Cirugía de Mohs: Aplicación de la técnica a neoplasias del pene
Mohs micrographic surgery: aplication of this technique to penile neoplasms
J. Cuevas
, E. de Eusebio**, E. Díez**, I. Castiñeira*
,1
Autor para correspondencia
jcuevas@sescam.org
Correspondencia autor: Dr. J. Cuevas. Servicio de Anatomía Patológica Hospital Universitario de Guadalajara Avda. Donantes de Sangre, s/n - 19002 Guadalajara Tel.: 949 209 220
Correspondencia autor: Dr. J. Cuevas. Servicio de Anatomía Patológica Hospital Universitario de Guadalajara Avda. Donantes de Sangre, s/n - 19002 Guadalajara Tel.: 949 209 220
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"apellidos" => "Cuevas" "email" => array:1 [ 0 => "jcuevas@sescam.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "de Eusebio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Díez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "I." "apellidos" => "Castiñeira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anatomía Patológica." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología. Hospital Universitario de Guadalajara. Universidad de Alcalá de Henares. Madrid." "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. J. Cuevas. Servicio de Anatomía Patológica Hospital Universitario de Guadalajara Avda. Donantes de Sangre, s/n - 19002 Guadalajara Tel.: 949 209 220" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Mohs micrographic surgery: aplication of this technique to penile neoplasms" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88396" "palabras" => array:3 [ 0 => "Cirugía micrográfica" 1 => "Mohs" 2 => "Pene" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88395" "palabras" => array:3 [ 0 => "Mohs" 1 => "Micrographic surgery" 2 => "Penis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirugía de Mohs es una técnica quirúrgica que permite la extirpación en capas de tumores cutáneos con los más elevados porcentajes de curación. Al mismo tiempo permite el máximo ahorro de tejido sano. Todo ello es posible gracias a la supervisión microscópica que posibilita analizar el 100% de los bordes tumorales de cada una de las capas y así poder guiar al cirujano en las sucesivas persistencias tumorales hasta la completa extirpación del tumor. La utilidad de la cirugía micrográfica de Mohs en el tratamiento de las neoplasias de pene tiene su justificación por el ahorro de tejido que permite. El carcinoma verrucoso de pene, constituye una indicación de cirugía de Mohs debido a la elevada tendencia a la recidiva local tras la cirugía convencional. Aunque más infrecuentes, otros tipos histológicos de tumores del pene en los que la cirugía micrográfica de Mohs puede ser de utilidad son: epitelioma basocelular, la enfermedad de Paget extramamaria, el melanoma in situ y el tumor de células granulosas.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mohs micrographic surgery is a surgical technique that allows the excision in successive layers of cutaneous malignancies with the higher cure rates. At the same time, this surgical technique offers the maximal preservation of normal tissue. That is possible because Mohs surgery provides the advantage of microscopically controlled tumor-free borders in each stage guiding the surgeon in the tumor persistence until the complete surgical excision. Mohs micrographic surgery is a precise treatment for penile neoplasms and its utility is justified because the removal of a substantial surgical margin of normal tissue is obviated. Mohs micrographic surgery is indicated in the treatment of penile verrucous carcinoma due to the significant risk of loco-regional recurrence after conventional surgery. Although infrequent, other penile neoplasms that can benefit from Mohs micrographic surgery are: basal cell carcinoma, extrammamary Paget’s disease, in situ melanoma and granular cell tumor.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mohs Micrographic surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.L. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 8 | 8 |
| 2024 Septiembre | 1 | 12 | 13 |
| 2024 Agosto | 0 | 9 | 9 |
| 2024 Julio | 0 | 3 | 3 |
| 2024 Junio | 0 | 11 | 11 |
| 2024 Mayo | 0 | 7 | 7 |
| 2024 Abril | 0 | 12 | 12 |
| 2024 Marzo | 0 | 18 | 18 |
| 2024 Febrero | 0 | 3 | 3 |
| 2024 Enero | 2 | 4 | 6 |
| 2023 Diciembre | 0 | 14 | 14 |
| 2023 Noviembre | 0 | 17 | 17 |
| 2023 Octubre | 0 | 29 | 29 |
| 2023 Septiembre | 0 | 7 | 7 |
| 2023 Agosto | 0 | 9 | 9 |
| 2023 Julio | 0 | 33 | 33 |
| 2023 Junio | 0 | 4 | 4 |
| 2023 Mayo | 0 | 4 | 4 |
| 2023 Abril | 0 | 4 | 4 |
| 2023 Marzo | 1 | 8 | 9 |
| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 8 | 8 |
| 2022 Diciembre | 0 | 4 | 4 |
| 2022 Noviembre | 0 | 13 | 13 |
| 2022 Octubre | 0 | 10 | 10 |
| 2022 Septiembre | 0 | 5 | 5 |
| 2022 Agosto | 0 | 7 | 7 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 0 | 7 | 7 |
| 2022 Abril | 0 | 13 | 13 |
| 2022 Marzo | 0 | 5 | 5 |
| 2022 Febrero | 0 | 3 | 3 |
| 2022 Enero | 0 | 2 | 2 |
| 2021 Diciembre | 0 | 2 | 2 |
| 2021 Noviembre | 0 | 3 | 3 |
| 2021 Octubre | 0 | 5 | 5 |
| 2021 Septiembre | 0 | 4 | 4 |
| 2021 Agosto | 0 | 1 | 1 |
| 2021 Julio | 0 | 3 | 3 |
| 2021 Junio | 0 | 2 | 2 |
| 2021 Mayo | 0 | 7 | 7 |
| 2021 Abril | 0 | 2 | 2 |
| 2021 Enero | 0 | 2 | 2 |
| 2020 Diciembre | 0 | 7 | 7 |
| 2020 Octubre | 0 | 1 | 1 |
| 2020 Septiembre | 0 | 3 | 3 |
| 2020 Agosto | 0 | 6 | 6 |
| 2020 Julio | 0 | 1 | 1 |
| 2020 Junio | 0 | 1 | 1 |
| 2020 Mayo | 0 | 4 | 4 |
| 2020 Abril | 0 | 1 | 1 |
| 2020 Marzo | 0 | 4 | 4 |
| 2020 Enero | 0 | 18 | 18 |
| 2019 Diciembre | 0 | 1 | 1 |
| 2019 Noviembre | 0 | 5 | 5 |
| 2019 Octubre | 0 | 1 | 1 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 2 | 2 |
| 2019 Julio | 0 | 7 | 7 |
| 2019 Junio | 0 | 8 | 8 |
| 2019 Mayo | 0 | 49 | 49 |
| 2019 Abril | 0 | 14 | 14 |
| 2019 Febrero | 0 | 7 | 7 |
| 2019 Enero | 0 | 1 | 1 |
| 2018 Diciembre | 0 | 8 | 8 |
| 2018 Noviembre | 0 | 7 | 7 |
| 2018 Octubre | 0 | 17 | 17 |
| 2018 Febrero | 2 | 0 | 2 |
| 2018 Enero | 1 | 0 | 1 |
| 2017 Diciembre | 1 | 0 | 1 |
| 2017 Noviembre | 5 | 4 | 9 |
| 2017 Octubre | 6 | 3 | 9 |
| 2017 Septiembre | 5 | 3 | 8 |
| 2017 Agosto | 6 | 2 | 8 |
| 2017 Julio | 3 | 0 | 3 |
| 2017 Junio | 7 | 1 | 8 |
| 2017 Mayo | 7 | 4 | 11 |
| 2017 Abril | 11 | 3 | 14 |
| 2017 Marzo | 21 | 21 | 42 |
| 2017 Febrero | 13 | 3 | 16 |
| 2017 Enero | 13 | 1 | 14 |
| 2016 Diciembre | 36 | 8 | 44 |
| 2016 Noviembre | 32 | 3 | 35 |
| 2016 Octubre | 18 | 7 | 25 |
| 2016 Septiembre | 22 | 5 | 27 |
| 2016 Agosto | 11 | 3 | 14 |
| 2016 Julio | 8 | 1 | 9 |
| 2016 Junio | 21 | 8 | 29 |
| 2016 Mayo | 16 | 10 | 26 |
| 2016 Abril | 16 | 9 | 25 |
| 2016 Marzo | 15 | 9 | 24 |
| 2016 Febrero | 13 | 10 | 23 |
| 2016 Enero | 9 | 13 | 22 |
| 2015 Diciembre | 14 | 6 | 20 |
| 2015 Noviembre | 18 | 5 | 23 |
| 2015 Octubre | 11 | 1 | 12 |
| 2015 Septiembre | 6 | 4 | 10 |
| 2015 Agosto | 11 | 3 | 14 |
| 2015 Julio | 7 | 4 | 11 |
| 2015 Junio | 5 | 3 | 8 |
| 2015 Mayo | 4 | 0 | 4 |
| 2015 Abril | 12 | 8 | 20 |
| 2015 Marzo | 5 | 0 | 5 |
| 2015 Febrero | 3 | 0 | 3 |
| 2015 Enero | 13 | 1 | 14 |
| 2014 Diciembre | 12 | 3 | 15 |
| 2014 Noviembre | 7 | 2 | 9 |
| 2014 Octubre | 17 | 2 | 19 |
| 2014 Septiembre | 15 | 2 | 17 |
| 2014 Agosto | 10 | 3 | 13 |
| 2014 Julio | 9 | 3 | 12 |
| 2014 Junio | 12 | 2 | 14 |
| 2014 Mayo | 6 | 1 | 7 |
| 2014 Abril | 10 | 2 | 12 |
| 2014 Marzo | 10 | 1 | 11 |
| 2014 Febrero | 4 | 3 | 7 |
| 2014 Enero | 3 | 2 | 5 |
| 2013 Diciembre | 7 | 2 | 9 |
| 2013 Noviembre | 7 | 4 | 11 |
| 2013 Octubre | 6 | 2 | 8 |
| 2013 Septiembre | 6 | 5 | 11 |
| 2013 Agosto | 1 | 4 | 5 |
| 2013 Julio | 3 | 0 | 3 |
| 2007 Septiembre | 235 | 0 | 235 |
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