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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Asistir a pacientes que presentan un meningocele gigante y en edad adulta es una rareza cl&#237;nica&#44; debido en parte a que es una malformaci&#243;n disr&#225;fica con una incidencia baja y a que el &#237;ndice de supervivencia de los reci&#233;n nacidos con &#233;stas patolog&#237;as era menor en &#233;pocas anteriores&#44; pese a la benignidad de la malformaci&#243;n&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Aportamos a la literatura existente los casos de dos pacientes que nacieron con un disrafismo espinal abierto y que no fueron operados en su momento&#44; llegando a la edad adulta con voluminosos sacos meningocut&#225;neos que tuvieron que ser extirpados&#44; por presentar en el caso de m&#225;s edad&#44; un absceso con fistulizaci&#243;n sin salida de LCR que no mejor&#243; con tratamiento t&#243;pico y antibi&#243;tico&#46; En el otro caso por sospecha de malignizaci&#243;n debido a crecimiento progresivo de la malformaci&#243;n durante el &#250;ltimo a&#241;o&#44; endurecimiento de la piel y dolor&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El estudio anatomopatol&#243;gico de los sacos resecados demostr&#243; la existencia de una degeneraci&#243;n carcinomatosa&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En nuestros casos y en los pocos casos encontrados en la bibliograf&#237;a parece que la irritaci&#243;n cr&#243;nica del LCR y la existencia de c&#233;lulas multipotenciales en el saco meningoc&#233;lico pueden favorecer la malignizaci&#243;n de los tejidos que recubren el mismo&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La posible malignizaci&#243;n descrita en la escasa literatura existente&#44; a la que aportamos nuestros dos casos&#44; sugiere como tratamiento de elecci&#243;n la ex&#233;resis quir&#250;rgica de estas lesiones cong&#233;nitas lo m&#225;s precozmente posible</p>"
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        "resumen" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A giant meningocelic sac has not been usually described in adult patients&#44; due to the fact that it shows a low incidence and few newborn have survived to date though the malformation is benign&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We report two cases of patients born with the described malformation and who were not operated at that time&#44; so they reached adulthood with bigger sacs&#46; They needed surgery to remove the sacs&#44; for a different reason&#46; The older one had a fistulous abcess but the LCR did not come out&#44; and it did not improved by the application of topic and antibiotic treatment&#46; The other patient showed a progressive growth of the malformation during the last year&#44; skin hardening and pain&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The histological study of the dried sacs proved the existence of a carcinomatous degeneration&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In the patients we have treated&#44; it seems that a chronic irritation of the LCR and the appearance of multipotent cells in the meningocele may favour the malignancy of the tissues surrounding the sac&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">This possible malignancy&#44; already described in the bibliography&#44; suggests a prompt elective surgical treatment of the patients with these congenital lesions as soon as possible&#46;</p>"
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