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El cistoadenoma mucinoso de ovario representa el 15% de las lesiones neoplásicas benignas del ovario, diagnosticándose por lo general entre los 20 y los 60 años de edad. Frecuentemente alcanza un gran tamaño ocasionando clínica compresiva. Presentamos a continuación el caso de una paciente joven que comenzó con clínica digestiva y distensión abdominal, siendo intervenida de un cistoadenoma ovárico gigante.(AU)

Mucinous ovarian cystadenoma accounts for 15% of benign neoplastic lesions of the ovary, and is usually diagnosed between the ages of 20 and 60. It often reaches a large size causing a compressive clinic. The case is presented of a young patient, whose first clinical manifestions were gastrointestinal with abdominal distension. A giant ovarian cystadenoma was found on being intervened.(AU)

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Las úlceras de Lipschütz son aquellas úlceras vulvares que aparecen en niñas, adolescentes o mujeres jóvenes, la mayoría sin relaciones sexuales, de etiología desconocida, motivo por el cual, probablemente son infradiagnosticadas. Se presenta a continuación el caso clínico de una paciente con úlceras genitales de probable origen infeccioso y catalogadas como úlceras de Lipschütz

Lipschütz ulcers are vulvar ulcers appearing in children, adolescents or young women, usually without sexual intercourse. These ulcers are of unknown etiology and are therefore probably underdiagnosed. We report the case of a female patient with genital ulcers probably of infectious origin and classified as Lipschütz ulcers

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El onfalocele es un defecto de la pared abdominal a nivel de la línea media caracterizado por la hernación de contenido abdominal y recubierto por peritoneo y amnios. Su diagnóstico se realiza a partir de la semana 12, requiriendo un seguimiento ecográfico periódico y un estudio anatómico detallado dada su asociación, en ocasiones, a otras malformaciones. En general tiene buen pronóstico. Detallamos a continuación un caso de onfalocele fetal típico, diagnosticado en nuestra región (AU)

Omphalocele is an abdominal wall defect at the midline characterized by herniation of abdominal contents and covered by peritoneum and amnion. The diagnosis of this entity is performed after week 12, requiring periodic ultrasound monitoring and detailed anatomical study because of its possible association with other malformations. Prognosis is generally good. We describe a typical case of fetal omphalocele, diagnosed in our region (AU)

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La megavejiga durante el primer trimestre de gestación se presenta en 1 de cada 1800 embarazos. Diámetros de 8 a 12mm durante el primer trimestre se resuelven espontáneamente antes de la semana 20, mientras que mayores de 17mm son sugerentes de obstrucciones de uretra progresivas y por lo tanto, conllevan un mal pronóstico. Presentamos a continuación, el caso de una megavejiga fetal, su diagnóstico y finalización (AU)

Megacystis during the first trimester of pregnancy occurs in 1 in 1800 pregnancies. Diameters of 8 to 12mm during the first trimester resolve spontaneously before 20 weeks, while those over 17mm are suggestive of progressive urethral obstruction and therefore carry a poor prognosis. We present a case of fetal megacystis, its diagnosis and termination of the pregnancy (AU)

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BACKGROUND: Vitamin supplements and minerals consumption (SPM) is increasing in occidental societies due to the growing concern about health by the population. OBJECTIVES: To have a initial approaching to the to SPM consumption in the Province of Las Palmas through 2000 and 2001. To identify SPM proportions that are dispensed as pharmaceutical specialities and those who are sold as parapharmacy products. Finally, to describe the evolution of this consumption throughout a year. METHOD: The information was obtained through the list of the whole pharmaceutical specialities and parapharmacy products through 2000 and 2001 who have at least a vitamin in its composition and/or a mineral. RESULTS: Usually, 297 pharmaceutical specialities and 216 parapharmacy products are currently being sold. Pharmaceutical specialities comprised 65.6% of the whole products sold and within them, vitamins were the most dispensed (41.5%). Regarding parapharmacy products, vitamins and minerals compounds were the products more sold (34.6%). Comparing to 2000, during 2001 there was a statistically significant increase in the consumption of parapharmacy products, remaining without changes the use of pharmaceutical specialities. CONCLUSION: On the basis of sold XX SPM consumption seems to be due mainly by pharmaceutical specialities rather than parapharmacy products. Nevertheless through 2001 there was an increase only in the parapharmacy products.

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El neuroblastoma es el tumor suprarrenal más frecuente en el feto, generalmente en su variedad quística (benigna). El diagnóstico diferencial hay que realizarlo con la hemorragia suprarrenal, que tiene un pronóstico favorable y una resolución espontánea postparto. La glándula suprarrenal es una estructura muy vascularizada con un tamaño relativo 20 veces superior a la del adulto, por lo que un aumento brusco de la presión intravascular o una agresión hipóxica pueden provocar un sangrado intraglandular. La técnica diagnóstica prenatal de elección es la ecografía. Cuando la hemorragia se produce durante el embarazo se diagnostica habitualmente alrededor de la semana 20 de gestación. Cuando se sospecha una hemorragia suprarrenal se aconseja seguimiento ecográfico en espera de su resolución postnatal. Presentamos el caso de una gestante a la que se le detectó ecográficamente en la semana 20 una tumoración suprarrenal fetal izquierda que fue aumentando de tamaño durante el embarazo. El parto se produjo en la semana 41 y tras el mismo se confirmó la presencia de una tumoración, descartándose adenopatías o metástasis. En el estudio ecográfico al mes de vida se observó una disminución del tamaño tumoral con hiperecogenicidad, por lo que se diagnosticó hemorragia suprarrenal fetal en regresión (AU)

Neuroblastoma, the most common adrenal mass, generally presents as a cystic tumour of benign nature. Differential diagnosis should consider adrenal hemorrhage, condition which carries better prognosis and spontaneous resolution after delivery. Fetal adrenal gland, a vasculari in the gland as a result of high pressure or hypoxic injury. The gold standard method of diagnosis is based on ultrasound. When adrenal bleeding occurs during pregnancy, diagnosis of this condition takes place at around twenty weeks. Then, when adrenal hemorrhage is suspected, conservatory management with follow up scans is advised until spontaneous resolution is reached. A case of twenty week pregnancy in which a growing left adrenal tumour was detected is presented. After delivery, the presence of an isolated tumour not associated with metastasis or lymph nodes was confirmed. Ultrasound follow up one month later showed reduction of size and echogenicity of the tumour which led to the diagnosis of adrenal hemorrhage in regression (AU)

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Conocer la distribución de los parámetros antropométricos y los factores de riesgo cardiovascular: dislipemias, hipertensión arterial, obesidad, sedentarismo, tabaquismo y diabetes mellitus en la población canaria. Diseño: epidemiológico, descriptivo transversal o de prevalencia. 1365 personas canarias: 627 varones (45,9 por ciento) y 738 mujeres (54,1 por ciento) de 18 a 75 años. En las Islas Canarias la obesidad se observó en el 18,6 por ciento de la población, 14,3 por ciento de los varones y 22,3 por ciento de las mujeres. La prevalencia de hipercolesterolemia es del 30,4 por ciento, con una media de colesterol sérico de 22,3 mg/dl en los varones y 218,7 mg/dl en las mujeres. El 63,1 por ciento de la población estudiada declaró ser sedentaria. Las Islas Canarias presentan una elevada prevalencia de obesidad con respecto a los valores nacionales y menor con respecto a los latinoamericanos. Los valores medios y prevalentes de colesterol son superiores a los descritos en el resto de las comunidades autónomas de España y en los países latinoamericanos. La prevalencia de sedentarismo en el tiempo libre es similar a la media del país e inferior a la descrita en Latino América

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Estimar los conocimientos e identificar las opiniones y las actitudes que la población canaria tiene sobre la alimentación y su relación con la salud. Epidemiológico, descriptivo transversal o de prevalencia. 1747 personas canarias: 821 varones (47 por ciento) y 926 mujeres (53 por ciento) de entre 6 y 75 años de edad. En las Islas Canarias el 46,7 por ciento de los encuestados considera que sus conocimientos sobre alimentación y nutrición son adecuados a pesar de que un porcentaje importante de la población desconoce los alimentos que hay que moderar para prevenir la hipercolesterolemia. El 43 por ciento de la población estudiada declaró estar dispuesta a modificar la dieta en beneficio de su salud y el 78,7 por ciento considera a los médicos como la fuente de información más fiable en esta materia. Una importante proporción de la población canaria considera que debería modificar su dieta para mejorar su salud. Asimismo gran parte de dicha población admite estar dispuesta a realizar modificaciones positivas en su alimentación siendo los profesionales sanitarios un elemento clave en este proceso

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OBJECTIVE: To know the distribution of certain anthropometric parameters and cardiovascular risk factors: hypercholesterolemia, arterial hypertension, obesity, sedentary lifestyle, smoking and diabetes mellitus in the population of the Canary Islands. DESIGN: Epidemiological, cross-sectional study, with description of prevalence. SUBJECTS: 1365 individuals from de Canary Islands: 637 males (45.9%) and 738 females (54.1%) aged 18 to 75 years. RESULTS: In the Canary Islands obesity was found in 18.6% of the population, 14.3% males and 22.3% females. The prevalence of hypercholesterolemia was 30.4%, with an average serum cholesterol level of 213.1 mg/dl in males and 218.7 mg/dl in females. 63.1% of the population declared to have a sedentary lifestyle. In the population between 18 and 75 years old, the prevalence of hypercholesterolemia was 30.4%. CONCLUSIONS: The Canary Islands show a high prevalence of obesity compared to other Spanish data and low if we compare it with Latin American countries. The average and prevalent serum cholesterol levels are higher than those described in the rest of Spain and Latin America. The prevalence of a sedentary lifestyle during spare time is similar to the average of our country and lower than the one described in Latin America.

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OBJECTIVE: To estimate knowledge and identify opinions and attitudes of the Canary Island population towards eating in relation to health. DESIGN: Epidemiological, cross-sectional descriptive or prevalence study. SUBJECTS: 1747 people from the Canary Islands: 821 males (47%) and 926 females (53%) aged 6 to 75 years. RESULTS: In the Canary Islands, 46.7% of the study population considered their knowledge of food and nutrition to be adequate, although an important percentage of the population didn't know the foods they had to restrict to prevent hypercholesterolemia. 43% of the population studied declared to be ready to modify their diet for health reasons and 78.7% of the people surveyed considered physicians as the most reliable source of food and nutrition information. CONCLUSIONS: An important proportion of the Canarian population considers that they should change their diet to improve their health. Likewise, a large number of this population admits to being ready to positively modify their eating habits, and health professionals are a key element in this process.

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BACKGROUND: To compare several anthropometric variables, obesity and some life-style (tobacco, coffee and alcohol consumption and physical activity during leisure time) in women 45 years old and older. METHODS: From the 1991 electoral roll, we obtained a population of 1221 women aged more than 45 years living in the island of Gran Canaria. A questionnaire and a physical examination including weight and height with light clothes was performed in every woman. Obesity was defined according to the Quetelet index, and weight (in kg) divided by height (in m) at square. RESULTS: Rural women aged more than 45 years old are heavier, have a larger corporal surface, have a higher Quetelet index, smoke less and do greater activity during leisure time than urban women the same age. We found no differences either in alcohol or coffee consumption. CONCLUSIONS: There are statistically significant differences between women that live in rural and urban habitats. Anthropometric variables (weight, corporal surface, Quetelet index) show higher values in rural women than in urban ones. On the other hand, tobacco consumption and sadentarism have a higher prevalence in the urban women compared to rural ones.

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BACKGROUND: To establish the age at menopause in the Canary woman. To study the possible influence of habitat, socioeconomical status and other possible factors on it. METHODS: From an initial population of 742 women, we previously excluded those that were not menopausal at the moment of the study and those that suffered it as a result of a oophorectomy. We included 394 women that had a natural menopause in the study group. RESULTS: The mean age of menopause was 48.6 years old. There were no statistical differences between the natural or urban areas. Neither the age of menarche nor the number of pregnancies had any influence on the age of menopause. Women with high socioeconomical status had the menopause later (50.7 years old) than hose with medium or low socioeconomical status (48.6 and 48.4 years old respectively). DISCUSSION: Comparing the age of menopause found in our study (48.6 years) with the published in other papers, this is very similar to the age mean reported in other spanish studies but a little lower than the age of menopause established in some occidental countries.

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