<?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>S0300-90412017001100778</article-id>
<article-id pub-id-type="doi">10.24245/gom.v85i11.1460</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Leiomioma en uretra femenina. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Female urethral leiomyoma. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras-Albavera]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-Gutiérrez]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mandujano-Álvarez]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Hernández]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Añorve-Vargas]]></surname>
<given-names><![CDATA[A]]></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>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>85</volume>
<numero>11</numero>
<fpage>778</fpage>
<lpage>782</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412017001100778&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412017001100778&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412017001100778&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: los leiomiomas son tumores benignos de origen mesenquimatoso que afectan el músculo liso; sin embargo, se han reportado casos excepcionales en el aparato urinario (riñón, vejiga o uretra).  CASO CLÍNICO:  paciente de 45 años de edad, con incontinencia urinaria de esfuerzo y de urgencia de dos años de evolución, y sensación de cuerpo extraño en la vulva. A la exploración física se encontró, en la especuloscopia: Valsalva (+) y salida de orina por el meato uretral; se identificó una tumoración en la región parauretral derecha, de consistencia firme, móvil, que se desplazaba hacia la uretra de manera contralateral (uretra permeable). Se utilizó la clasificación POP-Q para evaluar el prolapso de la pared anterior de la vagina, con resultado: IV Aa (+4). El tratamiento consistió en escisión vaginal, cuyos hallazgos macroscópicos fueron: tumoración redondeada de bordes regulares, de consistencia sólida, sumamente vascularizada, de 7 x 5 cm. El reporte de histopatología fue leiomioma de uretra sin evidencia de malignidad. El estudio de inmunohistoquímica demostró positividad para actina de músculo liso en las células fusiformes de fascículos proliferantes.  CONCLUSIONES: el leiomioma en la uretra femenina es una neoplasia excepcional. El tratamiento de elección consiste en escisión transvaginal y el diagnóstico definitivo se establece mediante estudios de histopatología e inmunohistoquímica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Leiomyomas are benign neoplasms of mesenchymal origin in muscle, very rarely can be found in any area of the urinary tract, such as kidney, bladder and rarely urethra.  OBJECTIVE: Report of a case of gynecological patient with urethral leiomyoma.  CASE REPORT:  A 45-year-old female patient who presented with urinary leakage of two years of effort and with urgency, sensation of a foreign body in a vulvar region. Physical examination: speculum: Valsalva (+), urine output by urethral meatus; a tumor is defined as a right paraurethral region with a firm, mobile consistency that displaces the contralateral urethra, permeable urethra, POP-Q is performed by anterior wall prolapse of the vagina: IV Aa (+4). Treatment consisted of vaginal excision, finding rounded tumor of regular borders, solid consistency, very vascularized of 7 x 5 cm approximately. The histopathology result was a urethral leiomyoma with no evidence of malignancy. Positive immunohistochemical staining for smooth muscle actin was reported in spindle cells with proliferative fascicles.  CONCLUSIONS: Female urethral leiomyoma is a rare entity, its treatment of choice is transvaginal excision and its diagnosis is made through histopathology supported by immunohistochemistry. It is important to carry out a complete study protocol taking into account in the differential diagnosis malignant neoplasms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[leiomiona]]></kwd>
<kwd lng="es"><![CDATA[uretra femenina]]></kwd>
<kwd lng="es"><![CDATA[tumoración de uretra]]></kwd>
<kwd lng="en"><![CDATA[Leiomyona]]></kwd>
<kwd lng="en"><![CDATA[female urethra]]></kwd>
<kwd lng="en"><![CDATA[urethral tumor]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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