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Metástasis cerebrales de melanoma
M. Clavel Escribano, P. Clavel Laria
Neurocirugía, Clínica del Pilar, Barcelona
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La incidencia de met&#225;stasis cerebral de melanoma maligno cut&#225;neo se ha incrementado de forma alarmante en los &#250;ltimos a&#241;os&#44; siendo la tercera met&#225;stasis m&#225;s frecuente despu&#233;s de la de pulm&#243;n y mama&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Aunque la enfermedad tiene un mal pron&#243;stico existen casos publicados en la bibliograf&#237;a de pacientes con largas supervivencias&#46; Esta es la situaci&#243;n en el primero de los pacientes presentados por nosotros en este trabajo&#44; quien tras ser sometido a tres craneotom&#237;as&#44; se encuentra asintom&#225;tico transcurridos m&#225;s de 4 a&#241;os desde la primera resecci&#243;n quir&#250;rgica&#46; Presentamos otros dos pacientes&#44; uno con evoluci&#243;n fulminante y otro con un curso cl&#237;nico m&#225;s indolente&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realiza una revisi&#243;n de la bibliograf&#237;a con recomendaciones sobre la conveniencia de la cirug&#237;a en estos pacientes&#46; Se revisa la aplicaci&#243;n de la radioterapia y la reciente aportaci&#243;n de la radiocirug&#237;a&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The incidence of metastatic malignant melanoma has experienced an important increase in the last years&#44; becoming the third most frequent origin of cerehral metastases&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Although the disease has a poor prognosis&#44; a few cases associated to long term survival&#44; have been reported&#46; We present one patient who underwent three craniotomies for resection of metastases from melanoma&#46; More than four years after the first surgical procedure he is active and asymptomatic&#46; Our second case suffered a fulminant course and the third a much more indolent clinical course&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A revision of the literature is made&#44; and the criteria to be followed concerning surgical indications are considered&#46; We also review the benefits of whole brain radiotherapy added to the surgical therapy and the recent application of the stereotactic radiosurgery&#46;</p>"
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                      "titulo" => "Longterm survival after removal of metastatic malignant melanoma of the brain&#58; Report of two cases"
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                      "doi" => "10.3171/jns.1968.28.5.0483"
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ISSN: 11301473
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