmentary Lesions Clinic
The clinic specializes in computerized diagnosis of potentially malignant afflictions. The clinic periodically monitors and documents all body moles and allows for early detection of changes which could indicate the development of melanoma. Based on the decision of the doctors, the clinic also performs dermoscopy, which enables the examination of the deeper skin layers, without the need for surgery.
We recommend that all people found in a high risk category to develop melanoma (many moles or freckles, very light skin, a family history of melanoma) would undergo regular checkups either by their General Practitioner, Dermatologist, or at the Sheba Clinic for Pigmantation Diagnosis.
Further information is available at the clinic, by telephone: 03-5305275/7, or by email: pigment@sheba.health.gov.il.
The Medical Staff
Prof. Jacob Schachter – Director of the Ella Institute, Oncologist
Dr. Ronni Shapira – Oncologist
Dr. Irina Kuchuk – Oncologist
Dr. Dov Zippel – Surgical Oncologist
Mr. Aviad Yair – Clinical Trials Coordinator
Mrs. Osnat Suliman- Clinic Secretary
How to reach The Ella Institute?
Location: Cancer Center (Oncology Institute), Level 2.
Parking is available at the Cancer Center Parking Lot, adjacent to the MADA Building (Israeli Red Magen-David). Take the parking lot elevator to Level 3 and enter via the corridor into the central lobby of the Oncology Institute. The Clinic is located half a level above the lobby.
Alternatively, exit the parking lot building and enter to the right of the Mouth and Jaw Clinic, turn right to the Oncology Institute, and take the elevators to Level 2.
Those entering from the main lobby of the Medical Center (next to the Apropo Shopping Center), please go straight into the corridor by the cafeteria. The entrance to the Cancer Center is at the end of the corridor. Go up to Level 2.
Hola Malka, soy lorena de Argentina, te cuento que con un grupo de papas estamos tratando de armar un grupo, por el momento no tenemos página web, pero si queres podes buscarnos en facebook nevus_arg.
Besos