<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492022000100083</article-id>
<article-id pub-id-type="doi">10.18004/anales/2022.055.01.83</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Phyllodes gigante: diagnóstico y tratamiento]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant phyllodes: diagnosis and treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[Chong]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mussi]]></surname>
<given-names><![CDATA[Derliz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval]]></surname>
<given-names><![CDATA[Jose]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leiva]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Nacional de Quemaduras y Cirugías Reconstructivas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas, Unidad de Cirugía Plástica Reconstructiva y Estética]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto Nacional de Cardiología Hospital San Jorge]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>55</volume>
<numero>1</numero>
<fpage>83</fpage>
<lpage>88</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492022000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492022000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492022000100083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los Tumores Phyllodes son patologías mamarias poco frecuentes con histología estromal y epitelial, dividiéndose en benignos, borderline o malignos. Se desarrollan más frecuentemente en pacientes entre los 35-55 años de edad, representando el 0.3%-1% de los tumores primarios de la mama. Clínicamente se caracterizan por la aparición de una masa indolora, firme, multilobulada y de crecimiento rápido que puede llegar a alcanzar un gran tamaño, denominándose gigantes cuando superan los 10 cm de diámetro. El diagnóstico se realiza con el estudio anatomopatológico mediante biopsia radioguiada y las pruebas de imagen mamarias. El tratamiento de elección es la cirugía conservadora o radical, con márgenes de resección libres de enfermedad, mayor a 1 cm, y la radioterapia adyuvante sobre el lecho tumoral. Presentamos el caso de una paciente con Tumor Phyllodes maligno gigante de mama izquierda, con exéresis con margen de seguridad y reconstrucción inmediata.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Phyllodes Tumors are rare mammary pathologies with stromal and epithelial histology, dividing into benign, borderline or malignant. They develop more frequently in patients between 35-55 years of age, representing 0.3% -1% of primary breast tumors. Clinically they are characterized by the appearance of a painless, firm, multilobed and fast-growing mass that can reach a large size, being called giants when they exceed 10 cm in diameter. The diagnosis is made with the anatomopathological study by radio guided biopsy and breast imaging tests. The treatment of choice is conservative or radical surgery, with disease-free resection margins, greater than 1 cm, and adjuvant radiotherapy on the tumor bed. We present the case of a patient with giant malignant Phyllodes Tumor of the left breast, with excision with margin of safety and immediate reconstruction.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumor Filodes]]></kwd>
<kwd lng="es"><![CDATA[mastectomía]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción mamaria.]]></kwd>
<kwd lng="en"><![CDATA[Phyllodes tumor]]></kwd>
<kwd lng="en"><![CDATA[mastectomy]]></kwd>
<kwd lng="en"><![CDATA[breast reconstruction.]]></kwd>
</kwd-group>
</article-meta>
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