<?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>2565-005X</journal-id>
<journal-title><![CDATA[Gaceta mexicana de oncología]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. mex. oncol.]]></abbrev-journal-title>
<issn>2565-005X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oncología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2565-005X2021000500006</article-id>
<article-id pub-id-type="doi">10.24875/j.gamo.20000126</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acrometástasis como presentación inusual de progresión de enfermedad en cáncer de testículo]]></article-title>
<article-title xml:lang="en"><![CDATA[Acrometastasis as an unusual presentation of progression of disease in testicular cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abad-Licham]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cotrina-Rico]]></surname>
<given-names><![CDATA[Karen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonzales-Saravia]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Astigueta]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Regional de Enfermedades Neoplásicas Norte Servicio de Patología Oncológica ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Privada Antenor Orrego Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Excelencia en Patología Oncológica Unidad de Investigación ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Regional de Enfermedades Neoplásicas Norte Servicio de Urología Oncológica ]]></institution>
<addr-line><![CDATA[Trujillo ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>20</volume>
<fpage>6</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2565-005X2021000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2565-005X2021000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2565-005X2021000500006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La metástasis distal a codos y rodillas, definida como acrometástasis, es infrecuente y se presenta generalmente en huesos. Presentamos una revisión del manejo de esta entidad con base en el caso de paciente con cáncer de testículo metastásico que recibió quimioterapia. Al control del noveno mes presentó lesión sangrante en quinto dedo de mano con biopsia de coriocarcinoma. Recibió segunda quimioterapia y cirugía de rescate con patología negativa para neoplasia maligna. Al mes presentó metástasis cerebral y falleció. La acrometástasis se asocia a enfermedad diseminada y pobre pronóstico. No hemos encontrado reportes de primario testicular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Metastasis distal to the elbows and knees, defined as acrometastasis, is rare and generally occurs in bone. We present a review of the management of this entity based on the case of a patient with metastatic testicular cancer who received chemotherapy. At the control of the ninth month, he presented a tumor in the fifth finger, the biopsy was choriocarcinoma. He received second chemotherapy and rescue surgery with negative pathology for malignancy. One month later, he presented brain metastasis and died. Acrometastasis is associated with disseminated disease and a poor prognosis. We have not found reports of testicular primary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acrometástasis]]></kwd>
<kwd lng="es"><![CDATA[Cáncer]]></kwd>
<kwd lng="es"><![CDATA[Testículo]]></kwd>
<kwd lng="en"><![CDATA[Acrometastasis]]></kwd>
<kwd lng="en"><![CDATA[Cancer]]></kwd>
<kwd lng="en"><![CDATA[Testis]]></kwd>
</kwd-group>
</article-meta>
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