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Paredes Chambi, N. Pacheco Gómez" "autores" => array:2 [ 0 => array:3 [ "nombre" => "I.G." "apellidos" => "Paredes Chambi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "N." "apellidos" => "Pacheco Gómez" "email" => array:1 [ 0 => "nazaret.pacheco@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo, Hospital Ciudad de Coria, Coria, Cáceres, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Ciudad de Coria, Coria, Cáceres, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Múltiples plasmocitomas en mieloma" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 750 "Tamanyo" => 58915 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old woman was admitted to the emergency department with tumors in the abdominal wall in the mesogastric region of 3 months of progression; hematomas were suspected. The patient had undergone subcutaneous heparin therapy 10 months ago. The patient's history included IgA lambda multiple myeloma with full remission. The examination revealed 3 nodular lesions of various sizes of up to 3<span class="elsevierStyleHsp" style=""></span>cm located in subcutaneous cell tissue, which were not painful but had erythema and fine vascularization in the skin. An abdominal CT (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and ultrasound were requested to complete the examination, showing 3 lesions, the largest of which was up to 4<span class="elsevierStyleHsp" style=""></span>cm in diameter. The lesions were solid, heterogeneous and vascularized and located in front of the rectus abdominis muscle. The lesions were suggestive of metastasis related to the underlying process. These lesions were completely excised and were coalescent at the time of the surgery (the largest measuring up to 15<span class="elsevierStyleHsp" style=""></span>cm in diameter) and had a hemorrhagic appearance (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). At that time in the progression, the patient also presented lesions in other locations (gingival mucosa and scalp). The diagnosis of multiple myeloma was confirmed by pathology.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The presence of extramedullary plasmacytomas in the progression of multiple myeloma has been reported in up to 7% of cases. Locating these plasmacytomas in subcutaneous cell tissue is not rare, although progression to the sizes observed in this patient is rare.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-04-05" "fechaAceptado" => "2018-04-15" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Paredes Chambi IG, Pacheco Gómez N. Múltiples plasmocitomas en mieloma. Rev Clin Esp. 2018;218:500.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 750 "Tamanyo" => 58915 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 490 "Ancho" => 750 "Tamanyo" => 84504 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000009/v2_201811290638/S2254887418301231/v2_201811290638/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021800000009/v2_201811290638/S2254887418301231/v2_201811290638/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301231?idApp=WRCEE" ]
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