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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe the epidemiology of skin surgery performed in the dermatology department of Hospital Cl&#237;nico Universitario in Valencia&#44; Spain&#44; on children up to 16 years of age&#46; The study analyzed a 9-year period&#46;</p> <span class="elsevierStyleSectionTitle">Materials and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective review was performed of all tissue excisions and biopsies taken between January 1&#44; 1990&#44; and December 31&#44; 2007&#44; from patients up to 16 years of age seen in the dermatology department of Hospital Cl&#237;nico Universitario&#46; The following data were collected&#58; age&#44; sex&#44; surgical site&#44; and histopathologic diagnosis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Between 1990 and 2007&#44; 33 840 lesions were analyzed histologically&#59; 996 of the lesions &#40;2&#46;94&#37;&#41; were from patients up to 16 years of age&#44; of whom 502 &#40;50&#46;40&#37;&#41; were girls and 484 &#40;49&#46;60&#37;&#41; were boys&#46; The mean age was 11&#46;06 years&#46; The majority &#40;47&#46;39&#37;&#41; of excisions were performed in children of 12 to 16 years&#46; The distribution of the remainder by age groups was as follows&#58; &#60;1 year&#44; 34 excisions &#40;3&#46;41&#37;&#41;&#59; &#62;1 to &#60;4 years&#44; 66 &#40;6&#46;63&#37;&#41;&#59; &#62;4 to &#60;8 years&#44; 154 &#40;15&#46;46&#37;&#41;&#59; and &#62;8 to &#60;12 years&#44; 270 &#40;27&#46;11&#37;&#41;&#46; The most common diagnosis was melanocytic nevus &#40;50&#46;20&#37;&#41;&#44; followed by pilomatrixoma &#40;4&#46;62&#37;&#41;&#44; capillary angioma &#40;3&#46;61&#37;&#41;&#44; epidermal cyst &#40;3&#46;61&#37;&#41;&#44; Spitz nevus &#40;3&#46;31&#37;&#41;&#44; and pyogenic granuloma &#40;3&#46;11&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dermatologic surgery in patients up to 16 years of age accounted for a small percentage of the overall dermatologic surgery in our hospital&#59; the majority of children were in the 12 to &#60;16 year age group&#46; Most children had benign lesions&#44; with melanocytic nevus being by far the most common diagnosis&#46; The majority of lesions were on the trunk&#44; followed by the head and neck&#46; In conclusion&#44; compared with the literature reviewed&#44; ours is the only series on dermatologic surgery in children&#46; It is of interest because it defines the most common conditions in these patients&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Realizar un an&#225;lisis epidemiol&#243;gico de la cirug&#237;a dermatol&#243;gica realizada en pacientes menores de 16 a&#241;os en el servicio de dermatolog&#237;a del Hospital Cl&#237;nico Universitario durante un per&#237;odo de 9 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se revisaron retrospectivamente todas las extirpaciones y biopsias de pacientes menores de 16 a&#241;os desde 1 enero de 1999 al 31 de diciembre de 2007 en el servicio de dermatolog&#237;a del Hospital Cl&#237;nico Universitario de Valencia&#46; Los datos recogidos inclu&#237;an las siguientes variables&#58; la edad del paciente&#44; el sexo&#44; la localizaci&#243;n y el diagn&#243;stico histopatol&#243;gico&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Dentro de este per&#237;odo&#44; se analizaron histol&#243;gicamente 33&#46;840 lesiones&#46; De ellas&#44; 996 &#40;2&#44;94&#37;&#41; correspondieron a pacientes de &#8804; 16 a&#241;os&#46; De las 996 piezas analizadas 502 &#40;50&#44;40&#37;&#41; correspond&#237;an a mujeres y 494 &#40;49&#44;60&#37;&#41; a varones&#46; La edad media fue 11&#44;06&#46; El mayor n&#250;mero de ex&#233;resis se situ&#243; entre los 12 y los 16 a&#241;os &#40;47&#44;39&#37;&#41;&#46; La distribuci&#243;n del resto de extirpaciones por grupos de edad fue la siguiente&#58; &#8804; 1 a&#241;o 34 extirpaciones &#40;3&#44;41&#37;&#41;&#44; de &#62; 1 a &#8804; 4 a&#241;os&#58; 66 &#40;6&#44;63&#37;&#41;&#44; de &#62; 4 a &#8804; 8 a&#241;os&#58; 154 &#40;15&#44;46&#37;&#41; y de &#62; 8 a &#8804; 12 a&#241;os&#58; 270 &#40;27&#44;11&#37;&#41;&#46; El diagn&#243;stico m&#225;s frecuente fue el de nevus melanoc&#237;tico &#40;50&#44;20&#37;&#41;&#44; seguido del pilomatricoma &#40;4&#44;62&#37;&#41;&#44; el angioma capilar &#40;3&#44;61&#37;&#41;&#44; el quiste epid&#233;rmico &#40;3&#44;61&#37;&#41;&#44; el nevus de Spitz &#40;3&#44;31&#37;&#41; y el granuloma piog&#233;nico &#40;3&#44;11&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie&#44; la cirug&#237;a dermatol&#243;gica en menores de 16 a&#241;os constituye un peque&#241;o porcentaje de la cirug&#237;a dermatol&#243;gica que se realiza en nuestro hospital&#44; siendo el grupo de mayor edad el m&#225;s frecuente&#46; En la edad pedi&#225;trica&#44; la patolog&#237;a benigna representa el mayor n&#250;mero de diagn&#243;sticos&#44; siendo con mucho los nevus melanoc&#237;ticos la patolog&#237;a m&#225;s frecuente&#46; El mayor n&#250;mero de lesiones se ha encontrado en el tronco&#44; seguido por la cabeza y el cuello&#46; En conclusi&#243;n&#44; de la literatura revisada&#44; nuestra serie es la &#250;nica en lo referente a la cirug&#237;a dermatol&#243;gica en la edad pedi&#225;trica&#44; siendo de inter&#233;s para conocer la patolog&#237;a que con mayor frecuencia se analiza en estos pacientes&#46;</p>"
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Epidemiology of Pediatric Dermatologic Surgery: A Retrospective Study of 996 Children
Epidemiología de la cirugía dermatológica pediátrica. Un estudio retrospectivo de 996 niños
V. Lópeza,
Autor para correspondencia
veronica_17@live.com

Corresponding author.
, J.M. Martína, C. Monteagudob, E. Jordáa
aServicio de Dermatología, Hospital Clínico Universitario, Valencia, Spain
bServicio de Anatomía Patológica, Hospital Clínico Universitario, Valencia, Spain
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe the epidemiology of skin surgery performed in the dermatology department of Hospital Cl&#237;nico Universitario in Valencia&#44; Spain&#44; on children up to 16 years of age&#46; The study analyzed a 9-year period&#46;</p> <span class="elsevierStyleSectionTitle">Materials and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective review was performed of all tissue excisions and biopsies taken between January 1&#44; 1990&#44; and December 31&#44; 2007&#44; from patients up to 16 years of age seen in the dermatology department of Hospital Cl&#237;nico Universitario&#46; The following data were collected&#58; age&#44; sex&#44; surgical site&#44; and histopathologic diagnosis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Between 1990 and 2007&#44; 33 840 lesions were analyzed histologically&#59; 996 of the lesions &#40;2&#46;94&#37;&#41; were from patients up to 16 years of age&#44; of whom 502 &#40;50&#46;40&#37;&#41; were girls and 484 &#40;49&#46;60&#37;&#41; were boys&#46; The mean age was 11&#46;06 years&#46; The majority &#40;47&#46;39&#37;&#41; of excisions were performed in children of 12 to 16 years&#46; The distribution of the remainder by age groups was as follows&#58; &#60;1 year&#44; 34 excisions &#40;3&#46;41&#37;&#41;&#59; &#62;1 to &#60;4 years&#44; 66 &#40;6&#46;63&#37;&#41;&#59; &#62;4 to &#60;8 years&#44; 154 &#40;15&#46;46&#37;&#41;&#59; and &#62;8 to &#60;12 years&#44; 270 &#40;27&#46;11&#37;&#41;&#46; The most common diagnosis was melanocytic nevus &#40;50&#46;20&#37;&#41;&#44; followed by pilomatrixoma &#40;4&#46;62&#37;&#41;&#44; capillary angioma &#40;3&#46;61&#37;&#41;&#44; epidermal cyst &#40;3&#46;61&#37;&#41;&#44; Spitz nevus &#40;3&#46;31&#37;&#41;&#44; and pyogenic granuloma &#40;3&#46;11&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dermatologic surgery in patients up to 16 years of age accounted for a small percentage of the overall dermatologic surgery in our hospital&#59; the majority of children were in the 12 to &#60;16 year age group&#46; Most children had benign lesions&#44; with melanocytic nevus being by far the most common diagnosis&#46; The majority of lesions were on the trunk&#44; followed by the head and neck&#46; In conclusion&#44; compared with the literature reviewed&#44; ours is the only series on dermatologic surgery in children&#46; It is of interest because it defines the most common conditions in these patients&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Realizar un an&#225;lisis epidemiol&#243;gico de la cirug&#237;a dermatol&#243;gica realizada en pacientes menores de 16 a&#241;os en el servicio de dermatolog&#237;a del Hospital Cl&#237;nico Universitario durante un per&#237;odo de 9 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se revisaron retrospectivamente todas las extirpaciones y biopsias de pacientes menores de 16 a&#241;os desde 1 enero de 1999 al 31 de diciembre de 2007 en el servicio de dermatolog&#237;a del Hospital Cl&#237;nico Universitario de Valencia&#46; Los datos recogidos inclu&#237;an las siguientes variables&#58; la edad del paciente&#44; el sexo&#44; la localizaci&#243;n y el diagn&#243;stico histopatol&#243;gico&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Dentro de este per&#237;odo&#44; se analizaron histol&#243;gicamente 33&#46;840 lesiones&#46; De ellas&#44; 996 &#40;2&#44;94&#37;&#41; correspondieron a pacientes de &#8804; 16 a&#241;os&#46; De las 996 piezas analizadas 502 &#40;50&#44;40&#37;&#41; correspond&#237;an a mujeres y 494 &#40;49&#44;60&#37;&#41; a varones&#46; La edad media fue 11&#44;06&#46; El mayor n&#250;mero de ex&#233;resis se situ&#243; entre los 12 y los 16 a&#241;os &#40;47&#44;39&#37;&#41;&#46; La distribuci&#243;n del resto de extirpaciones por grupos de edad fue la siguiente&#58; &#8804; 1 a&#241;o 34 extirpaciones &#40;3&#44;41&#37;&#41;&#44; de &#62; 1 a &#8804; 4 a&#241;os&#58; 66 &#40;6&#44;63&#37;&#41;&#44; de &#62; 4 a &#8804; 8 a&#241;os&#58; 154 &#40;15&#44;46&#37;&#41; y de &#62; 8 a &#8804; 12 a&#241;os&#58; 270 &#40;27&#44;11&#37;&#41;&#46; El diagn&#243;stico m&#225;s frecuente fue el de nevus melanoc&#237;tico &#40;50&#44;20&#37;&#41;&#44; seguido del pilomatricoma &#40;4&#44;62&#37;&#41;&#44; el angioma capilar &#40;3&#44;61&#37;&#41;&#44; el quiste epid&#233;rmico &#40;3&#44;61&#37;&#41;&#44; el nevus de Spitz &#40;3&#44;31&#37;&#41; y el granuloma piog&#233;nico &#40;3&#44;11&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie&#44; la cirug&#237;a dermatol&#243;gica en menores de 16 a&#241;os constituye un peque&#241;o porcentaje de la cirug&#237;a dermatol&#243;gica que se realiza en nuestro hospital&#44; siendo el grupo de mayor edad el m&#225;s frecuente&#46; En la edad pedi&#225;trica&#44; la patolog&#237;a benigna representa el mayor n&#250;mero de diagn&#243;sticos&#44; siendo con mucho los nevus melanoc&#237;ticos la patolog&#237;a m&#225;s frecuente&#46; El mayor n&#250;mero de lesiones se ha encontrado en el tronco&#44; seguido por la cabeza y el cuello&#46; En conclusi&#243;n&#44; de la literatura revisada&#44; nuestra serie es la &#250;nica en lo referente a la cirug&#237;a dermatol&#243;gica en la edad pedi&#225;trica&#44; siendo de inter&#233;s para conocer la patolog&#237;a que con mayor frecuencia se analiza en estos pacientes&#46;</p>"
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