array:23 [ "pii" => "S0300289624000681" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.03.009" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3508" "copyright" => "SEPAR" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:378-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289624000711" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.03.012" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3511" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:380" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Partial Anomalous Pulmonary Venous Return Incidentally Detected at Lung Cancer Screening With Low-dose Thoracic CT" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "380" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1207 "Ancho" => 4020 "Tamanyo" => 410634 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Unenhanced axial thoracic CT image (mediastinal window) shows an abnormal structure adjacent to the aortic arch (white arrow). (B) Contrast-enhanced axial CT image (mediastinal window) at a lower level shows the left upper pulmonary vein entering the mediastinum (white arrow). (C) Contrast-enhanced coronal CT maximum intensity projection image shows the left upper pulmonary vein entering the mediastinum (arrows) and connecting with the left innominate vein (asterisk).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe, Miguel Ángel Gómez-Bermejo, Rosa Mariela Mirambeaux-Villalona" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe" ] 1 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Gómez-Bermejo" ] 2 => array:2 [ "nombre" => "Rosa Mariela" "apellidos" => "Mirambeaux-Villalona" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000711?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000711/v2_202408290625/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289624000437" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.02.004" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "3484" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2024;60:376-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Giant Tracheoesophageal Fistula: What to Do When There is Little Else That Can be Done" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "376" "paginaFinal" => "377" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 696 "Ancho" => 1240 "Tamanyo" => 142985 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) <span class="elsevierStyleItalic">Chest computer tomography</span> (<span class="elsevierStyleItalic">CT</span>): Tracheoesophageal fistula due to displacement of esophageal metallic prosthesis. (B) <span class="elsevierStyleItalic">Bronchoscopy</span>: Direct view of a large tracheoesophageal fistula extending from the trachea to the entrance of the left main bronchus. (C) <span class="elsevierStyleItalic">Rigid Bronchoscopy</span>: Placement of a self-expanding metallic tracheal prosthesis. (D) <span class="elsevierStyleItalic">Rigid bronchoscopy</span>: Persistence of the fistula despite the placement of the tracheal prosthesis. The esophageal prosthesis, visible on the left side, is decided to be displaced cranially. (E) <span class="elsevierStyleItalic">Rigid bronchoscopy</span>: Direct view of the intact left bronchial system. (F) <span class="elsevierStyleItalic">Chest CT</span>: Coronal visualization of both prostheses overlapped, forming an esophagotracheal artificial wall and sealing the fistula.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Revuelta-Salgado, Miguel Jiménez-Gómez, Ricardo García-Luján" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta-Salgado" ] 1 => array:2 [ "nombre" => "Miguel" "apellidos" => "Jiménez-Gómez" ] 2 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García-Luján" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000437?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000437/v2_202408290625/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Adrenal Metastasis of Melanoma: An Unusual Finding by EUS-B" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "378" "paginaFinal" => "379" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Cascón-Hernández, Luis Fernández-Fernández, Lucía García-Alfonso" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Cascón-Hernández" "email" => array:1 [ 0 => "jcasconh@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Luis" "apellidos" => "Fernández-Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Lucía" "apellidos" => "García-Alfonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Interventional Pulmonology Unit, Respiratory Department, Central Asturias University Hospital, Oviedo, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Pathology Department, Central Asturias University Hospital, Oviedo, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1200 "Ancho" => 1200 "Tamanyo" => 228591 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT (A) and PET-CT (B) scans: left adrenal mass (thick arrows). (C) EUS-B image: transgastric needle aspiration (thin arrow) of the left adrenal mass (thick arrow). (D) Hematoxylin–eosin stain: atypical cells. (E) Positive dual SOX-10/Melan A stain.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old male, active smoker with a history of resection of a cutaneous melanoma in the back 9 years ago. A chest X-ray was performed due to chest discomfort and the patient was sent for evaluation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">CT and PET scans revealed a pulmonary mass measuring 45<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>32<span class="elsevierStyleHsp" style=""></span>mm with a Standard Uptake Volume (SUV) of 7.55. Additionally, bilateral pulmonary nodules, mediastinal lymph nodes (4R: SUV 2.24), and liver and bilateral adrenal lesions (left: 23<span class="elsevierStyleHsp" style=""></span>mm, SUV 3.67) were identified.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The differential diagnosis considered the possibility of stage IV lung cancer and recurrence of melanoma, given the patient's medical history.</p><p id="par0020" class="elsevierStylePara elsevierViewall">An echobronchoscopy (EBUS) was then performed, puncturing 4R and 11R. The procedure was followed by echoendoscopy through the esophagus with the same echobronchoscope (EUS-B) (EB19-J10U, Pentax). A transgastric fine-needle aspiration (FNA) (SonoTip EBUS Pro Flex, Medi-Globe) was performed on a left adrenal mass.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Small to medium-sized atypical cells were found in the pathologic anatomy of the adrenal gland, which were compatible with melanoma metastasis. The cells showed dual positive staining for SOX-10/Melan A. A molecular oncology test confirmed the presence of a BRAFV600E mutation. A similar finding was observed in 4R, while 11R was negative for malignancy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">The adrenal glands are a frequent site of metastasis for various tumors, including up to 50% of advanced melanomas<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> and around 8% of lung cancers.</p><p id="par0035" class="elsevierStylePara elsevierViewall">EUS-B enables sampling of extrathoracic lesions and completes tumor staging by reaching areas that are not accessible by EBUS.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Several studies have reported the efficacy of EUS-B-FNA in detecting metastases in the left adrenal gland in patients with lung cancer and other tumors. It is important to note that EUS-B-FNA is a sensitive, safe, and minimally invasive technique for providing tissue proof of left adrenal metastases.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors’ contribution</span><p id="par0040" class="elsevierStylePara elsevierViewall">Study concept and design, JCH; Drafting of the manuscript, LFF, LFA; Critical revision of the manuscript for important intellectual content, JCH.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Informed consent form</span><p id="par0045" class="elsevierStylePara elsevierViewall">The patient has signed the informed consent form.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interests</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Authors’ contribution" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Informed consent form" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interests" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1200 "Ancho" => 1200 "Tamanyo" => 228591 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT (A) and PET-CT (B) scans: left adrenal mass (thick arrows). (C) EUS-B image: transgastric needle aspiration (thin arrow) of the left adrenal mass (thick arrow). (D) Hematoxylin–eosin stain: atypical cells. (E) Positive dual SOX-10/Melan A stain.</p>" ] ] 1 => array:6 [ "identificador" => "202408290626409681" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 196 "Ancho" => 192 "Tamanyo" => 6243 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "sat0005" "detalle" => "Twitter Ico" "rol" => "short" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metastasis of melanoma to the adrenal glands: a case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.A. Haider" 1 => "A. Ruiz de Villa" 2 => "L. Frimer" 3 => "Y. Bazikian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7759/cureus.26749" "Revista" => array:5 [ "tituloSerie" => "Cureus" "fecha" => "2022" "volumen" => "14" "paginaInicial" => "e26749" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35836716" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "P. Vilmann" 1 => "P.F. Clementsen" 2 => "S. Colella" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-0034-1392040" "Revista" => array:6 [ "tituloSerie" => "Endoscopy" "fecha" => "2015" "volumen" => "47" "paginaInicial" => "545" "paginaFinal" => "559" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26030890" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000006/v2_202408290625/S0300289624000681/v2_202408290625/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000006/v2_202408290625/S0300289624000681/v2_202408290625/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000681?idApp=UINPBA00003Z" ]
Journal Information
Vol. 60. Issue 6.
Pages 378-379 (June 2024)
Vol. 60. Issue 6.
Pages 378-379 (June 2024)
Clinical Image
Adrenal Metastasis of Melanoma: An Unusual Finding by EUS-B
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