<?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>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852018000400298</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v78i4.1772</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ganglioneuroma suprarrenal gigante: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant adrenal ganglioneuroma: A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho-Castro]]></surname>
<given-names><![CDATA[Alberto Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Enríquez]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gerardo-Osuna]]></surname>
<given-names><![CDATA[Isaac]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moya-Núñez]]></surname>
<given-names><![CDATA[Jaime Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Culiacán Dr. Bernardo J. Gastélum  ]]></institution>
<addr-line><![CDATA[ Sinaloa]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,aff3  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</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>78</volume>
<numero>4</numero>
<fpage>298</fpage>
<lpage>302</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852018000400298&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852018000400298&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852018000400298&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  Los ganglioneuromas son tumores excepcionales. Hasta el momento no existe un consenso de tratamiento, por lo que es necesario individualizar cada caso.  CASO CLÍNICO:  Paciente masculino de 36 años de edad, con afectación intermitente en la fosa renal izquierda y el flanco ipsilateral de cuatro meses de evolución. El ultrasonido abdominal reportó una masa adyacente al riñón izquierdo, en su porción superior, de 5 x 4 cm, hipoecoica, sin calcificaciones. La tomografía abdominopélvica simple y contrastada evidenció una neoplasia suprarrenal izquierda, de 8 x 5 cm. Se programó para adrenalectomía laparoscópica izquierda. Durante el procedimiento se encontró una neoplasia suprarrenal de 9 x 8 cm, firmemente adherida a la vena renal ipsilateral, por lo que solo se practicó la resección parcial del tumor. La evolución del paciente fue satisfactoria y egresó al segundo día posoperatorio. El reporte de patología evidenció dos fragmentos de tejido, que en conjunto pesaron 55 g, y por separado 5.5 x 4.2 cm y 4.5 x 2.8 cm, respectivamente. La histología mostró un estroma constituido por células de Schwann, orientadas en dirección longitudinal y transversal, entrecruzadas en forma irregular. De acuerdo con los hallazgos histopatológicos y el estudio de inmunohistoquímica se estableció el diagnóstico de ganglioneuroma suprarrenal.  CONCLUSIONES: Los ganglioneuromas suelen provocar síntomas inespecíficos, por lo que el diagnóstico se establece de forma fortuita. Después de la resección del tumor, el pronóstico de los pacientes es excelente. Este es el primer caso de ganglioneuroma reportado en México.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Ganglioneuromas are exceptional tumors. At present there is no consensus on treatment and so each case must be individualized.  CLINICAL CASE: A 36-year-old man presented with an intermittent sensation of heaviness in the left renal fossa and ipsilateral flank of four-month progression. Abdominal ultrasound reported a hypoechoic mass adjacent to the left kidney at its upper portion, measuring 5 x 4 cm, with no calcifications. Non-contrast and contrast-enhanced abdominopelvic tomography identified an 8 x 5 cm left adrenal neoplasia. The patient was programmed for laparoscopic left adrenalectomy. During the procedure, a 9 x 8 cm adrenal neoplasia was found firmly adhered to the ipsilateral renal vein, and so the tumor was only partially resected. Patient progression was satisfactory, and he was released on postoperative day two. The pathology report described two fragments of tissue, together weighing 55 g, and separately measuring 5.5 x 4.2 cm and 4.5 x 2.8 cm. The histology study revealed a stroma composed of longitudinal and transversal Schwann cells that were irregularly intertwined. According to the histopathologic findings and immunohistochemical study, adrenal ganglioneuroma was diagnosed.  CONCLUSIONS: Ganglioneuromas usually cause nonspecific symptoms, resulting in incidental diagnoses. After tumor resection, patients have excellent prognosis. The case of ganglioneuroma presented herein is the first to be reported in Mexico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ganglioneuroma]]></kwd>
<kwd lng="es"><![CDATA[neoplasia suprarrenal]]></kwd>
<kwd lng="es"><![CDATA[adrenalectomía laparoscópica]]></kwd>
<kwd lng="en"><![CDATA[Ganglioneuroma]]></kwd>
<kwd lng="en"><![CDATA[Adrenal neoplasia]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic adrenalectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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