<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018001000687</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i10.2243</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Leiomioma vaginal de crecimiento rápido. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Rapidly growing vaginal leiomyoma. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robles-Fradejas]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonzalo-García]]></surname>
<given-names><![CDATA[Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corcuera-Díez]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo-Blanco]]></surname>
<given-names><![CDATA[Elvira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco-Fernández]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Guisasola Campa]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Burgos Servicio de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>10</numero>
<fpage>687</fpage>
<lpage>691</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018001000687&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018001000687&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018001000687&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Los leiomiomas vaginales son tumores poco frecuentes. Hasta la fecha solo se han reportado 330 casos en la bibliografía internacional.  Caso clínico: Paciente de 37 años, que acudió al servicio médico por percibir una tumoración de crecimiento rápido en la vagina. A la exploración física se objetivó una masa de consistencia dura, no dolorosa a la palpación, de aproximadamente 30 mm de diámetro medio, ubicada en el tercio inferior de la cara lateral derecha de la vagina, compatible con mioma vaginal. En ese momento la paciente se negó a recibir tratamiento. Después de algunos meses acudió, nuevamente, a consulta debido a molestias vaginales, metrorragias mayores al ciclo menstrual y dispareunia. La ecografía y resonancia magnética mostraron una tumoración de gran tamaño (58 x 57 x 60 mm), redondeada y de aspecto sólido, situada en el espacio vesicovaginal. Con estos datos se estableció el diagnóstico de leiomioma vaginal pediculado. Para disminuir el volumen y sangrado de los miomas se le prescribieron 5 mg al día de acetato de ulipristal. Después de dos ciclos de tratamiento se objetivó un incremento de la tumoración, que alcanzó 70 x 55 mm. Se decidió efectuar la miomectomía por vía vaginal, sin advertir claramente el pedículo dependiente del útero y el cuello uterino. El posoperatorio trascurrió sin contratiempos. El estudio histopatológico confirmó el diagnóstico de leiomioma vaginal.  Conclusión: Los signos y síntomas (sangrado o manchado anormal, secreción vaginal, dolor o masa pélvica) de los leiomiosarcomas extrauterinos dificultan de emitir recomendaciones precisas para establecer el diagnóstico y tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Vaginal leiomyomas are exceptional tumours. Only 330 cases have been reported in the world literature.  Clinical case: Patient of 37 years old, with a vagina tumour of rapid growth. The physical examination showed a mass of hard consistency, without pain on palpation, of approximately 30 mm in average diameter, in the lower third of the right lateral of the vagina, compatible with the vaginal myoma. At that time the patient refused to receive treatment. After a few months, a consultation for vaginal discomfort, metrorragia greater than the menstrual cycle and dyspareunia. Ultrasonography and magnetic resonance showed a tumour that increased in size (58 x 57 x 60 mm), had a rounded shape and a solid appearance, located in the vesicovaginal space. With these data the diagnosis of pediculated vaginal leiomyoma was established. Ulipristal acetate (5 mg / day) was prescribed to decrease volume and myomatous bleeding. After two treatment cycles, an increase in the tumour was observed, which reached a size of 70 x 55 mm. It was decided to perform myomectomy vaginally, without objectifying the pedicle dependent on the uterus and the cervix. The postoperative period was uneventful. The histopathological study confirms the diagnosis of vaginal leiomyoma.  Conclusion: The signs and symptoms (bleeding or abnormal staining, vaginal discharge, pain or pelvic mass) of the extrauterine leiomyosarcomas make it difficult to establish precise recommendations to establish the diagnosis and treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Leiomioma]]></kwd>
<kwd lng="es"><![CDATA[tumor vaginal]]></kwd>
<kwd lng="es"><![CDATA[degeneración sarcomatosa]]></kwd>
<kwd lng="es"><![CDATA[miomectomía]]></kwd>
<kwd lng="en"><![CDATA[Leiomyoma]]></kwd>
<kwd lng="en"><![CDATA[Vaginal tumour]]></kwd>
<kwd lng="en"><![CDATA[Sarcomatous degeneration]]></kwd>
<kwd lng="en"><![CDATA[Myomectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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