<?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>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2020000600008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tromboembolismo tumoral como causa directa de muerte]]></article-title>
<article-title xml:lang="en"><![CDATA[Tumor thromboembolism as direct cause of death]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Belaunde Clausell]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Días]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Hernández]]></surname>
<given-names><![CDATA[Yordan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Carlos J Finlay&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2020000600008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2020000600008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2020000600008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el embolismo tumoral pulmonar es la presencia de acúmulos de células tumorales en las arterias pulmonares arteriolas y capilares pulmonares. Su incidencia en autopsias ha sido descrita entre 3 y 26 % de los pacientes con tumores sólidos, más frecuentemente de mama, estómago, hígado y pulmón.  Objetivo:  describir los argumentos clínicos que sugieren la sospecha diagnóstica de tromboembolismo tumoral en una paciente atendida en el Hospital Dr. Carlos J Finlay de La Habana, Cuba.  Presentación del caso: paciente femenina de 80 años de edad con antecedentes patológicos personales de cirrosis hepática por virus de hepatitis C. Dos meses antes del ingreso comienza con síntomas generales asociados a edemas en miembros inferiores y diarreas. Ingresa en un servicio de Medicina Interna con el diagnóstico de cirrosis hepática descompensada y la sospecha de hepatocarcinoma. Al quinto día de su ingreso comienza de forma súbita con disnea y fallece.  Conclusiones: los hallazgos anatomopatológicos informan como causa directa de muerte tromboembolismo tumoral. La embolia pulmonar tumoral debe ser considerada como diagnóstico diferencial en todo paciente con evidencia de neoplasia que presente disnea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Pulmonary tumor thromboembolism is the presence of accumulations of tumor cells in the pulmonary arterioles and pulmonary capillaries. Its incidence in autopsies has been described between 3% and 26% of patients with solid tumors, most frequently in breast, stomach, liver and lung tumors.  Objective: To describe clinical arguments suggesting the suspected diagnosis of tumor thromboembolism in a patient treated at the &#8220;Dr. Carlos J. Finlay'' Hospital in Havana, Cuba.  Casepresentation:  Eighty-year-old female patient with personal pathological antecedents of liver cirrhosis due to hepatitis C virus. Two months before admission she started presenting general symptoms associated with edemaof the lower limbs and diarrhea. She was admitted to an Internal Medicine service with the diagnosis of decompensated hepatic cirrhosis and the suspicion of hepatocarcinoma. On the fifth day after admission, he suddenly began with dyspnea and died.  Conclusions: Anatomopathological findings report tumor thromboembolism as a direct cause of death. Pulmonary tumor thromboembolism should be considered inthe differential diagnosis of all patients with evidence of neoplasia who are presenting dyspnea.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tromboembolismo]]></kwd>
<kwd lng="es"><![CDATA[tumor]]></kwd>
<kwd lng="es"><![CDATA[hepatocarcinoma]]></kwd>
<kwd lng="en"><![CDATA[Thromboembolism]]></kwd>
<kwd lng="en"><![CDATA[tumor]]></kwd>
<kwd lng="en"><![CDATA[hepatocarcinoma]]></kwd>
</kwd-group>
</article-meta>
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