{"id":590,"date":"2019-09-24T23:29:32","date_gmt":"2019-09-25T04:29:32","guid":{"rendered":"https:\/\/www.drestebancastro.com\/blog\/?p=590"},"modified":"2026-07-05T07:15:48","modified_gmt":"2026-07-05T13:15:48","slug":"menisco-discoide-en-ninos-y-adolescentes","status":"publish","type":"post","link":"https:\/\/www.drestebancastro.com\/blog\/menisco-discoide-en-ninos-y-adolescentes\/","title":{"rendered":"Menisco discoide en ni\u00f1os y adolescentes"},"content":{"rendered":"\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li><a href=\"#objetivo\">Objetivo<\/a><\/li><li><a href=\"#metodos\">M\u00e9todos<\/a><\/li><li><a href=\"#resultados\">Resultados<\/a><\/li><li><a href=\"#conclusion\">Conclusi\u00f3n<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Menisco discoide en ni\u00f1os y adolescentes<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">met\u00e1stasis \u00f3seas<\/a> son el proceso oncol\u00f3gico m\u00e1s frecuente de los huesos. La afectaci\u00f3n del esqueleto axial es m\u00e1s frecuente que la del esqueleto apendicular. Dentro de la afectaci\u00f3n de huesos largos las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">met\u00e1stasis \u00f3seas<\/a> distales al codo y la rodilla, o <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>, son las menos frecuentes de todas; representan apenas entre un 0,1% y 7% de todas las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">met\u00e1stasis \u00f3seas<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En general, cuanto m\u00e1s distal es un hueso, menor cantidad de m\u00e9dula \u00f3sea roja contiene, por ello, es menos frecuente su afectaci\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El t\u00e9rmino \u00ab<a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\"><em>acromet\u00e1stasis<\/em><\/a>\u00bb se emplea indistintamente en la literatura para referirse a \u00ab<em><a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">met\u00e1stasis \u00f3seas<\/a> de la regi\u00f3n distal de las extremidades<\/em>\u00bb, o en algunos casos se emplea solamente para aquellas met\u00e1stasis que afectan a la mu\u00f1eca o huesos de manos y pies. Sin embargo, la mayor\u00eda de los art\u00edculos definen las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> expresamente como <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">met\u00e1stasis \u00f3seas<\/a> distales al codo y la rodilla.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se ha descrito en la literatura que el tumor primario que con m\u00e1s frecuencia produce <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> es el de pulm\u00f3n. Sin embargo, en algunas series de <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> de miembros inferiores el primario m\u00e1s frecuente es el de ri\u00f1\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El hueso con m\u00e1s frecuencia afectado por las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> es la tibia. Se considera que la afectaci\u00f3n de huesos distales supone un factor de mal pron\u00f3stico para los pacientes, ya que implica una gran diseminaci\u00f3n de la enfermedad. La <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">supervivencia<\/a> media descrita es de 3-9 meses desde el diagn\u00f3stico de met\u00e1stasis distal, con peores resultados para los pacientes sin tumor primario conocido.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"objetivo\"><strong>Objetivo<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Existe cierta contradicci\u00f3n en la literatura acerca del tumor primario que se asocia con m\u00e1s frecuencia a las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>, as\u00ed como acerca de su pron\u00f3stico y <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">tratamiento<\/a>. El objetivo de nuestro trabajo es determinar la localizaci\u00f3n m\u00e1s frecuente de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>, el tumor primario m\u00e1s frecuente seg\u00fan su localizaci\u00f3n y evaluar las opciones quir\u00fargicas en funci\u00f3n de la <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">supervivencia<\/a> estimada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"metodos\"><strong>M\u00e9todos<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Estudio retrospectivo de pacientes diagnosticados de <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> en una instituci\u00f3n. Se recogieron variables epidemiol\u00f3gicas, as\u00ed como informaci\u00f3n acerca de tumor primario y n\u00famero, localizaci\u00f3n, s\u00edntomas y <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">tratamiento<\/a> de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"resultados\"><strong>Resultados<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Se revisaron 35 <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> en 21 pacientes: 4 en miembros superiores y 31 en miembros inferiores, siendo la tibia el hueso m\u00e1s frecuentemente afectado (n=13).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El tumor primario que con m\u00e1s frecuencia produce <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> en miembros inferiores es el hipernefroma (19%); en los miembros superiores, sin embargo, el pulm\u00f3n fue m\u00e1s frecuente (25%). Once pacientes fallecieron (52%), de los cuales 10 ten\u00edan met\u00e1stasis en m\u00faltiples localizaciones.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La media de supervivencia fue de 42 meses desde el diagn\u00f3stico de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"conclusion\"><strong>Conclusi\u00f3n<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> se observan con m\u00e1s frecuencia en las extremidades inferiores, y el tumor primario m\u00e1s frecuente es el hipernefroma, seguido del de pulm\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">tratamiento<\/a> de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a> depende del pron\u00f3stico del paciente, por lo que es esencial un abordaje multidisciplinar. La media de <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">supervivencia<\/a> en nuestra serie no implica un peor pron\u00f3stico de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>, especialmente si son \u00fanicas, por lo que es factible considerar opciones quir\u00fargicas como la resecci\u00f3n amplia y reconstrucci\u00f3n.<\/p>\n\n\n\n<figure class=\"wp-block-image alignnone size-full wp-image-598\"><img decoding=\"async\" src=\"https:\/\/www.drestebancastro.com\/blog\/wp-content\/uploads\/Menisco-discoide-en-ninos-y-adolescentes.jpg\" alt=\"Menisco discoide en ni\u00f1os y adolescentes\" class=\"wp-image-598\" title=\"\"><figcaption><a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">Menisco discoide en ni\u00f1os y adolescentes<\/a><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>REFERENCIAS<\/strong><br>Menisco discoide en ni\u00f1os y adolescentes<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><em>Machado, V., &amp; San-Julian, M. (2019). Pron\u00f3stico y <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">tratamiento<\/a> de las <a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\">acromet\u00e1stasis<\/a>: estudio observacional de 35 casos tratados en un \u00fanico centro.&nbsp;Revista Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda,&nbsp;63(1), 49\u201355. https:\/\/doi.org\/10.1016\/j.recot.2018.05.001<\/em><\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.drestebancastro.com\/blog\/2019\/09\/24\/menisco-discoide-en-ninos-y-adolescentes\/\"><em><strong>Menisco discoide en ni\u00f1os y adolescentes<\/strong><\/em><\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"meniscodiscoideenninosyadolescentes\"><em><strong><a href=\"https:\/\/www.facebook.com\/Dr-Esteban-Castro-Contreras-Traumat%C3%B3logo-y-Ortopedista-121291695221565\/\" target=\"_blank\" rel=\"noopener\">#Meniscodiscoideenni\u00f1osyadolescentes<\/a><\/strong><\/em><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 has-custom-font-size is-style-fill has-medium-font-size\"><a class=\"wp-block-button__link has-white-color has-text-color has-background\" href=\"https:\/\/www.doctoralia.com.mx\/esteban-castro-contreras-2\/ortopedista-traumatologo\/tlajomulco-de-zuniga?utm_source=widget-doctor-63351&amp;utm_medium=certificate&amp;utm_campaign=&amp;utm_content=#highlight-calendar\" style=\"background-color:#00c3a5\" target=\"_blank\" rel=\"noreferrer noopener\"> Agenda una cita <\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-fill\"><a class=\"wp-block-button__link 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