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] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1233 "Ancho" => 1469 "Tamanyo" => 199065 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de un varón de 29<span class="elsevierStyleHsp" style=""></span>años que consulta por palpación de lesión indurada en el testículo derecho. Se realiza un estudio ecográfico que se informa como alteración pseudonodular de la ecoestructura testicular, compatible con tumor testicular (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A, flechas). Se decide completar el estudio con una TC toracoabdominal para realizar estudio de extensión, visualizándose un nódulo pulmonar único, localizado en el lóbulo superior derecho, que presentaba un halo en vidrio deslustrado periférico compatible con metástasis hemorrágica (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B,C). El paciente fue sometido a una orquiectomía, y el estudio histológico reveló que se trataba de un seminoma anaplásico con componente de coriocarcinoma.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">El signo del halo en la TC es un signo poco específico que se asocia a entidades como aspergilosis, candidiasis, tuberculoma con síntomas de hemoptisis, linfoma o carcinoma broncoalveolar<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. Se reconoce en la TC al visualizar un nódulo denso con halo periférico en vidrio deslustrado<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>. 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Metástasis pulmonar atípica
Victoria Mayoral-Campos, Claudia Josa Laorden, José Luis de Benito-Arévalo
10.1016/j.arbres.2013.09.007Arch Bronconeumol. 2014;50:258
This article is available in English
Atypical Lung Metastasis
Victoria Mayoral-Campos, Claudia Josa Laorden, José Luis de Benito-Arévalo
10.1016/j.arbr.2014.04.001Arch Bronconeumol. 2014;50:258