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"apellidos" => "Nogueira March" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480603728915?idApp=UINPBA00004N" "url" => "/02104806/0000002700000002/v1_201304251708/S0210480603728915/v1_201304251708/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480603728897" "issn" => "02104806" "doi" => "10.1016/S0210-4806(03)72889-7" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "72889" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2003;27:117-22" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1242 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 808 "PDF" => 427 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Cirugía mayor ambulatoria en urología. 5 años de experiencia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "117" "paginaFinal" => "122" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "“Ambulatory surgery in urology. Five years of experience”" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Llopis Guixot, J.A. Navarro Antón, M.J. Mola Arizo, V. Gonzalvo Pérez, R. Botella Almodóvar, E. Cantó Faubel, A.C. Polo Peris" "autores" => array:7 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Llopis Guixot" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Navarro Antón" ] 2 => array:2 [ "nombre" => "M.J." "apellidos" => "Mola Arizo" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Gonzalvo Pérez" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Botella Almodóvar" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Cantó Faubel" ] 6 => array:2 [ "nombre" => "A.C." "apellidos" => "Polo Peris" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480603728897?idApp=UINPBA00004N" "url" => "/02104806/0000002700000002/v1_201304251708/S0210480603728897/v1_201304251708/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Tumores vesicales inusuales: carcinoma epidermoide, adenocarcinoma y sarcoma primarios. comportamiento clínico. nuestra experiencia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "123" "paginaFinal" => "131" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. Queipo Zaragozá, F. Chicote Pérez, A. Borrell Palanca, J.F. Beltrán Meseguer, C. Alcalá-Santaella Casanova, B. Martínez García, F. Pastor Sempere" "autores" => array:7 [ 0 => array:3 [ "nombre" => "J.A." "apellidos" => "Queipo Zaragozá" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Chicote Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Borrell Palanca" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J.F." "apellidos" => "Beltrán Meseguer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "C." "apellidos" => "Alcalá-Santaella Casanova" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "B." "apellidos" => "Martínez García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "F." "apellidos" => "Pastor Sempere" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Hospital de Sagunto. Valencia" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. J.A. Queipo Zaragozaá C/ Santa Teresa, 4-8 46530 Puzol (Valencia)" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "“Unusual tumours of the bladder: primary epidermoid carcinoma, adenocarcinoma and sarcoma. Clinical behaviour. our experience”" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-06-27" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec86788" "palabras" => array:4 [ 0 => "Tumor vesical" 1 => "Carcinoma epidermoide" 2 => "Adenocarcinoma" 3 => "Sarcoma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec86787" "palabras" => array:4 [ 0 => "Tumour of the bladder" 1 => "Epidermoid carcinoma" 2 => "Adenocarcinoma" 3 => "Sarcoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los tumores vesicales con un patrón morfológico no transicional, constituyen un reto diagnóstico al patólogo y terapéutico al urólogo, pues aunque son poco frecuentes (menos del 5% de los tumores malignos de vejiga), presentan un comportamiento biológico diferente que obliga a un abordaje terapéutico particular. Las variedades anatomopatológicas más importantes son: el carcinoma epidermoide, el adenocarcinoma y el sarcoma primarios. Analizamos nuestra experiencia en este tipo de tumores.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de los tumores vesicales inusuales tratados en nuestro Hospital entre 1988- 2001. Analizamos su comportamiento biológico y tratamiento aplicado. En todos ellos se descartó el origen extravesical de la tumoración.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Encontramos 21 casos, cuyas variedades anatomopatológicas fueron: 13 Carcinomas Epidermoides, 7 Adenocarcinomas (3 de Uraco) y un Sarcoma. La edad media fue muy diferente entre los carcinomas epidermoides (69,2 ± 9,1 años) y los adenocarcinomas (50,3 ± 8,1). En las tres variedades histológicas el comportamiento fue muy agresivo. En el momento del diagnóstico 19 pacientes presentaban estadios locales avanzados (≥T2). Aunque el tratamiento electivo fue la cistectomía, sólo se pudo realizar en 10 casos. Quimioterapia sistémica (la más frecuente M-VAC) y/o RT local se aplicó en 7 casos. 14 pacientes han fallecido, con una supervivencia media de 15,7 ± 11,6 meses.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico tardío de estos tumores y su agresivo comportamiento biológico comportan un pronóstico sombrío. Sólo un diagnóstico precoz y un tratamiento radical podrían mejorar su pronóstico.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Non-transitional cell tumours of the bladder are both a diagnostic challenge for the pathologist and a therapeutic challenge for the urologist, because although uncommon (less than 5% of all malignancies of the bladder) they show different biological behaviours each requiring a unique approach. The most significant pathoanatomical types are: primary epidermoid carcinoma, primary adenocarcinoma and primary sarcoma. This paper presents an analysis of our experience in these types of tumours.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective study of unusual cases of cancer of the bladder seen in our hospital between 1988-2001. Their biological behaviour and the therapies applied are analysed. The extravesical origin of the tumour was ruled out in all cases.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We found 21 cases of the following pathoanatomical varieties: 13 epidermoid carcinomas, 7 adenocarcinomas (3 urachal) and 1 sarcoma. Mean age was very different between epidermoid carcinomas (69.2 ± 9.1 years) and adenocarcinomas (50.3 ± 8.1). Tumour behaviour was very aggressive in all three histological varieties. At the time of diagnosis 19 patients had locally advanced stages (≥T2). Although elective therapy was cystectomy, this was only feasible in 10 cases. Systemic chemotherapy (most frequently M-VAC) and/or local radiotherapy was used in 7 cases. 14 patients have died after a mean survival of 15.7 ± 11.6 months.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Late diagnosis of these tumours and their aggressive biological behaviour involve a gloomy prognosis. Only early diagnosis and radical therapy could improve the prognosis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:37 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Journal Information
Tumores vesicales inusuales: carcinoma epidermoide, adenocarcinoma y sarcoma primarios. comportamiento clínico. nuestra experiencia
“Unusual tumours of the bladder: primary epidermoid carcinoma, adenocarcinoma and sarcoma. Clinical behaviour. our experience”