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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta la experiencia en el diagn&#243;stico y seguimiento de 36 pacientes con carcinoma indiferenciado de c&#233;lulas peque&#241;as de pulm&#243;n &#40;CPCP&#41; en el Servicio de Clinica M&#233;dica&#44; Secci&#243;n Hematolog&#237;a y Oncolog&#237;a del Hospital Italiano de Buenos Aires&#44; durante el periodo 1978-1983&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La poblaci&#243;n eran 31 hombres &#40;86&#44;1&#37;&#41; y 5 mujeres &#40;13&#44;9&#37;&#41;&#44; con un promedio de edad de 58&#44;6 a&#241;os&#46; El 88&#37; eran fumadores&#46; La mayor&#237;a se presentaron con s&#237;ntomas pulmonares como expresi&#243;n directa del tumor &#40;tos y hemoptisis&#41; y&#47;o extensi&#243;n a estructuras tor&#225;cicas &#40;s&#237;ndrome mediastinal&#44; s&#237;ndrome de vena cava&#41;&#46; El 11&#44;1&#37; tuvieron forma de expresi&#243;n s&#237;ndromes paraneopl&#225;sicos &#40;2 SSIHAD y 2 polineuropat&#237;as sensitivo motoras graves&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 17 casos la enfermedad fue considerada localizada a un hemit&#243;rax y en 19 casos diseminada &#40;enfermedad locorregional avanzada y&#47;o met&#225;stasis a distancia&#41;&#46; Asimismo el 55&#37; de los pacientes eran ambulatorios&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">De los 36 casos&#44; 21 fueron valorables en cuanto a respuesta a tratamiento quimio y radioterap&#233;utico&#46; Se lograron cinco remisiones completas&#44; todas ellas en pacientes localizados tratados con esquemas quimioterap&#233;uticos que inclu&#237;an adriamicina&#46; Hubieron seis remisiones parciales y 10 progresiones&#44; estas &#250;ltimas se dieron en pacientes diseminados&#46; La duraci&#243;n de la respuesta asl como la sobrevida tiene diferencias significativas entre los grupos localizados&#44; diseminados y progresiones&#44; con P mayor de 0&#44;025&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La sobrevida global de 10 meses para todo el grupo tratado contrasta con la sobrevida referida en la literatura en la evoluci&#243;n natural de la enfermedad &#40;4 meses&#41;&#46; Esto hace importante el correcto diagn&#243;stico&#44; la b&#250;squeda de pacientes en estadios localizados&#44; como la aplicaci&#243;n de esquemas de poliquimioterapia con alto grado de respuesta&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The experience in diagnosis and follow-up of 36 patients with undifferentiated small cell carcinoma of the lung at the Hematology Oncology Section of the Hospital de Buenos Aires during 1978-1983 is presented&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">They were 31 men &#40;86&#37;&#41; and 5 women &#40;14&#37;&#41;&#46; Mean age was 58&#46;6 years which of them to the tumor &#40;cough&#44; hemoptisis&#41; and&#47;or extension of the tumor to thoracic structures &#40;mediastinal or vein cava syndromes&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Four patients presented with paraneoplastic syndrome &#40;2 cases of inadecuate secretion of antidiuretic hormone and 2 with severe sensory-motor polyneuropathy&#41;&#46; In 17 cases&#44; disease was localised to one hemithorax and in the remaining 19 it was disseminated&#46; 55&#37; of the patients were ambulatory&#46; Of the 36 patients 21 could be evaluated with radiochemotherapy&#46; In all cases&#44; tumor was localized and treatment included adriamycin&#46; Six patients had partial remissions&#46; Ten progressed and these were cases with disseminated disease&#46; There were significant differences in response to treatment and survival between the two groups &#40;disseminated vs&#46; localized&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An overall survival of 10 months in the group contrasts with shorter survival in other studies and emphasizes the need for a correct&#44; early diagnosis and the use of combined chemotherapy with chances of high response&#46;</p></span>"
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Nuestra experiencia en 36 casos de carcinoma indiferenciado de celulas pequeñas de pulmon
Our experience with 36 cases of undifferentiated small cell carcinoma of lung
M.G. Pallotta, M.C. Garcia, D. Fantl, E. Nucifora, A. Precerutti
Sección Hematología y Oncología. Servicio de Clínica Médica. Hospital Italiano de Buenos Aires. Buenos Aires
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta la experiencia en el diagn&#243;stico y seguimiento de 36 pacientes con carcinoma indiferenciado de c&#233;lulas peque&#241;as de pulm&#243;n &#40;CPCP&#41; en el Servicio de Clinica M&#233;dica&#44; Secci&#243;n Hematolog&#237;a y Oncolog&#237;a del Hospital Italiano de Buenos Aires&#44; durante el periodo 1978-1983&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La poblaci&#243;n eran 31 hombres &#40;86&#44;1&#37;&#41; y 5 mujeres &#40;13&#44;9&#37;&#41;&#44; con un promedio de edad de 58&#44;6 a&#241;os&#46; El 88&#37; eran fumadores&#46; La mayor&#237;a se presentaron con s&#237;ntomas pulmonares como expresi&#243;n directa del tumor &#40;tos y hemoptisis&#41; y&#47;o extensi&#243;n a estructuras tor&#225;cicas &#40;s&#237;ndrome mediastinal&#44; s&#237;ndrome de vena cava&#41;&#46; El 11&#44;1&#37; tuvieron forma de expresi&#243;n s&#237;ndromes paraneopl&#225;sicos &#40;2 SSIHAD y 2 polineuropat&#237;as sensitivo motoras graves&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 17 casos la enfermedad fue considerada localizada a un hemit&#243;rax y en 19 casos diseminada &#40;enfermedad locorregional avanzada y&#47;o met&#225;stasis a distancia&#41;&#46; Asimismo el 55&#37; de los pacientes eran ambulatorios&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">De los 36 casos&#44; 21 fueron valorables en cuanto a respuesta a tratamiento quimio y radioterap&#233;utico&#46; Se lograron cinco remisiones completas&#44; todas ellas en pacientes localizados tratados con esquemas quimioterap&#233;uticos que inclu&#237;an adriamicina&#46; Hubieron seis remisiones parciales y 10 progresiones&#44; estas &#250;ltimas se dieron en pacientes diseminados&#46; La duraci&#243;n de la respuesta asl como la sobrevida tiene diferencias significativas entre los grupos localizados&#44; diseminados y progresiones&#44; con P mayor de 0&#44;025&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La sobrevida global de 10 meses para todo el grupo tratado contrasta con la sobrevida referida en la literatura en la evoluci&#243;n natural de la enfermedad &#40;4 meses&#41;&#46; Esto hace importante el correcto diagn&#243;stico&#44; la b&#250;squeda de pacientes en estadios localizados&#44; como la aplicaci&#243;n de esquemas de poliquimioterapia con alto grado de respuesta&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The experience in diagnosis and follow-up of 36 patients with undifferentiated small cell carcinoma of the lung at the Hematology Oncology Section of the Hospital de Buenos Aires during 1978-1983 is presented&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">They were 31 men &#40;86&#37;&#41; and 5 women &#40;14&#37;&#41;&#46; Mean age was 58&#46;6 years which of them to the tumor &#40;cough&#44; hemoptisis&#41; and&#47;or extension of the tumor to thoracic structures &#40;mediastinal or vein cava syndromes&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Four patients presented with paraneoplastic syndrome &#40;2 cases of inadecuate secretion of antidiuretic hormone and 2 with severe sensory-motor polyneuropathy&#41;&#46; In 17 cases&#44; disease was localised to one hemithorax and in the remaining 19 it was disseminated&#46; 55&#37; of the patients were ambulatory&#46; Of the 36 patients 21 could be evaluated with radiochemotherapy&#46; In all cases&#44; tumor was localized and treatment included adriamycin&#46; Six patients had partial remissions&#46; Ten progressed and these were cases with disseminated disease&#46; There were significant differences in response to treatment and survival between the two groups &#40;disseminated vs&#46; localized&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An overall survival of 10 months in the group contrasts with shorter survival in other studies and emphasizes the need for a correct&#44; early diagnosis and the use of combined chemotherapy with chances of high response&#46;</p></span>"
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ISSN: 03002896
Original language: Spanish
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