<?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>1817-7433</journal-id>
<journal-title><![CDATA[Revista Científica Ciencia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cient Cienc Méd]]></abbrev-journal-title>
<issn>1817-7433</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina, Universidad Mayor de San Simón.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-74332023000100088</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[SANT esplénico: tumoración infrecuente]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenic SANT: Uncommon tumor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera González]]></surname>
<given-names><![CDATA[María Paz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cáceres Vázquez]]></surname>
<given-names><![CDATA[Hugo Hiram]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Galarza]]></surname>
<given-names><![CDATA[Adriana Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez Núñez]]></surname>
<given-names><![CDATA[Ana Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarenga Giosa]]></surname>
<given-names><![CDATA[Sofía María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguayo Lugo]]></surname>
<given-names><![CDATA[María Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala Servin]]></surname>
<given-names><![CDATA[José Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias de la Salud. Carrera de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad Nacional de Asunción  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<fpage>88</fpage>
<lpage>94</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1817-74332023000100088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1817-74332023000100088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1817-74332023000100088&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La Transformación Nodular Angiomatoide Esclerosante del bazo (SANT) es una patología poco común, que afecta a vasos sanguíneos de forma benigna con esclerosis extensa de la pulpa roja. Paciente masculino, 24 años, consulta en centro privado (Paraguay) por un cuadro de 7 meses de evolución de disnea paroxística y sudoración fría. Al examen físico y laboratorial sin datos de valor. La ecografía abdominal demuestra bazo con parénquima inhomogéneo con imagen pseudonodular 48x41 mm de diámetro, la RMN con contraste confirma hallazgo por nódulo irregular, con realce que predomina en la periferia de la fase arterial, con aspecto radiado y relleno centrípeto en fase venosa y tardía, la histopatología confirma diagnóstico clínico-imagenológico de SANT. Esta tumoración es frecuente entre los 45 a 48 años, manifestada con esplenomegalia, poca sintomatología, llama la atención la presentación del caso que se contrapone con la bibliografía. Considerando la falta de métodos auxiliares para descartar la malignidad, se aplica esplenectomía como conducta terapéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Nodular Angiomatoid Sclerosing Transformation of the Spleen (SANT) is a rare pathology, which affects blood vessels benignly with extensive sclerosis of the red pulp. A 24-year-old man consulted in a private center (Paraguay) for a 7-month course of paroxysmal dyspnea and cold sweating. Physical examination and laboratory evaluation show no abnormalities. Abdominal ultrasound shows a spleen with heterogeneous parenchyma and a pseudonodular image that is 48mm x 41mm in diameter. Contrasted MRI confirms the finding of an irregular nodule, with enhancement that predominates in the periphery of the arterial phase, with radiated appearance and centripetal filling in venous and late phase. Histopathology confirms diagnosis of SANT. SANT is frequent between 45 and 48 years of age, manifested with splenomegaly and scarce symptomatology. The presentation of this case differs with literature. Considering the lack of auxiliary methods to rule out malignancy, a splenectomy is performed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bazo]]></kwd>
<kwd lng="es"><![CDATA[Esplenectomía]]></kwd>
<kwd lng="es"><![CDATA[SANT]]></kwd>
<kwd lng="en"><![CDATA[Spleen]]></kwd>
<kwd lng="en"><![CDATA[Splenectomy]]></kwd>
<kwd lng="en"><![CDATA[SANT]]></kwd>
</kwd-group>
</article-meta>
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