<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992023000400217</article-id>
<article-id pub-id-type="doi">10.35366/115847</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Recurrencia locorregional de cáncer de mama en pacientes con cirugía conservadora y cirugía radical]]></article-title>
<article-title xml:lang="en"><![CDATA[Locoregional recurrence of breast cancer in patients with conservative surgery and radical surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osoria Mengana]]></surname>
<given-names><![CDATA[Luis Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz del Pino]]></surname>
<given-names><![CDATA[Diosdado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pórtelles Cruz]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Pórtelles]]></surname>
<given-names><![CDATA[María Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Hernández]]></surname>
<given-names><![CDATA[Maurio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad medica de holguin  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad medica de holguin Facultad de Ciencias Medicas Holguin ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad medica de holguin  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Vladimir Ilich Lenin  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Ministerio de Salud Pública  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Italia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>4</numero>
<fpage>217</fpage>
<lpage>225</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992023000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992023000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992023000400217&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la recidiva locorregional, luego de una intervención quirúrgica por cáncer de mama se presenta la mayoría de las veces en los primeros cinco años después del tratamiento y su aparición está relacionada con el desarrollo de enfermedad a distancia en un subgrupo de pacientes, esto determina un peor pronóstico.  Objetivo:  evaluar la prevalencia de la recurrencia locorregional de cáncer de mama en pacientes mastectomizadas y cirugía conservadora.  Material y métodos:  se realizó un estudio descriptivo, retrospectivo de serie de casos, con análisis clínico humoral, de imágenes, en pacientes con recurrencia de cáncer de mama en un periodo de cinco años más revisión de la literatura. La finalidad fue analizar el tipo de cirugía, su recurrencia, los datos clínicos y de imagen más frecuentemente asociados a dicha enfermedad, además de los tratamientos.  Resultados:  la mayor cantidad de pacientes con índice elevado de recidivas fue en la etapa clínica IIIB, localizados fundamentalmente en la mama derecha. La cirugía radical con 18 casos fue el de mayor aparición, fundamentalmente después de los cuatros años.  Conclusión:  la aparición de una recurrencia del cáncer de mama es considerada como un factor pronóstico adverso y disminuye el índice de supervivencia en las pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  locoregional recurrence, after surgical intervention for breast cancer occurs mostly in the first 5 years after treatment and its appearance is related to the development of distant disease in a subgroup of patients, this determines a worse prognosis.  Objective:  to evaluate the prevalence of locoregional recurrence of breast cancer in patients undergoing mastectomy and conservative surgery.  Material and methods:  a descriptive, retrospective study of a series of cases was carried out, with humoral clinical analysis, of images, in patients with recurrence of breast cancer in a period of 5 years plus a review of the literature. The purpose was to analyze the type of surgery, its recurrence, the clinical and imaging data most frequently associated with said disease, as well as the treatments.  Results:  the largest number of patients with a high rate of recurrences was in clinical stage IIIB, located mainly in the right breast. Radical surgery with 18 cases was the one with the highest occurrence, mainly after four years.  Conclusion:  the appearance of a recurrence of breast cancer is considered an adverse prognostic factor and decreases the survival rate in patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[recurrencia]]></kwd>
<kwd lng="es"><![CDATA[cáncer de mama]]></kwd>
<kwd lng="es"><![CDATA[cirugía conservadora]]></kwd>
<kwd lng="es"><![CDATA[mastectomía]]></kwd>
<kwd lng="en"><![CDATA[recurrence]]></kwd>
<kwd lng="en"><![CDATA[breast cancer]]></kwd>
<kwd lng="en"><![CDATA[conservative surgery]]></kwd>
<kwd lng="en"><![CDATA[mastectomy]]></kwd>
</kwd-group>
</article-meta>
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