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Introducción: La filariasis con afectación mamaria es una enfermedad endémica de áreas tropicales y subtropicales de África, Asia, el Pacífico y América, que afecta a unos 120 millones de personas. Aunque es una patología rara en España, dado el aumento de pacientes procedentes de dichos países, debemos conocerla para saber diagnosticarla y tratarla adecuadamente. Objetivo de reportar el caso: Dar a conocer la filariasis con afectación mamaria, sus manifestaciones clínicas y radiológicas principales, a través de un caso clínico de nuestras consultas de ginecología. Descripción del caso: Paciente de 43 años, procedente de Guinea Ecuatorial que acude a la consulta de Ginecología por mastalgia bilateral y aumento del volumen de las mamas de semanas de evolución. La exploración es anodina por lo que se solicita mamografía bilateral en la que describen calcificaciones compatibles con filariasis. A pesar de que el resto de pruebas fueron negativas, dada la alta sospecha clínica y radiológica se diagnosticó de filariasis mamaria. Conclusiones: A pesar de la actual campaña mundial para eliminar la filariasis, el aumento de migración global incrementa la probabilidad de padecer casos importados de filariasis mamaria. Por tanto, el conocimiento de las diferentes parasitosis es imprescindible para realizar un buen diagnóstico diferencial con otras entidades clínicamente similares, e instaurar el tratamiento más adecuado. Introduction: Breast filariasis is an endemic disease from tropical and subtropical areas of Africa, Asia, the Pacific and America affecting about 120 million people. Although it is a rare pathology in Spain, given the increase in patients from the referred countries, we must be aware of it in order to know how to diagnose and treat it properly. Objective of reporting the case: To raise awareness of filariasis with breast involvement and its main clinical and radiological manifestations, through a clinical case of our gynecology consultations. Case report: 43-year-old patient from Equatorial Guinea who comes to the Gynecology consultation for bilateral mastalgia and breast enlargement of weeks of evolution. The examination is anodyne, so bilateral mammography is requested in wich calcifications compatible with filariasis are described. Despite the rest of the tests are negative, given the high clinical and radiological suspicion, the diagnosis of breast filariasis is made. Conclusions: Despite the current worldwide campaign to eliminate filariasis, the increase in global migration enhances the probability of suffering from imported cases of breast filariasis Therefore, the knowledge of the different parasitoses is essential to make a correct differential diagnosis with other clinically similar entities, and to establish the most appropriate treatment.

Objective: The aim of the study is to evaluate the knowledge that men have about menopause and to analyze whether sociodemographic aspects influence in this knowledge. Methods: 560 consecutive surveys were collected during 2019. The surveys were completed anonymously, voluntarily and without incentives by men. A maximum score of 45 points was considered for the knowledge analysis. Results: The mean age was 49.13 ± 11.1 years. The most frequent source of information to obtain knowledge about menopause were friends (61.4%). The mean of the questionnaire score was 20.69 ± 6.1. The most frequent symptoms associated with menopause were hot flashes and vaginal dryness (93.7%; 48%) and the best-known treatment to improve vaginal health was lubricants at 69.5%. The most common treatment men know for improving menopause symptoms was menopause hormone treatment; however, 27.9% of men think there is no treatment for menopause. Differences between ages in numbers and grades were found (p=0.032). The scores by levels of study showed statistically differences (primary school, high school, professional training and university education (men with a higher level of education had significantly more knowledge) (p=0.013). Differences were showed in men who obtained information from health staff with respect to other sources (p

Antecedentes: El linfoma no Hodgkin de ovario es una patología infrecuente, más aun el ovárico primario. Caso Clínico: Presentamos el caso de una paciente con antecedente de diverticulitis aguda y varios episodios posteriores de dolor abdominal agudo, fiebre y aumento de reactantes de fase aguda con pruebas de imagen no concluyentes. A pesar de la buena respuesta inicial al tratamiento antibiótico, durante uno de los episodios la paciente precisa intervención quirúrgica urgente. Durante la intervención se halla una enfermedad tumoral avanzada con diagnóstico histológico de linfoma difuso de células grandes B. Conclusión: En el diagnóstico diferencial ante una sintomatología similar a la de nuestra paciente, se debería tener presente la posibilidad de un linfoma ovárico, a pesar de su baja incidencia.

Resumen Paciente de 73 anos remitida por hallazgo casual de una gran masa abdominal. En la ecografia abdominal se observo una tumoracion mixta de predominio quistico que ocupaba todo el abdomen desde la pelvis hasta el apendice xifoides. La TAC abdominopelvica informo de una masa quistica que ocupaba todo el abdomen en relacion con cistoadenoma/cistoadenocarcinoma mucinoso ovarico, por lo que se indico tratamiento quirurgico, siendo el diagnostico definitivo un leiomioma dependiente de utero con degeneracion hidropica. Los miomas uterinos son tumoraciones frecuentes en la mujer; sin embargo, si presentan cambios degenerativos puede ser dificil su diagnostico inicial, al simular patologia anexial.

RESUMEN El sindrome de Li Fraumeni (SLF) es una rara enfermedad hereditaria asociada con un riesgo incrementa-do de padecer ciertos tumores malignos. Presentamos el caso de una paciente con diagnostico de SLF con antecedentes de sarcoma de gluteo con metastasis pulmonares y cancer de mama bilateral metacronico. Acudio al Servicio de Urgencias por distension y dolor abdominal. Se objetivo una masa pelvica y se penso en un probable origen ovarico de la misma. La paciente fue intervenida en el Servicio de Ginecologia, y durante la intervencion se descarto dicho origen ya que la tumoracion dependia del epiplon. El diagnostico final fue metastasis de sarcoma.PALABRAS CLAVE: Sindrome de Li Fraumeni, Li Fraumeni like, TP53 SUMMARY Li-Fraumeni syndrome (LFS) is a rare, inherited syndrome associated with increased risk of various malig-nant tumors. We present the case of a patient diagnosed LSF with a history of gluteal sarcoma with lung metastases and metachronous bilateral breast cancer. She came to the emergency department for abdo-minal bloating and pain. She had a pelvic mass and we had thought probable ovarian dependence. The patient was operated on at the Department of Gynecology, and during the intervention we realized that the tumor depended on the omentum. The final diagnosis was a metastatic of sarcoma.KEY WORD

Endocervical margins affected: 44 (15.7%): pre: 32 (14.2%) postmenopausal: 12 (21.8%). Reconizations 17 (6%): premenopausal: 14 (6.2%). Postmenopausal: 3 (5.4%). Hysterectomy postcone: 11 (3.9%): premenopausal: 3 (1.3%). Postmenopausal: 8 (14.5%) hysterectomy indications: 3 microinvasive, 3 persistence CIN 2–3 postcone, 5 Adeno insitu. Conclusions: We found no difference between the 2 groups of preand postmenopausal women in terms of cone histology and number of reconizations made. In the group of postmenopausal women, we found a large number of endocervical margins affected in the histological study of cone and this result would correspond to a greater number of endocervical lesions in menopausal than in premenopausal women. The other major difference was in the postcone hysterectomies related to high-grade lesions with large endocervical affection, which reach a rate of 15%.