Hemangiosarcoma esternal primario
Primary hemangiosarcoma of the sternum
Servicios de Cirugía Torácica, Hospital Ramón y Cajal. Madrid
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"apellidos" => "Ortiz de Saracho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Fogue" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Barros" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicios de Neumología, Hospital Ramón y Cajal. Madrid" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Anatomía Patológica, Hospital Ramón y Cajal. Madrid" "etiqueta" => "**" "identificador" => "aff0015" ] 2 => array:3 [ "entidad" => "Servicios de Cirugía Plástica, Hospital Ramón y Cajal. Madrid" "etiqueta" => "***" "identificador" => "aff0020" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary hemangiosarcoma of the sternum" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-03-01" "fechaAceptado" => "1994-03-15" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec569901" "palabras" => array:3 [ 0 => "Tumor esternal" 1 => "Resección esternal" 2 => "Prótesis pared torácica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec569900" "palabras" => array:3 [ 0 => "Sternal tumor" 1 => "Sternal resection" 2 => "Chest wall reconstruction" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un varón de 22 años con una masa ósea que afectaba al tercio medio e inferior de esternón, sin compromiso respiratorio evidente. Se estableció el diagnóstico preoperatorio de hemangiosarcoma por biopsia incisional, lo cual permitió plantear una técnica adecuada de resección y reconstrucción de la pared torácica. La obtención de material suficiente para el diagnóstico histológico es fundamental para poder elegir la técnica quirúrgica que asegure un mejor pronóstico en los tumores esternales malignos y consiga la preservación de una mecánica ventilatoria óptima.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We describe a 22-year-old man with a bone mass in the middle and lower third of the sternum with no signs of respiratory deterioration. After biopsy by incision established a diagnosis of hemangiosarcoma, appropriate resection and repair of the thoracic wall was scheduled. An adequate amount of tissue for analysis must be obtained to allow choice of a surgical technique that will assure the best prognosis in malignant tumors of the sternum and assignation of the most appropriate mechanical ventilation procedure.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Twenty years experience with intrinsic tumors of the bony thorax at a large institution" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.L. 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