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!"#$%&'(%')#(*+$+,-#'./0*1+'2342546789:;<                        ARTÍCULO DE REVISIÓN



Dr. Gaspar Alberto Motta Ramírez*
Dra. Erika Alonso Blancas**                                      !"#"$%&#'("$')*+,&+-&.'/*&.+
Ruby Ann Chirino Sprung*
Lluvia Irais González-Merino*                                    0&12%'$".+3/$"-&.+$/*+%/4/5#"36"+
                                                                 $/417%","+47-%',&%&$%/#

        RESUMEN                                             CA6W+ %]*26+ ^%+ /#23R)+ N3$#&Q%2­      %&'#&3*Q#)*2%+#)+N#(%).3*(%2+
                                                            :8/%&+I#)3.)%+(O2+P&#:8#)'#+P8#+        M;+#)+#/+:%&:3)*(%+N#$%'*:#/8­
        89:&%';/<+ 7%&%:'#&3K%&+ /%2+                       #/+N#(%).3*(%;+,#(*2'&%,*+#)+           /%&;+ /%+ ,#(*2'&%:3R)+ ,#+ '&*(­
     /#23*)#2+ N#$O'3:%2+ P*:%/#2+ ,#­                      A[+ $%:3#)'#2+ UWBZV+ M+ /%+ /#23R)+    I*232+ $*&'%/+ M+ /*2+ :%(I3*2+ $*&+
     '#:'%,%2+M+#Q%/8%,%2+:*)+'*(*­                         (%/3.)%+(O2+P&#:8#)'#+P8#+#/+N#­        N#$%'*$%'0%+%2*:3%,%6
     .&%P0%+:*($8'%,%+(8/'3,#'#:'*&6                        patocarcinoma en 12 pacientes              !/*$-7.'/*&.G+^%+'*(*.&%­
        ="%&#'"-+ >+ 4?%/,/.<+ 9#+                          UAY6XZV6+^%+/#23R)+N3$*Q%2:8/%&+        P0%+ :*($8'%,%+ (8/'3,#'#:'*&+
     &#%/3KR+ 8)+ #2'8,3*+ &#'&*2$#:­                       I#)3.)%+ (O2+ P&#:8#)'#+ P8#+ #/+       #2+ #/+ (#*&+ (D'*,*+ $%&%+ /%+
     '3Q*;+ ,#2:&3$'3Q*+ M+ ,*I/#+ :3#.*+                   _832'#+ N#$O'3:*+ 23($/#+ US+ $%­       :%&%:'#&3K%:3R)+,#+/%2+/#23*)#2+
     ,*),#+2#+&#Q32%&*)+ST+#2'8,3*2+                        :3#)'#2;+`6[ZV+M+/%+(%/3.)%+P8#+/%+     N#$O'3:%2+P*:%/#26
     ,#+'*(*.&%P0%+:*($8'%,%+(8/­                           /#23R)+(#'%2'O23:%+US+$%:3#)'#2;+
     '3,#'#:'*&+U@7?"V+,#+%I,*(#)+                          `6[ZV6+ ^%+ /#23R)+ 2#8,*'8(*&%/+          A"-"9#".+$-";&G+/#23R)+N#$O­
     &#%/3K%,*2+ #)+ )8#2'&*+ N*2$3'%/+                     (O2+ P&#:8#)'#+ P8#+ #/+ %I2:#2*+       '3:%+P*:%/;+N#(%).3*(%+N#$O'3:*;+
     #)+#/+$#&3*,*+,#+P#I&#&*+,#+WBAB+                      N#$O'3:*+UAA+$%:3#)'#2;+AX6AZV6+        N#$%'*:%&:3)*(%;+ '*(*.&%P0%+
     %+P#I&#&*+,#+WBAA6                                     a/+ /RI8/*+ N#$O'3:*+ ,#&#:N*+ P8#+     :*($8'%,%+(8/'3,#'#:'*&6
        @&.7-%",/.<+ 9#+ %)%/3K%&*)+                        #/+(O2+%P#:'%,*+UTS+$%:3#)'#2;+
     WX+UCYZV++N*(I&#2+M+[X+UTWZV+                          XWZV6+^*2+N%//%K.*2+%,3:3*)%/#2+
     (8#&#2+:*)+#,%,+$&*(#,3*+,#+                          P8#&*)+/%+3,#)'3b:%:3R)+,#+P02'8/%+                 !"#$%#&'()#(*'(+,-.(/0




!"#$%&'%(#)'*+,#+-(%.#)*/*.0%+,#/+1*2$3'%/+4).#/#2+,#/+5#,&#.%/6
!!78&2*+,#+$*2'.&%,*+,#+-(%.#)+9#::3*)%/;+<=>?6
                                                                               /%2+$#),3#)'#2+,#+/%+:8&Q%+%*&'3:%+M+$%&#)_83(%'*2%+
7%(3)*+%+9%)'%+@#&#2%+=*6+ABCC;+7*/6+1D&*#2+,#+5%,3#&)%;+?DE3:*;+"6F6          2#+ '*&)%)+ $%&%/#/%21+ Ub.8&%+ AV6+ ^%2+ /#23*)#2+ P*:%/#2+
7*&&#2$*),#):3%G+"&6+H%2$%&+>/I#&'*+?*''%+J%(0&#KG+.%(*''%&LM%N**6:*(6(E
                                                                               N#$O'3:%2+ U^F1V+ 2#+ N%)+ :%'%/*.%,*+ :*(*+ N3$#&Q%2­
                                                                               :8/%&;+N3$*Q%2:8/%&;+I#)3.)%;+(%/3.)%+M+2#8,*'8(*&%/+
B*%#/,7$$')*                                                                   U:8%,&*+-V6
   ^%+ '*(*.&%P0%+ :*($8'%,%+ (8/'3,#'#:'*&+ U@7?"V+                              a)+/%+/#23R)+N3$#&Q%2:8/%&+/%+3&&3.%:3R)+,#$#),#+:%23+
N%:#+P%:'3I/#+#/+#2'8,3*+,#/+$%&D)_83(%+N#$O'3:*+$*2­                          #E:/823Q%(#)'#+,#+/%+%&'#&3%+N#$O'3:%2+(3#)'&%2+_8#+#)+
:*)'&%2'#+-c+#)+T+P%2#2+,#+&#P*&K%(3#)'*6+^*2+$&3(#&*2+                        /%+N3$*Q%2:8/%&+/%+3&&3.%:3R)+,#$#),#+,#+/%+Q#)%+$*&'%+
Q%2*2+N#$O'3:*2+#)+&#P*&K%&+2*)+/*2+%&'#&3%/#2+,#+AC+%+                        M+#2+$*&+#//*+_8#+/%+*$%:3b:%:3R)+,#+/%+^F1+$*2'#&3*&+
WC+2#.8),*2+UP%2#+%&'#&3%/+N#$O'3:%+$&#:*KV+,#2$8D2+                           %/+:*)'&%2'#+#2+(O2+/#)'%+M+2#+$&*,8:#+N%:3%+/%+P%2#+
,#+/%+3)M#::3R)+3)'&%Q#)*2%+,#/+(#,3*+,#+:*)'&%2'#d+/%+                        ,#+#_83/3I&3*62
Q#)%+$*&'%+&#P8#&K%+,#+/*2+[C+%+/*2+TB+2#.8),*2+UP%2#+
%&'#&3%/+N#$O'3:%+'%&,0%+*+P%2#+,#+e8*+$*&'%/V+(3#)'&%2+                      89:&%';/
_8#+/%2+ Q#)%2+ N#$O'3:%2+ 28#/#)+N%:#&/*+#)'&#+/*2+SB+                        A6+ aQ%/8%&+/%+8'3/3,%,+,#+/%+@7?"+$%&%+/%+:%&%:'#&3K%­
M+XB+2#.8),*2+UP%2#+$%&#)_83(%'*2%+N#$O'3:%+*+P%2#+                                :3R)+,#+/%2+/#23*)#2+P*:%/#2+N#$O'3:%26
Q#)*2%+N#$O'3:%V6+a)'&#+/*2+2#.8),*2+`B+M+ACB+%$%&#­                           W6+ J#Q32%&+/*2+N%//%K.*2+$*&+3(%.#)+,#+/*2+,3P#&#)'#2+
:#+/%+P%2#+,#+#_83/3I&3*+_8#+2#+N%+,#b)3,*+%+'&%QD2+,#+                            '3$*2+,#+/#23R)+P*:%/+N#$O'3:%+M+:*)+#//*+:%&%:'#&3­
:8&Q%2+'3#($*f,#)23,%,+#+3),3:%)+#/+(*(#)'*+#)+_8#+                                K%&/%2+:*)+$&#:323R)+$*&+(#,3*+,#+@7?"6



46        Enero­Marzo 2012
1%)#)(2)(*'(+,-.(/3                   '%3)#,;+ g3'N+ %Q#&%.#+ %.#+ *P+        %PP#:'#,;+3)+TS+:%2#2+UXWZV6+>,­
                                            CA6W+ M#%&26+ 'N#+ (*2'+ :*((*)+        ,3'3*)%/+b),3).2+g#&#+3,#)'3b:%­
                                            I#)3.)+NM$#&Q%2:8/%&+/#23*)+g%2+        '3*)+*P+%&'#&3*Q#)*82+b2'8/%2+3)+
      ABSTRACT                              N#(%).3*(%;+P*8),+3)+A[+:%2#2+          N#(%).3*(%2+%),+3)+177;+%$­
                                            UWBZV;+ %),+ 'N#+ (*2'+ :*((*)+         $#%&%):#+ *P+ $*&'%/+ 'N&*(I*232;+
      A7#1/.&<+7N%&%:'#&3K#+P*:%/+          (%/3.)%)'+NM$#&Q%2:8/%&+/#23*)+         %),+:N%).#2+,8#+'*+%22*:3%'#,+
   N#$%'3:+ /#23*)2+ ,#'#:'#,+ %),+         g%2+ N#$%'*:%&:3)*(%;+ P*8),+           N#$%'*$%'NM6
   #Q%/8%'#,+IM+(8/'3$N%2#+?"7@6            3)+ AW+ :%2#2+ UAY6XZVd+ 'N#+ (*2'+        !/*$-7.'/*.G+ ?8/'3$N%2#+
      ="%&#'"-+"*,+4&%0/,.<+A ret­          :*((*)+ I#)3.)+ NM$*Q%2:8/%&+           ?"7@+ 32+ 'N#+ I#2'+ (#'N*,+ *P+
   &*2$#:'3Q#;+ ,#2:&3$'3Q#;+ ,*8I/#+       /#23*)+ g%2+ 23($/#+ N#$%'3:+ :M2'+     :N*3:#+ P*&+ :N%&%:'#&3K%'3*)+ *P+
   I/3),+ 2'8,M+ g%2+ :*),8:'#,;+           P*8),+3)+S+:%2#2+U`6[ZV;+%),+'N#+       P*:%/+N#$%'3:+/#23*)26
   gN3:N+ &#Q3#g#,+ ST+ (8/'3$N%2#+         (*2'+:*((*)+(%/3.)%)'+NM$*­
   ?"7@+ %I,*(3)%/+ 2'8,3#2+ $#&­           Q%2:8/%&+ /#23*)+ g%2+ (#'%2'%'3:+
   P*&(#,+%'+*8&+N*2$3'%/+3)+'N#+$#­        /#23*);+P*8),+3)+S+:%2#2+U`6[ZVd+
   &3*,+P&*(+F#I&8%&M+WBAB+'N&*8.N+         'N#+ (*2'+ :*((*)+ $2#8,*'8­               C&>+ D/#,.G+ F*:%/+ N#$%'3:+
   F#I&8%&M+WBAA6                           (*&%/+/#23*)+g%2+/3Q#&+%I2:#22;+        /#23*);+ N#$%'3:+ N#(%).3*(%;+
      @&.7-%.<+WX+UCYZV+(#)+%),+            P*8),+3)+AA+:%2#2+UAX6AZV6+@N#+         N#$%'*:%&:3)*(%;+(8/'3,#'#:'*&+
   [X+ UTWZV+ g*(#)+ g#&#+ *I­              &3.N'+N#$%'3:+/*I#+g%2+'N#+(*2'+        :*($8'#,+'*(*.&%$NM6




="%&#'"-+>+4?%/,/.                                             *+I%&3*Vd+,#2$8D2;+:*)+:%'D'#&+WBH+2#+3)M#:'*+2*/8:3R)+
   9#+ &#%/3KR+ 8)+ #2'8,3*+ &#'&*2$#:'3Q*;+ ,#2:&3$'3Q*+ M+   2%/3)%+U[B+(/V+$%&%+:*&&*I*&%&+/%+$#&(#%I3/3,%,+Q#)*2%6+
,*I/#+ :3#.*+ ,*),#+ 2#+ &#Q32%&*)+ S+ BBB+ #2'8,3*2+ ,#+      5*2'#&3*&(#)'#+2#+3)M#:'%&*)+ACB+(/+,#+(#,3*+,#+:*)­
@7?"+ &#%/3K%,*2+ #)+ )8#2'&*+ N*2$3'%/+ U$&3Q%,*+ M+ ,#+      '&%2'#+-c+)*+3R)3:*+Uh$'3&%M! y @&#Q32'!V+:*)+[WB+(.+,#+
&#P#&#):3%V+#)+#/+$#&3*,*+,#+8)+%]*+:*($&#),3,*+#)'&#+         M*,*+$*&+(3/3/3'&*+8'3/3K%),*+8)+3)M#:'*&+%8'*(O'3:*+,8%/+
P#I&#&*+,#+WBAB+M+P#I&#&*+,#+WBAA6+9#+3,#)'3b:%&*)+,3­         %+[+(/i26+9#+*I'8Q3#&*)+:*&'#2+%+/*2+AC+2+$%&%+/%+P%2#+
P#&#)'#2+'3$*2+,#+^F1+:*)+,*2+#_83$*2+,#+@7?"+UHa!"            %&'#&3%/+*+%/+&#P*&K%(3#)'*+,#+ABB+<1+,#+/%+%*&'%;+%+/*2+
?#,3:%/+ 9M2'#(2+ ,#+ Y+ :*&'#2+ M+ 93#(#)2!+ "#b)3'3*)+       WC+2+2#+*I'8Q*+8)%+P%2#+Q#)*2%+M+%+/*2+[C+2+8)%+P%2#+
"8%/+ 9*8&:#V+ 8'3/3K%),*+ $&*'*:*/*+ %I,*(3)*$D/Q3:*G+        $*&'%/6+ a)+ :%2*2+ )#:#2%&3*2+ 2#+ *I'8Q3#&*)+ 3(O.#)#2+
P%2#+23($/#+:*)+3)'#&Q%/*2+,#+AB+((+M+WB+((+,#+#2­             %+/*2+SB+2+$%&%+/%+:%&%:'#&3K%:3R)+,#+/%2+/#23*)#26+^%2+
$#2*&+$&#Q3%+3).#2'%+,#+:*)'&%2'#+*&%/+UM*,%,*;+%.8%+          3(O.#)#2+P8#&*)+%)%/3K%,%2+$*&+,*2+(D,3:*2+&%,3R/*­


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#)+8)3,%,#2+1*8)2b#/,+U<1V6


                                                                                                    Enero­Marzo 2012       47
!7",#/+BG+7/%23b:%:3R)+,#+/%2+/#23*)#2+N#$O'3:%2+$*&+28+'3$*+,#+&#%/:#

                                            H74/#&.+0&12%'$/.+0'1&#;".$7-"#&.
                             ?%/3.)*2                                                         k#)3.)*2
  ++++5&3(%&3*2                                                  ++++++++++1#(%).3*(%+U(#)*&+,#+A+:(V
  ++++++++1#$%'*:%&:3)*(%+U(#)*&+,#+[+:(V                        ++++++++++>).3*(3*/3$*(%2+
  ++++++++7%&:3)*(%+,#+bI&*/%(#/%&                               ++++++++++13$#&$/%23%+)*,8/%&+P*:%/
  ++++++++1#$%'*I/%2'*(%2+U)3]*2V                                    
  ++?#'O2'%232
  ++++++++?#/%)*(%
  ++++++++7O):#&+,#+(%(%
  ++++++++7%&:3)*(%+&#)%/
  ++++++++7%&:3)*3,#
          Leiomiosarcoma
  ++++++++7%&:3)*(%+(#,8/%&+,#+'3&*3,#2
  ++++++++7%&:3)*(%+,8:'%/+,#+$O):&#%2
  ++++++++7%&:3)*(%+,#+$O):&#%2
  ++++++++7%&:3)*(%+,#+:*/*)
                                            H74/#&.+0&12%'$/.+0'1/;".$7-"#&.
                             ?%/3.)*2                                                         k#)3.)*2
      732'*%,#)*:%&:3)*(%+                                       ++++l832'*%,#)*(%
  ++++?#'O2'%232+N3$*Q%2:8/%&#2                                  ++++@3$*+_802'3:*2+
  ++++++++7%&:3)*(%+:*/*&&#:'%/                                  ++++++++l832'#2+N#$O'3:*2+
  ++++++++7%&:3)*(%+,#+:D/8/%2+'&%)23:3*)%/#2                    ++++++++l832'#2+:3/3%,*2+,#/+3)'#2'3)*+%)'#&3*&
  ++++^3)P*(%+                                                       Hamartomas
      Adenocarcinomas                                                Lipomas
                                                                 ++++l832'#2+,#+:*/D,*:*

                                            I&.'/*&.+.&7,/%74/#"-&.+0&12%'$".
  a2'#%'*232+N#$O'3:%+P*:%/;+2%&:*3,*232;+3)P#::3*)#2+.&%)8/*(%'*2%2+*+$*&+N*).*2;+2#8,*'8(*&+3)e%(%'*&3*
  >I2:#2*+N#$O'3:*+3)3:3%/


.*2+ U(D'*,*+ ,*I/#+ :3#.*V+ M+ %/.8)%2+ /#23*)#2+ P8#&*)+       9#+#E:/8M#&*)+/*2+$%:3#)'#2+_8#+$&#2#)'%&*)+/#23*)#2+
:%&%:'#&3K%,%2+$*&+28+:*($*&'%(3#)'*+(3#)'&%2+_8#+#)+            N#$O'3:%2+(j/'3$/#2+*+,3P82%2;+$&#Q3%(#)'#+:*)*:3,%2;+
*'&%2+2#+&#_83&3R+/%+'*(%+,#+I3*$23%+$%&%+:*&&*I*&%&+#/+         I%*+2#.83(3#)'*+*+_8#+)*+:*)'%&*)+:*)+#2'8,3*+,3)O­
,3%.)*2'3:*6+a/+%)O/3232+#2'%,02'3:*+3):/8MR+#/+#2'8,3*+M+       (3:*+,#+@7?"6
%)O/3232+,#/+#E$#,3#)'#+:/0)3:*+,#+/*2+$%:3#)'#2G+,%'*2+             
,#(*.&Ob:*2+ IO23:*2+ U#,%,+ M+ 2#E*V;+ 20)'*(%2+ _8#+           @&.7-%",/.
(*'3Q%&*)+/%+2*/3:3'8,+,#/+#2'8,3*+,#+3(%.#)+U'*(*.&%­              a/+%)O/3232+,#+/%2+3(O.#)#2+,#+:%,%+$%:3#)'#+$*&+P8#+
P0%+ *+ &#2*)%):3%V+ %20+ :*(*+ _8D+ #2'8,3*2+ ,#+ 3(%.#)+       &#%/3K%,*+$*&+,*2+(D,3:*2+&%,3R/*.*26+9#+2#/#::3*)%&*)+
2#+&#%/3K%&*)+M+N%//%K.*2+#2$#:0b:*2 %+/%+/#23R)+P*:%/+          M+%)%/3K%&*)+ST+$%:3#)'#2+:*)+^F1+,#'#:'%,%+$*&+(#,3*+
N#$O'3:%+&#%4'+'%/#2+:*(*G+(#,3,%2+,#+/%+/#23R);+23'3*+          ,#+8)+#2'8,3*+,3)O(3:*+,#+@7?"+(8/'3PO23:%+M+:*)+/%+
N#$O'3:*+,#+(%M*&+:*($&*(32*;+$&#2#)'%:3R)+:/0)3:%+              3)P*&(%:3R)+:/0)3:%+$#&'3)#)'#+U:*&&#2$*),3#)'#2+%+AZ+
,#+ /%+ /#23R)+ %/+ 2#&+ 3,#)'3b:%,%+ :*(*+ 3):3,#)'%/+ *+ )*+   ,#/+8)3Q#&2*+,#+$%:3#)'#2V6+F8#&*)+WX+N*(I&#2+UCYZV+
3):3,#)'%/+ U3),3:%:3R)+ :/0)3:%+ _8#+ (*'3Q%+ #/+ #2'8,3*V;+    M+[X+(8#&#2+UTWZV+#)+8)+&%).*+,#+#,%,#2+#)'&#+AT+
N#$%'*$%'0%+ U#)+ 28+ :%2*V;+ :%/:3b:%:3*)#2+ %2*:3%,%2;+        %]*2+M+YS+%]*2+U$&*(#,3*+,#+CA6W+%]*2+M+8)%+(#,3%+,#+
%2:3'32+*+,#&&%(#+$/#8&%/6+9#+:*)23,#&R+#/+&#P*&K%(3#)'*+        CB6C+%]*2V+:*)+/*2+23.83#)'#+3)'#&Q%/*2+,#+P&#:8#):3%+$*&+
,#+/%+^F1+#)+/%2+P%2#2+23($/#;+%&'#&3%/+M+$*&'%/+:%&%:'#­        #,%,G+,#+AT+%+W[+%]*2+W+U[6AZV;+W[+%+[W+%]*2+Y+UAW6CZV;+
&3KO),*/%2+#)+N3$*Q%2:8/%&#2;+N3$#&Q%2:8/%&#2+M+#2'%2;+          [W+%+TA+%]*2+A[+UWB6[ZV;+TA+%+CB+%]*2+`+UATZV;+CB+%+
%+ 28+ Q#K;+ #)+ (%/3.)%2;+ I#)3.)%2+ *+ 2#8,*'8(*&%/#26+        C`+%]*2+`+UATZV;+C`+%+SY+%]*2+X+UAB6`ZV;+SY+%+XX+%]*2+


48      Enero­Marzo 2012
AW+UAY6XZV+M+,#+XX+%+YS+%]*2+T+US6WZV6++a)+WY+$%:3#)­                            &3*Q#)*2%2+2#+$&#2#)'%&*)+#)+/*2+717+:*)+8)+'%(%]*+
'#2+UTTZV+/*2+N%//%K.*2+P8#&*)+3):3,#)'%/#2+M;+,#/+'*'%/+                        (%M*&+%+[6C+:(+U:8%,&*+--V6+9#+3,#)'3b:R+'&*(I*232+$*&'%/+
,#+/%2+/#23*)#%2+%)/%3K%,%2+W+UXZV+P8#&*)+(%/3.)%2+M+                            #)+T+717+%20+:*(*+#)+W+N#(%).3*(%26
WS+I#)3.)%2+U`[ZVd+[S+,#+#//%2+UCSZV+%:8,3#&*)+I%*+
2*2$#:N%+:/0)3:%6+^%2+/#23*)#2+#):*)'&%,%2+P8#&*)G+A[+                           J'.$7.')*
N#(%).3*(%2+N#$O'3:*2+U11V+UWBZV;+W+,#+#//*2+%'0$3:*2+                              ^%+@7?"+#2+#/+(D'*,*+,#+3(%.#)+(O2+8'3/3K%,*+$%&%+
UAC6[ZV+M+AA+'0$3:*2+UYT6SZVd+`+N3$#&$/%23%2+)*,8/%&#2+                          #/+#2'8,3*+N#$O'3:*+,3)O(3:*6+H&%:3%2+%/+,#2%&&*//*+,#+
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50      Enero­Marzo 2012
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                                                                                                       Enero­Marzo 2012   51
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                                                                                                        Enero­Marzo 2012   53
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54     Enero­Marzo 2012
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                                                                                                                              Enero­Marzo 2012      57
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                                                                                                              J%,3*.&%$N3:2+A``TdATGTC`fTYW6




58       Enero­Marzo 2012

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Caracterizacion de lesiones focales hepaticas por TCMD

  • 1. !"#$%&'(%')#(*+$+,-#'./0*1+'2342546789:;< ARTÍCULO DE REVISIÓN Dr. Gaspar Alberto Motta Ramírez* Dra. Erika Alonso Blancas** !"#"$%&#'("$')*+,&+-&.'/*&.+ Ruby Ann Chirino Sprung* Lluvia Irais González-Merino* 0&12%'$".+3/$"-&.+$/*+%/4/5#"36"+ $/417%","+47-%',&%&$%/# RESUMEN CA6W+ %]*26+ ^%+ /#23R)+ N3$#&Q%2­ %&'#&3*Q#)*2%+#)+N#(%).3*(%2+ :8/%&+I#)3.)%+(O2+P&#:8#)'#+P8#+ M;+#)+#/+:%&:3)*(%+N#$%'*:#/8­ 89:&%';/<+ 7%&%:'#&3K%&+ /%2+ #/+N#(%).3*(%;+,#(*2'&%,*+#)+ /%&;+ /%+ ,#(*2'&%:3R)+ ,#+ '&*(­ /#23*)#2+ N#$O'3:%2+ P*:%/#2+ ,#­ A[+ $%:3#)'#2+ UWBZV+ M+ /%+ /#23R)+ I*232+ $*&'%/+ M+ /*2+ :%(I3*2+ $*&+ '#:'%,%2+M+#Q%/8%,%2+:*)+'*(*­ (%/3.)%+(O2+P&#:8#)'#+P8#+#/+N#­ N#$%'*$%'0%+%2*:3%,%6 .&%P0%+:*($8'%,%+(8/'3,#'#:'*&6 patocarcinoma en 12 pacientes  !/*$-7.'/*&.G+^%+'*(*.&%­ ="%&#'"-+ >+ 4?%/,/.<+ 9#+ UAY6XZV6+^%+/#23R)+N3$*Q%2:8/%&+ P0%+ :*($8'%,%+ (8/'3,#'#:'*&+ &#%/3KR+ 8)+ #2'8,3*+ &#'&*2$#:­ I#)3.)%+ (O2+ P&#:8#)'#+ P8#+ #/+ #2+ #/+ (#*&+ (D'*,*+ $%&%+ /%+ '3Q*;+ ,#2:&3$'3Q*+ M+ ,*I/#+ :3#.*+ _832'#+ N#$O'3:*+ 23($/#+ US+ $%­ :%&%:'#&3K%:3R)+,#+/%2+/#23*)#2+ ,*),#+2#+&#Q32%&*)+ST+#2'8,3*2+ :3#)'#2;+`6[ZV+M+/%+(%/3.)%+P8#+/%+ N#$O'3:%2+P*:%/#26 ,#+'*(*.&%P0%+:*($8'%,%+(8/­ /#23R)+(#'%2'O23:%+US+$%:3#)'#2;+ '3,#'#:'*&+U@7?"V+,#+%I,*(#)+ `6[ZV6+ ^%+ /#23R)+ 2#8,*'8(*&%/+ A"-"9#".+$-";&G+/#23R)+N#$O­ &#%/3K%,*2+ #)+ )8#2'&*+ N*2$3'%/+ (O2+ P&#:8#)'#+ P8#+ #/+ %I2:#2*+ '3:%+P*:%/;+N#(%).3*(%+N#$O'3:*;+ #)+#/+$#&3*,*+,#+P#I&#&*+,#+WBAB+ N#$O'3:*+UAA+$%:3#)'#2;+AX6AZV6+ N#$%'*:%&:3)*(%;+ '*(*.&%P0%+ %+P#I&#&*+,#+WBAA6 a/+ /RI8/*+ N#$O'3:*+ ,#&#:N*+ P8#+ :*($8'%,%+(8/'3,#'#:'*&6 @&.7-%",/.<+ 9#+ %)%/3K%&*)+ #/+(O2+%P#:'%,*+UTS+$%:3#)'#2;+ WX+UCYZV++N*(I&#2+M+[X+UTWZV+ XWZV6+^*2+N%//%K.*2+%,3:3*)%/#2+ (8#&#2+:*)+#,%,+$&*(#,3*+,#+ P8#&*)+/%+3,#)'3b:%:3R)+,#+P02'8/%+ !"#$%#&'()#(*'(+,-.(/0 !"#$%&'%(#)'*+,#+-(%.#)*/*.0%+,#/+1*2$3'%/+4).#/#2+,#/+5#,&#.%/6 !!78&2*+,#+$*2'.&%,*+,#+-(%.#)+9#::3*)%/;+<=>?6 /%2+$#),3#)'#2+,#+/%+:8&Q%+%*&'3:%+M+$%&#)_83(%'*2%+ 7%(3)*+%+9%)'%+@#&#2%+=*6+ABCC;+7*/6+1D&*#2+,#+5%,3#&)%;+?DE3:*;+"6F6 2#+ '*&)%)+ $%&%/#/%21+ Ub.8&%+ AV6+ ^%2+ /#23*)#2+ P*:%/#2+ 7*&&#2$*),#):3%G+"&6+H%2$%&+>/I#&'*+?*''%+J%(0&#KG+.%(*''%&LM%N**6:*(6(E N#$O'3:%2+ U^F1V+ 2#+ N%)+ :%'%/*.%,*+ :*(*+ N3$#&Q%2­ :8/%&;+N3$*Q%2:8/%&;+I#)3.)%;+(%/3.)%+M+2#8,*'8(*&%/+ B*%#/,7$$')* U:8%,&*+-V6 ^%+ '*(*.&%P0%+ :*($8'%,%+ (8/'3,#'#:'*&+ U@7?"V+ a)+/%+/#23R)+N3$#&Q%2:8/%&+/%+3&&3.%:3R)+,#$#),#+:%23+ N%:#+P%:'3I/#+#/+#2'8,3*+,#/+$%&D)_83(%+N#$O'3:*+$*2­ #E:/823Q%(#)'#+,#+/%+%&'#&3%+N#$O'3:%2+(3#)'&%2+_8#+#)+ :*)'&%2'#+-c+#)+T+P%2#2+,#+&#P*&K%(3#)'*6+^*2+$&3(#&*2+ /%+N3$*Q%2:8/%&+/%+3&&3.%:3R)+,#$#),#+,#+/%+Q#)%+$*&'%+ Q%2*2+N#$O'3:*2+#)+&#P*&K%&+2*)+/*2+%&'#&3%/#2+,#+AC+%+ M+#2+$*&+#//*+_8#+/%+*$%:3b:%:3R)+,#+/%+^F1+$*2'#&3*&+ WC+2#.8),*2+UP%2#+%&'#&3%/+N#$O'3:%+$&#:*KV+,#2$8D2+ %/+:*)'&%2'#+#2+(O2+/#)'%+M+2#+$&*,8:#+N%:3%+/%+P%2#+ ,#+/%+3)M#::3R)+3)'&%Q#)*2%+,#/+(#,3*+,#+:*)'&%2'#d+/%+ ,#+#_83/3I&3*62 Q#)%+$*&'%+&#P8#&K%+,#+/*2+[C+%+/*2+TB+2#.8),*2+UP%2#+ %&'#&3%/+N#$O'3:%+'%&,0%+*+P%2#+,#+e8*+$*&'%/V+(3#)'&%2+ 89:&%';/ _8#+/%2+ Q#)%2+ N#$O'3:%2+ 28#/#)+N%:#&/*+#)'&#+/*2+SB+ A6+ aQ%/8%&+/%+8'3/3,%,+,#+/%+@7?"+$%&%+/%+:%&%:'#&3K%­ M+XB+2#.8),*2+UP%2#+$%&#)_83(%'*2%+N#$O'3:%+*+P%2#+ :3R)+,#+/%2+/#23*)#2+P*:%/#2+N#$O'3:%26 Q#)*2%+N#$O'3:%V6+a)'&#+/*2+2#.8),*2+`B+M+ACB+%$%&#­ W6+ J#Q32%&+/*2+N%//%K.*2+$*&+3(%.#)+,#+/*2+,3P#&#)'#2+ :#+/%+P%2#+,#+#_83/3I&3*+_8#+2#+N%+,#b)3,*+%+'&%QD2+,#+ '3$*2+,#+/#23R)+P*:%/+N#$O'3:%+M+:*)+#//*+:%&%:'#&3­ :8&Q%2+'3#($*f,#)23,%,+#+3),3:%)+#/+(*(#)'*+#)+_8#+ K%&/%2+:*)+$&#:323R)+$*&+(#,3*+,#+@7?"6 46 Enero­Marzo 2012
  • 2. 1%)#)(2)(*'(+,-.(/3 '%3)#,;+ g3'N+ %Q#&%.#+ %.#+ *P+ %PP#:'#,;+3)+TS+:%2#2+UXWZV6+>,­ CA6W+ M#%&26+ 'N#+ (*2'+ :*((*)+ ,3'3*)%/+b),3).2+g#&#+3,#)'3b:%­ I#)3.)+NM$#&Q%2:8/%&+/#23*)+g%2+ '3*)+*P+%&'#&3*Q#)*82+b2'8/%2+3)+ ABSTRACT N#(%).3*(%;+P*8),+3)+A[+:%2#2+ N#(%).3*(%2+%),+3)+177;+%$­ UWBZV;+ %),+ 'N#+ (*2'+ :*((*)+ $#%&%):#+ *P+ $*&'%/+ 'N&*(I*232;+ A7#1/.&<+7N%&%:'#&3K#+P*:%/+ (%/3.)%)'+NM$#&Q%2:8/%&+/#23*)+ %),+:N%).#2+,8#+'*+%22*:3%'#,+ N#$%'3:+ /#23*)2+ ,#'#:'#,+ %),+ g%2+ N#$%'*:%&:3)*(%;+ P*8),+ N#$%'*$%'NM6 #Q%/8%'#,+IM+(8/'3$N%2#+?"7@6 3)+ AW+ :%2#2+ UAY6XZVd+ 'N#+ (*2'+ !/*$-7.'/*.G+ ?8/'3$N%2#+ ="%&#'"-+"*,+4&%0/,.<+A ret­ :*((*)+ I#)3.)+ NM$*Q%2:8/%&+ ?"7@+ 32+ 'N#+ I#2'+ (#'N*,+ *P+ &*2$#:'3Q#;+ ,#2:&3$'3Q#;+ ,*8I/#+ /#23*)+ g%2+ 23($/#+ N#$%'3:+ :M2'+ :N*3:#+ P*&+ :N%&%:'#&3K%'3*)+ *P+ I/3),+ 2'8,M+ g%2+ :*),8:'#,;+ P*8),+3)+S+:%2#2+U`6[ZV;+%),+'N#+ P*:%/+N#$%'3:+/#23*)26 gN3:N+ &#Q3#g#,+ ST+ (8/'3$N%2#+ (*2'+:*((*)+(%/3.)%)'+NM$*­ ?"7@+ %I,*(3)%/+ 2'8,3#2+ $#&­ Q%2:8/%&+ /#23*)+ g%2+ (#'%2'%'3:+ P*&(#,+%'+*8&+N*2$3'%/+3)+'N#+$#­ /#23*);+P*8),+3)+S+:%2#2+U`6[ZVd+ &3*,+P&*(+F#I&8%&M+WBAB+'N&*8.N+ 'N#+ (*2'+ :*((*)+ $2#8,*'8­ C&>+ D/#,.G+ F*:%/+ N#$%'3:+ F#I&8%&M+WBAA6 (*&%/+/#23*)+g%2+/3Q#&+%I2:#22;+ /#23*);+ N#$%'3:+ N#(%).3*(%;+ @&.7-%.<+WX+UCYZV+(#)+%),+ P*8),+3)+AA+:%2#2+UAX6AZV6+@N#+ N#$%'*:%&:3)*(%;+(8/'3,#'#:'*&+ [X+ UTWZV+ g*(#)+ g#&#+ *I­ &3.N'+N#$%'3:+/*I#+g%2+'N#+(*2'+ :*($8'#,+'*(*.&%$NM6 ="%&#'"-+>+4?%/,/. *+I%&3*Vd+,#2$8D2;+:*)+:%'D'#&+WBH+2#+3)M#:'*+2*/8:3R)+ 9#+ &#%/3KR+ 8)+ #2'8,3*+ &#'&*2$#:'3Q*;+ ,#2:&3$'3Q*+ M+ 2%/3)%+U[B+(/V+$%&%+:*&&*I*&%&+/%+$#&(#%I3/3,%,+Q#)*2%6+ ,*I/#+ :3#.*+ ,*),#+ 2#+ &#Q32%&*)+ S+ BBB+ #2'8,3*2+ ,#+ 5*2'#&3*&(#)'#+2#+3)M#:'%&*)+ACB+(/+,#+(#,3*+,#+:*)­ @7?"+ &#%/3K%,*2+ #)+ )8#2'&*+ N*2$3'%/+ U$&3Q%,*+ M+ ,#+ '&%2'#+-c+)*+3R)3:*+Uh$'3&%M! y @&#Q32'!V+:*)+[WB+(.+,#+ &#P#&#):3%V+#)+#/+$#&3*,*+,#+8)+%]*+:*($&#),3,*+#)'&#+ M*,*+$*&+(3/3/3'&*+8'3/3K%),*+8)+3)M#:'*&+%8'*(O'3:*+,8%/+ P#I&#&*+,#+WBAB+M+P#I&#&*+,#+WBAA6+9#+3,#)'3b:%&*)+,3­ %+[+(/i26+9#+*I'8Q3#&*)+:*&'#2+%+/*2+AC+2+$%&%+/%+P%2#+ P#&#)'#2+'3$*2+,#+^F1+:*)+,*2+#_83$*2+,#+@7?"+UHa!" %&'#&3%/+*+%/+&#P*&K%(3#)'*+,#+ABB+<1+,#+/%+%*&'%;+%+/*2+ ?#,3:%/+ 9M2'#(2+ ,#+ Y+ :*&'#2+ M+ 93#(#)2!+ "#b)3'3*)+ WC+2+2#+*I'8Q*+8)%+P%2#+Q#)*2%+M+%+/*2+[C+2+8)%+P%2#+ "8%/+ 9*8&:#V+ 8'3/3K%),*+ $&*'*:*/*+ %I,*(3)*$D/Q3:*G+ $*&'%/6+ a)+ :%2*2+ )#:#2%&3*2+ 2#+ *I'8Q3#&*)+ 3(O.#)#2+ P%2#+23($/#+:*)+3)'#&Q%/*2+,#+AB+((+M+WB+((+,#+#2­ %+/*2+SB+2+$%&%+/%+:%&%:'#&3K%:3R)+,#+/%2+/#23*)#26+^%2+ $#2*&+$&#Q3%+3).#2'%+,#+:*)'&%2'#+*&%/+UM*,%,*;+%.8%+ 3(O.#)#2+P8#&*)+%)%/3K%,%2+$*&+,*2+(D,3:*2+&%,3R/*­ 12 1 '() '(* '(+ '(, Aorta '(- '(. '(/ '(2 2:gado '(1 ' 1 Segundos E'57#"+FG+F%2#2+N#$O'3:%2;+$*2'#&3*&#2+%+/%+%,(3)32'&%:3R)+,#/+(#,3*+,#+:*)'&%2'#+-c;+#)+'3#($*+U2#.8),*2V+M+&#P*&K%(3#)'*+ #)+8)3,%,#2+1*8)2b#/,+U<1V6 Enero­Marzo 2012 47
  • 3. !7",#/+BG+7/%23b:%:3R)+,#+/%2+/#23*)#2+N#$O'3:%2+$*&+28+'3$*+,#+&#%/:# H74/#&.+0&12%'$/.+0'1&#;".$7-"#&. ?%/3.)*2 k#)3.)*2 ++++5&3(%&3*2 ++++++++++1#(%).3*(%+U(#)*&+,#+A+:(V ++++++++1#$%'*:%&:3)*(%+U(#)*&+,#+[+:(V ++++++++++>).3*(3*/3$*(%2+ ++++++++7%&:3)*(%+,#+bI&*/%(#/%& ++++++++++13$#&$/%23%+)*,8/%&+P*:%/ ++++++++1#$%'*I/%2'*(%2+U)3]*2V      ++?#'O2'%232 ++++++++?#/%)*(% ++++++++7O):#&+,#+(%(% ++++++++7%&:3)*(%+&#)%/ ++++++++7%&:3)*3,#         Leiomiosarcoma ++++++++7%&:3)*(%+(#,8/%&+,#+'3&*3,#2 ++++++++7%&:3)*(%+,8:'%/+,#+$O):&#%2 ++++++++7%&:3)*(%+,#+$O):&#%2 ++++++++7%&:3)*(%+,#+:*/*) H74/#&.+0&12%'$/.+0'1/;".$7-"#&. ?%/3.)*2 k#)3.)*2     732'*%,#)*:%&:3)*(%+ ++++l832'*%,#)*(% ++++?#'O2'%232+N3$*Q%2:8/%&#2 ++++@3$*+_802'3:*2+ ++++++++7%&:3)*(%+:*/*&&#:'%/ ++++++++l832'#2+N#$O'3:*2+ ++++++++7%&:3)*(%+,#+:D/8/%2+'&%)23:3*)%/#2 ++++++++l832'#2+:3/3%,*2+,#/+3)'#2'3)*+%)'#&3*& ++++^3)P*(%+     Hamartomas     Adenocarcinomas     Lipomas ++++l832'#2+,#+:*/D,*:* I&.'/*&.+.&7,/%74/#"-&.+0&12%'$". a2'#%'*232+N#$O'3:%+P*:%/;+2%&:*3,*232;+3)P#::3*)#2+.&%)8/*(%'*2%2+*+$*&+N*).*2;+2#8,*'8(*&+3)e%(%'*&3* >I2:#2*+N#$O'3:*+3)3:3%/ .*2+ U(D'*,*+ ,*I/#+ :3#.*V+ M+ %/.8)%2+ /#23*)#2+ P8#&*)+ 9#+#E:/8M#&*)+/*2+$%:3#)'#2+_8#+$&#2#)'%&*)+/#23*)#2+ :%&%:'#&3K%,%2+$*&+28+:*($*&'%(3#)'*+(3#)'&%2+_8#+#)+ N#$O'3:%2+(j/'3$/#2+*+,3P82%2;+$&#Q3%(#)'#+:*)*:3,%2;+ *'&%2+2#+&#_83&3R+/%+'*(%+,#+I3*$23%+$%&%+:*&&*I*&%&+#/+ I%*+2#.83(3#)'*+*+_8#+)*+:*)'%&*)+:*)+#2'8,3*+,3)O­ ,3%.)*2'3:*6+a/+%)O/3232+#2'%,02'3:*+3):/8MR+#/+#2'8,3*+M+ (3:*+,#+@7?"6 %)O/3232+,#/+#E$#,3#)'#+:/0)3:*+,#+/*2+$%:3#)'#2G+,%'*2+   ,#(*.&Ob:*2+ IO23:*2+ U#,%,+ M+ 2#E*V;+ 20)'*(%2+ _8#+ @&.7-%",/. (*'3Q%&*)+/%+2*/3:3'8,+,#/+#2'8,3*+,#+3(%.#)+U'*(*.&%­ a/+%)O/3232+,#+/%2+3(O.#)#2+,#+:%,%+$%:3#)'#+$*&+P8#+ P0%+ *+ &#2*)%):3%V+ %20+ :*(*+ _8D+ #2'8,3*2+ ,#+ 3(%.#)+ &#%/3K%,*+$*&+,*2+(D,3:*2+&%,3R/*.*26+9#+2#/#::3*)%&*)+ 2#+&#%/3K%&*)+M+N%//%K.*2+#2$#:0b:*2 %+/%+/#23R)+P*:%/+ M+%)%/3K%&*)+ST+$%:3#)'#2+:*)+^F1+,#'#:'%,%+$*&+(#,3*+ N#$O'3:%+&#%4'+'%/#2+:*(*G+(#,3,%2+,#+/%+/#23R);+23'3*+ ,#+8)+#2'8,3*+,3)O(3:*+,#+@7?"+(8/'3PO23:%+M+:*)+/%+ N#$O'3:*+,#+(%M*&+:*($&*(32*;+$&#2#)'%:3R)+:/0)3:%+ 3)P*&(%:3R)+:/0)3:%+$#&'3)#)'#+U:*&&#2$*),3#)'#2+%+AZ+ ,#+ /%+ /#23R)+ %/+ 2#&+ 3,#)'3b:%,%+ :*(*+ 3):3,#)'%/+ *+ )*+ ,#/+8)3Q#&2*+,#+$%:3#)'#2V6+F8#&*)+WX+N*(I&#2+UCYZV+ 3):3,#)'%/+ U3),3:%:3R)+ :/0)3:%+ _8#+ (*'3Q%+ #/+ #2'8,3*V;+ M+[X+(8#&#2+UTWZV+#)+8)+&%).*+,#+#,%,#2+#)'&#+AT+ N#$%'*$%'0%+ U#)+ 28+ :%2*V;+ :%/:3b:%:3*)#2+ %2*:3%,%2;+ %]*2+M+YS+%]*2+U$&*(#,3*+,#+CA6W+%]*2+M+8)%+(#,3%+,#+ %2:3'32+*+,#&&%(#+$/#8&%/6+9#+:*)23,#&R+#/+&#P*&K%(3#)'*+ CB6C+%]*2V+:*)+/*2+23.83#)'#+3)'#&Q%/*2+,#+P&#:8#):3%+$*&+ ,#+/%+^F1+#)+/%2+P%2#2+23($/#;+%&'#&3%/+M+$*&'%/+:%&%:'#­ #,%,G+,#+AT+%+W[+%]*2+W+U[6AZV;+W[+%+[W+%]*2+Y+UAW6CZV;+ &3KO),*/%2+#)+N3$*Q%2:8/%&#2;+N3$#&Q%2:8/%&#2+M+#2'%2;+ [W+%+TA+%]*2+A[+UWB6[ZV;+TA+%+CB+%]*2+`+UATZV;+CB+%+ %+ 28+ Q#K;+ #)+ (%/3.)%2;+ I#)3.)%2+ *+ 2#8,*'8(*&%/#26+ C`+%]*2+`+UATZV;+C`+%+SY+%]*2+X+UAB6`ZV;+SY+%+XX+%]*2+ 48 Enero­Marzo 2012
  • 4. AW+UAY6XZV+M+,#+XX+%+YS+%]*2+T+US6WZV6++a)+WY+$%:3#)­ &3*Q#)*2%2+2#+$&#2#)'%&*)+#)+/*2+717+:*)+8)+'%(%]*+ '#2+UTTZV+/*2+N%//%K.*2+P8#&*)+3):3,#)'%/#2+M;+,#/+'*'%/+ (%M*&+%+[6C+:(+U:8%,&*+--V6+9#+3,#)'3b:R+'&*(I*232+$*&'%/+ ,#+/%2+/#23*)#%2+%)/%3K%,%2+W+UXZV+P8#&*)+(%/3.)%2+M+ #)+T+717+%20+:*(*+#)+W+N#(%).3*(%26 WS+I#)3.)%2+U`[ZVd+[S+,#+#//%2+UCSZV+%:8,3#&*)+I%*+ 2*2$#:N%+:/0)3:%6+^%2+/#23*)#2+#):*)'&%,%2+P8#&*)G+A[+ J'.$7.')* N#(%).3*(%2+N#$O'3:*2+U11V+UWBZV;+W+,#+#//*2+%'0$3:*2+ ^%+@7?"+#2+#/+(D'*,*+,#+3(%.#)+(O2+8'3/3K%,*+$%&%+ UAC6[ZV+M+AA+'0$3:*2+UYT6SZVd+`+N3$#&$/%23%2+)*,8/%&#2+ #/+#2'8,3*+N#$O'3:*+,3)O(3:*6+H&%:3%2+%/+,#2%&&*//*+,#+ P*:%/#2+ U1=FV+ UATZVd+ AA+ %I2:#2*2+ N#$O'3:*2+ U>I1V+ /*2+#_83$*2+,#+@7?"+#2+$*23I/#+&#%/3K%&+%).3*'*(*.&%­ UAX6AZV+,#+/*2+:8%/#2+C+UTC6CZV+P8#&*)+#):*)'&%,*2+#)+ P0%2;+'%)'*+%&'#&3%/#2+:*(*+Q#)*2%2;+:*)+#Q%/8%:3*)#2+ P%2#+%.8,%+M+S+UCT6CZV+#)+P%2#+28I%.8,%+UT+m[S6[Zn+ '%&,0%2;+&#:*)2'&8::3*)#2+(8/'3$/%)%&#2;+'&3,3(#)23*)%­ P8#&*)+2*(#'3,*2+%+,&#)%#+$#&:8'O)#*+&#$*&'O),*2#+ /#2;+3(O.#)#2+#)+(OE3(%+3)'#)23,%,+U?-5V+#+3):/82*+ 28+ *&3.#)+ $3R.#)*Vd+ AW+ :%&:3)*(%2+ N#$%'*:#/8/%&#2+ 3(O.#)#2+,#+$#&P823R)+N#$O'3:%6+@*,*+#//*+$#&(3'#+%/+ U717V+ UAY6XZVd+ S+ _832'#2+ N#$O'3:*2+ 23($/#2+ Ul19V+ (D,3:*+&%,3R/*.*+&#%/3K%&+8)%+%,#:8%,%+:%&%:'#&3K%:3R)+ U`6[ZVd+ T+ (#'O2'%232+ j)3:%2+ :*)+ $&3(%&3*+ :*)*:3,*+ ,#+/%+^F1+M+,3P#&#):3%&+/%2+I#)3.)%2+,#+/%2+(%/3.)%2;+ US6WZVd+W+3)b/'&%:3*)#2+.&%2%2+U[6AZVd+W+1k+U[6AZVd+A+ #Q3'%),*+#2'8,3*2+3))#:#2%&3*2+M+$&*:#,3(3#)'*2+3)'#&­ %(3/*3,*232+UA6CZVd+A+N#(%'*(%+28I:%$28/%&+UA6CZVd+ Q#):3*)32'%2;+*+I3#)+3),3:%&+#2'8,3*2+,#+:*($/#(#)'*+ A+I3/*(%+UA6CZVd+A+%,#)*(%+N#$O'3:*+U>1V+UA6CZV+M+A+ M+#Q%/8%:3R)+28I2#:8#)'#2+:*(*+/%+&#2*)%):3%+(%.­ :32'*%,#)*(%+UA6CZV+Ub.8&%+WV6 )D'3:%+UJ?V6[ F8#&*)+ 2*(#'3,%2+ %+ I3*$23%+ .83%,%+ $*&+ @7?"+ AX+ 9#+N%+8'3/3K%,*+#/+'D&(3)*+,#+o3):3,#)'%/*(%2p+$%&%+ /#23*)#2+ UWS6CZV+ $%&%+ 28+ ,3%.)R2'3:*+ ,#b)3'3Q*d+ ,#+ ,#)*(3)%&+%+%_8#//%2+/#23*)#2+N#$O'3:%2+%23)'*(O'3:%2+ #//%2+C+P8#&*)+&#$*&'%,%2+:*(*+3),#'#&(3)%,%2+M+W+:*)+ _8#+2*)+,#2:8I3#&'%2+#)+$%:3#)'#2+2*(#'3,*2+%+%/.j)+ ,3%.)R2'3:*+,#+171d+AB+UC`ZV+,#+/%2+/#23*)#2+I3*$23%­ #2'8,3*+,#+3(%.#)64+a)+)8#2'&%+$*I/%:3R)+,#+#2'8,3*+ ,%2+P8#&*)+:%&%:'#&3K%,%2+$*&+3(%.#)+:*)+$&#:323R)+M+ WY++^1F+UTTZV+P8#&*)+N%//%K.*2+3):3,#)'%/#2;+W+,#+#//%2+ :*&&#2$*),3#&*)+%/+,3%.)R2'3:*+N32'*$%'*/R.3:*6+^%2+TX+ UXZV+(%/3.)%2+M+WS+U`[ZV+I#)3.)%26+"%'*2+23(3/%&#2+ /#23*)#2+&#2'%)'#2+UX[ZV+$8,3#&*)+2#&+:%&%:'#&3K%,%2+ %+/*2+&#$*&'%,*2+$*&+1##$+_8#+(#):3*)%+YAZ+,#+3):3­ $*&+@7?"+23)+)#:#23,%,+,#+&#:8&&3&+%+/%+I3*$23%6 ,#)'%/*(%2+N#$O'3:*2+I#)3.)*2+M+A`Z+(%/3.)*264+5%&%+ ^%+(%M*&0%+,#+/%+/#23*)#2+2#+$&#2#)'R+#)+#/+/RI8/*+ (%'#&3%/3K%&++/%+:%&%:'#&3K%:3R)+$*&+@7?"+,3Q3,3(*2+%+ N#$O'3:*+,#&#:N*+UTW;+XWZVd+AA+#)+#/+/RI8/*+N#$O'3:*+ /%2+^F1+#)+N3$#&Q%2:8/%&#2+#+N3$*Q%2:8/%&#2+U(%/3.­ 3K_83#&,*+UAXZV+M+X+#)+%(I*2+UAAZV6+9#+3,#)'3b:%&*)+ )%2;+I#)3.)%2+*+2#8,*'8(*&%/#2V6+a)+)8#2'&*+#2'8,3*+ :%/:3b:%:3*)#2+#)+/%2+23.83#)'#2+/#23*)#2G+N#(%).3*­ SC6XZ+ ,#+/%2+^F1+P8#&*)+I#)3.)%2+M+[TZ+ (%/3.)%2d+ (%2;+717;+l19+M+#)+/%+%(3/*3,*2326+a/+,#&&%(#+$/#8&%/+ #2'*+,3b#&#+:*)+/*+&#$*&'%,*+$*&+7%&&%2:*2%+#'+%/6+#)+ M+/%+%2:3'32+P8#+(O2+:*(j)+#)+/*2+717+M+#)+#/+>16+^%+ WBBSG+WB+$%:3#)'#2+:*)+^F1+,#+/%+:8%/#2+2R/*+S+U[BZV+ :3&&*232+N#$O'3:%;+/%+'&*(I*232+$*&'%/++M+/%2+P02'8/%2+%&'#­ P8#&*)+I#)3.)%2+M+AT+UXBZV+(%/3.)%26C+a2'%+,3P#&#):3%+ 14 13 12 12 11 10 9 8 6 6 4 4 2 2 2 1 1 1 1 1 0 F as so a e l a s   a a a r ca s la ca m pl m m om om N si om e su  fo H m no to lo o ni sc en en id si Bi cp ar  u sa gi ci Ab ilo o  Ad ad am as an ar b ra tic su Am oc to ns em  g H pa a  is at on de om H C he ep ci po e  tra at H hi st em fil s  ui In si H Q ta as et M E'57#"++KG+=j(#&*+'*'%/+,#+/#23*)#2+P*:%/#2+N#$O'3:%26 Enero­Marzo 2012 49
  • 5. !7",#/+BBG+7%&%:'#&02'3:%2+,#+/%2+/#23*)#2+*I2#&Q%,%2 ^#23R) = +9#E*+ 1#$%'*$%'0% Ascitis Derrame 7%ss 9N8)'++*iM+@c5 HH A[ M 1 1 W+9N8)' 1=F ` M [ 1 AH 11 H S 2 S 717 12 H 11 C ` 2 T+@c5 l19 S M 2 1 1 ?a@ 4 H 1 1 2 -H 2 H HAH 2 H >?- 1 M HEMA 1 M =+t+)j(#&*+'*'%/+,#+$%:3#)'#2d+11+t+N#(%).3*(%+N#$O'3:*d+1=F+t+N3$#&$/%23%+)*,8/%&+P*:%/d+>1+t+%I2:#2*+N#$O'3:*d+717+ t+:%&:3)*(%+N#$%'*:#/8/%&d++l91+t+_832'#2+23($/#2+N#$O'3:*2d++?a@+t+(#'O2'%232d++-H+t+3)b/'&%:3R)+.&%2%d+1>1+t+N%(%&'*(%+ N#$O'3:*d+1a?>+t+N#(%'*(%+N#$O'3:*d+>?-+t+%(3/*3,*232+N#$O'3:%d+k1+t+I3/3*(%+N#$O'3:*d+>1+t+%,#)*(%+N#$O'3:*d+7-9@+t+ :32'*%,#)*(%+N#$O'3:*d+7%ss+t+:%/:3b:%:3R)d+@c5+t+'&*(I*232+Q#)*2%+$*&'%/6 2#+ ,#I#+ %+ /%+ ,#'#::3R)+ $&#:*K+ M+ /%+ %::#23I3/3,%,+ ,#+ 2%)*+M%+_8#+#2'*+$8#,#+23(8/%&+8)%+/#23R)+'8(*&%/+*+ /*2+(D'*,*2+,#+3(%.#);+:*(*+/%+@7?";+_8#+'#)#(*2+ (#'%2'O23:%11+U3(%.#)+AV6 N*M+#)+,0%6+a)+/%2+/#23*)#2+N3$#&Q%2:8/%&#2+_8#+&#$*&­ h'&%+ /#23R)+ 2#8,*'8(*&%/+ P8#+ #/+ N#(%'*(%+ 28I­ '%(*2+2#+3):/8M#+%/+717;+%/+N#(%).3*(%+M+%+/%+1=F+ :%$28/%&+ U3(%.#)+ WV6+>/.8)%2+ /#23*)#2+ $&#2#)'%&*)+ _8#+P8#&*)+(#*&+:%&%:'#&3K%,%2+#)+/%+P%2#+%&'#&3%/+,#/+ :%/:3b:%:3*)#2+%2*:3%,%2+:*(*+l19;+N#(%).3*(%2;+ #2'8,3*+,3)O(3:*+$*&+@7?"6+=3)*+#'+%/6+%)%/3K%&*)+%+/%2+ + 717+M+%(3/*3,*2326+9'*8$32+#'+%/6+&#%/3K%&*)+8)%+:*&&#­ /#23*)#2+N#$O'3:%2+$*&+28+P*&(%+,#+&#%/:#+#)+/%+P%2#+ /%:3R)+M+:%&%:'#&3K%:3R)+,#+/%2+:%/:3b:%:3*)#2+N#$O'3:%2+ %&'#&3%/+M+&#$*&'%&*)+8)+Q%/*&+$&#,3:'3Q*+$*23'3Q*+,#+YWZ+ M+*I2#&Q%&*)+_8#+/*2+%.#)'#2+_8#+(O2+2#+:*&&#/%:3*)%)+ M+8)%+#2$#:3b:3,%,+,#+YBZ+#)+/*2+N#(%).3*(%2;+(#­ :*)+#2'#+N%//%K.*+P8#&*)+/%2+#)P#&(#,%,#2+,#+*&3.#)+ 'O2'%232+M+7176S+h'&*2+,%'*2+%2*:3%,*2+%/+717+P8#&*)+ 3)e%(%'*&3*;+ /*2+ .&%)8/*(%2+ U'8I#&:8/*232V;+ #/+ _832'#+ /%+N#$%'*$%'0%+$&#Q3%;+P02'8/%++%&'#&3*$*&'%/+M+'&*(I*232+ por  546%#"4"4478;+ /*2+ N#(%).3*(%2;+ #/+ %,#)*(%+ ,#+/%+Q#)%+$*&'%+:*(*+/*+&#$*&'%,*+$*&+?*&3+#'+%/6;+_8#+ N#$%'*:#/8/%&;+ #/+ 717;+ #/+ :*/%).3*:%&:3)*(%+ M+ /%2+ ,#(8#2'&%)+/%+%2*:3%:3R)+,#+/*2+717+:*)+P02'8/%+%&'#­ (#'O2'%232;+#2$#:3%/(#)'#+$*&+:%&:3)*(%+,#+:*/*)612  &3*$*&'%/67  -)%(*'*+q+#'+%/6+%)%/3K%&*)+/%2+3(O.#)#2+,#+ a/+,#&&%(#+$/#8&%/+M+/%+%2:3'32+2#+%2*:3%&*)+(O2+:*)+ @7+#)+C+$%:3#)'#2+:*)+717+#):*)'&%),*+*I2'&8::3R)+ /*2+ %I2:#2*2;+ /%2+ (#'O2'%232+ M+ #/+ 7176+ 9#.j)+ 2#+ ,#+/%2+&%(%2+,#+/%+Q#)%+$*&'%+$*&+'&*(I*2326Y+ a)+/*2+ &#$*&'%;+#)+YBZ+,#+/*2+$%:3#)'#2+:*)+%2:3'32+D2'%+#2+ N#(%).3*(%2+ %'0$3:*2+ 2#+ *I2#&QR;+ ,#+ 3.8%/+ (%)#&%;+ 2#:8),%&3%+%+N3$#&'#)23R)+$*&'%/+$*&+:3&&*232+N#$O'3:%d+ 8)%+ P02'8/%+ %&'#&3*$*&'%/6+ kM8)+ rk+ #'+ %/6+ #):*)'&%&*)+ ABZ+$&#2#)'%)+8)+$&*:#2*+(%/3.)*+M+#)+[Z+/%+:%82%+ _8#+ )*+ )#:#2%&3%(#)'#+ /%+ $&#2#):3%+ ,#+ 8)%+ P02'8/%+ #2+8)%+3)28b:3#):3%+:%&,0%:%d+#/+XZ+&#2'%)'#+2#+&#$%&'#+ %&'#&3*$*&'%/+2#+%2*:3%I%+:*)+'8(*&+(%/3.)*+M%+_8#+2#+ #)'&#+(j/'3$/#2+$&*:#2*2+(#)*2+P&#:8#)'#26A[+@%)'*+#/+ N%+#):*)'&%,*+#)+%2*:3%:3R)+:*)+N#(%).3*(%26` La  (D,3:*+&%,3R/*.*+:*(*+#/+'D:)3:*+&%,3R/*.*+,#I#)+'#)#&+ (%M*&0%+ ,#+ /%2+ /#23*)#2+ N3$*Q%2:8/%&#2+ _8#+ #):*)­ 8)+%($/3*+:*)*:3(3#)'*+,#+/*2+$&*'*:*/*2+,#+@7?";+ '&%(*2+:*&&#2$*),3#&*)+%+_832'#2+N#$O'3:*2+23($/#26+ %20+:*(*+/%+3)P*&(%:3R)+:/0)3:%+$#&'3)#)'#+_8#+$#&(3'%+ ^%2+ /#23*)#2+ 2#8,*'8(*&%/#2+ P8#&*)+ &#$&#2#)'%,%2+ ,#:3,3&+_83D)+M+_8D+$%&%+8)+%)O/3232+:*&&#:'*+,#+/%+$%­ $*&+/*2+%I2:#2*2+N#$O'3:*2+_8#+P8#&*)+,&#)%,*2+M+28+ '*/*.0%+N#$O'3:%+M+28+^F16+5%&%+#//*;+M+$%&%+8)%+(#*&+ *&3.#)+P8#+$3R.#)*+U[S6[ZV+#)+:%)'3,%,+:#&:%)%+:*)+ :*($&#23R);+8'3/3K%(*2+8)%+'%I/%+:*)+/%2+:%&%:'#&02'3:%2+ /%+$8I/3:%,%+$*&+r#PP&#M+Jk+#'+%/6G+*&3.#)+$3R.#)*+#)+ ,#+&#P*&K%(3#)'*+,#+/%+^F1+$*&+@7?"+U:8%,&*+---V6 [BZ+,#+/*2+%I2:#2*2+,&#)%,*210+M;+#)+2#.8),*+/8.%&;+ /%+3)b/'&%:3R)+.&%2%6+1%/Q*(2#+>J+#'+%/6+&#%/3K%&*)+8)%+ I&.'/*&.+0'1/;".$7-"#&.+0&12%'$".+9&*'5*". :%&%:'#&3K%:3R)+$*&+@7?"+,#+/%+3)b/'&%:3R)+.&%2%+_8#+ 97%8$)(6)+,$%4"(8%:+*)(;9<=>. a/+l19+2#+3,#)'3b:%+ &#$&#2#)'%+^F1+(%/+,#/3(3'%,%;+28I2#.(#)'%&3%;+_8#+ #)+ #)'&#+ CZ+ M+ XZ+ ,#+ /%+ $*I/%:3R)+ .#)#&%/;14  se  en­ )*+ :%82%+ #P#:'*+ ,#+ (%2%+ M+ )*+ ,#2$/%K%+ /*2+ Q%2*26+ :8#)'&%)+,#+P*&(%+3):3,#)'%/+M+(O2+P&#:8#)'#(#)'#+#)+ a/+ $&*I/#(%+ ,3%.)R2'3:*+ 2#+ $&#2#)'%+ :8%),*+ #E32'#+ (8#&#26+58#,#+2#&+2*/3'%&3*+*+(j/'3$/#+M+28+,3O(#'&*+Q%­ 3)b/'&%:3R)+.&%2%+:*)+oP*:*2p+,#+$%&D)_83(%+N#$O'3:*+ &0%+,#+(3/0(#'&*2+N%2'%+:#)'0(#'&*2;+)*+'3#)#+$*'#):3%/+ 50 Enero­Marzo 2012
  • 6. B4"5&*+FG (a)+^#23R)+P*:%/+N#$O'3:%+N3$#&,#)2%6+L9M+5#&232'#):3%+,#+/%+/#23R)+#)+P%2#+%&'#&3%/+23)+_8#+(8#2'&#+&#%/:#+:*)+N3­ $*,#)23,%,+,#/+$%&D)_83(%+N#$O'3:*+$*&+3)b/'&%:3R)+.&%2%6+(c)+7*&'#+:*&*)%/G+/%+/#23R)+)*+##&:#+#P#:'*2+,#+(%2%+M+/*2+Q%2*2+ /%+%'&%Q3#2%)+#)+&#/%:3R)+:*)+#/+2#8,*'8(*&6 B4"5&*+KG (a)+^#23R)+28I:%$28/%&+32*,#)2%+%/+$%&D)_83(%+:*)+23.)*+,#/+N#(%'*:&3'*6+L9M+a)+#/+#2'8,3*+,3)O(3:*+2#+*I2#&Q%+ N3$*Q%2:8/%&6+(c)+a/+8/'&%2*)3,*+(*2'&R+8)%+/#23R)+%)#:*3:%+:*)+#:*2+3)'#&)*26+a2'8Q*+#)+&#/%:3R)+:*)+#/+N#(%'*(%+28I:%$28/%&6 (%/3.)*+M+#2+%23)'*(O'3:*6AC+a2'O+&#Q#2'3,*+,#+8)%+:%$%+ N3$*,#)2*2+#+N3$*Q%2:8/%&#2+#)+'*,*+#/+#2'8,3*+,3)O­ 2#):3//%+,#+#$3'#/3*+:8I*3,%/+M+(#)*2+P&#:8#)'#(#)'#+ (3:*;A`+ ,#+ :*)'*&)*+ $*I&#(#)'#+ ,#b)3,*+ M+ $8,3#),*+ ,#+ #$3'#/3*+ #2:%(*2*+ *+ :*/8()%&6AS+ 98+ %2$#:'*+ $*&+ %P#:'%&+%+%(I*2+/RI8/*2+N#$O'3:*220 U3(%.#)+TV6 @7?"+#2+#/+,#+8)%+^F1+I3#)+:3&:8)2:&3'%;+N3$*,#)2%;+ !%8$"'2)#":'(@%*%'?(;!A>. a/+7k+#2+$*:*+P&#:8#)'#G+ N*(*.D)#%+#+N3$*Q%2:8/%&+#)+'*,*+#/+#2'8,3*+,3)O(3:*;+ (#)*2+,#+CZ+#2+3)'&%N#$O'3:*+M+YCZ+#E'&%N#$O'3:*6+a2+ 8)+Q%/*&+,#+%'#)8%:3R)+$&RE3(*+%/+%.8%+,#+WB+<1+UBf 8)%+/#23R)+,#+:*)'#)3,*+/0_83,*;+(8/'3/*:8/%&+,#+/#)'*+ AB+<1Vd+28+$%&#,+.#)#&%/(#)'#+)*+(8#2'&%+&#%/:#+'&%2+ :&#:3(3#)'*d20+CCZ+%P#:'%+%/+/RI8/*+,#&#:N*+M+W`Z+%/+ /%+ %,(3)32'&%:3R)+ ,#+ (#,3*+ ,#+ :*)'&%2'#+ 3)'&%Q#)*2*+ /RI8/*+3K_83#&,*d+%+%(I*2+ASZ6+9#+$&#2#)'%+#)+(8#&#2+ U-cVAC+ U3(%.#)+ [V6+ ^%+ /#23R)+ ,#+ (#)*&+ '%(%]*+ $8#,#+ :*)+#,%,+(#,3%+,#+[Y+%]*2+M+2#+N%+:*)23,#&%,*+8)%+ (*2'&%&+8)%+,#)23,%,+28$#&3*&+%+WB+<1+$*&+8)+#P#:'*+,#+ /#23R)+ $&#(%/3.)%+ :*)+ 20)'*(%2+ &#/%:3*)%,*2+ :*)+ #/+ Q*/8(#)+$%&:3%/+:*)+#/+$%&D)_83(%+N#$O'3:*+%,M%:#)'#;+ #P#:'*+,#+(%2%+_8#+:*),3:3*)%6AX;AY;WB+a/+7k+:*)'3#)#+ #)+#2$#:3%/+#)+3(O.#)#2+:*)+:*)'&%2'#6AT;ACfAX 8)%+:%$%+,#+:D/8/%2+2#:&#'*&%2+,#+(8:N%2+/0)#%2+$%­ <':'?$":'8( @%*%'?)8( ;<A>( "( 4":+*)B"8( 2)( C"#( &#:3,%2+%+/%+$%&#,+,#+8)+_832'#d+28+:*)'#)3,*+$8#,#+2#&+ D)E)#@7?-. ^*2+1k+P8#&*)+,#2:&3'*2+#)+A`AY;+2#+#)­ ,#+'3$*+$&*'#0)3:*;+(8:3)*2*;+.#/%'3)*2*+M+#)+*:%23*)#2+ :8#)'&%)+,#+(%)#&%+3):3,#)'%/+#)+#)'&#+B6S+M+C6SZ+,#+ $8&8/#)'*+*+N#(*&&O.3:*+:8%),*+2#+#E$*)#+%+8)+'&%8­ /*2+$%:3#)'#2+2*(#'3,*2+%+/%$%&*'*(0%+*+%8'*$23%2+M+ (%'32(*6AX;AY;WB+a)+/%+@7?"+#/+7k+%$%&#:#+:*(*+8)%+ 2*)+%23)'*(O'3:*26AY+^*2+1k+2*)+/#23*)#2+P*:%/#2+:*(­ /#23R)+P*:%/+N#$O'3:%+,#+:*)'#)3,*+/0_83,*+:*)+'%I3_8#2+ $8#2'%2+,#+#2'&8:'8&%2+I3/3%&#2+3)'&%N#$O'3:%2+_8#+2#+ 3)'#&)*2;+,3O(#'&*+_8#+Q%+,#+A6C+:(+N%2'%+[C+:(;+$%&#,+ *&3.3)%)+#)+/*2+:*),8:'*2+I3/3%&#2+#(I&3*)%&3*2+_8#+)*+ .&8#2%;+ I3#)+ ,#b)3,%+ M+ &%&%(#)'#+ :%/:3b:%,%d+ $8#,#+ 3)Q*/8:3*)%)+M+#2'O)+'%$3K%,*2+,#+#$3'#/3*+_8#+)*+:*(8­ $&#2#)'%&+)R,8/*2+(8&%/#2+M+#E:&#:#):3%2+$*/3$*3,#%2;+ )3:%+:*)+#/+O&I*/+I3/3%&6A`+a)+/%+@7?"+$8#,#+2#&+j)3:*2+ 23)+#(I%&.*;+#2'*+N%+23,*+&#$*&'%,*+#)+#/+:32'*%,#)*­ *+(j/'3$/#2;+:*)+'%(%]*+(#)*&+%+A6B+:(+,#+,3O(#'&*;+ :%&:3)*(%+I3/3%&61 Enero­Marzo 2012 51
  • 7. !7",#/+BBBG+7%&%:'#&02'3:%2+,#+/%2+/#23*)#2+#)+/%+'*(*.&%P0%+:*($8'%,%+(8/'3,#'#:'*&% 52 F)8%"#)8(G"4'*)8(6)+,$%4'8(@)#%-#'8( ^#23R) F%2#+23($/# F%2#+%&'#&3%/ F%2#+Q#)*2% F%2#+,#+#_83/3I&3* h'&%2+:%&%:'#&02'3:%2 1#(%).3*(%+ -2*,#)2%+ J#%/:#+$#&3PD&3:*+M+)*,8/%&+ J#%/:#+:#)'&0$#'*+ J#%/:#+/3.#&%(#)'#+N3$#&,#)2* J#%/:#+23(3/%&+%+/%+%*&'% ./*I8/%&+,32:*)'3)8*26+ J#%/:#+23(3/%&+%+/%+$*&'% +%/+$%&#)_83(%+N#$O'3:*++%+/*2+ 9N8)'+%&'#&3*+$*&'%/ Enero­Marzo 2012 J#%/:#+23(3/%&++%+/%+%*&'% Q%2*2+%I,*(3)%/#2+                                          13$#&$/%23%+ 1*(*.D)#%+ J#%/:#+&O$3,*+23(3/%&+%/+ J#%/:#+:#)'&0$#'*+'3#)#+ -2*,#)23,%,+ J#%/:#+23(3/%&+%+/%+%*&'% )*,8/%&+P*:%/+ #+N3$*,#)2% $%&D)_83(%+N#$O'3:* :3:%'&3K+:#)'&%/+N3$*,#)2% ^%+:3:%'&3K+2#+N%:#+N3$#&,#)2%+ 9N8)'+%&'#&3*+$*&'%/ +N*(*.D)#*+ Adenoma  Hipodensa o 13$#&,#)2%;+&#%/:# ^#Q#(#)'#+ ^#Q#(#)'#+N3$*,#)2% 9#+%2*:3%+#)+8)+TBZ+%+N#(*&&%.3% N3$#&,#)2%+ +$#&3PD&3:*;+(#)*2+ N3$*,#)2% UJ#%/:#+,#+/%+:O$28/%V [BZ+$&#2#)'%+:%$28/%+N3$*,#)2%+M+ 3),#)2*+M+N#'#&*.D)#% &#%/:#+#)+P%2#2+'%&,0%2 CZ+2#+%2*:3%+:*)+:%/:3b:%:3*)#2 ^1F+:*)+ Hipodensos Hipodensos Hipodensos Hipodensos >'#)8%:3R)+23(3/%&+%/+%.8%+WB+<1 %'#)8%:3R)+ ^3_83,* F)8%"#)8(G"4'*)8(6)+,$%4'8(:'*%-#'8 Hepatocarci­ 13$#&Q%2:8/%&+U/#23*)#2+ 13$*,#)2%+*+32*,#)2%+%/+$%&D)­ >).3*.#)#232+'8(*&%/+:*)+Q%2*2+ )*(%+U171V Hipodenso  (#)*&#2+,#+[:(V6 13$*,#)2%+*+32*,#)2%+%/+ _83(%+N#$O'3:* ,#2*&.%)3K%,*2+,#+.&8#2*+:%/3I&# 13$*Q%2:8/%&+U/#23*)#2+ $%&D)_83(%+N#$O'3:* J#%/:#+,#+$2#8,*:%$28/%V >2:3%,*+%+N#(*&&%.3%6 (%M*&#2+,#+[:(V6 U/%Q%,*+&O$3,*+,#/+:*)'&%2'#V @&*(I*232+'8(*&%/+$&*'%/++2 J#P8#&K*+:#)'&%/+N*(*.D)#*+ J#%/:#+,#+2#8,*:O$28/% 8$&%N#$%'3:%2+M+:%Q%+3)P#&3*&+:*) P*:%/+*+(8/'3P*:%/+,#+8)+)*,8/* +&#%/:#+23(3/%&+%/+'8(*& +*+(%2%+N#$O'3:% 732'*%,#)*­ Hipodenso J#P8#&K*+:%$28/%&+ 7%/:3b:%:3*)#2++)*,8/%&#2+*+ carcinoma densidad  2#$'%/+M+,#+)R,8/*2+ /3)#/%#2 %.8% $%$3/%&#26+J#P8#&K*+,# +282+2#$'*2 ?#'O2'%232+ Hipodensa  Hipondesa 13$*,#)2%+:*)+&#%/:#+,#+28+ 13$*,#)2%6+ >,#)*:%&:3)*(%2+,#/+'&%:'*+ N3$*,#)2%2 borde de manera  .%2'&*3)'#2'3)%/+$O):&#%2+(%(% :*)'3)8% +M+I&*):*.#)3:%2 ?#'O2'%232+ Hiperdensa J#%/:#+,*(3)%)'#6 ^%Q%,*+$&#:*K -2*,#)2%+*+N3$*,#)2%+ @8(*&#2+)#8&*#),*:&3)*2;+ N3$#&,#)2%2 J#%/:#+N*(*.D)#* -2*,#)2%+*+N3$*,#)2% sarcomas carcinoma  +'#($&%)*+*+P*:*2 ,#+:D/8/%2+&#)%/#2+M+(#/%)*(% +)*,8/%&#2+
  • 8. B4"5&*+NG (a)+^#23R)+P*:%/+N#$O'3:%6+L9+>+$M+13$*Q%2:8/%&+#+N3$*,#)2%+#)+'*,*+#/+#2'8,3*+,3)O(3:*+:*)+,#)23,%,+,#+/0_83,*+ #)+&#/%:3R)+:*)+8)+_832'#+23($/#+,#/+N0.%,*6 B4"5&*+OG (a)++^#23R)+P*:%/+(#)*&+%+A6B+:(6+L9M+7*&'#+:*&*)%/6+(c)+"8&%)'#+#/+#2'8,3*+,3)O(3:*+$#&232'#+N3$*,#)2%+#)+&#/%:3R)+ :*)+#/+N%(%&'*(%+N#$O'3:*6 H@84)8"(6)+,$%4"(;H@<>. ^*2+%I2:#2*2+N#$O'3:*2+2#+ PD&3:*+,#+%/'%+%'#)8%:3R)+(*2'&%),*+#/+8%-#"(2)(2"@*)( :/%23b:%)+,#+%:8#&,*+:*)+28+$%'R.#)*+,#+*&3.#)+:*(*G+ dianaAX;AY;WB+U3(%.#)+CV6 $3R.#)*2+U5846)?%46%'(4"*%(y(A'4$)?"%2)8V;+%(#I3%)*2+ U5#$':")@'(6%8$"*E$%4'V+*+(3:R'3:*2+U!'#2%2'('*@%4'#8I( I&.'/*&.+0'1&#;".$7-"#&.+0&12%'$".+9&*'5*". H8+)?-%**78 y(!?E+$"4"4478V620+^*2+$%:3#)'#2+$8#,#)+ <):'#-%":'(6)+,$%4"(;<<>.+a/+11+'3#)#+8)%+3):3­ $#&(%)#:#&+%23)'*(O'3:*2+*+$&#2#)'%&+20),&*(#+P#I&3/;+ ,#):3%+_8#+*2:3/%+#)'&#+B6T+M+WBZ+U:3P&%+*I'#)3,%+#)+ (%/#2'%&+ M+ (*/#2'3%2+ %I,*(3)%/#26+ a/+ %2$#:'*+ U#)+ /%+ %8'*$23%2V621 5*&+/*+&#.8/%&+#2+%23)'*(O'3:*+M+2#+#):8#)­ @7?"V+,#+8)+>I1+Q%&0%+,#+%:8#&,*+:*)+/%+P%2#+,#+/%+ '&%+,#+(%)#&%+3):3,#)'%/+#)+$%:3#)'#2+#2'8,3%,*2+:*)+ 3)P#::3R)G+ #)+ /%+ P%2#+ 28I%.8,%+ #/+ %I2:#2*+ '3#)#+ 8)%+ @7?"+ $*&+ :8%/_83#&+ &%KR)6+ 58#,#+ 2#&+ 3,#)'3b:%,*+ %+ %$%&3#):3%+N3$*,#)2%;+N3$*Q%2:8/%&;+8)3/*:8/%&+,*),#+ :8%/_83#&+#,%,+M+2#+N%+#2'3(%,*+_8#+28+3):3,#):3%+Q%&0%+ /%+ )#:&*232+ M+ /%+ /3:8#P%::3R)+ $&#,*(3)%)dAX;AY;WB+ #)+ /%+ ,#+XB+%+`CZ+#)+(8#&#2622 98+*&3.#)+)*+N%+23,*+:*($/#­ P%2#+ %.8,%+ #/+ %I2:#2*+ :*)+ P&#:8#):3%+ 2#+ (%)3b#2'%+ '%(#)'#+#)'#),3,*+$#&*+2#+:*)23,#&%)+(%/P*&(%:3*)#2+ :*(*+8)%+/#23R)+N3$*,#)2%+8)3+*+(8/'3/*:8/%&6 78%),*+ Q%2:8/%&#2+:*).D)3'%2+_8#+:&#:#)+$*&+#:'%23%+M+)*+$*&+ N%M+(j/'3$/#2+%I2:#2*2+%$%&#:#+8)+%:j(8/*+/*:%/+,#+ N3$#&$/%23%+*+N3$#&'&*b%6+98+'%(%]*+Q%&0%+,#+(3/0(#'&*2+ /#23*)#2+ :*)*:3,*+ :*(*+ 8%-#"( 2)*( '4&:7*"  o  4*78$)?  %+AB+:(6+a/+11+2#+,3Q3,#)+#)+'$J+%4"+UN#(%).3*(%+'3$*+ (8M+ 3),3:%'3Q*+ ,#+ 28+ *&3.#)+ $3R.#)*d+ #/+ .%2+ :#)'&%/+ AV+M+$J+%4"+UN#(%).3*(%+'3$*+WV6W[+a/+11+%'0$3:* *:8&&#+ _8#+%$%&#:#+#)+P*&(%+(j/'3$/#;+#)+I8&I8%2+*+:*(*+8)+ #)+ WB+ %+ [BZ+ ,#+ /*2+ :%2*2+ M+ 2#+ :%&%:'#&3K%+ $*&+ 2#&+ )3Q#/+N3,&*%D&#*+#2+3),3:%'3Q*+,#+%I2:#2*;+28+$%&#,+#2+ 8)%+/#23R)+(#)*&+%+A+:(;+/*+_8#+:*),3:3*)%+_8#+2#%+ $*I&#(#)'#+,#b)3,%;+,#+%'#)8%:3R)+N*(*.D)#%;+_8#+ 32*,#)2*+#)+P%2#+23($/#;+,#2$8D2+,#+/%+%,(3)32'&%:3R)+ &#%/K%d+%+(#)8,*+#E32'#+8)%+#2'&#:N%+K*)%+,#+'&%)23:3R)+ ,#/+(#,3*+,#+:*)'&%2'#+2#+*I2#&Q%+8)+&#%/:#+#E_8323'*;+ :*)+8)+Q%/*&+,#+%'#)8%:3R)+/3.#&%(#)'#+(#)*&+#)'&#+ 3)(#,3%'*;+ )*,8/%&;+ j)3:*;+ 23)+ #/+ //#)%,*+ :#)'&0$#'*;+ /%+K*)%+:#)'&%/+,#+I%%+%'#)8%:3R)+M+#/+&#I*&,#+$#&3­ $%&%+ N%:#&2#+ 32*,#)2*+ %/+ $%&D)_83(%+ N#$O'3:*+ #)+ Enero­Marzo 2012 53
  • 9. P%2#2+'%&,0%2+U3(%.#)+SV6+58#,#+$&#2#)'%&+'%(I3D)+8)+ N#$O'3:*+ :*)+ :%(I3*2+ :3&&R'3:*2+ #/+ 11+ ,32(3)8M#+ ,#+ //#)%,*+/#)'*+*+(8M+/#)'*+_8#+)*+//#.%+%+#Q3,#):3%&2#+ '%(%]*+Q*/Q3D),*2#+bI&R'3:*;+/*+_8#+,3b:8/'%+/*2+,3%.­ #)+/%2+,3P#&#)'#2+P%2#2624  a2+$*23I/#+,#(*2'&%&+P02'8/%+ )R2'3:*2+&%,3*/R.3:*+M+$%'*/R.3:*+23)+_8#+2#+,#2:%&'#+ %&'#&3*$*&'%/;+ :%/:3b:%:3R);+ '&*(I*232;+ N#(*&&%.3%+ *+ /%+$*23I3/3,%,+,#+/#23R)+(%/3.)%627 )3Q#/#2+ /0_83,*f/0_83,*+ 3)'&%/#23*)%/624  a/+ 11+ '0$3:*  se  <%+)?+*'8%'(#"27*'?(G"4'*(;<KL>. ^%+1=F+#2+/%+2#.8)­ $&#2#)'%+#)'&#+XT+M+YBZ+,#/+'*'%/+,#+/%2+^F1WC de di­ ,%+^F1+I#)3.)%+(O2+:*(j)+,#2$8D2+,#/+N#(%).3*(%+ (#)23R)+3.8%/+*+(#)*&+%+T+:(d+2#+:%&%:'#&3K%+#)+P%2#+ M+&#$&#2#)'%+YZ+,#+'*,*2+/*2+'8(*&#2+N#$O'3:*26WY+9#+ 23($/#+$*&+2#&+8)%+^F1+N3$*,#)2%;+:*)+N3$*%'#)8%:3R)+ *I2#&Q%+#)+##)'&#+W+M+CZ+,#+/%+$*I/%:3R)+,#+:8%/_83#&+ 23(3/%&+ %+ /%+ ,#+ /*2+ Q%2*2;+ ,#+ :*)'*&)*2+ ,#b)3,*2;+ ,#+ #,%,+M+%P#:'%+%+%(I*2+2#E*2+:*)+8)%+&#/%:3R)+,#+WGA+ /*:%/3K%:3R)+28I:%$28/%&;+%+/%+%,(3)32'&%:3R)+,#+(#,3*+ #)+(8#&#2+%,8/'%26W`+J%&%+Q#K+#2+23)'*(O'3:%;+$*&+/*+ ,#+ :*)'&%2'#+ #),*Q#)*2*+ (8#2'&%+ 8)+ &#P*&K%(3#)'*+ .#)#&%/+$8#,#+:&#:#&+(O2+,#+AB+:(+,#+,3O(#'&*;+#2+ 3)(#,3%'*;+$#&3PD&3:*;+)*,8/%&;+,32:*)'3)8*;+:*)+//#)%,*+ I#)3.)%;+j)3:%+*+(j/'3$/#+M+2#+/#+N%+&#/%:3*)%,*+:*)+/%+ :#)'&0$#'*;+:*)+&#P*&K%(3#)'*+23(3/%&+%/+%/:%)K%,*+$*&+ 3).#2'%+,#+%)'3:*):#$'3Q*2+*&%/#26[B+Aparece en pacien­ /%+%*&'%+N%:3D),*2#+32*,#)2*+%/+$%&D)_83(%+N#$O'3:*+ '#2+ 23)+ #)P#&(#,%,+ N#$O'3:%+ ,3P82%d[B  se  caracteriza  #)+P%2#2+'%&,0%221+U3(%.#)+XV6 a/+6):'#-%":'(-%-'#$)  $*&+ 8)%+ $&*/3P#&%:3R)+ ,#+ N#$%'*:3'*2+ $&*I%I/#(#)'#+ UN#(%).3*(%+'3$*+[+*+.3.%)'#V #2+8)%+/#23R)+,#+(%M*&+ 2#:8),%&3%+ %+ 8)%+ (%/P*&(%:3R)+ Q%2:8/%&+ 28IM%:#)­ '%(%]*+US+%+AB+:(V+_8#+$8#,#)+(*2'&%&+O&#%2+:#)'&%/#2+ '#6WYf[A++^%+1=F+#2+8)%+^F1+b&(#;+)*+#):%$28/%,%;+,#+ P*&(%,%2+$*&+:3:%'&3:#2+bI&*2%2+_8#+)*+&#%/K%)6WS La  /*2+ N#$%'*:3'*2+ )*&(%/#2;+ :*)+ 8)%+ :3:%'&3K+ :#)'&%/+ *+ $&#2#)'%:3R)+,#/+11+#)+#/+N0.%,*+.&%2*+$8#,#+$&#2#)­ #E:D)'&3:%+_8#+)*+#2+Q#&,%,#&%+23)*+_8#+&#$&#2#)'%+ '%&+%/'#&%:3R)+#)+28+$%'&R)+,#+&#%/:#;+$8,3#),*+#2'%&+ 8)+:*)./*(#&%,*+,#+Q%2*2+2%).80)#*26+>,#(O2;+N%M+ 3)Q#&'3,*;+#2+,#:3&G+Q#&2#+N3$#&,#)2*6+a)+#/+$%&D)_83(%+ '%I3_8#2+bI&*2*2+,#/.%,*2+_8#+:*)'3#)#)+:D/8/%2+,#+ B4"5&*+PG (a)+^#23R)+P*:%/+j)3:%+N3$*,#)2%+#)+P%2#+23($/#6+L9M+a)+P%2#+%&'#&3%/+$&#2#)'%+8)+&#%/:#+$#&3PD&3:*+M+,#+282+2#$'*2+ ,O),*/#+%2$#:'*+(8/'3/*:8/%,*+U23.)*+,#/+%:j(8/*+*+4*78$)?d+:3&:8/*+,32:*)'3)8*V6+(c)+hI2D&Q#2#+#/+&#%/:#+'#)8#+,#+28+$%&#,6 B4"5&*+QG (a)+^#23R)+32*,#)2%+%/+$%&D)_83(%;+3($#&:#$'3I/#6+L9M+a)+#/+#2'8,3*+,3)O(3:*+$&#2#)'%+8)+&#%/:#+23(3/%&+%+/%+%*&'%+ U:3&:8/*+,32:*)'3)8*V6 (c)+a)+P%2#+Q#)*2%+$&#2#)'%+,32(3)8:3R)+,#+28+,#)23,%,+#)+&#/%:3R)+:*)+8)+N#(%).3*(%+%'0$3:*6 54 Enero­Marzo 2012
  • 10. q8$PP#&+M+:*),8:'*2+I3/3%&#2+$&3(3'3Q*2d+#2+3&&3.%,%+$*&+ H2)#":'( 6)+,$%4"( ;H<>.  a/+ >1+ 2#+ 3,#)'3P3:R+ #)+ #/+232'#(%+%&'#&3%/+N#$O'3:*+M+/%+:%/:3b:%:3R)+3)'&%(8&%/;++ A`SB;+%]*+#)+_8#+2#+3)'&*,8#&*)+/*2+%)'3:*):#$'3Q*2+ /%+.&%2%;+/%+N#(*&&%.3%+M+/%+)#:&*232+3)'&%/#23*)%/+2*)+ *&%/#26W[+>j)+)*+2#+2%I#+#/+(#:%)32(*+$&#:32*+$*&+#/+ #E'&#(%,%(#)'#+&%&%26 ^%+Q%&3%)'#+'#/%).3#:'O23:%+2#+ _8#+#/+82*+,#+#2'&R.#)*2+*+%),&R.#)*2+$&*Q*:%)+>1;+ :%&%:'#&3K%+$*&+'#)#&+8)%+(%M*&+Q%2:8/%&3K%:3R);+2#&+ 23)+#(I%&.*+2#+&#/%:3*)%+'%)'*+:*)+/%+,*232+:*(*+:*)+ ,#+(#)*&+'%(%]*+_8#+#/+11+:/O23:*+M+%2*:3%&2#+:*)+ /%+,8&%:3R)620 +a/+>1+$8#,#+2#&+2*/3'%&3*+#)+#)'&#+XB+M+ 1=F+(j/'3$/#26WYf[A YBZ+,#+/*2+:%2*2d+23)+#(I%&.*;+)*+#2+&%&*+#):*)'&%&+ 5*&+@7?"+/%+1=F+2#+,#2:8I&#+,#+(%)#&%+:%28%/;+ W;+[+*+(O2+,#+AB+%,#)*(%2+#)+8)+$%:3#)'#;+#)'3,%,+ #2+28I:%$28/%&+M+$8#,#+#2'%&+$#,8):8/%,%6+a)+/%+P%2#+ :*)*:3,%+:*(*+%,#)*(%'*2326+a/+>1+2#+N%+%2*:3%,*+ 23($/#+%$%&#:#+:*(*+8)+'8(*&+N*(*.D)#*;+N3$*,#)­ :*)+/%+#)P#&(#,%,+$*&+%/(%:#)%(3#)'*+,#+./8:R.#)*+ 2*+*+32*,#)2*;+'3#)#++8)%+:3:%'&3K+:#)'&%/+*+#E:D)'&3:%+ '3$*+ A+ U$8,3#),*+ + $&#2#)'%&+ ,#.#)#&%:3R)+ (%/3.)%V6+ N3$*,#)2%;+ #)+ /%+ P%2#+ %&'#&3%/+ 2#+ *I2#&Q%+ 8)+ &#%/:#+ 78%),*+2#+$&#2#)'%+,#+(%)#&%+3),3Q3,8%/+(3,#+,#2,#+ #E_8323'*+ ,#+ /%+ /#23R);+ 3):/82*+ N*(*.D)#*+ #)+ :%2*+ A+N%2'%+(O2+,#+AC+:(d+#2+23)'*(O'3:*+%+$%&'3&+,#+/*2+ ,#+ _8#+ )*+ N%M%+ :3:%'&3K+ :#)'&%/+ *+ '%I3_8#2+ bI&*2*26+ C+:(6+^%+(%)3P#2'%:3R)+:/0)3:%+:/O23:%+,#/+>1+2#+$&#­ a)+ /%+ /#23R)+ (%M*&+ 2#+ $8#,#)+ 3,#)'3b:%&+ 8)%+ *+ (O2+ 2#)'%+%)'#+/%+&8$'8&%+#2$*)'O)#%+*+N#(*&&%.3%;+,%),*+ %&'#&3%2+)8'&3:3%2+N#$O'3:%2+.&%),#2;+2#$'%/#2;+$#_8#­ /8.%&+ %+ ,*/*&+ %I,*(3)%/+ %.8,*+ M+ %+ /%+ 28I23.83#)'#+ ]%2;+:#)'&%/#2+M+Q#)%2+,#+,&#)%#+$&#:*K6+a)+/%+P%2#+ N3$*'#)23R)+#+3):/82*+/%+(8#&'#6+132'*/R.3:%(#)'#+/*2+ $%&#)_83(%'*2%+N#$O'3:%+/%+1=F+2#+Q8#/Q#+32*,#)2%+ >1+2#+$&#2#)'%)+:*(*+$/%:%2+,#+:*&,*)#2+,#+:D/8/%2+ #)+:*($%&%:3R)+:*)+#/+$%&D)_83(%+N#$O'3:*+)*&(%/+M;+ $%&#:3,%2+%+/*2+N#$%'*:3'*2+2#$%&%,%2+$*&+23)82*3,#2+ #)+ *:%23*)#2;+ 2#+ $8#,#+ *I2#&Q%&+ 8)%+ 2#8,*:O$28/%+ ,3/%'%,*2+3&&3.%,*2+$&3):3$%/(#)'#+$*&+%&'#&3%2+M+:%&#:#)+ _8#+&#$&#2#)'%+/%+:*($&#23R)+,#+'#3,*+%,M%:#)'#+_8#+ ,#+8)%+P8#)'#+$*&'%/6+a2+$*23I/#+3,#)'3b:%&+8)%+:%$28/%+ $&*,8:#+/%+/#23R)6 ^%+:3:%'&3K+bI&*2%+#E32'#)'#+$#&(%­ :*($/#'%+*+3):*($/#'%+M+#//*+$#&(3'#+/%+#E'#)23R)+,#+/%+ )#:#+$*&+/*+.#)#&%/+N3$*,#)2%+#)+/%+P%2#+%&'#&3%/+$#&*+ N#(*&&%.3%+N%:3%+/%+:%Q3,%,+%I,*(3)%/6++^%2+:D/8/%2+ '%(I3D)+$8#,#+&#%/K%&6+a)+/%+P%2#+'%&,0%+$8#,#+N%I#&+ ,#+q8$PP#&+2#+#):8#)'&%)+#)+)j(#&*+&#,8:3,*+M+:*)+ &#%/:#+ ,#I3,*+ %+ /%+ $&#2#):3%+ ,#+ 8)+ %I8),%)'#+ '#3,*+ $*:%+*+)3).8)%+P8):3R)d+)*+#E32'#)+:*),8:'*2+I3/3%&#2+ (3E*3,#WYf[A+U3(%.#)+YV6 M+#2'*+/*+N%:#+N32'*/R.3:%(#)'#+,3P#&#)'#+%+/%+1=F;+/*2+ B4"5&*+RG (a)+^#23R)+P*:%/+N#$O'3:%+j)3:%+N3$*,#)2%+#)+P%2#+23($/#6+L9M+a)+P%2#+%&'#&3%/+$&#2#)'%+8)+&#%/:#+)*,8/%&+,32:*)'3)8*6+ (c)+a)+P%2#+Q#)*2%+$&#2#)'%+//#)%,*+:#)'&0$#'*6+(d)+J#:*)2'&8::3R)+#)+["+,#/+N#(%).3*(%+'0$3:*+,*),#+2#+#Q3,#):3%+/%+P02'8/%6 B4"5&*+SG (a)+^#23R)+P*:%/+N#$O'3:%+:%23+32*,#)2%+%/+$%&D)_83(%6+L9M+J#%/:#+N3$#&Q%2:8/%&+,#+/%+/#23R)+#)+P%2#+%&'#&3%/;+ N*(*.D)#*+:*)+:3:%'&3K+:#)'&%/+N3$*,#)2%6+(c)+a)+P%2#2+'%&,0%2+2#+'*&)%+32*,#)2%+%/+$%&D)_83(%+N#$O'3:*+#)+&#/%:3R)+:*)+ N3$#&$/%23%+)*,8/%&+P*:%/6 Enero­Marzo 2012 55
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