Importancia de la laparoscopia diagnóstica en la detección de implantes tumorales. Reporte de un caso.
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| Title: | Importancia de la laparoscopia diagnóstica en la detección de implantes tumorales. Reporte de un caso. |
|---|---|
| Alternate Title: | Importance of diagnostic laparoscopy in the detection of tumor implants. A case report. |
| Authors: | Bañuelos-Vizcarra, Esmeralda1 marucha_respi@hotmail.com, Gómez-Espinosa, Jorge Iván2, Bustos-Rodríguez, Felipe de Jesús3, Pantoja-Rojas, Antonio4, Rodríguez-Navarro, Roberto4, Vázquez-García, Hugo Mauricio5, González-Zepeda, José Heliodoro6, Castañeda-Arellano, Ignacio7 |
| Source: | Ginecología y Obstetricia de México. jul2019, Vol. 87 Issue 7, p467-474. 8p. |
| Subjects: | LAPAROSCOPY, TUMORS, ARTIFICIAL implants, ENDODERMAL sinus tumors, BIOPSY |
| Abstract (English): | BACKGROUND: Malignant germ cell tumors of the ovary constitute a heterogeneous group of highly malignant and rapidly progressive neoplasms that usually appear during the first two decades of life. Its frequency in Mexico is 3.4% on ovarian tumors. Approximately 10% of affected patients report acute abdominal pain due to capsular distension, necrosis, hemorrhage, rupture or torsion. CLINICAL CASE: A 17 years-old patient, who went to the Emergency Department for pelvic pain of sudden onset. It was decided to perform a laparotomy and ovarian torsion was found secondary to a right adnexal tumor, so salpingo-ophorectomy was performed. High alpha-fetoprotein concentration (10.702 ng/mL) was detected; the Pediatric Oncology Service indicated chemotherapy for two years; however, after stopping the treatment, its concentration persisted. The ultrasound and PET-SCAN did not show active disease, so it was sent to the gynecological endoscopy service, where they performed diagnostic laparoscopy, observing multiple tumor implants. The histopathological results was endodermal sinus tumor. The patient was sent, again, to Pediatric Oncology to continue with chemotherapy and radiotherapy. It is currently stable, with a decrease in values of alpha-fetoprotein (last determination: 1200 ng/mL). CONCLUSION: The importance of diagnostic laparoscopy is especially relevant in this type of cases when there is disagreement between biochemical and imaging studies (ultrasound and PET-SCAN), which through laparoscopy guides us towards a more accurate diagnosis through visualization and direct biopsy taking sample and give a directed management. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: Los tumores malignos de células germinales de ovario constituyen un grupo heterogéneo de neoplasias de rápida evolución a la malignización, que suelen aparecer durante las dos primeras décadas de la vida. La prevalencia en México es de 3.4% de los tumores ováricos. El 10% de las pacientes afectadas padece dolor abdominal agudo por distención capsular, necrosis, hemorragia, rotura o torsión. CASO CLÍNICO: Paciente de 17 años, acudió al servicio de Urgencias por dolor pélvico de inicio súbito. En la laparotomía se encontró una torsión ovárica secundaria a una tumoración anexial derecha; por eso se le efectuó la salpingooferectomía. Se detectó elevada concentración de alfa-fetoproteína (10,702 ng/mL); el servicio de Oncología pediátrica indicó quimioterapia durante dos años; sin embargo, después de suspender el tratamiento persistió elevada su concentración. El ultrasonido y PET-SCAN no evidenciaron enfermedad activa. En la laparoscopia diagnóstica se observaron múltiples implantes tumorales. El reporte histopatológico fue de tumoración de senos endodérmicos. La paciente se envió, nuevamente, a Oncología pediátrica para continuar con quimioterapia y radioterapia. En la actualidad permanece estable, con descenso de la concentración de alfa-fetoproteína (última determinación: 1200 ng/mL). CONCLUSIÓN: La importancia de la laparoscopia toma relevancia en este tipo de casos, cuando existe discordancia entre los estudios bioquímicos y de imagen (ultrasonido y PET-SCAN); además, orienta hacia un diagnóstico más certero, mediante la visualización y obtención de biopsias directas, con la finalidad de establecer el tratamiento específico. [ABSTRACT FROM AUTHOR] |
| Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 137322138 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Importancia de la laparoscopia diagnóstica en la detección de implantes tumorales. Reporte de un caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Importance of diagnostic laparoscopy in the detection of tumor implants. A case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bañuelos-Vizcarra%2C+Esmeralda%22">Bañuelos-Vizcarra, Esmeralda</searchLink><relatesTo>1</relatesTo><i> marucha_respi@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Gómez-Espinosa%2C+Jorge+Iván%22">Gómez-Espinosa, Jorge Iván</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Bustos-Rodríguez%2C+Felipe+de+Jesús%22">Bustos-Rodríguez, Felipe de Jesús</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Pantoja-Rojas%2C+Antonio%22">Pantoja-Rojas, Antonio</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodríguez-Navarro%2C+Roberto%22">Rodríguez-Navarro, Roberto</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Vázquez-García%2C+Hugo+Mauricio%22">Vázquez-García, Hugo Mauricio</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22González-Zepeda%2C+José+Heliodoro%22">González-Zepeda, José Heliodoro</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Castañeda-Arellano%2C+Ignacio%22">Castañeda-Arellano, Ignacio</searchLink><relatesTo>7</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. jul2019, Vol. 87 Issue 7, p467-474. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22LAPAROSCOPY%22">LAPAROSCOPY</searchLink><br /><searchLink fieldCode="DE" term="%22TUMORS%22">TUMORS</searchLink><br /><searchLink fieldCode="DE" term="%22ARTIFICIAL+implants%22">ARTIFICIAL implants</searchLink><br /><searchLink fieldCode="DE" term="%22ENDODERMAL+sinus+tumors%22">ENDODERMAL sinus tumors</searchLink><br /><searchLink fieldCode="DE" term="%22BIOPSY%22">BIOPSY</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Malignant germ cell tumors of the ovary constitute a heterogeneous group of highly malignant and rapidly progressive neoplasms that usually appear during the first two decades of life. Its frequency in Mexico is 3.4% on ovarian tumors. Approximately 10% of affected patients report acute abdominal pain due to capsular distension, necrosis, hemorrhage, rupture or torsion. CLINICAL CASE: A 17 years-old patient, who went to the Emergency Department for pelvic pain of sudden onset. It was decided to perform a laparotomy and ovarian torsion was found secondary to a right adnexal tumor, so salpingo-ophorectomy was performed. High alpha-fetoprotein concentration (10.702 ng/mL) was detected; the Pediatric Oncology Service indicated chemotherapy for two years; however, after stopping the treatment, its concentration persisted. The ultrasound and PET-SCAN did not show active disease, so it was sent to the gynecological endoscopy service, where they performed diagnostic laparoscopy, observing multiple tumor implants. The histopathological results was endodermal sinus tumor. The patient was sent, again, to Pediatric Oncology to continue with chemotherapy and radiotherapy. It is currently stable, with a decrease in values of alpha-fetoprotein (last determination: 1200 ng/mL). CONCLUSION: The importance of diagnostic laparoscopy is especially relevant in this type of cases when there is disagreement between biochemical and imaging studies (ultrasound and PET-SCAN), which through laparoscopy guides us towards a more accurate diagnosis through visualization and direct biopsy taking sample and give a directed management. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: Los tumores malignos de células germinales de ovario constituyen un grupo heterogéneo de neoplasias de rápida evolución a la malignización, que suelen aparecer durante las dos primeras décadas de la vida. La prevalencia en México es de 3.4% de los tumores ováricos. El 10% de las pacientes afectadas padece dolor abdominal agudo por distención capsular, necrosis, hemorragia, rotura o torsión. CASO CLÍNICO: Paciente de 17 años, acudió al servicio de Urgencias por dolor pélvico de inicio súbito. En la laparotomía se encontró una torsión ovárica secundaria a una tumoración anexial derecha; por eso se le efectuó la salpingooferectomía. Se detectó elevada concentración de alfa-fetoproteína (10,702 ng/mL); el servicio de Oncología pediátrica indicó quimioterapia durante dos años; sin embargo, después de suspender el tratamiento persistió elevada su concentración. El ultrasonido y PET-SCAN no evidenciaron enfermedad activa. En la laparoscopia diagnóstica se observaron múltiples implantes tumorales. El reporte histopatológico fue de tumoración de senos endodérmicos. La paciente se envió, nuevamente, a Oncología pediátrica para continuar con quimioterapia y radioterapia. En la actualidad permanece estable, con descenso de la concentración de alfa-fetoproteína (última determinación: 1200 ng/mL). CONCLUSIÓN: La importancia de la laparoscopia toma relevancia en este tipo de casos, cuando existe discordancia entre los estudios bioquímicos y de imagen (ultrasonido y PET-SCAN); además, orienta hacia un diagnóstico más certero, mediante la visualización y obtención de biopsias directas, con la finalidad de establecer el tratamiento específico. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/gom.v87i7.3051 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 467 Subjects: – SubjectFull: LAPAROSCOPY Type: general – SubjectFull: TUMORS Type: general – SubjectFull: ARTIFICIAL implants Type: general – SubjectFull: ENDODERMAL sinus tumors Type: general – SubjectFull: BIOPSY Type: general Titles: – TitleFull: Importancia de la laparoscopia diagnóstica en la detección de implantes tumorales. Reporte de un caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bañuelos-Vizcarra, Esmeralda – PersonEntity: Name: NameFull: Gómez-Espinosa, Jorge Iván – PersonEntity: Name: NameFull: Bustos-Rodríguez, Felipe de Jesús – PersonEntity: Name: NameFull: Pantoja-Rojas, Antonio – PersonEntity: Name: NameFull: Rodríguez-Navarro, Roberto – PersonEntity: Name: NameFull: Vázquez-García, Hugo Mauricio – PersonEntity: Name: NameFull: González-Zepeda, José Heliodoro – PersonEntity: Name: NameFull: Castañeda-Arellano, Ignacio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 87 – Type: issue Value: 7 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
