<?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>S0300-90412018000800548</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i8.1479</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evolución natural del tumor filodes de mama. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Natural evolution of breast phyllodes tumor. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Ibáñez]]></surname>
<given-names><![CDATA[Linda Carmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soberano-Almeida]]></surname>
<given-names><![CDATA[José Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Padrón]]></surname>
<given-names><![CDATA[Oscar Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Dr. Gustavo A. Rovirosa Pérez  ]]></institution>
<addr-line><![CDATA[Villa Hermosa Tabasco]]></addr-line>
<country>México.</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>8</numero>
<fpage>548</fpage>
<lpage>553</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018000800548&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018000800548&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018000800548&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Los tumores filodes se originan del estroma de la glándula mamaria. Su incidencia es menor de 1% y afecta a mujeres de 35 a 55 años. Suelen aparecer como nódulos móviles, redondeados, indoloros y de crecimiento rápido. El tratamiento de elección para tumores benignos y malignos es la escisión local, con márgenes menores de 1 cm.  Caso clínico: Paciente de 42 años, nulípara, sin antecedentes familiares de cáncer de mama, quien percibió un aumento de volumen en la mama izquierda. En la exploración física se palpó una tumoración de gran tamaño, en el cuadrante inferior interno de la mama izquierda, de crecimiento progresivo hasta deformar la glándula. Mediante ultrasonido se clasificó el tumor como BIRADS IV. Se obtuvo una biopsia por trucut, con la que se estableció el diagnóstico histopatológico de tumor filodes de bajo grado de malignidad. Se llevó a cabo el tratamiento radical con mastectomía. El estudio histopatológico final reportó: tumor filodes de bajo grado con metaplasia condroide focal.  Conclusión: Es importante profundizar en la estirpe histológica del tumor filodes, con la finalidad de establecer el tratamiento adecuado y detener la evolución natural de la enfermedad, que en casos extremos provoca la destrucción total de la glándula mamaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Phyllodes tumors originate from the stroma of the mammary gland. The frequency is fewer than 1% predominating in women between 35 and 55 years. They typically present as moving, rounded nodules, usually painless, and may have rapid growth. The treatment of choice is the local excision of the lesion, both for benign and malignant forms, with margins of less than 1 cm.  Clinical case: Female patient, 42 years old, nulliparous, with no family history of breast cancer. In February 2016 she noticed an increase in volume in the lower internal quadrant of the left breast, which is why she attended with multiple doctors receiving unspecified treatments. He consulted us by presenting a large tumor in the lower internal quadrant of the left breast, whose growth was progressive until the mammary gland was deformed. He underwent ultrasound, which reports BIRADS IV proceeding to perform a Trucut Biopsy; with a histopathological diagnosis of Phyllodes tumor of low grade of malignancy, for which he undergoes radical treatment by means of a mastectomy on February 22, 2017. The final histopathological study reports: Low grade Phyllodes tumor with focal chondroid metaplasia.  Conclusion: It is important to deepen the histological strain of the phyllodes tumor, in order to establish the appropriate treatment and stop the natural evolution of the disease, which in extreme cases causes the total destruction of the mammary gland]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumor filodes]]></kwd>
<kwd lng="es"><![CDATA[biopsia]]></kwd>
<kwd lng="es"><![CDATA[metaplasia]]></kwd>
<kwd lng="es"><![CDATA[neoplasmas mamarios]]></kwd>
<kwd lng="es"><![CDATA[mastectomía]]></kwd>
<kwd lng="en"><![CDATA[Phyllodes tumor]]></kwd>
<kwd lng="en"><![CDATA[Biopsy]]></kwd>
<kwd lng="en"><![CDATA[Metaplasia]]></kwd>
<kwd lng="en"><![CDATA[Mammary neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Breast Neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Mastectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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