<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[Arch méd Camagüey]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552022000100011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tumor mülleriano mixto maligno]]></article-title>
<article-title xml:lang="en"><![CDATA[Malignant mixed müllerian tumor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñón-García]]></surname>
<given-names><![CDATA[Karell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosales-Torres]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toledo-Cabarcos]]></surname>
<given-names><![CDATA[Yudenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa-Borrell]]></surname>
<given-names><![CDATA[Mayda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Servicio de Anestesiología y Reanimación]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Departamento de Anatomía Patológica]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552022000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El tumor mülleriano mixto maligno es una neoplasia uterina infrecuente, agresiva y se caracteriza por su histología por contener elementos malignos sarcomatosos y carcinomatosos.  Objetivo: Describir un caso de tumor mülleriano mixto maligno y revisar la literatura sobre el tema.  Caso clínico: Paciente femenina de 63 años de edad, color de la piel negra, obesa e hipertensa con tratamiento, antecedentes de mastectomía derecha seis meses atrás, acudió a consulta por presentar aumento de volumen abdominal, dolor en bajo vientre y sangramiento uterino. Con la administración de anestesia combinada (general orotraqueal y regional epidural continua) se resecó un fibroma uterino gigante y se confirmó el diagnóstico de un tumor mülleriano mixto maligno.  Conclusiones:  El tumor mülleriano mixto maligno se debe sospechar en mujeres de edad avanzada con sangrado genital acompañado de masa pélvica. El estudio anatomopatológico es de elección para el diagnóstico definitivo de esta neoplasia rara y muy agresiva. La cirugía, la radioterapia y la quimioterapia son las opciones terapéuticas más aceptadas, sin embargo, en mujeres con tumor en estadios avanzados, independiente del tratamiento proporcionado, la tasa de supervivencia es corta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The malignant mixed müllerian tumor is an infrequent, aggressive uterine neoplasm and is histologically characterized by containing sarcomatous and carcinomatous malignant elements.  Objective: To describe a case of a malignant mixed Müllerian tumor and to review the literature on the subject.  Case report: A 63-year-old black female patient, obese and hypertensive under treatment, with a history of right mastectomy six months ago, who was consulted due to increased abdominal volume, lower abdominal pain and uterine bleeding. With the administration of combined anesthesia (general orotracheal and continuous epidural regional) a giant uterine fibroid was resected and the diagnosis of a malignant mixed Müllerian tumor was confirmed.  Conclusions: Malignant mixed Müllerian tumor should be suspected in elderly women with genital bleeding accompanied by a pelvic mass. The pathological study is of choice for the definitive diagnosis of this rare and potentially aggressive neoplasm. Surgery, radiotherapy and chemotherapy are the most accepted therapeutic options, however, in women with advanced stage tumors, regardless of the treatment provided, the survival rate is short.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TUMOR MULLERIANO MIXTO/cirugía]]></kwd>
<kwd lng="es"><![CDATA[TUMOR MULLERIANO MIXTO/ radioterapia]]></kwd>
<kwd lng="es"><![CDATA[CARCINOSARCOMA]]></kwd>
<kwd lng="es"><![CDATA[NEOPLASIAS UTERINAS]]></kwd>
<kwd lng="es"><![CDATA[LAPAROTOMÍA]]></kwd>
<kwd lng="en"><![CDATA[MIXED TUMOR, MULLERIAN/surgery]]></kwd>
<kwd lng="en"><![CDATA[MIXED TUMOR, MULLERIAN /radiotherapy]]></kwd>
<kwd lng="en"><![CDATA[CARCINOSARCOMA]]></kwd>
<kwd lng="en"><![CDATA[UTERINE NEOPLASMS]]></kwd>
<kwd lng="en"><![CDATA[LAPAROTOMY]]></kwd>
</kwd-group>
</article-meta>
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