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Martin Serrano, J.M. Arriero Marin, F. Rodriguez De Castro, R. Vidal Loures, L. Fogue" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Martin Serrano" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Arriero Marin" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Rodriguez De Castro" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Vidal Loures" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Fogue" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615321980?idApp=UINPBA00003Z" "url" => "/03002896/0000002100000002/v1_201509151142/S0300289615321980/v1_201509151142/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Sindrome mediastinico por tumor germinal maligno" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "79" "paginaFinal" => "81" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J.R. Muñoz, J.A. Gimenez, R. Gomez, J.L. Andres" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J.R." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Gimenez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Gomez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "J.L." "apellidos" => "Andres" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">****</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Profesor Titular de Patología General. Hospital Miguel Servet. Zaragoza" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica. Hospital Miguel Servet. Zaragoza" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Sección de Radiodiagnóstico. Departamento de Radioelectrologia. Hospital Miguel Servet. Zaragoza" "etiqueta" => "***" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Sección de Cirugía Torácica. Hospital Miguel Servet. Zaragoza" "etiqueta" => "****" "identificador" => "aff0020" ] ] ] 1 => array:3 [ "autoresLista" => "J. Lacasa, A. Samperiz, J.M. Aguirre, F. Fuentes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Lacasa" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Samperiz" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Aguirre" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Fuentes" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Medicina Interna. Instituto Nacional de la Salud. Hospital Miguel Servet. Zaragoza" "identificador" => "aff0025" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Mediastinal syndrome caused by malignant germinal tumor" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-04-12" "fechaAceptado" => "1984-09-01" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso clínico de síndrome mediastínico, por tumor germinal con manifestaciones importantes de insuficiencia respiratoria y determinaciones elevadas de alfa-fetoproteína y gonadotrofina coriónica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El estudio anatomopatológico demuestra la existencia de un tumor germinal con diferentes tipos de células malignas, diferenciando las estructuras histológicas a un diagnóstico de teratoma.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se comenta la evolución clínica, el tratamiento radioterápico y por quimioterapia realizado.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A case of mediastinal syndrome caused by a germinal tumor with severe respiratory insufficiency and high alpha-fetoprotein and chorionic gonadotrophin levels is reported. Pathology studies revealed a germinal tumor composed of different types of malignant cells; differential histology studies established a teratoma.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The clinical course and radiotherapy and chemotherapy are described.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "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" => "Cancer of urogenital tract: Classification of different pathologic types" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Col" 1 => "H. 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