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Manejo y evolución de la enfermedad" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "639" "paginaFinal" => "645" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Juan, Astigueta Pérez, Milagros Abad Licham, Mariela Godoy Pow-Sang, Víctor Destefano Urrutia, Juvenal Sánchez Lihon" "autores" => array:6 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Juan" "email" => array:1 [ 0 => "jca_astigueta@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Astigueta" "apellidos" => "Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Milagros" "apellidos" => "Abad Licham" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Mariela" "apellidos" => "Godoy Pow-Sang" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "Víctor" "apellidos" => "Destefano Urrutia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Juvenal" "apellidos" => "Sánchez Lihon" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Cirugía Urológica, Instituto Regional de Enfermedades Neoplásicas, Trujillo, Perú. Departamentos de" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Patología.Instituto Nacional de Enfermedades Neoplásicas. Lima, Perú" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Urología Oncológica, Instituto Nacional de Enfermedades Neoplásicas. Lima, Perú" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Juan C. Astigueta Pérez Departamento de Cirugía Urológica. Instituto Regional de Enfermedades Neoplásicas - Norte Panamericana Norte km 558, Trujillo, Perú" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Adult paratesticular sarcomas. Management and evolution of the disease" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-01" "fechaAceptado" => "2008-12-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88996" "palabras" => array:3 [ 0 => "Sarcoma" 1 => "Paratesticular" 2 => "Adulto" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88995" "palabras" => array:3 [ 0 => "Sarcoma" 1 => "Paratesticular" 2 => "Adult" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Identificar y analizar las características clínico-patológicas, terapéuticas y la evolución de la enfermedad en pacientes adultos con diagnostico de sarcoma paratesticular.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se revisaron retrospectivamente las historias clínicas de los pacientes con diagnóstico de sarcoma, de localización paratesticular del departamento de Urología del Instituto Nacional de Enfermedades Neoplásicas desde 1952 hasta el 2003. Se recopiló datos de filiación, antecedentes, sintomatología, métodos diagnósticos, estudios anatomopatologicos, tratamientos y estado de la enfermedad. Se analizó estadísticamente y evaluó comparativamente con la información obtenida en la revisión de la literatura.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se encontraron dieciséis casos de sarcoma paratesticular en pacientes mayores de 16 años, 9 rabdomiosarcomas, 3 leiomiosarcomas, 3 liposarcomas y 1 sarcoma no clasificable. Hubo dos picos de presentación, uno entre 16 y 20 años y otro en mayores de 60 años. Seis tenían enfermedad metastásica al diagnóstico. La sobrevida en promedio fue de 32,18 meses con un rango entre 1 y 142 meses, sólo dos pacientes se encuentran vivos, un caso de rabdomiosarcoma sin evidencia de enfermedad y otro de leiomiosarcoma con recurrencia a nivel del canal inguinal (zona de cirugía).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los sarcomas paratesticulares son una neoplasia maligna rara de pobre pronóstico. El comportamiento biológico del tumor y la historia de enfermedad son variables de acuerdo al subtipo histológico, pero en general la evolución es tórpida con desenlace fatal.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Identify and analyze the clinic pathologic characteristics, therapeutic, and the evolution of the disease in adult patients with a diagnosis of paratesticular sarcoma.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We reviewed retrospectively the medical records of patients diagnosed with sarcoma paratesticular location of the department of urology at the National Institute of Neoplastic Diseases from 1952 to 2003. Data was collected affiliation, background, symptoms, diagnostic methods, pathological diagnosis, treatment and status of the disease. We analyzed statistically evaluated and compared with information obtained in the literature.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Sixteen paratesticular sarcomas cases were found in patients greater than 16 years old; 9 rhabdomyosarcomas, 3 leiomyosarcomas, 3 liposarcomas, and 1 nonclassifiable sarcoma. There were two thresholds of presentation, one among 16 to 20 years and another one in greater than 60 years. Six had metastatic disease at diagnosis. The average survival was 32.18 months with a range among 1 and 142, only two patients are alive, a case of rhabdomyosarcoma without disease evidence and another one of leiomyosarcoma with inguinal recurrence.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Paratesticular sarcoma is a rare malignant neoplasia of poor prognostic. with variable history of disease in relation a histology subtype, but in general of bad evolution with fatal ending. The biological behavior of the tumor and history of the disease vary according to histological subtype, but in general the trend is poor with fatal outcome.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Autor para correspondencia
jca_astigueta@hotmail.com
Correspondencia autor: Dr. Juan C. Astigueta Pérez Departamento de Cirugía Urológica. Instituto Regional de Enfermedades Neoplásicas - Norte Panamericana Norte km 558, Trujillo, Perú
Correspondencia autor: Dr. Juan C. Astigueta Pérez Departamento de Cirugía Urológica. Instituto Regional de Enfermedades Neoplásicas - Norte Panamericana Norte km 558, Trujillo, Perú