Estadísticas

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      "titulo" => "Estado actual de la cirugía laparoscópica del colon"
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      "titulo" => "Influencia de la edad y el sexo en el diagnóstico de la apendicitis aguda"
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    "titulo" => "Tumores carcinoides del apéndice"
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        "titulo" => "Carcinoid tumors of the appendix"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> El carcinoide apendicular es el tumor m&#225;s frecuente de los encontrados en el ap&#233;ndice cecal&#44; aunque contin&#250;a siendo un hallazgo raro &#40;0&#44;2-0&#44;3&#37;&#41;&#46; <br/>Normalmente se trata de hallazgos casuales despu&#233;s de un examen histopatol&#243;gico del ap&#233;ndice extirpado&#46; <br/>El tratamiento posterior de estos pacientes va a depender sobre todo del tama&#241;o del tumor&#59; est&#225; clara la actitud a tomar en los menores de 1 cm y en los mayores de 2 cm&#44; pero existe cierta controversia con los tumores de 1-2 cm&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Los autores revisan los estudios histopatol&#243;gicos de los 440 ap&#233;ndices cecales extirpados desde 1987 hasta mayo de 1996&#44; per&#237;odo en el que se han encontrado 11 tumores carcinoides&#46; Ninguno de los pacientes presentaba s&#237;ndrome carcinoide&#46; Fueron intervenidos de urgencias por cl&#237;nica de abdomen agudo&#44; compatible con apendicitis aguda&#44; excepto un caso al que se le practic&#243; una apendicectom&#237;a durante una laparotom&#237;a por obstrucci&#243;n intestinal producida por una neoplasia compatible con melanoma maligno &#40;la morfolog&#237;a de esta neoplasia era diferente a la del tumor carcinoide del ap&#233;ndice&#41;&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> Llama la atenci&#243;n el n&#250;mero tan elevado de tumores carcinoides encontrados &#40;2&#44;4&#37;&#41;&#44; en relaci&#243;n con la mayor&#237;a de las series publicadas &#40;0&#44;2-0&#44;3&#37;&#41;&#46; Todos los pacientes se encuentran actualmente libres de enfermedad"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> Despite its very low incidence &#40;0&#46;2&#37; to 0&#46;3&#37;&#41;&#44; the appendiceal carcinoid tumor is that most frequently encountered in the cecal appendix&#46; It is usually found incidentally after histopathological examination of the resected appendix&#46; <br/>The treatment of these patients depends above all on the size of the tumor&#46; The approach is clear when the tumor measures less than 1 cm or more than 2 cm&#44; but there is a certain amount of controversy with respect to treatment in tumors measuring between 1 and 2 cm&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The authors reviewed the histopathological studies of the 440 cecal appendices resected between 1987 and May 1996&#44; finding 11 cases of carcinoid tumor&#46; None of the patients presented carcinoid syndrome&#46; All but one underwent emergency surgery for acute abdomen compatible with acute appendicitis&#59; the remaining patient underwent appendectomy during laparotomy to treat intestinal obstruction produced by a neoplasm that was compatible with malignant melanoma &#40;which presents a morphology different from that of carcinoid tumor of the appendix&#41;&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The incidence of carcinoid tumor in this series is remarkably elevated &#40;2&#46;4&#37;&#41; when compared with that reported by most authors &#40;0&#46;2&#37; to 0&#46;3&#37;&#41;&#46; <br/>All of the patients are presently disease-free"
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