<?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>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522025000300115</article-id>
<article-id pub-id-type="doi">10.35366/121499</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Procuración multiorgánica en un paciente pediátrico con tumor de glándula pineal]]></article-title>
<article-title xml:lang="en"><![CDATA[Multiorgan procurement in a pediatric patient with a pineal gland tumor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Jiménez]]></surname>
<given-names><![CDATA[Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villasís-Keever]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Neria]]></surname>
<given-names><![CDATA[Midoly Deyanira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Luna]]></surname>
<given-names><![CDATA[Erika Melisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Rivera]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Siordia-Reyes]]></surname>
<given-names><![CDATA[Alicia Georgina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social (IMSS) Centro Médico Nacional Siglo XXI Hospital de Pediatría &#8220;Dr. Silvestre Frenk Freund&#8221;]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social (IMSS) Centro Médico Nacional Siglo XXI Hospital de Pediatría &#8220;Dr. Silvestre Frenk Freund&#8221;]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social (IMSS) Centro Médico Nacional Siglo XXI Hospital de Pediatría &#8220;Dr. Silvestre Frenk Freund&#8221;]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>92</volume>
<numero>3</numero>
<fpage>115</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522025000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522025000300115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522025000300115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el trasplante es el tratamiento que puede ser definitivo para un gran número de enfermedades graves. En general, los adultos son los principales donantes de órganos, inclusive para pacientes en edad pediátrica. Las indicaciones para la donación se han establecido desde hace varias décadas. El cáncer, en algunas guías, se considera como una contraindicación; sin embargo, existen estudios donde se han documentado casos exitosos de donación, especialmente a partir de pacientes con tumores del sistema nervioso central (SNC).  Caso clínico:  presentamos un adolescente con diagnóstico de tumor germinal de la glándula pineal, quien inició con datos clínicos de hipertensión craneal grave. Después del diagnóstico se realizó intervención quirúrgica para la extirpación del tumor, pero en el periodo postoperatorio tuvo complicaciones llegando a muerte encefálica. Los padres autorizaron la donación multiorgánica tras una conversación con un equipo multidisciplinario. Se logró la procuración de corazón, hígado, riñones y córneas.  Conclusión:  dada la baja frecuencia de la donación de pacientes en edad pediátrica, parece conveniente conocer los criterios de donación, incluyendo patologías como el cáncer, con el propósito de aumentar las oportunidades de trasplante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  transplantation is the treatment that can be definitive for many serious diseases. In general, adults are the main organ donors, even for pediatric patients. The indications for donation have been established for several decades. In some guidelines, cancer is considered a contraindication; however, there are studies where successful cases of donation have been documented, especially from patients with central nervous system (CNS) tumours.  Clinical case:  we present an adolescent diagnosed with germ cell tumor of the pineal gland, who began with clinical signs of severe cranial hypertension. After diagnosis, surgery was performed to remove the tumor, but in the postoperative period there were complications leading to brain death. The parents authorized multi-organ donation after a conversation with a multidisciplinary team. The heart, liver, kidneys and corneas were obtained.  Conclusion:  given the low frequency of donation from pediatric patients, it seems necessary to have an in-depth understanding of the donation criteria, including pathologies such as cancer, to increase transplant opportunities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[donación de órganos]]></kwd>
<kwd lng="es"><![CDATA[trasplante]]></kwd>
<kwd lng="es"><![CDATA[cáncer]]></kwd>
<kwd lng="es"><![CDATA[sistema nervioso central]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[muerte cerebral]]></kwd>
<kwd lng="en"><![CDATA[organ donation]]></kwd>
<kwd lng="en"><![CDATA[transplant]]></kwd>
<kwd lng="en"><![CDATA[cancer]]></kwd>
<kwd lng="en"><![CDATA[central nervous system]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[brain death]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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