<?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>S2307-04202018000200034</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.agosto.34-37</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[CARCINOMA ADRENOCORTICO SUPRARRENAL ONCOCÍTICO. REPORTE DE UN CASO EXTRAORDINARIO]]></article-title>
<article-title xml:lang="en"><![CDATA[ADRENOCORTICAL ONCOCYTIC CARCINOMA. AN EXTRAORDINARY CASE REPORT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Di Martino-Ortiz]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-González]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farina-Del Río]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Rienzi]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ ]]></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>34</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000200034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000200034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000200034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Aunque en la actualidad es posible detectar con las modernastécnicas de imagen un buen número de tumoressuprarrenales que en el pasado pasaban desapercibidos clínicay hormonalmente, evidenciar tumores oncocíticossuprarrenaleses todavía hasta hoy una rareza. La mayor parte de los casos descritostienen un comportamiento benigno y son hormonalmenteinactivos y hasta el momento de esta publicaciónexisten pocos reportes de tumores en esta localización que cumplen criterios histológicos de malignidad. Presentamos un nuevo caso de tumor oncocítico corticosuprarrenal con signos de malignidad y discutimos sudiagnóstico diferencial, clínica y tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Although at present it is possible to detect with modern imaging techniques a good number of adrenal tumors that in the past went unnoticed clinically and hormonally, evidencing adrenal oncocytic tumors is still a rarity to this day. Most of the described cases have a benign behavior and are hormonally inactive and until this publication there are few reports of tumors in this location that meet histological criteria of malignancy. We present a new case of oncocyticcorticosuprarenal tumor with signs of malignancy and we discuss its differential, clinical and treatment diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[glándula suprarrenal]]></kwd>
<kwd lng="es"><![CDATA[oncocitoma]]></kwd>
<kwd lng="es"><![CDATA[carcinoma oncocítico]]></kwd>
<kwd lng="es"><![CDATA[carcinoma adrenocortical]]></kwd>
<kwd lng="en"><![CDATA[adrenal gland]]></kwd>
<kwd lng="en"><![CDATA[oncocytoma]]></kwd>
<kwd lng="en"><![CDATA[oncocytic carcinoma]]></kwd>
<kwd lng="en"><![CDATA[adrenocortical carcinoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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