Image of the month
Polypoid endometriosis simulating an advanced ovarian neoplasm with infiltration of the intestinal wall: Echoendoscopic description of the case
Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso
Carla Amarala,b,c, Lidia Gonzálezd, Cristina Reygosaa,b,c, Alberto Hernándeza,b,c, Anjara Hernándeza,b,c, Manuel Hernández-Guerraa,b,c, Francisco Amayad, Antonio Z. Gimeno-Garcíaa,b,c,
Corresponding author
a Servicio de Gastroenterología, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain
b Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), La Laguna, Santa Cruz de Tenerife, Spain
c Departamento de Medicina Interna, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, Spain
d Servicio de Ginecología y Obstetricia, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain
Read
344
Timeswas read the article
62
Total PDF
282
Total HTML
Share statistics
array:24 [ "pii" => "S244438242100122X" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.06.029" "estado" => "S300" "fechaPublicacion" => "2021-06-01" "aid" => "1622" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:433-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210570520303058" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2020.06.026" "estado" => "S300" "fechaPublicacion" => "2021-06-01" "aid" => "1622" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:433-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen del mes</span>" "titulo" => "Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "433" "paginaFinal" => "434" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Polypoid endometriosis simulating an advanced ovarian neoplasm with infiltration of the intestinal wall: Echoendoscopic description of the case" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 689 "Ancho" => 805 "Tamanyo" => 72112 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Imagen de resonancia magnética T2 corte sagital.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carla Amaral, Lidia González, Cristina Reygosa, Alberto Hernández, Anjara Hernández, Manuel Hernández-Guerra, Francisco Amaya, Antonio Z. Gimeno-García" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Carla" "apellidos" => "Amaral" ] 1 => array:2 [ "nombre" => "Lidia" "apellidos" => "González" ] 2 => array:2 [ "nombre" => "Cristina" "apellidos" => "Reygosa" ] 3 => array:2 [ "nombre" => "Alberto" "apellidos" => "Hernández" ] 4 => array:2 [ "nombre" => "Anjara" "apellidos" => "Hernández" ] 5 => array:2 [ "nombre" => "Manuel" "apellidos" => "Hernández-Guerra" ] 6 => array:2 [ "nombre" => "Francisco" "apellidos" => "Amaya" ] 7 => array:2 [ "nombre" => "Antonio Z." "apellidos" => "Gimeno-García" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S244438242100122X" "doi" => "10.1016/j.gastre.2020.06.029" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S244438242100122X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520303058?idApp=UINPBA00004N" "url" => "/02105705/0000004400000006/v3_202201200608/S0210570520303058/v3_202201200608/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2444382421001267" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.12.002" "estado" => "S300" "fechaPublicacion" => "2021-06-01" "aid" => "1753" "copyright" => "The Authors" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "pgl" "cita" => "Gastroenterol Hepatol. 2021;44:435-47" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical practice guidelines</span>" "titulo" => "Recommendations of the Spanish Working Group on Crohn’s disease and Ulcerative Colitis (Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa — GETECCU) on dysplasia screening in inflammatory bowel disease patients" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "435" "paginaFinal" => "447" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Recomendaciones del Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa (GETECCU) sobre cribado de displasia en pacientes con enfermedad inflamatoria intestinal" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1872 "Ancho" => 2925 "Tamanyo" => 269685 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Algorithm 1. Surveillance after dysplasia in patient with resected lesion (R0).</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">DCE: dye chromoendoscopy; HGD: high-grade dysplasia; LGD: low-grade dysplasia.</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">* Tattoo if Kudo ≥3.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Beatriz Sicilia, Raquel Vicente, Lara Arias, Ana Echarri, Yamile Zabana, Miriam Mañosa, Belén Beltrán, Manuel Barreiro-de Acosta" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Sicilia" ] 1 => array:2 [ "nombre" => "Raquel" "apellidos" => "Vicente" ] 2 => array:2 [ "nombre" => "Lara" "apellidos" => "Arias" ] 3 => array:2 [ "nombre" => "Ana" "apellidos" => "Echarri" ] 4 => array:2 [ "nombre" => "Yamile" "apellidos" => "Zabana" ] 5 => array:2 [ "nombre" => "Miriam" "apellidos" => "Mañosa" ] 6 => array:2 [ "nombre" => "Belén" "apellidos" => "Beltrán" ] 7 => array:2 [ "nombre" => "Manuel" "apellidos" => "Barreiro-de Acosta" ] 8 => array:1 [ "colaborador" => "on behalf of GETECCU" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210570521000431" "doi" => "10.1016/j.gastrohep.2020.12.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570521000431?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382421001267?idApp=UINPBA00004N" "url" => "/24443824/0000004400000006/v3_202201060651/S2444382421001267/v3_202201060651/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S244438242100136X" "issn" => "24443824" "doi" => "10.1016/j.gastre.2020.06.031" "estado" => "S300" "fechaPublicacion" => "2021-06-01" "aid" => "1625" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2021;44:431-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Two-devices-in-one-channel plastic-to-metal stent switch in a difficult-to-cannulate biliary stricture related to chronic pancreatitis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "431" "paginaFinal" => "432" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dos dispositivos en un canal de cambio de stent plástico-metal en una estenosis biliar difícil de canalizar relacionada con la pancreatitis crónica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 873 "Ancho" => 1750 "Tamanyo" => 236663 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Duodenoscopic visualization of the indwelling 10-Fr biliary double pigtail plastic stent. (B) Successful 0.035-in guidewire placement alongside the stent after initial alignment with an ERCP cannula. (C) After additional insertion of a grasper through the 4.2<span class="elsevierStyleHsp" style=""></span>mm working channel of the therapeutic duodenoscope, the most distal stent end was grasped. (D) Next, the plastic stent was extracted through the scope with the guidewire left in situ. (E) Insertion of the FCSEMS application system. (F) Documentation of optimal FCSEMS placement.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vincent Zimmer" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Vincent" "apellidos" => "Zimmer" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210570520303083" "doi" => "10.1016/j.gastrohep.2020.06.029" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570520303083?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S244438242100136X?idApp=UINPBA00004N" "url" => "/24443824/0000004400000006/v3_202201060651/S244438242100136X/v3_202201060651/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Polypoid endometriosis simulating an advanced ovarian neoplasm with infiltration of the intestinal wall: Echoendoscopic description of the case" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "433" "paginaFinal" => "434" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carla Amaral, Lidia González, Cristina Reygosa, Alberto Hernández, Anjara Hernández, Manuel Hernández-Guerra, Francisco Amaya, Antonio Z. Gimeno-García" "autores" => array:8 [ 0 => array:3 [ "nombre" => "Carla" "apellidos" => "Amaral" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 1 => array:3 [ "nombre" => "Lidia" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "Cristina" "apellidos" => "Reygosa" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Alberto" "apellidos" => "Hernández" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "Anjara" "apellidos" => "Hernández" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Manuel" "apellidos" => "Hernández-Guerra" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "Francisco" "apellidos" => "Amaya" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 7 => array:4 [ "nombre" => "Antonio Z." "apellidos" => "Gimeno-García" "email" => array:1 [ 0 => "antozeben@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Gastroenterología, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), La Laguna, Santa Cruz de Tenerife, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Medicina Interna, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Ginecología y Obstetricia, Hospital Universitario de Canarias, La Cuesta, Santa Cruz de Tenerife, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 570 "Ancho" => 805 "Tamanyo" => 69188 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Rectal endoscopic ultrasound image elastography in which the lesion acquires a purplish hue that could simulate a neoplastic lesion.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 45-year-old patient with a history of endometriotic disease in whom a transvaginal ultrasound revealed a pseudopapillary cystic formation adjacent to the right adnexal mass. The CA-125 marker was 27.8<span class="elsevierStyleHsp" style=""></span>U/ml (normal: <35<span class="elsevierStyleHsp" style=""></span>U/ml). Magnetic resonance imaging (MRI) showed 2 cystic formations of 4<span class="elsevierStyleHsp" style=""></span>cm with an irregular solid component of 17<span class="elsevierStyleHsp" style=""></span>mm adjacent to the right ovary with pathological enhancement suggestive of mucinous cystadenocarcinoma (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) and probable sigmoid involvement. To assess the infiltration of the wall, a rectal endoscopic ultrasound was requested, which showed a hypoechoic arboriform lesion of 20<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>20<span class="elsevierStyleHsp" style=""></span>mm vascularised inside a cystic cavity (<a class="elsevierStyleCrossRefs" href="#fig0015">Figs. 3 and 4</a>), without the sigmoid colon being compromised. The surgical specimen revealed endometriotic foci without signs of degeneration.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The novelty of the case that is presented lies, firstly, in the rarity of the polypoid presentation of endometriosis, with around 65 cases having been described in the literature.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1–3</span></a> This manifestation raises the differential diagnosis with a neoplastic lesion as the MRI suggested.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Secondly, it is the first case in which its appearance is described by digestive endoscopic ultrasound, and thus the dissemination of its ultrasound characteristics among gastroenterologists dedicated to endoscopic ultrasound is of interest.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Amaral C, González L, Reygosa C, Hernández A, Hernández A, Hernández-Guerra M, et al. Endometriosis polipoide simulando una neoplasia avanzada de ovario con infiltración de la pared intestinal: descripción ecoendoscópica del caso. Gastroenterol Hepatol. 2021;44:433–434.</p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 730 "Ancho" => 805 "Tamanyo" => 94163 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional T2 magnetic resonance image.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 689 "Ancho" => 805 "Tamanyo" => 72112 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sagittal section T2 magnetic resonance image.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 553 "Ancho" => 805 "Tamanyo" => 53872 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Conventional rectal endoscopic ultrasound image. Frequency 6<span class="elsevierStyleHsp" style=""></span>MHz.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 570 "Ancho" => 805 "Tamanyo" => 69188 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Rectal endoscopic ultrasound image elastography in which the lesion acquires a purplish hue that could simulate a neoplastic lesion.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Polypoid endometriosis mimicking invasive cancer in an obese, postmenopausal tamoxifen user" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W.T. Jaegle" 1 => "J.C. Barnett" 2 => "B.R. Stralka" 3 => "N.P. Chappell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Gynecol Oncol Rep" "fecha" => "2017" "volumen" => "22" "paginaInicial" => "105" "paginaFinal" => "107" "itemHostRev" => array:3 [ "pii" => "S0026049521000123" "estado" => "S300" "issn" => "00260495" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Polypoid endometriosis: a clinicopathologic analysis of 24 cases and a review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.L. Parker" 1 => "F. Dadmanesh" 2 => "R.H. Young" 3 => "P.B. Clement" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00000478-200403000-00001" "Revista" => array:6 [ "tituloSerie" => "Am J Surg Pathol" "fecha" => "2004" "volumen" => "28" "paginaInicial" => "285" "paginaFinal" => "297" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15104291" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tamoxifen-associated polyps (basalomas) arising in multiple endometriotic foci: a case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Schlesinger" 1 => "S.G. Silverberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1006/gyno.1998.5305" "Revista" => array:6 [ "tituloSerie" => "Gynecol Oncol" "fecha" => "1999" "volumen" => "73" "paginaInicial" => "305" "paginaFinal" => "311" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10329051" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004400000006/v3_202201060651/S244438242100122X/v3_202201060651/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004400000006/v3_202201060651/S244438242100122X/v3_202201060651/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S244438242100122X?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 3 | 6 |
| 2024 October | 13 | 0 | 13 |
| 2024 September | 21 | 4 | 25 |
| 2024 August | 18 | 5 | 23 |
| 2024 July | 17 | 4 | 21 |
| 2024 June | 14 | 7 | 21 |
| 2024 May | 19 | 5 | 24 |
| 2024 April | 15 | 2 | 17 |
| 2024 March | 21 | 7 | 28 |
| 2024 February | 21 | 3 | 24 |
| 2024 January | 13 | 1 | 14 |
| 2023 December | 22 | 2 | 24 |
| 2023 November | 17 | 1 | 18 |
| 2023 October | 16 | 12 | 28 |
| 2023 September | 14 | 2 | 16 |
| 2023 August | 9 | 2 | 11 |
| 2023 July | 10 | 0 | 10 |
| 2023 June | 7 | 0 | 7 |
| 2023 January | 1 | 0 | 1 |
| 2022 December | 1 | 0 | 1 |
| 2022 October | 1 | 0 | 1 |
| 2022 September | 1 | 0 | 1 |
| 2022 July | 1 | 0 | 1 |
| 2022 June | 1 | 0 | 1 |
| 2022 April | 1 | 0 | 1 |
| 2022 February | 1 | 0 | 1 |
| 2022 January | 1 | 0 | 1 |
| 2021 November | 1 | 0 | 1 |
| 2021 July | 1 | 0 | 1 |
| 2021 June | 1 | 2 | 3 |
Show all
