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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To study the clinical and epidemiological characteristics of all adults patients as having synovial sarcoma in the Hospital Xeral-Calde &#40;Lugo&#41; between 2002 and 2006&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We conducted a retrospective study of the case records of all adults patients diagnosed with synovial sarcoma from January 2002 through December 2006&#46; Patients were considered to be adults if they were more than 18&#46; In all cases a tissue-biopsy sample showing synovial sarcoma was required&#46; The Hospital Xeral-Calde is the only referral center for a population of almost 250 000 people&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Four cases &#40;3 women&#41; met the classification criteria for this study&#46; The mean age was 35 years old &#40;range&#44; 22&#8211;41&#41;&#46;</p><p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">The most common presentation was a palpable mass &#40;mean&#44; 6&#46;7<span class="elsevierStyleHsp" style=""></span>cm&#41; associated with pain in lower extremities&#46; The mean delay for the diagnosis was 17 months&#44; but in one case has been noted as long as 2&#46;5 years&#46; Unlike the neck synovial sarcoma case&#44; a long delay in the diagnosis implied a major tumor size and a higher histological stage&#46;</p><p id="spar0125" class="elsevierStyleSimplePara elsevierViewall">The mean follow-up was 25&#46;5 months&#59; one patient died 1&#46;5 years after the diagnosis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The overall annual incidence rate of synovial sarcoma in the Lugo region between January 2002 and 2006 for the population older than 18 years was a minimum estimate 0&#46;32&#47;10&#46;5 Better physician awareness may contribute to the progressive increase in the recognition of this condition&#44; especially in young people presenting with palpable mass&#46; A long delay at the diagnosis implied a poor prognosis&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Estudiar las caracter&#237;sticas epidemiol&#243;gicas y cl&#237;nicas de todos los pacientes adultos diagnosticados de sarcoma sinovial &#40;SS&#41; en el per&#237;odo de 2002 a 2006 en el Hospital Xeral-Calde de Lugo&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de todos los pacientes mayores de 18 a&#241;os diagnosticados mediante estudio de anatom&#237;a patol&#243;gica de SS desde enero de 2002 hasta diciembre de 2006&#46; Este hospital da asistencia sanitaria a 250&#46;000 habitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Un total de 4 casos &#40;3 mujeres&#41; cumpl&#237;an los criterios establecidos para este estudio&#44; con edades comprendidas entre los 22 y los 41 a&#241;os &#40;media de 35 a&#241;os&#41;&#46;</p><p id="spar0235" class="elsevierStyleSimplePara elsevierViewall">El motivo de consulta fue tumoraci&#243;n &#40;media de 6&#44;7cm&#41; y dolor predominantemente en las extremidades inferiores&#46; El retraso diagn&#243;stico promedio fue de 17 meses&#44; aunque en alg&#250;n caso se lleg&#243; a los 2&#44;5 a&#241;os&#46; Excepto para el caso de SS de localizaci&#243;n cervical&#44; un mayor retraso al diagn&#243;stico se correlacion&#243; con un mayor tama&#241;o del tumor y un estadio m&#225;s avanzado&#46;</p><p id="spar0335" class="elsevierStyleSimplePara elsevierViewall">El seguimiento medio de los enfermos fue de 25&#44;5 meses&#46; Un paciente falleci&#243; al cabo de un a&#241;o y medio del diagn&#243;stico&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El promedio de incidencia m&#237;nima estimada de los SS en mayores de 18 a&#241;os en el &#225;rea de Lugo fue de 0&#44;32 por cada 105 habitantes al a&#241;o&#46; A pesar de su baja incidencia&#44; ante una persona joven que presenta una masa&#44; a veces dolorosa&#44; en las extremidades inferiores&#44; debe incluirse el SS en el diagn&#243;stico diferencial&#46; Un mayor &#237;ndice de sospecha por parte de los m&#233;dicos puede evitar un diagn&#243;stico tard&#237;o&#46;</p>"
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Original article
Synovial sarcomas in Lugo between 2002–2006
Sarcomas sinoviales en el área sanitaria de Lugo en el período de 2002 a 2006
Manuel Bravo-Péreza, Susana López-Lópezb, Alberto Miranda-Filloyc, Luisa Ibáñez-Martína, Luis Quevedo-Garcíaa, Carlos García-Porruac,
Corresponding author
cgporrua@hotmail.com

Corresponding author.
a Servicio de Cirugía Ortopédica y Traumatología, Hospital Xeral-Calde, Lugo, Spain
b Servicio de Urgencias, Hospital Xeral-Calde, Lugo, Spain
c Sección de Reumatología, Hospital Xeral-Calde, Lugo, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Estudiar las caracter&#237;sticas epidemiol&#243;gicas y cl&#237;nicas de todos los pacientes adultos diagnosticados de sarcoma sinovial &#40;SS&#41; en el per&#237;odo de 2002 a 2006 en el Hospital Xeral-Calde de Lugo&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de todos los pacientes mayores de 18 a&#241;os diagnosticados mediante estudio de anatom&#237;a patol&#243;gica de SS desde enero de 2002 hasta diciembre de 2006&#46; Este hospital da asistencia sanitaria a 250&#46;000 habitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Un total de 4 casos &#40;3 mujeres&#41; cumpl&#237;an los criterios establecidos para este estudio&#44; con edades comprendidas entre los 22 y los 41 a&#241;os &#40;media de 35 a&#241;os&#41;&#46;</p><p id="spar0235" class="elsevierStyleSimplePara elsevierViewall">El motivo de consulta fue tumoraci&#243;n &#40;media de 6&#44;7cm&#41; y dolor predominantemente en las extremidades inferiores&#46; El retraso diagn&#243;stico promedio fue de 17 meses&#44; aunque en alg&#250;n caso se lleg&#243; a los 2&#44;5 a&#241;os&#46; Excepto para el caso de SS de localizaci&#243;n cervical&#44; un mayor retraso al diagn&#243;stico se correlacion&#243; con un mayor tama&#241;o del tumor y un estadio m&#225;s avanzado&#46;</p><p id="spar0335" class="elsevierStyleSimplePara elsevierViewall">El seguimiento medio de los enfermos fue de 25&#44;5 meses&#46; Un paciente falleci&#243; al cabo de un a&#241;o y medio del diagn&#243;stico&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El promedio de incidencia m&#237;nima estimada de los SS en mayores de 18 a&#241;os en el &#225;rea de Lugo fue de 0&#44;32 por cada 105 habitantes al a&#241;o&#46; A pesar de su baja incidencia&#44; ante una persona joven que presenta una masa&#44; a veces dolorosa&#44; en las extremidades inferiores&#44; debe incluirse el SS en el diagn&#243;stico diferencial&#46; Un mayor &#237;ndice de sospecha por parte de los m&#233;dicos puede evitar un diagn&#243;stico tard&#237;o&#46;</p>"
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ISSN: 21735743
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