{"id":74919,"date":"2026-10-01T07:17:35","date_gmt":"2026-10-01T05:17:35","guid":{"rendered":"https:\/\/www.aeemt.org\/web\/?page_id=74919"},"modified":"2026-10-01T07:17:35","modified_gmt":"2026-10-01T05:17:35","slug":"caso-clinico-2-mdt-vol-35-n03-septiembre-2026","status":"publish","type":"page","link":"https:\/\/www.aeemt.org\/web\/caso-clinico-2-mdt-vol-35-n03-septiembre-2026\/","title":{"rendered":"Caso Cl\u00ednico 2 MDT Vol 35 N03 Septiembre 2026"},"content":{"rendered":"

[vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb rt_row_paddings=\u00bbtrue\u00bb rt_bg_effect=\u00bbclassic\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbcover\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb rt_bg_video_format=\u00bbself-hosted\u00bb][vc_column rt_wrp_col_paddings=\u00bbfalse\u00bb rt_border_top=\u00bb\u00bb rt_border_bottom=\u00bb\u00bb rt_border_left=\u00bb\u00bb rt_border_right=\u00bb\u00bb rt_border_top_mobile=\u00bb\u00bb rt_border_bottom_mobile=\u00bb\u00bb rt_border_left_mobile=\u00bb\u00bb rt_border_right_mobile=\u00bb\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbauto auto\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb]

\n\t\t\t\t\t\t

Detecci\u00f3n oportuna de un liposarcoma desdiferenciado retroperitoneal desde un Servicio de Prevenci\u00f3n hospitalario: el valor del estudio de la anemia inflamatoria. Caso cl\u00ednico<\/h2>\n\t\t\t\t\t<\/div>[\/vc_column][\/vc_row][vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb rt_row_paddings=\u00bbtrue\u00bb rt_bg_effect=\u00bbclassic\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbcover\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb rt_bg_video_format=\u00bbself-hosted\u00bb][vc_column rt_wrp_col_paddings=\u00bbfalse\u00bb rt_border_top=\u00bb\u00bb rt_border_bottom=\u00bb\u00bb rt_border_left=\u00bb\u00bb rt_border_right=\u00bb\u00bb rt_border_top_mobile=\u00bb\u00bb rt_border_bottom_mobile=\u00bb\u00bb rt_border_left_mobile=\u00bb\u00bb rt_border_right_mobile=\u00bb\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbauto auto\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb][vc_column_text css=\u00bb\u00bb]<\/p>\n

\"\"<\/p>\n

N\u00famero de la Revista: Vol. 35 – n\u00ba 03- Septiembre 2026<\/p>\n

Secci\u00f3n:<\/strong>\u00a0Caso Cl\u00ednico<\/strong><\/p>\n

T\u00edtulo: Detecci\u00f3n oportuna de un liposarcoma desdiferenciado retroperitoneal desde un Servicio de Prevenci\u00f3n hospitalario: el valor del estudio de la anemia inflamatoria. Caso cl\u00ednico<\/strong><\/p>\n

Autores:<\/strong><\/p>\n

Pablo Daniel Lorenzo Barcia<\/em><\/strong>(1)<\/sup><\/em><\/strong>, Sergio De Santos Belinch\u00f3n<\/em><\/strong>(2)<\/sup><\/em><\/strong>, \u00c1lvaro Gallardo Fern\u00e1ndez<\/em><\/strong>(3)<\/sup><\/em><\/strong>,\u00a0 Mar\u00eda de los \u00c1ngeles D\u00edaz Sotero<\/em><\/strong>(4)<\/sup><\/em><\/strong>, Silvia O\u2019Connor P\u00e9rez<\/em><\/strong>(5)<\/sup><\/em><\/strong>, Ignacio Bard\u00f3n Fern\u00e1ndez-Pacheco<\/em><\/strong>(6)<\/sup><\/em><\/strong>
\n1<\/sup><\/em>Servicio de Prevenci\u00f3n de Riesgos Laborales. Hospital Cl\u00ednico San Carlos. Madrid, Espa\u00f1a. <\/em>ORCID: 0009-0001-4496-6718<\/em>
\n2<\/sup><\/em>Servicio de Urgencias. Hospital Universitario Infanta Leonor. Madrid, Espa\u00f1a. ORCID: 0000-0002-9492-6263<\/em>
\n3<\/sup><\/em>Servicio de Prevenci\u00f3n de Riesgos Laborales. Hospital Cl\u00ednico San Carlos. Madrid, Espa\u00f1a. <\/em>ORCID: 0000-0002-9271-0688<\/em>
\n4<\/sup><\/em>Servicio de Prevenci\u00f3n de Riesgos Laborales. Hospital Cl\u00ednico San Carlos. Madrid, Espa\u00f1a. <\/em>ORCID: 0009-0005-9739-5495<\/em>
\n5<\/sup><\/em>Servicio de Prevenci\u00f3n de Riesgos Laborales. Hospital Cl\u00ednico San Carlos. Madrid, Espa\u00f1a. <\/em>ORCID: 0000-0002-9676-0201<\/em>
\n6<\/sup><\/em>Servicio de Prevenci\u00f3n de Riesgos Laborales. Hospital Cl\u00ednico San Carlos. Madrid, Espa\u00f1a. \u00c1rea de Medicina Pre<\/em>ventiva y Salud P\u00fablica. Departamento de Salud P\u00fablica y Materno-Infantil. Facultad de Medicina. Universidad Complutense de Madrid. Madrid, Espa\u00f1a. ORCID: 0000-0003-1787-1198<\/em><\/p>\n

Correspondencia:<\/strong><\/p>\n

Pablo Daniel Lorenzo Barcia<\/em><\/strong>
\nDirecci\u00f3n postal:\u00a0 Calle Porf. Mart\u00edn Lagos s\/n. 28040.\u00a0 Madrid, Espa\u00f1a.
\nCorreo electr\u00f3nico: pablodaniel.lorenzo@salud.madrid.org<\/a><\/p>\n

Palabras Clave<\/strong>: Anemia inflamatoria; liposarcoma desdiferenciado; Servicio de Prevenci\u00f3n de Riesgos Laborales; detecci\u00f3n oportuna; caso cl\u00ednico<\/p>\n

Keywords<\/strong>: Inflammatory anemia; dedifferentiated liposarcoma; Occupational health services; timely detection; case report<\/p>\n

Cita Art\u00edculo<\/strong>: Pablo Daniel Lorenzo Barcia et al. Detecci\u00f3n oportuna de un liposarcoma desdiferenciado retroperitoneal desde un Servicio de Prevenci\u00f3n hospitalario: el valor del estudio de la anemia inflamatoria. Caso cl\u00ednico. Rev Asoc Esp Espec Med Trab 2026; 35(3):356-366<\/p>\n

Acceso al PDF:

PDF del Art\u00edculo<\/strong><\/a><\/div>\n

RESUMEN.<\/strong><\/p>\n

Antecedentes:<\/strong> Los sarcomas retroperitoneales pueden crecer de forma silente y alcanzar gran tama\u00f1o antes de producir s\u00edntomas.<\/p>\n

Objetivos:<\/strong> Describir la detecci\u00f3n oportuna de un liposarcoma desdiferenciado desde un Servicio de Prevenci\u00f3n de Riesgos Laborales (SPRL).<\/p>\n

Material y M\u00e9todos:<\/strong> Se presenta el caso de una mujer de 65 a\u00f1os que consulta por astenia. La evaluaci\u00f3n incluye estudio anal\u00edtico, pruebas de imagen, valoraci\u00f3n hormonal, biopsia y abordaje multidisciplinar.<\/p>\n

Resultados:<\/strong> Se identifica anemia microc\u00edtica de nueva aparici\u00f3n, intensa respuesta inflamatoria, trombocitosis y p\u00e9rdida ponderal de 10 kg. La TC muestra una masa retroperitoneal de 18 cm. Tras excluir feocromocitoma, la biopsia informa de neoplasia mesenquimal maligna fusocelular. Se realiza resecci\u00f3n multivisceral en bloque y la anatom\u00eda patol\u00f3gica confirma liposarcoma desdiferenciado grado 3. La evoluci\u00f3n es favorable, sin enfermedad metast\u00e1sica radiol\u00f3gica ni indicaci\u00f3n de tratamiento sist\u00e9mico adyuvante.<\/p>\n

Conclusiones:<\/strong> La actuaci\u00f3n del SPRL facilita la detecci\u00f3n oportuna y la derivaci\u00f3n especializada.<\/p>\n

Title: TIMELY DETECTION OF A RETROPERITONEAL DEDIFFERENTIATED LIPOSARCOMA BY A HOSPITALBASED OCCUPATIONAL HEALTH SERVICE: THE VALUE OF EVALUATING INFLAMMATORY ANEMIA. A CASE REPORT.<\/strong><\/p>\n

Abstract:<\/strong><\/p>\n

Background:<\/strong> Retroperitoneal sarcomas may grow silently and reach a large size before causing symptoms.<\/p>\n

Objectives:<\/strong> To describe the timely detection of a dedifferentiated liposarcoma by an Occupational Health Service.<\/p>\n

Materials and Methods:<\/strong> We report the case of a 65-yearold woman who presents with asthenia. Evaluation includes laboratory testing, imaging, hormonal assessment, biopsy, and multidisciplinary management.<\/p>\n

Results:<\/strong> Initial evaluation identifies newly developed microcytic anemia, marked inflammation, thrombocytosis, and a 10-kg weight loss. CT shows an 18-cm retroperitoneal mass. After excluding pheochromocytoma, biopsy identifies a m alignant s pindle-cell mesenchymal neoplasm. The multidisciplinary team performs en bloc multivisceral resection, and definitive h istopathology confirms grade 3 dedifferentiated liposarcoma. The clinical course is favorable, with no radiological evidence of metastatic disease and no indication for adjuvant systemic therapy.<\/p>\n

Conclusions:<\/strong> The Occupational Health Service facilitates timely detection and referral to specialized care.<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb rt_row_paddings=\u00bbtrue\u00bb rt_bg_effect=\u00bbclassic\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbcover\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb rt_bg_video_format=\u00bbself-hosted\u00bb][vc_column rt_wrp_col_paddings=\u00bbfalse\u00bb rt_border_top=\u00bb\u00bb rt_border_bottom=\u00bb\u00bb rt_border_left=\u00bb\u00bb rt_border_right=\u00bb\u00bb rt_border_top_mobile=\u00bb\u00bb rt_border_bottom_mobile=\u00bb\u00bb rt_border_left_mobile=\u00bb\u00bb rt_border_right_mobile=\u00bb\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbauto auto\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb][\/vc_column][\/vc_row][vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-74919","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/74919"}],"collection":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/comments?post=74919"}],"version-history":[{"count":3,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/74919\/revisions"}],"predecessor-version":[{"id":74922,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/74919\/revisions\/74922"}],"wp:attachment":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/media?parent=74919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}