ABSTRACT
Introducción. Los sarcomas retroperitoneales son tumores raros, con una presentación clínica dada por síntomas compresivos poco específicos. Reporte de Caso: Reportamos un caso de un varón de 69 años con historia de lumbociatalgia e incremento en el volumen del miembro inferior izquierdo hasta llegar a la incapacidad para deambular, se le realizó una Tomografía Abdominal Con Contraste donde se halló una gran tumoración dependiente del músculo psoas iliaco izquierdo que se extendía hasta la pelvis, la cual fue sometida a biopsia encontrándose un Liposarcoma de psoas de alta celularidad. Conclusiones: Los sarcomas son tumores raros originados del tejido mesequenquimal, la gran mayoría de estos tienen síntomas y signos inespecíficos siendo diagnosticados de forma tardía y a pesar del manejo quirúrgico el pronóstico es pobre.
Introduction. Retroperitoneal sarcomas are rare tumors, with a clinical presentation given by poorly specific compression symptoms. Case Report: We report a case of a 69-year-old man with a history of lumbociatalgia and an increase in the volume of the left lower limb until he was unable to wander, he underwent a Contrast Abdominal Tomography where a large tumor dependent on the left iliac psoas muscle was found, that extended to the pelvis, which was biopsied, finding a highly cellular psoas Liposarcoma. Conclusions: Sarcomas are rare tumors originating from the mesequenchymal tissue, the vast majority of them have nonspecific symptoms and signs, being diagnosed late and despite the surgical management of the prognosis is poor.
ABSTRACT
This is the fourth and last contribution describing the individual structure, distribution and conservation status of coral reefs in the Province of Bocas del Toro. Here we describe 14 new reefs along 129 km of coast from Peninsula Valiente to Río Calovébora. Average live coral coverage for this region was 17.1 (+/- 3.6), mainly in the western region of the peninsula (Bahia Bluefield and Ensenada Tobobe). Coral cover increases with depth (> 5 m) for most species at several reefs and the corals Porites furcata and Acropora palmata dominated shallow waters. Acropora palmata was found abundant in 43 of the studied reefs and toward the regions of the Ensenada Tobobe and Punta Valiente. Coral recruitment rates were similar in distribution to those reefs with greater coral coverage, with average densities of 4 recruit/m2 (maximum 9 recruits/m2) and mainly Agaricia spp., Porites astreoides and Siderastrea siderea. The greater diversity of corals and sponges was recorded toward the western side of the peninsula, with a total of 55 coral species in the study area, including two new records for Bocas del Toro (59 species in total), Dichocoenia stellaris and Madracis luciphila and increasing the diversity of corals of Panama to 65 species. We found 24 species of octocorals and Gorgonia mariae, Muriceopsis sulphurea and Muricea laxaoosens, are informed for the first time to the area, increasing in 10 the diversity for Bocas del Toro (32 in total). We recorded 48 sponges, including five new species for the area and representing an increase of 9 in the total number (58). Large populations of Acropora palmata were found in the Ensenada Tobobe, what justifies once again the need for modifying the existing protected area, so that this new region is incorporated within the conservation plans.