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array:19 [ "pii" => "13143270" "issn" => "02104806" "estado" => "S300" "fechaPublicacion" => "2009-05-01" "documento" => "article" "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:499-504" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2135 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1448 "PDF" => 680 ] ] "itemSiguiente" => array:14 [ "pii" => "13143269" "issn" => "02104806" "estado" => "S300" "fechaPublicacion" => "2009-05-01" "documento" => "article" "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:505-13" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2514 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1544 "PDF" => 962 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Tratamiento actual de las masas renales pequeñas" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "505" "paginaFinal" => "513" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José I. Iriarte Soldevilla, Nerea Senarriaga Ruiz de la Illa, Isabel Lacasa Viscasillas, Ana Loizaga Iriarte, Carmen Zubiaur Libano, Miguel Unda Urzaiz" "autores" => array:6 [ 0 => array:2 [ "nombre" => "José I." "apellidos" => "Iriarte Soldevilla" ] 1 => array:2 [ "nombre" => "Nerea" "apellidos" => "Senarriaga Ruiz de la Illa" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Lacasa Viscasillas" ] 3 => array:2 [ "nombre" => "Ana" "apellidos" => "Loizaga Iriarte" ] 4 => array:2 [ "nombre" => "Carmen" "apellidos" => "Zubiaur Libano" ] 5 => array:2 [ "nombre" => "Miguel" "apellidos" => "Unda Urzaiz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13143269?idApp=UINPBA00004N" "url" => "/02104806/0000003300000005/v0_201607111116/13143269/v0_201607111118/es/main.assets" ] "itemAnterior" => array:14 [ "pii" => "13143271" "issn" => "02104806" "estado" => "S300" "fechaPublicacion" => "2009-05-01" "documento" => "article" "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:482-98" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3025 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1603 "PDF" => 1414 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Caracterización por la imagen de las masas renales. Atlas por laimagen" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "482" "paginaFinal" => "498" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Javier Fernández Mena, Armando Zuluaga Gómez, Francisco Valle Díaz de la Guardia" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Javier" "apellidos" => "Fernández Mena" ] 1 => array:2 [ "nombre" => "Armando" "apellidos" => "Zuluaga Gómez" ] 2 => array:2 [ "nombre" => "Francisco" "apellidos" => "Valle Díaz de la Guardia" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13143271?idApp=UINPBA00004N" "url" => "/02104806/0000003300000005/v0_201607111116/13143271/v0_201607111117/es/main.assets" ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Biopsia de masas renales: resultados y seguridad en 2009" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "499" "paginaFinal" => "504" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "José M. de la Morena Gallego, Carlos Llorente Abarca" "autores" => array:2 [ 0 => array:3 [ "nombre" => "José M." "apellidos" => "de la Morena Gallego" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Carlos" "apellidos" => "Llorente Abarca" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Hospital Fundación Alcorcón. Madrid. España." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "pdfFichero" => "292v33n05a13143270pdf001.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec689450" "palabras" => array:3 [ 0 => "Cáncer renal" 1 => "Biopsia" 2 => "Diagnóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec689451" "palabras" => array:3 [ 0 => "Renal cell carcinoma" 1 => "Biopsy" 2 => "Diagnosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "El papel de la biopsia de masas renales ha sido hasta ahora limitado por los resultados insatisfactorios en cuanto a fiabilidaddiagnostica y por su escasa repercusión en las decisiones terapéuticas. Recientemente las BMR han recobrado interésentre los urólogos, debido al aumento de incidencia de tumores renales, la aparición de nuevas opciones de manejo ylos avances en el diagnóstico histológico. <br />Hemos revisado mediante una búsqueda en Pubmed, las publicaciones más relevantes sobre biopsias de tumores renalesaparecidas en los últimos años. <br />Los estudios clínicos más recientes demuestran un alto grado de fiabilidad diagnostica para diferenciar malignidad, tipohistológico y grado de las biopsias percutáneas de tumores renales, con una baja tasa de complicaciones asociadas. Sinembargo su utilización rutinaria continúa siendo controvertida y sus indicaciones limitadas dada la escasa capacidad demodificar la actitud terapéutica." ] "en" => array:1 [ "resumen" => "The role of renal mass biopsies has been limited by suboptimal results in terms of diagnostic reliability, and their scantrepercussion upon therapeutic decision taking. Recently, however, renal mass biopsies have generated renewed interestamong urologists, as a result of the increased incidence of renal tumors, the introduction of new management options, andadvances in histological diagnosis. <br />A review has been made, based on a PubMed search of the most relevant publications on renal tumor biopsies in recent years. <br />The most recent clinical studies reveal a high degree of diagnostic reliability in differentiating malignancy, histologicaltype and grade in percutaneous biopsies of renal tumors, with a low rate of associated complications. However, routine useof the technique remains controversial, and its indications limited, due to the scant capacity of the renal biopsy findings tomodify treatment decision." ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000005/v0_201607111116/13143270/v0_201607111117/es/main.assets" "Apartado" => array:4 [ "identificador" => "55588" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000005/v0_201607111116/13143270/v0_201607111117/es/292v33n05a13143270pdf001.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13143270?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/13143270/S300/en/292v33n05a13143270pdf001_2.pdf" "portada" => "292v33n05a13143270pdf001_2.png" ] ] ]
