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=> array:4 [ "autoresLista" => "Joan Ferreres Serafini, Carles Olona Casas, Laia Adalid Llansa, Rosa Jorba Martín" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Joan" "apellidos" => "Ferreres Serafini" "email" => array:1 [ 0 => "joanfs8@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Carles" "apellidos" => "Olona Casas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Laia" "apellidos" => "Adalid Llansa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Rosa" "apellidos" => "Jorba Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diagnóstico de adenocarcinoma gástrico por metástasis subcutánea única" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 684 "Ancho" => 1750 "Tamanyo" => 124953 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The patient is a 67-year-old male who consulted for a 3-cm subcutaneous epigastric tumor. As it was believed to be a soft tissue tumor, a biopsy was taken under local anesthesia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The result showed a metastatic adenocarcinoma of gastric-biliary-pancreatic origin (non-encapsulated proliferation of pleomorphic epithelial cells forming rows). The CT extension study identified a gastric tumor. Gastroscopy and PET (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) confirmed an infiltrating gastric adenocarcinoma with a diffuse pattern originating from a single initial metastasis. After initial CTx treatment, total D2 gastrectomy and metastasectomy were performed out of protocol: ypT3N2(3/17)M1. Currently the patient has survived >2 years since diagnosis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Diffuse-pattern infiltrating gastric adenocarcinoma ypT3N2(3/17)M1, diagnosed after debut of a single subcutaneous metastasis.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Diagnosis" ] 1 => array:2 [ "identificador" => "xack604632" "titulo" => "Acknowledgements" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ferreres Serafini J, Olona Casas C, Adalid Llansa L, Jorba Martín R. Diagnóstico de adenocarcinoma gástrico por metástasis subcutánea única. Cir Esp. 2022;100:302.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2190 "Ancho" => 1000 "Tamanyo" => 763824 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 684 "Ancho" => 1750 "Tamanyo" => 124953 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack604632" "titulo" => "Acknowledgements" "texto" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The authors would like to thank Dr Salomé Martínez, Dr Míriam Gené and Dr Luisa Díaz for their work with the pathology study.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Thanks also go to Dr Sandra Merino and Dr Marta Sant for their assessment of the complexity of the chemotherapy treatment.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Also, Dr Jordi Elvira and Dr Mario Franco, who participated in the surgery, as well as Joan Ferreres, Carles Olona, Laia Adalid and Rosa Jorba, who participated in the composition of the article.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010000000005/v1_202205201505/S217350772200076X/v1_202205201505/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010000000005/v1_202205201505/S217350772200076X/v1_202205201505/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217350772200076X?idApp=UINPBA00004N" ]
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