<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202018000200017</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.agosto.17-22</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[FRECUENCIA, CLASIFICACIÓN Y PATOLOGÍA DE LOS TUMORES DE MEDIASTINO]]></article-title>
<article-title xml:lang="en"><![CDATA[FREQUENCY, CLASSIFICATION AND PATHOLOGY OF MEDIASTINE TUMORS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce-Aranda]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala-Guzmán]]></surname>
<given-names><![CDATA[José Domingo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas-Zapata]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte-González]]></surname>
<given-names><![CDATA[Andrea Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garay-Gómez]]></surname>
<given-names><![CDATA[Christian David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Codas]]></surname>
<given-names><![CDATA[Gabriel María]]></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[Adé-Torrent]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</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 contrib-type="author">
<name>
<surname><![CDATA[Soskin-Reidman]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Jorge Instituto Nacional de Cardiología ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<fpage>17</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000200017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Los tumores primarios de mediastino son una entidad poco frecuente, que representa sólo el 3% de la patología torácica. Pueden manifestarse por una variedad de síntomas, según sea su efecto sobre los órganos y estructuras adyacentes de acuerdo a su localización. El objetivo de este trabajo es establecer la frecuencia y características de este tipo de tumores en el Hospital San Jorge.  Materiales y Métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Fueron incluidos todos los pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Torácica en el periodo comprendido entre julio de 2013 a junio de 2018.  Resultados: De los 476 pacientes intervenidos en el Servicio, 45 pacientes padecían patologías tumorales de mediastino (frecuencia de 9,4%); siendo 30 pacientes mujeres (67%), entre 51 y 60 años. La localización topográfica más frecuente corresponde al mediastino anterior (83%). Los tipos histológicos más frecuentes fueron los linfomas de Hodgkin con un 31 %.  Conclusiones: La frecuencia de tumores de mediastino en nuestra serie corresponde al 9,4%. La localización más frecuente fue en el mediastino anterior, se halló un mayor número de casos en el sexo femenino. El tipo histológico más frecuente es el linfoma de Hodgkin, la vía de abordaje más utilizada fue la toracotomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Primary mediastinal tumors are a rare entity, representing only 3% of the thoracic pathology. They can be manifested by a variety of symptoms, depending on their effect on adjacent organs and structures according to their location. The objective of this work is to establish the frequency and characteristics of this type of tumors in the San Jorge Hospital.  Materials and Methods:  Observational, descriptive, retrospective cross-sectional study. All the patients who underwent surgery in the Thoracic Surgery Service were included in the period from July 2013 to June 2018.  Results:  Of the 476 patients operated on in the Service, 45 patients suffered from mediastinal tumor pathologies (frequency of 9.4 %); 30 patients being women (67%), between 51 and 60 years old. The most frequent topographic location corresponds to the anterior mediastinum (83%). The most frequent histological types were Hodgkin's lymphomas with 31%.  Conclusions:  The frequency of mediastinal tumors in our series corresponds to 9.4%. The most frequent location was in the anterior mediastinum, a greater number of cases was found in the female sex. The most frequent histological type is Hodgkin's lymphoma, the most commonly used approach was thoracotomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumores mediastinales]]></kwd>
<kwd lng="es"><![CDATA[Topografía de tumores mediastinales]]></kwd>
<kwd lng="es"><![CDATA[Histología de tumores mediastinales]]></kwd>
<kwd lng="es"><![CDATA[Linfoma]]></kwd>
<kwd lng="es"><![CDATA[Tumor de células germinales]]></kwd>
<kwd lng="en"><![CDATA[Mediastinal tumors]]></kwd>
<kwd lng="en"><![CDATA[Topography of mediastinal tumors]]></kwd>
<kwd lng="en"><![CDATA[Histology of mediastinal tumors]]></kwd>
<kwd lng="en"><![CDATA[Lymphoma]]></kwd>
<kwd lng="en"><![CDATA[germ cell tumor]]></kwd>
</kwd-group>
</article-meta>
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