<?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>S0300-90412020000200118</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i2.3320</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quiste gigante de Naboth como diagnóstico diferencial de los tumores anexiales. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant Naboth cyst as a differential diagnosis of adnexal tumors. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-López]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-López]]></surname>
<given-names><![CDATA[José Del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mandujano-Álvarez]]></surname>
<given-names><![CDATA[Gabriel Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Hernández]]></surname>
<given-names><![CDATA[Clara Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noris-Martínez]]></surname>
<given-names><![CDATA[Aziru]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Soto]]></surname>
<given-names><![CDATA[María De Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>2</numero>
<fpage>118</fpage>
<lpage>122</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020000200118&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: Los quistes de Naboth son tumoraciones benignas del cuello uterino, casi siempre son asintomáticos, por excepción son gigantes y de localización intraabdominal.  CASO CLÍNICO:  Paciente de 44 años, acudió a consulta debido a sangrado uterino anormal de 7 años de evolución, flujo transvaginal hialino abundante y continuo, sensación de pesantez pélvica, aumento del tamaño abdominal y dificultad para orinar. En la exploración física el abdomen se encontró blando, depresible, el útero no delimitado, con el anexo derecho aumentado de tamaño. La tomografía abdominopélvica reportó una lesión compleja en el anexo derecho. Debido a la sospecha diagnóstica de tumoración del anexo, dependiente del ovario, se solicitaron los marcadores tumorales Ca 125 que se reportaron con valores en límites normales; la citología cervicovaginal fue negativa para displasia. En la laparoscopia se encontró integridad de los anexos y útero macroscópicamente normal, con un quiste en la cara anterior, adherido al espacio paravesical. De la cistectomía con punción del quiste se obtuvo material mucinoso, se observó comunicación entre el quiste y el canal vaginal de aproximadamente 6 cm. Con base en esos hallazgos se decidió la histerectomía total por vía abdominal. El reporte histopatológico fue de: quiste complejo de Naboth, profundo hasta la pared en el segmento y parametrios, sin evidencia de malignidad.  CONCLUSIONES: Los quistes gigantes de Naboth son sintomáticos, de origen compresivo y abundante descarga vaginal. Debe sospecharse entre las tumoraciones anexiales; el diagnóstico definitivo se establece por histopatología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Naboth cysts are benign tumors of the uterine cervix, usually asymptomatic, exceptionally present as giant cysts and rarely intra-abdominal location.  CLINICAL CASE: A 44-year-old female who came to present with abnormal 7-year-old uterine bleeding, a feeling of pelvic heaviness, an increase in abdominal size, difficulty in urination and the presence of abundant and continuous transvaginal hyaline flow. On physical examination, a depressible soft abdomen, an unmarked uterus, with an enlarged right appendix was found. Abdominopélvica computed axial tomography reported a complex lesion in the right annex. An annex tumor was suspected, mainly ovarian-dependent, so tumor markers Ca 125 were requested with values within normal ranges, cervicovaginal cytology was negative for dysplasia. Laparoscopy was performed finding the integrity of the annexes and macroscopically normal uterus with presence of cyst in the anterior face adhered to the paravesical space, cystectomy was performed with puncture of the cyst obtaining mucinous material, communication was observed between the cyst and the vaginal canal of approximately 6 cm, So it was decided to perform total hysterectomy via abdominal. The histopathological report: complex cyst of deep Naboth to wall in the segment and parametria without evidence of malignancy.  CONCLUSIONS: Naboth´s giant cysts usually cause symptoms especially of compressive origin and abundant vaginal discharge, it should be suspected among the adnexal tumors, the definitive diagnosis is made by histopathology.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumor gigante de cérvix]]></kwd>
<kwd lng="es"><![CDATA[quiste de Naboth]]></kwd>
<kwd lng="es"><![CDATA[tumoraciones anexiales]]></kwd>
<kwd lng="en"><![CDATA[Giant cervical tumor]]></kwd>
<kwd lng="en"><![CDATA[Naboth cyst]]></kwd>
<kwd lng="en"><![CDATA[adnexal tumors]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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