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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En el per&#237;odo entre 1991 y 1994 se han realizado en nuestro servicio 582 intervenciones&#44; de las cuales 19 han correspondido a tumores primitivos de pared tor&#225;cica &#40;3&#44;26&#37;&#41;&#46; Analizamos edad&#44; sexo&#44; cl&#237;nica&#44; caracter&#237;sticas radiol&#243;gicas&#44; diagn&#243;stico&#44; terap&#233;utica y evoluci&#243;n&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se dividen en 10 tumores benignos y nueve malignos&#46; La cl&#237;nica m&#225;s frecuente fue la presencia de dolor y&#47;o tumor&#46; El diagn&#243;stico preoperatorio s&#243;lo se obtuvo en 2 casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A no ser en casos de claros signos radiol&#243;gicos y macrosc&#243;picos de benignidad&#44; se realiz&#243; ex&#233;resis amplia de la pared tor&#225;cica&#44; a veces con resecci&#243;n de estructuras adyacentes&#46; El defecto se repar&#243; directamente en 12 casos y en los restantes se cubri&#243; el defecto con pr&#243;tesis de diversos materiales y&#47;o plastias musculares&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tumor m&#225;s frecuente fue el condrosarcoma &#40;3 casos&#41;&#44; en dos ocasiones&#44; osteoblastoma y osteocondroma y solamente en un caso los dem&#225;s tumores &#40;plasmocitoma&#44; condroma&#44; displasia fibrosa&#44; granuloma eosin&#243;filo&#44; osteosarcoma&#44; tumor de Ewing&#44; sarcoma epiteloide&#44; fibrosarcoma&#44; hemangioma&#44; neurilemoma benigno&#44; tumor desmoide y liposarcoma&#41;&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Dos pacientes con condrosarcoma fueron intervenidos por presentar recidiva y el tumor de Ewing tambi&#233;n lo hizo&#46; Hubo 2 fallecidos&#58; uno con condrosarcoma y otro con tumor de Ewing&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Concluimos que&#58; <span class="elsevierStyleItalic">1&#41;</span> los tumores de pared tor&#225;cica son tumores poco frecuentes&#59; <span class="elsevierStyleItalic">2&#41;</span> el tratamiento es la ex&#233;resis amplia&#44; que a menudo requiere pr&#243;tesis&#44; y <span class="elsevierStyleItalic">3&#41;</span> el m&#225;s frecuente es el condrosarcoma&#44; de mala evoluci&#243;n en los casos objeto de nuestro estudio&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between 1991 and 1994&#44; 582 operations were performed in our service&#59; 19 &#40;3&#46;26&#37;&#41; were on primitive tumors of the chest wall&#46; We analyze the data for these patients&#44; including age&#44; sex&#44; clinical findings&#44; chest images&#44; diagnoses&#44; therapy and course&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Ten tumors were benign and 9 were malignant&#46; The most frequent clinical findings were pain and&#47;or tumor&#46; Diagnosis was achieved before surgery in only 2 cases&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Except when there are clear macroscopic and <span class="elsevierStyleSmallCaps">X</span>-ray signs that the tumor is benign&#44; we performed broad exeresis of the chest wall&#44; sometimes also resecting adjacent structures&#46; The defect was repaired directly in 12 cases&#46; The defects were covered by prostheses and&#47;or muscle plasty in the remaining patients&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The most frequent tumor was chondrosarcoma &#40;3 cases&#41;&#44; followed by 2 cases of osteoblastoma and osteochondroma&#46; Only 1 each of the following tumors were found&#58; plasmocytoma&#44; chondroma&#44; fibrous dysplasia&#44; eosinophilic granuloma&#44; osteosarcoma&#44; Ewing&#39;s tumor&#44; epithelioid sarcoma&#44; fibrosarcoma&#44; hemangioma&#44; benign neurilemoma&#44; desmoid tumor and liposarcoma&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Two patients with chondrosarcoma were operated on for recurrences and there was also recurrence in the patient with Ewing&#39;s tumor&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">We conclude that&#58; <span class="elsevierStyleItalic">1&#41;</span> chest wall tumors are infrequent&#44; <span class="elsevierStyleItalic">2&#41;</span> radical exeresis is the treatment of choice and prosthesis is often necessary&#44; and <span class="elsevierStyleItalic">3&#41;</span> chondrosarcoma&#44; with poor outcome in our patients&#44; is the most frequent tumor&#46;</p></span>"
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Tumores primitivos de pared torácica (1991-1994)
Primitive tumors of the chest wall (1991-1994)
R. Arrabal Sánchez*, A. Fernández de Rota, C. Pagés Navarrete, A. Benítez Doménech, J.L. Fernández Bermúdez
Servicio de Cirugía Torácica. Hospital Regional Carlos Haya. Málaga
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        "autoresLista" => "R&#46; Arrabal S&#225;nchez, A&#46; Fern&#225;ndez de Rota, C&#46; Pag&#233;s Navarrete, A&#46; Ben&#237;tez Dom&#233;nech, J&#46;L&#46; Fern&#225;ndez Berm&#250;dez"
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      "en" => array:1 [
        "titulo" => "Primitive tumors of the chest wall &#40;1991-1994&#41;"
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    "fechaRecibido" => "1995-07-07"
    "fechaAceptado" => "1996-03-12"
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            0 => "Tumor pared tor&#225;cica"
            1 => "Resecci&#243;n pared tor&#225;cica"
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            0 => "Chest wall tumor"
            1 => "Chest wall resection"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En el per&#237;odo entre 1991 y 1994 se han realizado en nuestro servicio 582 intervenciones&#44; de las cuales 19 han correspondido a tumores primitivos de pared tor&#225;cica &#40;3&#44;26&#37;&#41;&#46; Analizamos edad&#44; sexo&#44; cl&#237;nica&#44; caracter&#237;sticas radiol&#243;gicas&#44; diagn&#243;stico&#44; terap&#233;utica y evoluci&#243;n&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se dividen en 10 tumores benignos y nueve malignos&#46; La cl&#237;nica m&#225;s frecuente fue la presencia de dolor y&#47;o tumor&#46; El diagn&#243;stico preoperatorio s&#243;lo se obtuvo en 2 casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A no ser en casos de claros signos radiol&#243;gicos y macrosc&#243;picos de benignidad&#44; se realiz&#243; ex&#233;resis amplia de la pared tor&#225;cica&#44; a veces con resecci&#243;n de estructuras adyacentes&#46; El defecto se repar&#243; directamente en 12 casos y en los restantes se cubri&#243; el defecto con pr&#243;tesis de diversos materiales y&#47;o plastias musculares&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tumor m&#225;s frecuente fue el condrosarcoma &#40;3 casos&#41;&#44; en dos ocasiones&#44; osteoblastoma y osteocondroma y solamente en un caso los dem&#225;s tumores &#40;plasmocitoma&#44; condroma&#44; displasia fibrosa&#44; granuloma eosin&#243;filo&#44; osteosarcoma&#44; tumor de Ewing&#44; sarcoma epiteloide&#44; fibrosarcoma&#44; hemangioma&#44; neurilemoma benigno&#44; tumor desmoide y liposarcoma&#41;&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Dos pacientes con condrosarcoma fueron intervenidos por presentar recidiva y el tumor de Ewing tambi&#233;n lo hizo&#46; Hubo 2 fallecidos&#58; uno con condrosarcoma y otro con tumor de Ewing&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Concluimos que&#58; <span class="elsevierStyleItalic">1&#41;</span> los tumores de pared tor&#225;cica son tumores poco frecuentes&#59; <span class="elsevierStyleItalic">2&#41;</span> el tratamiento es la ex&#233;resis amplia&#44; que a menudo requiere pr&#243;tesis&#44; y <span class="elsevierStyleItalic">3&#41;</span> el m&#225;s frecuente es el condrosarcoma&#44; de mala evoluci&#243;n en los casos objeto de nuestro estudio&#46;</p></span>"
      ]
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between 1991 and 1994&#44; 582 operations were performed in our service&#59; 19 &#40;3&#46;26&#37;&#41; were on primitive tumors of the chest wall&#46; We analyze the data for these patients&#44; including age&#44; sex&#44; clinical findings&#44; chest images&#44; diagnoses&#44; therapy and course&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Ten tumors were benign and 9 were malignant&#46; The most frequent clinical findings were pain and&#47;or tumor&#46; Diagnosis was achieved before surgery in only 2 cases&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Except when there are clear macroscopic and <span class="elsevierStyleSmallCaps">X</span>-ray signs that the tumor is benign&#44; we performed broad exeresis of the chest wall&#44; sometimes also resecting adjacent structures&#46; The defect was repaired directly in 12 cases&#46; The defects were covered by prostheses and&#47;or muscle plasty in the remaining patients&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The most frequent tumor was chondrosarcoma &#40;3 cases&#41;&#44; followed by 2 cases of osteoblastoma and osteochondroma&#46; Only 1 each of the following tumors were found&#58; plasmocytoma&#44; chondroma&#44; fibrous dysplasia&#44; eosinophilic granuloma&#44; osteosarcoma&#44; Ewing&#39;s tumor&#44; epithelioid sarcoma&#44; fibrosarcoma&#44; hemangioma&#44; benign neurilemoma&#44; desmoid tumor and liposarcoma&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Two patients with chondrosarcoma were operated on for recurrences and there was also recurrence in the patient with Ewing&#39;s tumor&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">We conclude that&#58; <span class="elsevierStyleItalic">1&#41;</span> chest wall tumors are infrequent&#44; <span class="elsevierStyleItalic">2&#41;</span> radical exeresis is the treatment of choice and prosthesis is often necessary&#44; and <span class="elsevierStyleItalic">3&#41;</span> chondrosarcoma&#44; with poor outcome in our patients&#44; is the most frequent tumor&#46;</p></span>"
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                            0 => "M&#46; Fortier"
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                      ]
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                  ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46;P&#46; Ramming"
                            1 => "E&#46;C&#46; Holmes"
                            2 => "H&#46;A&#46; Zarem"
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ISSN: 03002896
Original language: Spanish
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