array:19 [
  "pii" => "13051516"
  "issn" => "15792129"
  "estado" => "S300"
  "fechaPublicacion" => "2003-09-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2003;39:431-2"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2878
    "formatos" => array:3 [
      "EPUB" => 119
      "HTML" => 2057
      "PDF" => 702
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "13051518"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-09-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:432-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2531
      "formatos" => array:3 [
        "EPUB" => 99
        "HTML" => 1828
        "PDF" => 604
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Reflections on the Guidelines for the Prevention of Tuberculosis of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR)"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "432"
          "paginaFinal" => "433"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Puntualizaciones acerca de la Normativa SEPAR sobre prevención de la tuberculosis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R Vidal"
          "autores" => array:1 [
            0 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Vidal"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051518?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000009/v0_201307090907/13051518/v0_201307090908/en/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "13051515"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-09-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:428-30"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5273
      "formatos" => array:3 [
        "EPUB" => 119
        "HTML" => 4307
        "PDF" => 847
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "A Descriptive Analysis of a Series of Patients Diagnosed With Acute Mediastinitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "428"
          "paginaFinal" => "430"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Análisis descriptivo de una serie de casos diagnosticados de mediastinitis aguda"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P Macrí, MF Jiménez, N Novoa, G Varela"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "P"
              "apellidos" => "Macrí"
            ]
            1 => array:2 [
              "Iniciales" => "MF"
              "apellidos" => "Jiménez"
            ]
            2 => array:2 [
              "Iniciales" => "N"
              "apellidos" => "Novoa"
            ]
            3 => array:2 [
              "Iniciales" => "G"
              "apellidos" => "Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051515?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000009/v0_201307090907/13051515/v0_201307090908/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "titulo" => "Storiform-type Malignant Histiocytoma of the Lung"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "431"
        "paginaFinal" => "432"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "A Ríos Zambudio, MJ Roca Calvo, LA Polo García"
        "autores" => array:3 [
          0 => array:3 [
            "Iniciales" => "A"
            "apellidos" => "Ríos Zambudio"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "MJ"
            "apellidos" => "Roca Calvo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "LA"
            "apellidos" => "Polo Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Departamento de Cirugía, Servicio de Cirugía Torácica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Fibrohistiocitoma maligno de pulm&#243;n variedad estoriforme"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the editor&#58;</span> Soft tissue sarcomas are neoplasms which establish themselves on structures of mesodermic origin&#46; The most common histological variant in adults is the malignant fibrous histiocytoma &#40;MFH&#41;&#44; though this rarely occurs in the lung&#46;<span class="elsevierStyleSup">1</span> Furthermore&#44; before labeling such a histiocytoma as being of pulmonary origin&#44; it is important to rule out the possibility of a primary site elsewhere&#44; given that such tumors are more often the result of metastasis&#46; We report a case of this unusual pulmonary disease&#46;</p><p class="elsevierStylePara">A clinically asymptomatic 77-year-old man with a history of cutaneous melanoma of superficial extension &#40;Breslow depth 2&#46;3 mm&#41; extirpated two years previously was seen in a routine x-ray to have a nodule at the base of the right lung&#46; Physical examination revealed nothing abnormal apart from hepatomegaly of 4 cm due to alcohol-related cirrhosis&#46; All tests&#44; including tumor and coagulation markers&#44; provided normal results&#44; with the exception of an increase in bilirubin &#40;2 mg&#47;dL&#41; and transaminases because of the liver disease&#46; In the lateral segment of the inferior lobe of the right lung&#44; computed axial tomography revealed a nodular&#44; lobulate image 1&#46;5 cm in diameter which had not appeared in tests the previous year&#46; The results of fine needle aspiration did not conclusively rule out malignancy&#46; On the suspicion that the object represented a single metastasis of the melanoma&#44; the patient underwent a serratus-sparing right posterolateral thoracotomy&#44; and a 2-cm nodule found in the inferior right lobe was extirpated by means of an inferior lobectomy&#46; A histological exam revealed a mesenchymal neoformation that had infiltrated the pulmonary parenchyma&#44; with areas of fascicular-storiform pattern intermingled with areas of hyaline fibrosis&#46; Fusiform cells with enlarged nuclei of atypical size and atypical multinucleate giant cells with nucleoli and frequent mitoses&#44; some cells showing atypical morphology&#44; were observed&#46; In other areas a nonspecific lymphoplasmacytic inflammatory component was evident&#46; In immunohistochemical testing&#44; the neoplastic cells showed positive for vimentin and CD-68 &#40;Figure&#41;&#44; but negative for S-100 protein&#44; actin&#44; HMB-45&#44; and cytokeratin&#44; which are specific markers for melanoma&#46; The postoperative period was free of complications&#46; Two years after the intervention&#44; the patient continues to be asymptomatic and free of lung disease&#46;</p><p class="elsevierStylePara"><img src="260v39n09-13051516tab01.gif"></img></p><p class="elsevierStylePara">Figure&#46; Histology&#44; immunohistological assay&#46; A&#58; expression of vimentin by neoplastic cells &#40;vimentin&#44; x250&#41;&#59; B&#58; expression of CD-68 by neoplastic cells &#40;CD-68&#44; x250&#41;&#46;</p><p class="elsevierStylePara">Pulmonary MFH tends to occur in patients in their 60s&#44; with no differences in incidence between the sexes&#46; Clinical signs and symptoms are typically chest pain and dyspnea&#44; often accompanied by cough&#44; weight loss&#44; hemoptysis&#44; and fatigue&#46; Asymptomatic cases such as the one described are rare&#46;<span class="elsevierStyleSup">1</span> Their prognosis is very poor and depends primarily on early diagnosis&#44; given that the cases involving long survival have been described at their initial stages when resective surgery was possible&#46;<span class="elsevierStyleSup">1-4</span> It is essential to rule out both remote metastasis of MFH and sarcomatoid carcinoma&#44; malignant desmoplastic mesothelioma&#44; and all other types of pulmonary sarcoma&#46;<span class="elsevierStyleSup">1-4</span></p><p class="elsevierStylePara"> Radiographically&#44; MFHs tend to be solitary&#44; noncavitated and peripheral&#44; located most often in the middle or inferior lobe&#44; as in this case&#44; and they frequently affect the pleura and are associated with pleural effusion&#46;<span class="elsevierStyleSup">1-4</span> The typical tomographic image is of a large&#44; well-circumscribed tumor&#44; neither cavitated nor calcified&#44; located peripherally and without hilar or mediastinal adenopathy&#46;<span class="elsevierStyleSup">1</span> Bronchoscopy and fine needle aspiration are of limited value in the differential diagnosis&#44;<span class="elsevierStyleSup">3</span> making it often necessary to perform a thoracotomy in order to reach the definitive diagnosis&#44; as was true in this case&#46; Microscopic inspection shows a malignant neoplasm of spicular cells&#46; Unfortunately there exist no specific immunohistological markers&#44; though similar sarcomas can be ruled out by means of specific immunohistochemical assays&#46; Histological variants are the storiform&#44; pleomorphic&#44; myxoid&#44; inflammatory&#44; giant cell&#44; and angiomatoid variants&#44; with the majority of pulmonary MFHs being of a mixed storiform-pleomorphic variety&#46;</p><p class="elsevierStylePara">Resective surgery is the standard&#44; essential treatment&#46; It has been noted that if treatment is limited to biopsy or partial resection&#44; the survival rate averages between 9-10 months&#44;<span class="elsevierStyleSup">1</span> whereas if the surgery is intended to be curative&#44; the disease-free survival improves&#44; with 20&#37; alive at 5 years&#46;<span class="elsevierStyleSup">1-4</span> Magne et al<span class="elsevierStyleSup">5</span> have studied survival rates for cases of primary pulmonary sarcoma and observed that rates are significantly higher when total resection is performed compared with partial surgery &#40;47 vs 6 months&#41;&#46; Furthermore&#44; survival longer than 5 years has been obtained with complete resections of recurrences&#44; early diagnosis being essential in these instances&#59; hence the importance of periodic check-ups&#46; Most authors have not been able to demonstrate the usefulness of radiotherapy in treatment&#44; though Lee et al<span class="elsevierStyleSup">2</span> achieved extended survival by applying 5400 cGy prior to surgery&#46; Systemic chemotherapy is used for metastatic cases but has not succeeded in improving survival&#46;<span class="elsevierStyleSup">1-4</span></p><p class="elsevierStylePara">Systemic metastases&#44; primarily cerebral&#44; are common&#44; which may be due to the high incidence of vascular invasion at the time of diagnosis&#46;<span class="elsevierStyleSup">1</span> The prognostic factors involved in pulmonary location are not well understood&#44; although&#44; in general terms&#44; total resection of the macroscopic disease&#44; age above 50 years&#44; the tumor grade&#44; the histological variant&#44; the size of the tumor&#44; and the number of distant metastases at the time of diagnosis have been described as prognostic factors in MFH&#46;<span class="elsevierStyleSup">6</span> In the pulmonary cases that have been described&#44; nearly all patients with long survival have been negative for node involvement&#44; as was the case with our own patient<span class="elsevierStyleSup">1-3</span>&#59; only Yousen and Hochholzer<span class="elsevierStyleSup">4</span> have described a patient who survived for 36 months with mediastinal adenopathy&#46; No clear relation between survival and pulmonary histology has been established&#44; possibly because of the predominance of the mixed storiform-pleomorphic subtype&#46;</p>"
    "pdfFichero" => "260v39n09a13051516pdf001.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "tbl1"
        "etiqueta" => "Figure"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tablaImagen" => array:1 [
                0 => array:4 [
                  "imagenFichero" => "260v39n09-13051516tab01.gif"
                  "imagenAlto" => 582
                  "imagenAncho" => 397
                  "imagenTamanyo" => 136329
                ]
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Histology&#44; immunohistological assay&#46; A&#58; expression of vimentin by neoplastic cells &#40;vimentin&#44; x250&#41;&#59; B&#58; expression of CD-68 by neoplastic cells &#40;CD-68&#44; x250&#41;&#46;"
        ]
      ]
      1 => array:5 [
        "identificador" => "tbl2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Malignant fibrous histiocytoma of the lung&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Halyard MY"
                            1 => "Camoriano JK"
                            2 => "Culligan JA"
                            3 => "Weiland LH"
                            4 => "Allen MS"
                            5 => "Pluth JR"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1996"
                        "volumen" => "78"
                        "paginaInicial" => "492"
                        "paginaFinal" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary malignant fibrous histiocytoma of the lung&#58; a clinicopathologic and ultrastructural study of five cases&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Lee JT"
                            1 => "Shelburne JD"
                            2 => "Linder J&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1983"
                        "volumen" => "53"
                        "paginaInicial" => "1124"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6318959"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary malignant fibrous histiocytoma of the lung&#58; fine needle aspiration cytologic features&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Hsiu JG"
                            1 => "Kreuger JK"
                            2 => "D&#180;Amato NA"
                            3 => "Morris LR&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Cytol"
                        "fecha" => "1987"
                        "volumen" => "31"
                        "paginaInicial" => "345"
                        "paginaFinal" => "50"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3035847"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Malignant fibrous histiocytoma of the lung&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Younsem SA"
                            1 => "Hochholzer L&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1987"
                        "volumen" => "60"
                        "paginaInicial" => "2532"
                        "paginaFinal" => "41"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2822221"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary lung sarcomas&#58; long survivors obtained with iterative complete surgery&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Magne N"
                            1 => "Porsin B"
                            2 => "Pivot X"
                            3 => "Tchiknavorian X"
                            4 => "Marcy PY"
                            5 => "Foa C"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lung Cancer"
                        "fecha" => "2001"
                        "volumen" => "31"
                        "paginaInicial" => "241"
                        "paginaFinal" => "5"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11165403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Prognostic factors for patients with localized primary malignant fibrous histiocytoma&#46; A multicenter study of 216 patients with multivariate analysis&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Le Doussal V"
                            1 => "Coindre JM"
                            2 => "Leroux A"
                            3 => "Hacene K"
                            4 => "Terrier P"
                            5 => "Bui NB"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/(SICI)1097-0142(19960501)77:9<1823::AID-CNCR10>3.0.CO;2-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1996"
                        "volumen" => "77"
                        "paginaInicial" => "1823"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8646680"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000003900000009/v0_201307090907/13051516/v0_201307090908/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14576"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Letters to the editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000003900000009/v0_201307090907/13051516/v0_201307090908/en/260v39n09a13051516pdf001.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051516?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Storiform-type Malignant Histiocytoma of the Lung
Fibrohistiocitoma maligno de pulmón variedad estoriforme
A. Ríos Zambudioa, MJ. Roca Calvoa, LA. Polo Garcíab
a Departamento de Cirugía, Servicio de Cirugía Torácica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
b Servicio de Anatomía Patológica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Read
5658
Times
was read the article
2041
Total PDF
3617
Total HTML
Share statistics
 array:19 [
  "pii" => "13051516"
  "issn" => "15792129"
  "estado" => "S300"
  "fechaPublicacion" => "2003-09-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2003;39:431-2"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2878
    "formatos" => array:3 [
      "EPUB" => 119
      "HTML" => 2057
      "PDF" => 702
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "13051518"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-09-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:432-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2531
      "formatos" => array:3 [
        "EPUB" => 99
        "HTML" => 1828
        "PDF" => 604
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Reflections on the Guidelines for the Prevention of Tuberculosis of the Spanish Society of Pulmonology and Thoracic Surgery &#40;SEPAR&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "432"
          "paginaFinal" => "433"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Puntualizaciones acerca de la Normativa SEPAR sobre prevenci&#243;n de la tuberculosis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R Vidal"
          "autores" => array:1 [
            0 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Vidal"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051518?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000009/v0_201307090907/13051518/v0_201307090908/en/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "13051515"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-09-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:428-30"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5273
      "formatos" => array:3 [
        "EPUB" => 119
        "HTML" => 4307
        "PDF" => 847
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "A Descriptive Analysis of a Series of Patients Diagnosed With Acute Mediastinitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "428"
          "paginaFinal" => "430"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "An&#225;lisis descriptivo de una serie de casos diagnosticados de mediastinitis aguda"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P Macr&#237;, MF Jim&#233;nez, N Novoa, G Varela"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "P"
              "apellidos" => "Macr&#237;"
            ]
            1 => array:2 [
              "Iniciales" => "MF"
              "apellidos" => "Jim&#233;nez"
            ]
            2 => array:2 [
              "Iniciales" => "N"
              "apellidos" => "Novoa"
            ]
            3 => array:2 [
              "Iniciales" => "G"
              "apellidos" => "Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051515?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000009/v0_201307090907/13051515/v0_201307090908/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "titulo" => "Storiform-type Malignant Histiocytoma of the Lung"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "431"
        "paginaFinal" => "432"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "A R&#237;os Zambudio, MJ Roca Calvo, LA Polo Garc&#237;a"
        "autores" => array:3 [
          0 => array:3 [
            "Iniciales" => "A"
            "apellidos" => "R&#237;os Zambudio"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "MJ"
            "apellidos" => "Roca Calvo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "LA"
            "apellidos" => "Polo Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Departamento de Cirugía, Servicio de Cirugía Torácica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Fibrohistiocitoma maligno de pulm&#243;n variedad estoriforme"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the editor&#58;</span> Soft tissue sarcomas are neoplasms which establish themselves on structures of mesodermic origin&#46; The most common histological variant in adults is the malignant fibrous histiocytoma &#40;MFH&#41;&#44; though this rarely occurs in the lung&#46;<span class="elsevierStyleSup">1</span> Furthermore&#44; before labeling such a histiocytoma as being of pulmonary origin&#44; it is important to rule out the possibility of a primary site elsewhere&#44; given that such tumors are more often the result of metastasis&#46; We report a case of this unusual pulmonary disease&#46;</p><p class="elsevierStylePara">A clinically asymptomatic 77-year-old man with a history of cutaneous melanoma of superficial extension &#40;Breslow depth 2&#46;3 mm&#41; extirpated two years previously was seen in a routine x-ray to have a nodule at the base of the right lung&#46; Physical examination revealed nothing abnormal apart from hepatomegaly of 4 cm due to alcohol-related cirrhosis&#46; All tests&#44; including tumor and coagulation markers&#44; provided normal results&#44; with the exception of an increase in bilirubin &#40;2 mg&#47;dL&#41; and transaminases because of the liver disease&#46; In the lateral segment of the inferior lobe of the right lung&#44; computed axial tomography revealed a nodular&#44; lobulate image 1&#46;5 cm in diameter which had not appeared in tests the previous year&#46; The results of fine needle aspiration did not conclusively rule out malignancy&#46; On the suspicion that the object represented a single metastasis of the melanoma&#44; the patient underwent a serratus-sparing right posterolateral thoracotomy&#44; and a 2-cm nodule found in the inferior right lobe was extirpated by means of an inferior lobectomy&#46; A histological exam revealed a mesenchymal neoformation that had infiltrated the pulmonary parenchyma&#44; with areas of fascicular-storiform pattern intermingled with areas of hyaline fibrosis&#46; Fusiform cells with enlarged nuclei of atypical size and atypical multinucleate giant cells with nucleoli and frequent mitoses&#44; some cells showing atypical morphology&#44; were observed&#46; In other areas a nonspecific lymphoplasmacytic inflammatory component was evident&#46; In immunohistochemical testing&#44; the neoplastic cells showed positive for vimentin and CD-68 &#40;Figure&#41;&#44; but negative for S-100 protein&#44; actin&#44; HMB-45&#44; and cytokeratin&#44; which are specific markers for melanoma&#46; The postoperative period was free of complications&#46; Two years after the intervention&#44; the patient continues to be asymptomatic and free of lung disease&#46;</p><p class="elsevierStylePara"><img src="260v39n09-13051516tab01.gif"></img></p><p class="elsevierStylePara">Figure&#46; Histology&#44; immunohistological assay&#46; A&#58; expression of vimentin by neoplastic cells &#40;vimentin&#44; x250&#41;&#59; B&#58; expression of CD-68 by neoplastic cells &#40;CD-68&#44; x250&#41;&#46;</p><p class="elsevierStylePara">Pulmonary MFH tends to occur in patients in their 60s&#44; with no differences in incidence between the sexes&#46; Clinical signs and symptoms are typically chest pain and dyspnea&#44; often accompanied by cough&#44; weight loss&#44; hemoptysis&#44; and fatigue&#46; Asymptomatic cases such as the one described are rare&#46;<span class="elsevierStyleSup">1</span> Their prognosis is very poor and depends primarily on early diagnosis&#44; given that the cases involving long survival have been described at their initial stages when resective surgery was possible&#46;<span class="elsevierStyleSup">1-4</span> It is essential to rule out both remote metastasis of MFH and sarcomatoid carcinoma&#44; malignant desmoplastic mesothelioma&#44; and all other types of pulmonary sarcoma&#46;<span class="elsevierStyleSup">1-4</span></p><p class="elsevierStylePara"> Radiographically&#44; MFHs tend to be solitary&#44; noncavitated and peripheral&#44; located most often in the middle or inferior lobe&#44; as in this case&#44; and they frequently affect the pleura and are associated with pleural effusion&#46;<span class="elsevierStyleSup">1-4</span> The typical tomographic image is of a large&#44; well-circumscribed tumor&#44; neither cavitated nor calcified&#44; located peripherally and without hilar or mediastinal adenopathy&#46;<span class="elsevierStyleSup">1</span> Bronchoscopy and fine needle aspiration are of limited value in the differential diagnosis&#44;<span class="elsevierStyleSup">3</span> making it often necessary to perform a thoracotomy in order to reach the definitive diagnosis&#44; as was true in this case&#46; Microscopic inspection shows a malignant neoplasm of spicular cells&#46; Unfortunately there exist no specific immunohistological markers&#44; though similar sarcomas can be ruled out by means of specific immunohistochemical assays&#46; Histological variants are the storiform&#44; pleomorphic&#44; myxoid&#44; inflammatory&#44; giant cell&#44; and angiomatoid variants&#44; with the majority of pulmonary MFHs being of a mixed storiform-pleomorphic variety&#46;</p><p class="elsevierStylePara">Resective surgery is the standard&#44; essential treatment&#46; It has been noted that if treatment is limited to biopsy or partial resection&#44; the survival rate averages between 9-10 months&#44;<span class="elsevierStyleSup">1</span> whereas if the surgery is intended to be curative&#44; the disease-free survival improves&#44; with 20&#37; alive at 5 years&#46;<span class="elsevierStyleSup">1-4</span> Magne et al<span class="elsevierStyleSup">5</span> have studied survival rates for cases of primary pulmonary sarcoma and observed that rates are significantly higher when total resection is performed compared with partial surgery &#40;47 vs 6 months&#41;&#46; Furthermore&#44; survival longer than 5 years has been obtained with complete resections of recurrences&#44; early diagnosis being essential in these instances&#59; hence the importance of periodic check-ups&#46; Most authors have not been able to demonstrate the usefulness of radiotherapy in treatment&#44; though Lee et al<span class="elsevierStyleSup">2</span> achieved extended survival by applying 5400 cGy prior to surgery&#46; Systemic chemotherapy is used for metastatic cases but has not succeeded in improving survival&#46;<span class="elsevierStyleSup">1-4</span></p><p class="elsevierStylePara">Systemic metastases&#44; primarily cerebral&#44; are common&#44; which may be due to the high incidence of vascular invasion at the time of diagnosis&#46;<span class="elsevierStyleSup">1</span> The prognostic factors involved in pulmonary location are not well understood&#44; although&#44; in general terms&#44; total resection of the macroscopic disease&#44; age above 50 years&#44; the tumor grade&#44; the histological variant&#44; the size of the tumor&#44; and the number of distant metastases at the time of diagnosis have been described as prognostic factors in MFH&#46;<span class="elsevierStyleSup">6</span> In the pulmonary cases that have been described&#44; nearly all patients with long survival have been negative for node involvement&#44; as was the case with our own patient<span class="elsevierStyleSup">1-3</span>&#59; only Yousen and Hochholzer<span class="elsevierStyleSup">4</span> have described a patient who survived for 36 months with mediastinal adenopathy&#46; No clear relation between survival and pulmonary histology has been established&#44; possibly because of the predominance of the mixed storiform-pleomorphic subtype&#46;</p>"
    "pdfFichero" => "260v39n09a13051516pdf001.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "tbl1"
        "etiqueta" => "Figure"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tablaImagen" => array:1 [
                0 => array:4 [
                  "imagenFichero" => "260v39n09-13051516tab01.gif"
                  "imagenAlto" => 582
                  "imagenAncho" => 397
                  "imagenTamanyo" => 136329
                ]
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Histology&#44; immunohistological assay&#46; A&#58; expression of vimentin by neoplastic cells &#40;vimentin&#44; x250&#41;&#59; B&#58; expression of CD-68 by neoplastic cells &#40;CD-68&#44; x250&#41;&#46;"
        ]
      ]
      1 => array:5 [
        "identificador" => "tbl2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Malignant fibrous histiocytoma of the lung&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Halyard MY"
                            1 => "Camoriano JK"
                            2 => "Culligan JA"
                            3 => "Weiland LH"
                            4 => "Allen MS"
                            5 => "Pluth JR"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1996"
                        "volumen" => "78"
                        "paginaInicial" => "492"
                        "paginaFinal" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary malignant fibrous histiocytoma of the lung&#58; a clinicopathologic and ultrastructural study of five cases&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Lee JT"
                            1 => "Shelburne JD"
                            2 => "Linder J&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1983"
                        "volumen" => "53"
                        "paginaInicial" => "1124"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6318959"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary malignant fibrous histiocytoma of the lung&#58; fine needle aspiration cytologic features&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Hsiu JG"
                            1 => "Kreuger JK"
                            2 => "D&#180;Amato NA"
                            3 => "Morris LR&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Cytol"
                        "fecha" => "1987"
                        "volumen" => "31"
                        "paginaInicial" => "345"
                        "paginaFinal" => "50"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3035847"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Malignant fibrous histiocytoma of the lung&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Younsem SA"
                            1 => "Hochholzer L&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1987"
                        "volumen" => "60"
                        "paginaInicial" => "2532"
                        "paginaFinal" => "41"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2822221"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Primary lung sarcomas&#58; long survivors obtained with iterative complete surgery&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Magne N"
                            1 => "Porsin B"
                            2 => "Pivot X"
                            3 => "Tchiknavorian X"
                            4 => "Marcy PY"
                            5 => "Foa C"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lung Cancer"
                        "fecha" => "2001"
                        "volumen" => "31"
                        "paginaInicial" => "241"
                        "paginaFinal" => "5"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11165403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Prognostic factors for patients with localized primary malignant fibrous histiocytoma&#46; A multicenter study of 216 patients with multivariate analysis&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Le Doussal V"
                            1 => "Coindre JM"
                            2 => "Leroux A"
                            3 => "Hacene K"
                            4 => "Terrier P"
                            5 => "Bui NB"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/(SICI)1097-0142(19960501)77:9<1823::AID-CNCR10>3.0.CO;2-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1996"
                        "volumen" => "77"
                        "paginaInicial" => "1823"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8646680"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000003900000009/v0_201307090907/13051516/v0_201307090908/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14576"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Letters to the editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000003900000009/v0_201307090907/13051516/v0_201307090908/en/260v39n09a13051516pdf001.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13051516?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 3 2 5
2024 October 48 16 64
2024 September 57 19 76
2024 August 64 35 99
2024 July 50 23 73
2024 June 83 31 114
2024 May 56 30 86
2024 April 30 24 54
2024 March 22 27 49
2024 February 19 38 57
2023 March 6 11 17
2023 February 33 16 49
2023 January 51 26 77
2022 December 25 38 63
2022 November 30 24 54
2022 October 33 35 68
2022 September 23 41 64
2022 August 32 35 67
2022 July 27 44 71
2022 June 34 40 74
2022 May 37 50 87
2022 April 34 21 55
2022 March 40 56 96
2022 February 28 34 62
2022 January 26 38 64
2021 December 45 45 90
2021 November 40 57 97
2021 October 31 38 69
2021 September 26 44 70
2021 August 23 36 59
2021 July 20 29 49
2021 June 37 34 71
2021 May 33 31 64
2021 April 56 89 145
2021 March 31 17 48
2021 February 19 18 37
2021 January 20 19 39
2020 December 27 11 38
2020 November 16 7 23
2020 October 17 17 34
2020 September 26 9 35
2020 August 26 15 41
2020 July 35 18 53
2020 June 18 1 19
2020 May 50 18 68
2020 April 32 19 51
2020 March 23 9 32
2020 February 33 13 46
2020 January 36 21 57
2019 December 28 10 38
2019 November 29 16 45
2019 October 23 17 40
2019 September 18 20 38
2019 August 42 44 86
2019 July 28 14 42
2019 June 20 20 40
2019 May 31 22 53
2019 April 40 26 66
2019 March 37 14 51
2019 February 38 13 51
2019 January 25 14 39
2018 December 28 17 45
2018 November 39 19 58
2018 October 44 17 61
2018 September 24 8 32
2018 May 6 0 6
2018 April 13 7 20
2018 March 15 6 21
2018 February 11 4 15
2018 January 23 7 30
2017 December 20 4 24
2017 November 19 2 21
2017 October 24 8 32
2017 September 19 6 25
2017 August 21 9 30
2017 July 21 6 27
2017 June 32 12 44
2017 May 29 4 33
2017 April 31 5 36
2017 March 14 21 35
2017 February 11 3 14
2017 January 10 6 16
2016 December 28 3 31
2016 November 33 11 44
2016 October 51 15 66
2016 September 52 6 58
2016 August 51 8 59
2016 July 33 8 41
2016 March 2 0 2
2016 February 1 0 1
2015 December 3 0 3
2015 October 22 2 24
2015 September 25 7 32
2015 August 27 12 39
2015 July 35 6 41
2015 June 26 12 38
2015 May 41 10 51
2015 April 21 8 29
2015 March 27 10 37
2015 February 14 4 18
2015 January 20 5 25
2014 December 30 6 36
2014 November 24 5 29
2014 October 29 11 40
2014 September 30 7 37
2014 August 22 7 29
2014 July 28 7 35
2014 June 40 8 48
2014 May 50 10 60
2014 April 33 3 36
2014 March 33 8 41
2014 February 30 7 37
2014 January 22 5 27
2013 December 31 9 40
2013 November 23 6 29
2013 October 34 6 40
2013 September 52 7 59
2013 August 36 10 46
2013 July 43 10 53
2013 June 35 6 41
2013 May 32 1 33
2013 April 15 3 18
2013 March 9 2 11
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?