<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942019000300480</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Feocromocitoma maligno de presentación retroperitoneal]]></article-title>
<article-title xml:lang="en"><![CDATA[Retroperitoneal Malignant Pheochromocytoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Díaz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Labrador Falero]]></surname>
<given-names><![CDATA[Dunia Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López González]]></surname>
<given-names><![CDATA[Marilen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente Abel Santamaría Cuadrado ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Facultad de Ciencias Médicas Dr. Ernesto Che Guevara de la Serna ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>480</fpage>
<lpage>486</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942019000300480&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942019000300480&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942019000300480&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la neoplasia más común y mejor conocida de la médula adrenal es el feocromocitoma benigno, que puede definirse como un paraganglioma de la médula suprarrenal, el cual puede secretar catecolaminas del tipo, norepinefrina, epinefrina o ambas.  Presentación de caso: paciente femenina de 36 años, de raza blanca, con antecedentes de salud, valorada por dolor lumbar no irradiado, que se aliviaba espontáneamente, con cifras tensionales al ingreso de 170/100 mm de Hg, la ecografía informa la presencia de tumor retroperitoneal, se realiza exéresis quirúrgica del tumor, durante el transoperatorio la paciente sufre inestabilidad hemodinámica, con hipotensión, taquicardia y parada cardiorrespiratoria, que logra recuperarse. La paciente fallece en las primeras seis horas del postoperatorio en un cuadro de shock.  Conclusiones: el feocromocitoma maligno constituye solo el 10 % de estas neoplasias, siendo una tumoración infrecuente en nuestro medio, motivo por el cual se consideró pertinente su presentación. El diagnóstico se realizó por estudio histológico, planteándose el feocromocitoma maligno. Se presentó un caso clínico de feocromocitoma maligno suprarrenal, pretendiendo con ello aportar un mayor conocimiento de esta neoplasia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the most common and best-known neoplasm of the adrenal medulla is benign pheochromocytoma, which can be defined as a paraganglioma of the adrenal medulla, which may secrete catecholamine of the types of norepinephrine, epinephrine, or both.  Clinical case:  a 36-year-old, white race, female patient with a health history, assessed for a non-irradiated lumbar pain, which was spontaneously relieved, a blood pressure of 170/100 mm Hg at admission, the ultrasound reported the presence of a retroperitoneal tumor, the surgical exeresis of the tumor was performed, during the trans-operative stage the patient suffered from hemodynamic instability, hypotension, tachycardia and cardio-respiratory arrest, which was managed to her recovery. The patient dies in the first 6 hours as a consequence of a postoperative shock.  Conclusions: malignant pheochromocytoma constitutes only 10 % of these types of neoplasm, being an infrequent tumor in our environment; its report was significant to be presented. The diagnosis was made by histological study, considering malignant pheochromocytoma. A clinical case of adrenal malignant pheochromocytoma was reported, with the intention of contributing to the acquisition of a better management in relation to this type of neoplasm.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[NEOPLASIAS RETROPERITONEALES/cirugía]]></kwd>
<kwd lng="es"><![CDATA[FEOCROMOCITOMA/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[PARAGANGLIOMA]]></kwd>
<kwd lng="es"><![CDATA[CÉLULAS CROMAFINES/ultraestructura]]></kwd>
<kwd lng="es"><![CDATA[COMPLICACIONES PEROPERATORIAS]]></kwd>
<kwd lng="en"><![CDATA[RETROPERITONEALNEOPLASMS/surgery]]></kwd>
<kwd lng="en"><![CDATA[PHEOCHROMOCYTOMA/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[PARAGANGLIOMA]]></kwd>
<kwd lng="en"><![CDATA[CHROMAFFIN CELLS/ultrastructure]]></kwd>
<kwd lng="en"><![CDATA[INTRAOPERATIVE COMPLICATIONS]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guillín]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabeua]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
<name>
<surname><![CDATA[Casanueva]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feocromocitoma y paraganglioma]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2016</year>
<volume>12</volume>
<numero>14</numero>
<issue>14</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Román González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevos conceptos en feocromocitoma y paraganglioma en el 2017]]></article-title>
<source><![CDATA[Revista Colombiana de Endocrinología, Diabetes y Metabolismo]]></source>
<year>2017</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perel]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feocromocitoma]]></article-title>
<source><![CDATA[Insuf. card]]></source>
<year>2014</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz Díaz]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Rodríguez]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Criado]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paciente con hipertensión y convulsiones]]></article-title>
<source><![CDATA[Revista Atalaya Medica]]></source>
<year>2016</year>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mosquera Gorostidi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Justo Ranera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zakirian Denis]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[González Temprano]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Sagaseta de Ilúrdoz Uranga]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Molina Garicano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feocromocitoma y paraganglioma en la infancia: a propósito de 2 casos]]></article-title>
<source><![CDATA[An Pediatr]]></source>
<year>2015</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miranda Folch]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[García Cuervo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Vega Jiménez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alemán Marichal]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez Álvarez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Castelnau Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipertensión arterial secundaria a feocromocitoma esporádico. Presentación de caso]]></article-title>
<source><![CDATA[Rev Méd Electrón]]></source>
<year>2016</year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uribe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Tamayo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manifestaciones inusuales del feocromocitoma. Reporte de caso y revisión de la literatura]]></article-title>
<source><![CDATA[Revista Colombiana de Cardiología]]></source>
<year>2016</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cano Megías]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez Puyol]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Rodríguez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sención Martínez]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Miguel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feocromocitoma-paraganglioma: del diagnóstico bioquímico al genético]]></article-title>
<source><![CDATA[Nefrología]]></source>
<year>2016</year>
<volume>36</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Galán]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mosquera Paz]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Kadamani Abiyomaa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez de Guzmán]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paraganglioma retroperitoneal no funcional: reporte de un caso en la Fundación Cardioinfantil, Bogotá, Colombia]]></article-title>
<source><![CDATA[Iatreia]]></source>
<year>2014</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schiappacasse]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Labra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tumores que invaden la vena cava inferior: Revisión pictográfica de los principales hallazgos imagenológicos en tomografía computarizada y resonancia magnética]]></article-title>
<source><![CDATA[Rev. chil. radiol]]></source>
<year>2016</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
